Cómo la gota puede afectar el codo y el brazo

La gota en el codo no es muy común, pero para quienes la padecen, generalmente comienza y permanece concentrada en el dedo gordo del pie o en el área del pie durante un ataque inflamatorio. Para algunas personas, a medida que la enfermedad avanza con los años, puede ascender por el cuerpo y afectar las rodillas, los brazos, los dedos y los codos. Un primer ataque de gota en el codo es extremadamente raro, por lo que generalmente se ve en alguien que ha vivido con gota durante 10 a 15 años. A menudo, una convulsión afectará a otra articulación, como el dedo gordo del pie y el codo o el dedo gordo del pie y la rodilla.

El codo está formado por tres huesos, dos de los cuales pertenecen al antebrazo llamados radio y cúbito. El tercer hueso se llama húmero, que también es el hueso más grande y único en la parte superior del brazo. El húmero es muy importante ya que es el encargado de levantar, lanzar y escribir. Los cristales de ácido úrico generalmente se depositarán en el medio donde los tres huesos se conectan en la cápsula de la articulación del codo.

Un ataque de gota en el codo también ocurrirá inesperadamente, se despertará por la mañana y descubrirá que su codo está repentinamente hinchado y doloroso. Sentirá dolor y sensibilidad intensos, al igual que el dedo gordo del pie, su codo estará extremadamente sensible a cualquier presión, incluso una sábana. Su codo puede verse rojo, caliente e hinchado como si estuviera hinchado. La movilidad de su brazo obviamente será limitada. La piel de su codo puede pelarse y descamarse debido al enrojecimiento. También puede causar picazón.

El médico puede prescribir. colchicina o AINEs para eliminar el dolor y la inflamación y ponerlo en un tratamiento a largo plazo para controlar el ácido úrico, como allopurinol para evitar cualquier crisis futura.


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La diferencia entre gota y bursitis.

Otra condición que puede afectar el codo y confundirse con gota es la bursitis. Ambos tienen síntomas similares, por eso es importante consultar a un médico si tiene un codo inflamado para ser diagnosticado y tratado adecuadamente. La bursitis es una afección que afecta los pequeños sacos llenos de líquido que protegen los huesos (llamados becas), tendones y músculos cerca de las articulaciones. Cuando los pequeños sacos se inflaman, la bursitis ocurre cerca de las articulaciones que realizan movimientos repetitivos frecuentes, como la rodilla, la cadera, el hombro, el talón y el codo. Además, la bursitis es una afección que requiere principalmente reposo para tratarse.

Otras condiciones que pueden hacerle pensar que es gota pero podrían ser otra cosa; La compresión del nervio puede causar dolor en el codo causado por aplastamiento o atrapamiento de los nervios. La artritis reumatoide u osteoartritis que afecta la articulación del codo puede provocar rigidez, dolor e inflamación en el codo y el brazo. ¡Así que presta atención a eso!

Tenga en cuenta que las personas con gota, artritis reumatoide o diabetes tienen un mayor riesgo de desarrollar bursitis. También tenga en cuenta que una complicación de la bursitis que a veces afecta el dedo gordo del pie es el desarrollo de un juanete. Un juanete es una hinchazón dolorosa en la primera articulación del dedo gordo del pie. Por lo general, aparecerá una protuberancia ósea. Se forma cuando el dedo gordo del pie empuja contra el siguiente, lo que obliga a la articulación del dedo gordo del pie a agrandarse y sobresalir. Esto también se puede confundir con la gota y es muy importante controlarlo.

En algunos casos, la cirugía puede usarse para tratar las articulaciones del codo afectadas por la gota. Si el tratamiento médico, la dieta y otros tratamientos han fallado y hay daño en la articulación del codo, es posible que se necesite cirugía. Hay tres cirugías principales para tratar la gota en el codo:

  • cirugía para Tofos: tofo en casos avanzados de gota de codo.
  • Cirugía para la fusión de las articulaciones del codo con el fin de volver a conectarlas después de la destrucción y el daño.
  • Cirugía para el reemplazo de la articulación del codo si la articulación está demasiado dañada para repararla y debe reemplazarse por completo con una articulación artificial.

En conclusión, una cosa es segura. Si desarrolla gota en el codo, generalmente significa que su tratamiento para la gota no funcionó o tal vez simplemente se saltó el tratamiento. Esto debería hacer sonar la alarma e inspirarlo a realizar los cambios necesarios en su estilo de vida, dieta y tratamiento médico”.

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    12 replies to "Gota y Coudes"

    • gout in your elbow – LWWL

      […] Gout Affecting the Elbow and Arm – Experiments on Battling […]

    • Ed Dergosits

      Spiro I see you recommend eating beans. I know advice from many sometimes contradicts the advice from others. Beans are rich in purines and I have been advised to avoid them

      • Spiro Koulouris

        Hi Ed!

        Your body doesn’t metabolize purines from beans the same way as meat for instance. Any food high in protein is high in purines but you need protein or else you are going to feel hungry all the time. So what is better? To get your protein from meat or beans? The choice is yours to make. I eat beans almost every other day from lentil soup to Mexican black bean burritos. Never got a flare-up due to beans. Plant based foods will always be better for your health.

    • […] Is Gout In The Elbow Common? […]

    • John

      Many thanks for your website

      I have suffered with gout on and off for over 15 years and the last significant flare up was 10 months ago and having gone to the doctors was told they couldn’t do blood test until it had calmed down. Gave me a course of Colchicine tablets and it subsided after a few days or so.

      I am 62 and on blood pressure tablets but stopped taking the water tablets mainly for the reason you state.

      I do keep myself relatively fit and walk at least an hour a day and at the weekends often walk at least 6/9 miles one of the days.

      This last weekend I did nearly 10 miles on Sunday over rough ground and my gout has flared up on the ball of my foot, however not normally suffered with gout in 2 places it looks like it may have flared up in my elbow for the first time, I initially thought this was an insect bite but can see no sign of the skin being broken and took antihistamine tablets over the last few days but hasn’t moved up so back on gout tablets, is this a likely scenario I have ?



      • Spiro Koulouris

        Hi John!

        Thank you for your email!

        Sorry to hear about your recent flare up. Sometimes too much walking, putting pressure on joints can cause a temporary flare up or soreness. It’s not unusual.

        As for the elbow, I really don’t know. Too hard to say, keep monitoring it and visit your doctor.

        Good luck!


        • Jenn


          My husband suffers from gout attacks, he has for about 8 years now roughly and he is only 32. It started in his big toe and slowly went into his ankles and now over the past year it has gotten more frequent and right now its flared up in his right thumb and elbow. He is taking indomethacin for it now but it isnt helping as much as it has in the past, I got him to try the baking soda and water and that did help him a bit last night (He was actually able to sleep!). Do you have any suggestions on a meal plan for us to switch over to in order to get this under control long term? It seems like the gluten free diet may be similar to what a person with gout should be eating?

          Thank you!

          • Spiro Koulouris

            Hi Jenn!

            I recommend you eat every article in this website and take notes. You can learn more about what a gout diet should consist of here–>https://goutandyou.com/gout-diet/

            Gluten free is not the way to go, eating 100% whole grain breads, pastas and rices is some of the key foods your husband should be eating in a diet that needs to be at least 80% complex carbohydrates.

    • […] Gout in Elbow Bursitis […]

    • George G.

      I’m 57 year old male. Very sports minded. Through my 40’s I played basketball everyday. I have been very healthy all my life. I recently been diagnosed as having arthritic gout. It all started about 7 months ago. I weigh 288 Lbs at 6 feet tall. I was considered to be obese. So I decided to lose weight. In about 25 days I lost 46 lbs. That’s when I started to experience these aches and pains all over my body, which I have never experienced before. And then the Friday before the Super Bowl, something happened to me. All day I could not stand or put any pressure on my right leg because my right knee was in so much excruciating pain, that the normal aches and pains all over my body were child’s play compare to my knee. I watched the Super Bowl with a lot of pain.

      The next day I went to see a my doctor, he checked my knee, he noted the swelling and the heat that my knee was giving away. I asked if he though if it was gout and he said most definite. I asked him how to get rid of it? Just what I’m been doing losing weight, watching my diet, exercising. But then he said sometimes gout comes back by doing the right things. I did not understand that statement.

      Well I went home, I did some research on gout. I came across an article about gout and how rapid weight loss can create gout, because proteins and carbohydrates dilute or exit the body faster than uric acid. This causes uric acid to stay behind and deposit inside the joints. Well my weight is down to 240 and it’s been there for about 3 there months. Then I started to stretch out the aches and pains out I have learned how it works quite well. But the problem is the aches and pains come at different rates for different joints of different parts of the body.

      These aches and pains are not very painful it’s almost more of a stiffness soreness of a feeling. At one point I thought it’s maybe the stretching and exercising I’m doing using new muscles that I have not used for a long time maybe the aches go away. I don’t have severe pain but this soreness and stiffness that comes back after stretching. I have not been able to touch my toes in 25 years, since I have been exercising and stretching I can touch my toes I can lift my hand straight above my head which you know is very difficult for gout suffers.

    • Robert Ward

      I have had gout for over 13 years with 4-5 attacks a year some years more some years less, but not that much less. I am being treated at the Louisville VA medical center.

      I have changed my diet to what the have recommend about 5 times over the years and no luck, maybe a little but 4-5 attacks on a year period is way to much for me my co workers and my family to have to deal with I have had a heart attack 8 years ago. I need help, I do not want to keep going through this. Once this attack is over I am starting Yoga classes, and continue to ride my bike to keep active to starve of diabieaties as well. I guess my question is what do you offer different than what everyone else says?

      I have tried all the old wise tails. Cheery juice, bananas, broccoli, whatever you name it I have tried it and failed every time. I don’t eat red meat, I do not drink, and as most Americans, I eat a diet of chicken, avocados, rice noodles, eggs, biscuits, bacon, sometimes rare I will eat some sausage.

      I need help asap bad.

      • Spiro Koulouris

        To answer your question, keep exercising and staying your ideal weight and keep eating well. I’d remove the bacon and sausage which really affects your gout. I’d stick with a diet of eating 80% of your daily calories in vegetables, beans, whole grain breads, pastas and rices. Limit meat to 10% of your daily calories, so that means eating meat that is lean and about 4-5 ounces a day is more than enough for your protein intake. Final 10% of your daily calories should be fat as in milk, cheese, yogurt, butter, eggs etc..

        Drink only water, teas and coffee. Avoid all alcohol and sugary beverages.

        Problem is if your gout is advanced, nothing may work to be truly gout free. Sure a good diet and exercise can go a long way to lower uric acid levels in your blood but if your gout is advanced then you will have no choice but to take some type of prescription medication prescribed by your doctor to manage your uric acid levels for the long term. Keep doing blood test every so often and see how you fare.

        Good luck!


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