Female | 46
Why allopurinol is contraindicated in acute gout
Orthopedist
Answered on 23rd May '24
Allopurinol cause urate lowering resulting in urate crystals being shed from articular cartilage into the joint space, resulting in acute inflammation ,hence it should not be used.
99 people found this helpful
Joint Replacement Surgeon
Answered on 23rd May '24
Acute gout is a contraindication to the use of allopurinol as its initial usage could possibly increase symptoms. It may therefore increase serum uric acid levels temporarily when allopurinol is initiated against an acute attack of gout given the mobilization of urate crystals. This may result in aggravation of inflammation and the patient’s condition gets worse. Allopurinol is usually initiated following the acute phase to prevent further gout attacks by reducing total uric acid levels in the body. Managing acute gout flares may involve the use of non-steroidal anti-inflammatory drugs (NSAIDs), colchicine or corticosteroids.
44 people found this helpful
General Physician
Answered on 23rd May '24
Acute gout is a contraindication to the use of allopurinol as its initial usage could possibly increase symptoms. It may therefore increase serum uric acid levels temporarily when allopurinol is initiated against an acute attack of gout given the mobilization of urate crystals. This may result in aggravation of inflammation and the patient’s condition gets worse. Allopurinol is usually initiated following the acute phase to prevent further gout attacks by reducing total uric acid levels in the body. Managing acute gout flares may involve the use of non-steroidal anti-inflammatory drugs (NSAIDs), colchicine or corticosteroids.
73 people found this helpful
Questions & Answers on "Orthopedic" (1090)
My father leg knee pain issue from last 2 to 3 ago till now sometimes pain in knee & no any part of the body just 1 leg pain issue sometimes another leg pain & swelling something then better again recycling this process my father taking vitamin d calcium supplement his knee is going good then after some day again knee pain & swelling issue
Male | 66
Your father regularly suffers from knee pain and swelling which can be a bothering problem for him. This might be arthritis, a condition responsible for joint pain and swelling. It is good that he is consuming vitamin D and calcium because they are essential for good bone health. Yet, he may want to see an orthopedist for the medication of pain relief and physical therapy to manage the pain better.
Answered on 23rd Oct '24
Dr. Pramod Bhor
What can I do about my friend Billie Jo gibbons her hip is killing her
Female | 24
Many factors can trigger hip soreness - arthritis or injuries, for instance. If her hip aches, she must take rest, apply ice packs to lessen the swelling, and consume over-the-counter pain relievers. However, if the discomfort persists, consulting an orthopedist for examination and treatment might be necessary.
Answered on 23rd May '24
Dr. Pramod Bhor
I had TKR done in both knees 12 years ago. Even after op. I was not relieved of pain but am leading an active life style somehow mwalkinganaging it as I always fear inactivity will worsen my condition. Now for the past one week I am experiencing severe burning combined with pain when walking. What could be the reason.
Female | 70
The burning pain and pain when you walk can result from various causes, like inflammation, infection, or contradicting the wear and tear of the artificial knee parts. However, it is vital to get it checked by an orthopedist as soon as possible to identify the problem and get the proper treatment.
Answered on 10th Sept '24
Dr. Deep Chakraborty
Hi, about one month ago i was doing yoga and while doing Surya namaskar my left leg knee got twisted little badly i went to the nearest dispensary. They prescribed some medicine and didn't say much. I also applied some oil for pain relief and used crap bandage. It felt fine after 7-8 days. Now recently i went for trekking and there my same leg slipped now I'm having little discomfort in knee so should I go to doctor and do some x-ray or it will be fine.
Female | 26
I'm not a doctor, but if you experienced a knee injury that still causes discomfort after a month, it might be a good idea to seek medical attention. It's possible that the initial injury did not fully heal, and the recent slip during trekking may have exacerbated the problem. You should consider seeing an orthopedic doctor or an orthopedic specialist.
Answered on 23rd May '24
Dr. Pramod Bhor
I twisted my ankle a couple hours ago , when it happened it hurt a lot, but I managed to get up a few minutes later and walk home. I rested for a few hours, and when I tried to walk again, it hurt real bad. I can’t step on my foot or even move it when I try to. It hurts really bad but when I don’t move it or step on it, it doesn’t hurt at all. The pain is all around the ankle it feels like tension or something blocking my movement.
Male | 17
Probably you have sprained your ankle. Ligaments can get stretched or torn when you bend your ankle too far, and as a result, you may experience pain and swelling. Additionally, it may cause you to have difficulty properly moving your ankle. Rest your ankle, apply ice, elevate it, use compression, and take medication to help with the pain and swelling. Avoid putting weight on it and allow it to heal. If pain persists or worsens, see an orthopedist for further evaluation.
Answered on 23rd Aug '24
Dr. Deep Chakraborty
i am suffering from bone problem
Male | 29
You may have an issue with your bones. This could stem from lacking calcium or Vitamin D. When bones don't receive enough of those nutrients, they weaken. Pain sets in, making movement difficult. To combat this, consume calcium-rich foods like milk and yogurt. Eat leafy greens high in Vitamin D.
Answered on 31st July '24
Dr. Pramod Bhor
Hello, I fell on some stairs yesterday and landed straight on my hip. I was able to get up and walk, but the pain became really bad after about 30 minutes. I couldn’t and still can’t put any weight on my left fod. My hip is not swollen and not bruised. I have been taking pain meds but it is not helping. What should I do
Female | 22
It's possible that you may have sustained an injury to your hip or surrounding area. Seek medical attention from an orthopedic in this situation, especially if the pain is severe and you are unable to bear weight on your left foot.
Answered on 21st Sept '24
Dr. Pramod Bhor
Hy myself Ali I’m from pakistan i have issue my feet are bent .it can recover with plaster or surgery please inform me ?
Male | 17
I would tell you to see an orthopedic specialist in Pakistan so that your bent feet can be examined and the most appropriate treatment administered for them. They will show you which alternative – plaster or surgery – would work in your case and aid recovery.
Answered on 23rd May '24
Dr. Pramod Bhor
I have chest pain neck pain jow pain
Male | 22
These symptoms signify heart trouble. It could be a heart attack or angina - artery blockages. But muscle strain and indigestion can also be possible causes. If feeling such things, talk to a cardiologist
Answered on 23rd May '24
Dr. Babita Goel
Which are the best hospitals for hip treatment in India?
Answered on 23rd May '24
Dr. velpula sai sirish
Pain in only left leg after bmac avn stage 3aright 3bleft surgery in both legs ... Reasons? Wat can be done to come over this issue / pain.
Female | 32
Pain in the left leg after surgery could be due to inflammation, nerve irritation, or muscle strain. It's best to consult with an orthopedist or the surgeon who performed the surgery for an evaluation.
Answered on 23rd May '24
Dr. Pramod Bhor
Hi I met with an major accident last 2 months back and my right leg was opened and after surgery doctor had put k wire but today while gng to washroom I fell down and my kwire is bit moved and it bleeding what to so
Male | 30
you should get medical help immediately. Contact your orthopedic surgeon and follow medical advice given. Indeed, delaying treatment causes only more problems.
Answered on 23rd May '24
Dr. Pramod Bhor
I am 39 years old female. I have always been very active growing up, doing softball, martial arts, basketball etc. I blew my right ACL in my knee in 2009 and got it fixed. However, in the last 6 months I've noticed that I have been hurting A LOT in my joints, lower back, and left hip. Like, if I am up on my feet more than like 30 to 40 min and sit down my lower back and left hip hurt pretty bad and it is a deep pain like in the bones and joints. Would this be arthritis related, inflammation from arthritis from my years of being active....? I have also noticed that I get small random bruising here and there from time to time and not recall why. If I sit for like 30 min and go to stand up, I have to stand up slow bc my lower back hurts so bad it takes me a few min to be able to straighten my back out as well.
Female | 39
You are faced with some pain as a result of arthritis connected to an old knee injury together with your ongoing active life. Inflammation due to arthritis may lead to the feeling you’re experiencing. To get better, indulge in light workouts, try out cold and hot therapy, or even take some drugs or visit an orthopedist.
Answered on 3rd June '24
Dr. Pramod Bhor
Index finger ki upar pain ho raha hai
Female | 21
Suppose your index finger experienced pain at the top, several explanations are possible: excessive typing or from activities like tossing a frisbee. At times, such pain might be due to an infection or injury. Give your finger rest and steer clear of the activities causing the pain to worsen. The application of ice packs can significantly reduce swelling and aches as well. If the pain doesn't get better or even becomes sharper, consult with an orthopedist.
Answered on 11th July '24
Dr. Pramod Bhor
Cervical neck pel. P3sjycgee
Female | 48
You may have a problem with your cervical vertebrae, leading to a sore and stiff neck. This could be due to sitting in the wrong position for long hours, muscle strain, or stress. You might feel stiffness, and discomfort, or have trouble moving your neck. Try doing some gentle neck exercises, applying heat or cold, and maintaining good posture. If the discomfort continues, visit an orthopedist for further advice.
Answered on 22nd July '24
Dr. Deep Chakraborty
Sir, I, aged 62 years male, am going under constant pain in both knees since last 2 years. No medicine is favoring good result. Please let me know the cost of knee replacement so that I can plan accordingly. Waiting for your response. Thanks & Regards, Deepak R
Male | 62
Answered on 23rd May '24
Dr. Dr.Narendra Medagam
My age 21 i have problem in my knee for bike accident and my knee no movement. Can i do my knee replacement
Male | 21
Please consult orthopedist with MRI. joint replacement is not for your age. You need assessment and tendon transfer surgery
Answered on 23rd May '24
Dr. Dilip Mehta
Having issues at the Operated side
Female | 22
Surgery side issues are normal. Symptoms like ache, swell, red, or warm may appear. Infection, poor healing, or other troubles could cause them. Rest, ice application, and doctor instructions are advised. If the condition worsens or intensifies, a surgeon check-up is crucial.
Answered on 6th Aug '24
Dr. Deep Chakraborty
my left leg middle finger is crack can i return my finger
Male | 21
Clefts might be the result of dehydration or trauma. It may cause a lot of pain, a scratchy feeling, or become reddish in color. If you don't have any moisturizer, you can use some mild one, and cover it with a bandage for a short-term remedy. Be diligent about hygiene and strive for a clean and protected environment. If it doesn't even progress, you could probably use an orthopedist who will help.
Answered on 6th Nov '24
Dr. Pramod Bhor
Kya rhumatide arthritis ka sthai samadhan nahi he
पुरुष | 53
Answered on 4th July '24
Dr. Abhijit Bhattacharya
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