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Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 8999
Experience:  Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
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i have had bouts with gout over the past years and have been

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i have had bouts with gout over the past years and have been on allopurinol, i was in an accident in late June (2 months ago) and had trauma (was hit ) i my left ankle and since then the gout doesn't want to leave. could the accident triggered something in the ankle that could acerbate gout? the pain seems to be getting worse as i am experiencing twitching, sharp nerve pain in the joint. the whole left foot is somewhat swollen and hot as well.

neuromd2012 :

Welcome to Just Answer. I am an Adult Neurologist and was contacted to answer your question.

neuromd2012 :

http://www.ccjm.org/content/75/Suppl_5/S2.full.pdf

neuromd2012 :

hello. Attached is an article on gout.

neuromd2012 :

there is no question that trauma can cause an acute attack of gout

neuromd2012 :

anything that can inflame the "synovial F layer" of the joint capsule is thought to precipitate a gout crisis

neuromd2012 :

so infection or trauma can do it

neuromd2012 :

you mentioned you are taking allopurinol and colchicine, but are you using an NSAID as well?

Customer:

NSAID?

neuromd2012 :

non steroidal anti-inflammatory drug

neuromd2012 :

like naprosyn, or diclofenac?

Customer:

no

neuromd2012 :

do you have stomach problems?

Customer:

no

neuromd2012 :

from Aleve?

Customer:

alleve, how many mg?

neuromd2012 :

well, I would suggest you ask you doctor for some arthrotec 75

neuromd2012 :

or aleve is fine as well which is OTC

neuromd2012 :

so each pill is 220 mg

neuromd2012 :

how old are you?

neuromd2012 :

do you have any kidney problems?

Customer:

58 yrs old, no problems w/kidney

neuromd2012 :

ok

neuromd2012 :

well you could try 2 (440) mg at every 8 hours with food

neuromd2012 :

and see if that helps by taking it on a continual basis for a few days

neuromd2012 :

gout is best treated with combination therapy

Customer:

ok, just n your opinion, could this trauma be permanent, continue for a while more or come and go for ever?

neuromd2012 :

so adding the NSAID may really help your ankle

neuromd2012 :

do you have an MRI of your ankle

neuromd2012 :

it is hard to say from here

Customer:

not yet..

neuromd2012 :

I mean anything is possible, you need some imaging

neuromd2012 :

usually ankles in trauma heel pretty well

neuromd2012 :

but that is a generalization

neuromd2012 :

if aleve doesn't help much

neuromd2012 :

ask your doctor for some celebrex ok?

Customer:

i just took an ambien as i have not slept in 2 days, I'll take the aleeve tomorrow, ok?

neuromd2012 :

or Arthrotec 75

Customer:

i won't take celebrex

neuromd2012 :

sure

neuromd2012 :

ok

neuromd2012 :

then the arthrotec

Customer:

thank you....

neuromd2012 :

you are welcome good luck

neuromd2012 :

Dr Frank t

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