Comment la goutte peut affecter votre coude et votre bras
La goutte au coude n'est pas très fréquente, mais pour les personnes atteintes de la goutte, elle commence et reste généralement concentrée dans le gros orteil ou la zone des pieds lors d'une crise inflammatoire. Pour certaines personnes, au fur et à mesure que la maladie progresse au fil des ans, elle peut remonter le corps et affecter les genoux, les bras, les doigts et les coudes. Une première crise de goutte au coude est extrêmement rare, il est donc généralement observé chez une personne qui vit avec la goutte depuis 10 à 15 ans. Souvent, une crise affectera une autre articulation, comme le gros orteil et le coude ou le gros orteil et le genou.
Le coude est composé de trois os, dont deux appartiennent à l'avant-bras appelés le radius et l'ulna. Le troisième os est appelé l'humérus, qui est également le plus grand et le seul os dans le bras supérieur. L'humérus est très important car il est responsable de soulever, de lancer et d'écrire. Les cristaux d'acide urique se déposeront généralement dans le milieu où les trois os se connectent dans la capsule articulaire du coude.
Une crise de goutte au coude se produira également de manière imprévue, vous vous réveillerez le matin pour découvrir que votre coude est soudainement enflé et douloureux. Vous ressentirez une douleur intense et une sensibilité, tout comme le gros orteil, votre coude sera extrêmement sensible à toute pression, même un drap. Votre coude peut apparaître rouge, chaud et enflé comme s'il était gonflé. La mobilité de votre bras sera évidemment limitée. La peau de votre coude peut peler et s'écailler en raison de la rougeur. Il peut également être démangeaisons.
Le médecin peut prescrire. , colchicine ou AINS pour éliminer la douleur et l'inflammation et vous mettre sous un traitement à long terme pour gérer l'acide urique, comme allopurinol pour éviter toute crise future.
La différence entre la goutte et la bursite
Une autre condition qui peut affecter le coude et être confondue avec la goutte est la bursite. Les deux ont des symptômes similaires, c'est pourquoi il est important de consulter un médecin si vous avez un coude enflammé pour être diagnostiqué et traité correctement. La bursite est une condition qui affecte les petits sacs remplis de liquide qui amortissent les os (appelés bourses), les tendons et les muscles près des articulations. Lorsque les petits sacs sont enflammés, la bursite se produit près des articulations qui effectuent un mouvement répétitif fréquent comme le genou, la hanche, l'épaule, le talon et le coude. De plus, la bursite est une condition qui nécessite principalement du repos pour la traiter.
D'autres conditions qui pourraient vous faire penser que c'est de la goutte mais qui pourraient être autre chose ; la compression nerveuse peut causer des douleurs au coude qui sont causées par l'écrasement ou le piégeage des nerfs. L'arthrite rhumatoïde ou l'arthrose qui affecte l'articulation du coude peut entraîner une raideur, une douleur et une inflammation du coude et du bras. Alors faites attention à cela !
Prenez note que les personnes souffrant de goutte, d'arthrite rhumatoïde ou de diabète ont un risque plus élevé de développer une bursite. Notez également qu'une complication de la bursite qui affecte parfois le gros orteil est le développement d'un oignon. Un oignon est un gonflement douloureux sur la première articulation du gros orteil. Habituellement, une bosse osseuse apparaîtra. Il se forme lorsque votre gros orteil pousse contre le suivant, forçant l'articulation de votre gros orteil à devenir plus grosse et à ressortir. Ceci peut également être confondu avec la goutte et il est très important de le vérifier.
Dans certains cas, la chirurgie peut être utilisée pour traiter les articulations du coude atteintes de la goutte. Si le traitement médical, le régime alimentaire et les autres traitements ont échoué et qu'il y a des dommages dans l'articulation du coude, une intervention chirurgicale peut être nécessaire. Il existe trois principales chirurgies pour traiter la goutte dans le coude :
- Chirurgie pour Les tophus des tophus dans les cas avancés de goutte au niveau du coude.
- Chirurgie pour la fusion des articulations du coude afin de les relier de nouveau ensemble suite à une destruction et des dommages.
- Chirurgie pour le remplacement de l'articulation du coude si l'articulation est trop endommagée pour être réparée et doit être entièrement remplacée par une articulation artificielle.
En conclusion, une chose est sûre. Si vous développez de la goutte au niveau du coude, cela signifie généralement que votre traitement contre la goutte n'a pas fonctionné ou peut-être avez-vous tout simplement ignoré le traitement. Cela devrait sonner l'alarme et vous inciter à prendre les changements nécessaires dans votre mode de vie, votre alimentation et votre traitement médical.’
12 replies to "Goutte et Coudes"
[…] Gout Affecting the Elbow and Arm – Experiments on Battling […]
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
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.
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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 ?
Regards
John
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!
Spiro
Hi,
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!
Jenn
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 […]
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.
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.
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!
Spiro