The bath is an excellent means of preventing gout. Is it possible to soar legs with gout? Healing ointments as traditional medicine

Deposits of uric acid in the joints cause a disease called gout. Most of the patients suffering from this disease are men over the age of 40 years. Gout affects the joints of the hands, elbows, knees, fingers, and feet.

What causes gout?

As a rule, gout occurs in people who lead a sedentary lifestyle. To avoid this, it is worth taking care of your health more carefully, exercising and eating right. Most often, gout affects people who are initially predisposed to this, namely those suffering from:

• arterial hypertension;
• diabetes mellitus;
• when major malnutrition is established;
• there is a hereditary factor.

Other triggers that can cause gout include:

• postoperative period;
• stress on the joints, it can even be a long walk;
• trauma;
• alcohol consumption;
• taking diuretics.

Overeating, drinking alcohol, in particular beer can cause gout attacks. There are sudden pains, sore joints are poured red, and the skin around them becomes hot. Such attacks occur at night and may recur in a year, but manifestations are possible much earlier.

Treatment of gout

We will not dwell on the medical treatment of gout, it is prescribed by the doctor after the diagnosis is established. Let's try to figure out how to deal with gout attacks after a diagnosis at home and whether it is possible to soar legs.

A hot infusion of milkweed will help to quickly relieve pain, it should be diluted in a small amount of water so that the legs are ankle-deep in liquid and soar for 20-30 minutes until it cools down. A decoction of milkweed is excellent for convulsions that occur in patients with gout.

Compresses can be made from a series and decoctions can be brewed in the ratio of 50-100 g of grass per 10 liters of water in which to soar the legs. The infusion of the sequence perfectly relieves pain if they rub the sore spots of the joints, for this you need 4 tablespoons of herbs, pour 5 cups of boiling water and let it brew for several hours.

You can also steam your feet with herbs such as thyme, violet, walnut leaves, oregano. Brew the herb in advance in 3 liters of water for half an hour and pour it into a basin with boiling water, you can alternate herbs, soar once in one decoction, cook another on the other. An unusual solution of grated laundry soap and table salt will relieve sudden pain and partially relieve the swelling.

Gouty tumors on the legs are removed by a decoction of chamomile with table salt, about 200 g per bucket of boiling water, 3 tablespoons of golden mustache juice are also added. Also in this case, you can prepare a decoction of sage or oat straw, soar your legs for half an hour. A very good result can be achieved if, after you have soaked your feet in any decoction of the herbs listed above, still apply a compress with a heating ointment. During the night, he will relieve the pain and you will feel much better.

Gout- a disease that develops due to an increase in the level of uric acid in the blood and the accumulation of this substance in the joints. Almost any joint can be affected, but the toes, ankles, and knees are most often affected.

Symptoms of gout on the legs

The disease is manifested by attacks, during which the following symptoms are observed:

• sudden onset of intense pain in the affected joint;
• swelling and redness in the area of ​​the affected joint;
• local or general increase in body temperature.

Attacks usually begin at night on the background of overeating or drinking alcohol. Often, these manifestations are preceded by a tingling sensation in the joint.

How to cure gout on the legs?

Treatment of gout on the legs should begin when the first attack occurs, otherwise the disease will progress and be complicated by other pathologies. Acute attacks are usually stopped in a hospital setting with medical methods using non-steroidal anti-inflammatory drugs and painkillers,. Anti-gout drugs are used to lower the level of uric acid in the blood. Also, a good effect is given by physiotherapy, therapeutic exercises, a special diet and drinking regimen for gout is prescribed.

Folk remedies for gout on the legs

During the period of remission, the treatment of gout can be supplemented with various folk remedies. Basically, medicinal plants are used for this purpose, which contribute to the excretion of uric acid and the elimination of inflammatory processes. One of the best remedies for gout is celery root, on the basis of which a medicinal mixture is prepared in combination with other products.

Medicine prescription

Ingredients:

• celery root - 4 kg;
• horseradish root - 400 g;
• garlic - 100 g;
• lemon - 4 pcs.;
• honey - 500 g.

Preparation and application

Grind all components, except honey, in a meat grinder, mix, put in a glass bottle and put in a dark place for 10 days. Then squeeze out the liquid and add honey. Take one tablespoon three times a day before meals.

Is it possible to soar legs with gout?

Many patients are interested in whether thermal water procedures, visiting a bath or sauna are not prohibited with such a diagnosis. It is believed that soaring legs with gout is useful, because. this helps to improve blood circulation, remove salts from the joints, relieve inflammation and pain. However, such procedures should be carried out only after stopping the acute process. Foot baths for gout can be prepared on the basis of decoction, chamomile, sage, thyme, walnut leaves, etc.

It is necessary to avoid complications, especially thrombosis, which often occurs in older people after such a procedure. A large number of blood clots is formed in the veins in the legs - this is very fraught, it can end if you do not pay attention and do not take any action.

As a complication, intestinal atony can occur, injections are prescribed to relieve exacerbation. Next, you need to take a course of antibiotics.

Then, in order for your hip replacement recovery to be the best for you, you need someone to look after and support you at first. This is due to possible dizziness and weakness in the first few days. In the first steps that you will take, it is advisable to have a safety net.

The second stage of rehabilitation

The second stage starts from the 5th day after the operation. The threat of complications has already receded and the patient begins to feel the operated leg. Muscle weakness goes away, he more and more confidently steps on his foot when walking with crutches.

On day 5-6, you can begin to master walking up the stairs. When lifting, you need to take a step up with your healthy leg, then with the operated leg, and only after that move the crutch up. When descending, everything should happen in the reverse order - first, you should rearrange the crutch one step lower, then the operated leg, and finally, the healthy one.

The load on the new joint and muscle apparatus should increase gradually. By increasing the number of movements, the muscle strength of the thigh muscles will also increase. It is important to remember that until the complete restoration of the ligamentous-muscular corset around the endoprosthesis, it must be protected from dislocation, observing the right angle rule.

Every day you need to perform the entire complex of exercise therapy exercises, do several times a day small passages of 100-150 meters. During this period, one should not rush things too much and overload the operated leg, although the patient has a deceptive impression of recovery.

Unfortunately, Russian realities are such that the patient stays in the hospital for only 10-12 days after the operation. Long-term rehabilitation under the supervision of an orthopedic specialist is impossible in our country due to organizational reasons.

Therefore, after removing the sutures and in the absence of complications, the patient is discharged from the hospital. And from that moment on, it is he who bears all the responsibility for fulfilling the requirements of the rehabilitation program.

Before surgery

After surgery, the rehabilitation period is long. Even when performing revision hip arthroplasty or restoration, further measures should be directed towards restoring mobility.

Many doctors try to treat the hip joint without surgery first, but this approach is not always effective. In case of an unfavorable course, it is possible to return a person the opportunity to lead a full life only with the help of surgical intervention.

While walking, the hip joint has a large load, so many older people experience damage to this element by degenerative-dystrophic processes, although other reasons for its destruction are possible.

In most cases, the patient is trying to figure out how long the hip replacement surgery takes, and how it will proceed, and in addition, how long the recovery will take. However, often even a detailed description of all procedures and possible consequences does not allow one to mentally prepare for the coming difficulties associated with the rehabilitation process.

After an operation to install a prosthesis, it is difficult even for doctors to answer the question of how quickly the recovery period will pass, as it depends on many factors, including whether the patient is overweight, age, concomitant diseases, etc.

In most cases, surgery lasts from 1.5 to 4 hours. All stages of rehabilitation after hip arthroplasty take at least 3 months. It is difficult to give an exact recovery time.

Even with total arthroplasty, if all the recommendations are followed, it is possible to return the patient the ability to move independently. This surgical intervention is very difficult, since in the process of its implementation it is necessary to move the ligaments and muscles, trying not to hook the nerve endings.

To recover after surgery, you must strictly follow all the recommendations of the doctor. It is necessary to take into account all the requirements for rehabilitation, since laziness can have the most negative impact on future health.

Endoprosthetics of the hip joint has its own characteristics of rehabilitation. People who have survived such surgery need to learn how to sit and stand up correctly, as well as move with additional supports, first with a walker, and then with a cane.

The key to a faster recovery is the correct implementation of all prescribed exercises. It must be borne in mind that the loads every day of the rehabilitation period must be of a certain type.

It is very important that actions aimed at recovery be comprehensive and consistent. In addition, rehabilitation involves the use of isometric tension, massage, changes in body position, etc.

Each postoperative day has its own recovery tasks. Long breaks in rehabilitation are unacceptable. If a total hip arthroplasty (TETS) was performed, but rehabilitation was not completed to the end, the consequences can be the most adverse.

Breathing exercises, vibration massage and drug therapy remain in full. However, the physical part of rehabilitation becomes more complicated. In addition to the exercises already learned on the first day, sliding movements on the bed can be shown.

While in the supine position, the patient needs to bend the knees at an angle of at least 90 °. Thus, both feet should rest on the bed. Gently move in one direction, and then in the other. In the methods of rehabilitation after arthroplasty, this exercise is of particular importance.

Using this starting position, movements resembling walking are performed. During this rehabilitation period, you need to perform a number of exercises. Lying on your back, and placing a roller under your leg, bend the knee joint and tilt it to the outside.

In a standing position on a healthy leg, sparing movements are shown. The diseased leg should be moved away from the healthy one at a distance of no more than 30 °, and then returned back. In addition, you should very carefully move your foot back and forth.

These exercises are extremely simple and should not cause pain. With a good general condition of a person in a standing position, arm swings and breathing exercises can be performed already on the 2nd day of rehabilitation.

After that, the patient again needs to return to bed. Do not overstrain the muscles of the thighs. On the 2nd day after surgical treatment of the hip joint, physiotherapeutic methods of recovery are applied, including magnetotherapy, diadynamic currents and UHF.

In the period from 3 to 7 days after surgery, a correction of drug treatment can be carried out. The patient needs to perform breathing exercises and vibration massage. Physiotherapeutic procedures are carried out.

Rehabilitation after hip replacement becomes more complicated. A person can already begin to sit up on the bed on their own.

Approximately 2 times a day you need to walk for 10 minutes with crutches or a walker. You can sit for longer periods of time. In the future, rehabilitation after the surgeons perform a joint change is supplemented by exercises with isometric tension.

After a hip replacement has been performed, for a quick recovery, you must first strain the foot on the operated side for 1-1.5 seconds. The leg is then relaxed. The shin is also strained, then the same manipulation is carried out with the thigh and buttock area.

All joints are immobilized. With a healthy leg, these exercises are also performed. Such gymnastics is performed 3 times a day. Gradually, the muscle tension time increases to 3 seconds, and then 5.

Use electrical stimulation of a healthy leg from 3-5 days. The procedure lasts no more than 15 minutes, allows you to prepare it for increased stress. On the operated leg, this manipulation is possible only after the removal of the sutures. In the period from 5 to 8 days, the patient can begin to lie down on his stomach.

Rehabilitation after hip arthroplasty should be supplemented with manual massage of a healthy leg. This will reduce the risk of needing joint replacement surgery in case of critical damage to the cartilage tissues of the second joint.

If you do not use massage procedures immediately after the restoration of the first prosthetic joint, a second surgical intervention is required. Already to the standard training, new exercises are added, which are learned under the supervision of a physiotherapist.

At the end of the first week after revision arthroplasty or complex joint replacement, a tonic recovery period begins on day 7. In order to effectively recover after the implantation of a new joint, the program of the motor regimen is being expanded.

During this period, rehabilitation after hip replacement involves intensive training in independent movement with the help of crutches or walkers. You need to walk at least 3-4 times a day.

When the patient recovers so well that he can move independently for at least 15 minutes per session in a calm mode, exercises on an exercise bike are added. Their duration is about 30 minutes a day.

The initial speed of training on an exercise bike reaches 8-10 km per hour. After that, the duration of such exercises gradually increases. All procedures and exercises that were during the previous stage of recovery are saved.

The patient is taught how to go up and down stairs. There are certain subtleties here. The railing must be taken with the hand from the healthy side. When performing a lift, a step is taken first with a healthy leg, and then a sick one.

After that, the crutch is rearranged. When descending, the first step is taken with a crutch, and then with the leg in which the joint has been replaced. The healthy leg takes the last step. If the endoprostheses in patients take root successfully and there are no complications, the sutures are removed on the 10-14th day.

In relatively young patients, postoperative recovery, as a rule, takes less time. Frail older people are usually discharged 1-2 weeks later, as they are at higher risk of complications and require hospital follow-up.

The rehabilitation course after hip replacement at home cannot be stopped. Before the patient finds himself in his usual conditions, the patient's relatives must definitely prepare the house for his arrival.

Be sure to purchase a toilet seat so that the patient does not have to sit too low. It is recommended to remove the carpet paths, which can be hooked on with a crutch. Handrails must be nailed on the wall near the bath, on both sides of the toilet bowl and in the corridor.

Considering that the patient cannot bend the joint more than 90° for more than 2 months after arthroplasty, special attention should be paid to these points. A chair should be installed in the shower so that the patient can sit during water procedures.

• Joint pain limits your movement and life...
• You are worried about discomfort, crunching and systematic pain ...
• Perhaps you have tried a bunch of medicines, creams and ointments ...
• But judging by the fact that you are reading these lines, they did not help you much ...

Charging after arthroplasty

Early Goals:

• Prevent postoperative complications
• Master exercises performed mainly lying down
• Learn to sit and stand
• Learn to walk on crutches

• What can not be done after a hip replacement?
• Preparing for a hip replacement
• Rehabilitation after hip replacement
  • 1-4 days after surgery
  • 5-8 day of rehabilitation
  • 2-3 weeks after the installation of the prosthesis
  • 4-5 week recovery
• How to walk correctly after joint prosthetics?
• Recovery period at home
• Proper nutrition during home rehabilitation
• The last stage of recovery after joint arthroplasty

A patient with such problems feels constant pain, in addition, he has a complete or partial limitation in the mobility of the joint.

Any operation is a strong stress for the whole organism. When a person has destruction of the articular tissue, most often they resort to its removal. There is no other way to get rid of this problem yet.

Doctors with severe damage to the femoral joint, as a rule, prescribe total arthroplasty. During the operation, the destroyed parts of the joint are removed, and artificial prostheses are installed instead. In the human body, such structures take root well.

But in order for joint implants to stay in place, they must be held firmly by the muscles. To ensure the strength of this connection, the patient will have to strengthen muscle functions. It will be possible to do this only when passing the recovery period after surgery to replace the femoral joint.

When performing physiotherapy exercises and proper rehabilitation, it will be possible to achieve a good result after the operation in three months. But in most cases, full recovery takes at least a year. During this period, motor abilities are fully restored.

After rehabilitation, the patient returns to a normal lifestyle. Many people continue to go in for sports, but at the first stages after hip arthroplasty, it is sharply better not to move the operated limb. Muscle training should take place at a calm and slow pace.

A person with similar problems begins to prepare for the upcoming recovery a few days before arthroplasty. The main task of preoperative preparation is to teach him how to behave correctly during rehabilitation.

The patient is taught to walk with the help of special walkers or crutches, as well as to do some exercises in order to quickly restore the function of the prosthetic lower limb. Moreover, he gets used to the idea that this is the beginning of a long rehabilitation period.

• First days after surgery
• Getting back to life after a hip replacement at home
• Later lifestyle
• Related videos

The entire rehabilitation period can be divided into two main stages:

1. Early postoperative, which begins at the end of the operation and is carried out in a medical facility.
2. Late postoperative, starting after a two-week course of wound healing, and continuing until the full restoration of all body functions.

During the first two to three weeks after endoprosthetics, the patient is in the hospital, under the vigilant supervision of medical personnel. In this period of life, the main tasks are the fastest possible healing of postoperative wounds and the elimination of possible inflammation.

These include:

• sitting down on the bed, with the help of hands;
• turning the foot from side to side in a supine position;
• alternating tension of all muscles of the operated leg, with the exception of movement in the joints;
• enhanced physiotherapy exercises for a healthy leg and upper limbs.

To relieve swelling and pain after arthroplasty, specialized measures are carried out, such as magnetic and UHF therapy. My patients use a proven remedy, thanks to which you can get rid of pain in 2 weeks without much effort.

On average, a week after the operation, the physical therapy methodologist begins training procedures for adapting a person to life after hip replacement, for the first time. The essence of the classes is to teach the patient to move correctly, avoiding unnecessary stress on the sore leg and starting with the simplest exercises. Gradually, they learn to get up from the bed correctly and partially load the operated joint.

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Two weeks after endoprosthetics, the patient is taught to move on a flat surface, using crutches or special walkers. This is the so-called tricycle walking, when the main distribution of body weight falls on crutches and a healthy limb.

The period of full recovery largely depends on how accurately and regularly the recommendations are followed after hip arthroplasty. At first, upon returning home, it is necessary to perform all the exercises prescribed by the physiotherapist for the diseased limb. By yourself or with the help of loved ones, to ensure comfortable movement around the apartment as much as possible.

The first full-fledged sex after hip arthroplasty is possible no earlier than one and a half months after returning home. During this time, complete regeneration and healing of damaged muscles and ligaments occurs.

One of the most basic medical examinations is carried out after 6 months after hip arthroplasty. During this period of time, a person begins to move confidently, there is practically no pain.

Upon examination, the doctor determines how well the artificial joint copes with its functions. Whether there are various pathological changes in the surrounding muscles and tissues. According to the results, the doctor prescribes a new set of exercises and makes adjustments to the early recommendations. At this stage, it is desirable to continue treatment in a specialized sanatorium.

On the hip replacement rehabilitation forum, you can find feedback from participants about specific rehabilitation centers or treatment dispensaries. A year after prosthetics, the doctor determines how much the new artificial joint has grown together with the bone, what changes have appeared in the surrounding tissues.

It must be constantly remembered that with the slightest deterioration in health, one should not postpone communication with the attending doctor. Swelling in the area of ​​the operation, fever of the skin or the whole body, redness - are signs of an immediate visit to the doctor.

So that the new joint does not cause various troubles in the future after arthroplasty, you should lead a certain lifestyle. The average service life of this prosthesis is 15-20 years.

Compliance with a diet rich in vitamins and minerals will strengthen bone tissue, as well as maintain muscle tone. Do not forget about regular visits to your doctor, who will monitor the condition and give all the necessary recommendations.

The early stage of recovery begins immediately after the replacement, literally the next day. Its average duration is 10 days, but, as a rule, no more than 14.

Do not be afraid to damage the endoprosthesis, this is unlikely if safety precautions are observed.

During this period, the following recommendations should be followed:

• the first three to five days to sleep exclusively on the back;
• it is allowed to roll over from one side to another with the additional help of medical personnel;
• it is necessary to exclude sharp turns and movements, all rotations of the hip region are passive, smooth;
• during the early stage, do not bend the leg at the hip joint by more than 90 degrees;
• it is forbidden to cross legs or bring them together;
• during rest or sleep, a roller or a special hard pillow is clamped between the thighs;
• daily, as often as possible, perform simple exercises (movements are slow, smooth).

For the first time after the operation, you should not cross your legs because of the risk of dislocation of the implant. It will take some time to fall on your back.

Make sure that the hip joint has an angle of no more than 90%.

To pick up objects from the floor, a special “grab” is required.

Subject to all the doctor's prescriptions and following the rules of rehabilitation at this stage, it is possible to achieve:

• improving blood circulation in the operated area, reducing the risk of thrombosis;
• learn to sit and get out of bed without compromising health;
• accelerate regeneration processes;
• prevent or reduce swelling.

It starts approximately from the third week after surgery and lasts up to two months, in some cases up to three, depending on the type of prosthetics. At this time, the main task of the patient is to:

• strengthening muscle muscles, increasing tone;
• increase in the range of motion in the joint;
• walking with a cane without the use of a walker or crutches.

1. Flexion-extension of the fingers of both lower extremities.
2. After recovery from anesthesia, bend and unbend the limb at the ankle. In an hour, do at least six approaches, up to a feeling of fatigue in the muscles.
3. Make rotational movements of the foot clockwise and counterclockwise.
4. Press the popliteal fossa of a healthy limb to the bed as much as possible. Keep the muscles stretched and tense for 15 seconds. On the 5th day of prosthetics, the same exercise can be performed with a diseased limb. Do 10 times with each leg.
5. Tighten the muscles of the buttocks until a feeling of fatigue occurs. Do exercises with each leg in turn.
6. Pull the limb towards you, the foot should slide along the bed. Make movements slowly. Lower. Do 10 times.
7. Take the right limb aside first and return to its original position, and then the left. Do at least 10 times.
8. Place a roll or pillow under the knee joint. Straighten the lower limb, hold it for 7 seconds and return to its original position. Do the same movement with the opposite leg.
9. Straighten and raise the limb to a small height. Lower. Do the same action with the other leg, at least 10 times.

1. Lying on your back, take turns pulling the lower limbs to the stomach, performing movements similar to riding a bicycle.
2. Lying on your back, bend your legs alternately and pull them to your stomach with your hands.
3. Lie on your stomach and bend and unbend the limbs at the knees.
4. Lie on your stomach and take the limb back, in turn.
5. Stand up, straighten your spine. Do half squats. At the same time, you need to hold on to something.
6. Place a bar in front of your feet, the height of which should not exceed 10 cm. Stand on it with both feet. Then, in turn, lower the leg: first healthy, and then with a prosthesis. Stand back on the bar in the same sequence. Run at least 10 times.
7. Lean on the back of a chair. On the ankle of the lower limb that has undergone surgery, put on an elastic tourniquet. Tie the other end to something. Pull the operated limb forward. Then turn around and stretch your leg back.
8. Take the leg with the tourniquet to the side and return to its original position. Move at least 10 times. At the same time, you need to hold on to something.

How to sit down correctly?

Proper sitting - prevents dislocations, pain and other problems that a new, not yet fully accustomed, joint can cause.

In the initial stages, you need to sit down very slowly and carefully. Keep your legs about shoulder-width apart and try not to strain the muscles of the pelvic area.

When sitting, it is important to follow the “right angle” rule (knees should not be higher than the pelvis). Therefore, it is highly recommended not to sit on low chairs, sofas, stools and benches.

It is best to use office chairs for sitting, the height of which can be adjusted. It is also very important to try to minimize squats and other exercises that can lead to dislocations.

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Before the operation, it is recommended to learn how to walk on crutches. Their size must be selected for a specific person based on his height and physique. When walking, it is important that the crutches are almost at right angles to the surface. The maximum distance at the lowest point from the leg is 15 cm.

At first, it is very difficult to keep balance and step on the operated leg. Therefore, you should immediately understand that there are three main points of support - two crutches and a healthy leg. It is worth training the operated leg constantly, but you should not count on it at first.

When walking, it is important that there is always support either on crutches or on a healthy leg. Thus, first we take a step with a weak foot, then we rearrange the crutches to it. At the end, a step is taken with a healthy foot

Steps should be small, and it is also necessary to constantly monitor the stability of the crutches. After a few days of regular walking, a person gets used to this way of movement. Every day it is necessary to gradually remove the load from the crutches and transfer it to the operated leg.

After the prosthesis of the hip joint, rehabilitation should be comprehensive. It is very important to gradually restore the function of the new joint after removal of the damaged one. It is necessary already in the first days to learn the algorithm of actions that allows you to take a sitting, and then a standing position of the body.

If the joint has been reconstructed, elastic bandaging or compression stockings may be required. They should be worn by a sick person by a medical professional or close relatives trained in this procedure.

To sit down, the patient must call the doctor or nurse. First, with the help of your hands, you should hang the leg that was operated on. After that, you need to lower your healthy leg. In this case, you can not bend over and you need to keep your back straight. The hip joint should always be held so that it is below the knee.

In order for recovery after hip arthroplasty to proceed more quickly and successfully, you need to teach you how to stand up correctly. From a sitting position, you need to lean your hand on the opposite side of the operated side on the shoulder of the health worker.

Take a crutch in the hand on the operated side. Don't step on the injured foot. You need to rely mostly on a crutch. When starting to walk, you need to make sure that the healthy leg is slightly behind the line of the crutch or walker.

Intimate relationships are an integral part of the life of a modern person at any age, and therefore, in patients who have undergone hip arthroplasty, the need for sex is restored during the rehabilitation period.

Restrictions in this area are removed starting from the 6th week after the operation. But at the same time, some restrictions regarding the poses of partners come into force. These limitations are due to the fact that in patients undergoing arthroplasty surgery, the possibilities of dilution or rotation of the hips are limited, and the weak muscles in the hip joint should not be subjected to the heavy load that is inevitable during sex.

This is especially true for operated women. When choosing postures, you need to give preference to those that would not cause additional stress on the hip muscles. The best position for a woman is considered to be lying on her unoperated side.

For the man who has been operated on, the most suitable position is the equestrian position, when he lies on his back, and his partner is on top. A position is also acceptable when the man lies on his unoperated side, and the woman lies on her back with her legs thrown over him.

In any case, postures associated with lying on the operated side, or requiring excessive dilution or rotation of the hips, or excessive tension of the hip muscles, are not recommended for both sexes after the operation in question.

Here the feeling of respect and tact of partners towards each other becomes decisive. In a fit of passion, one should not forget about the right angle rule: do not bend the operated joint by more than 90 °. And even after the completion of rehabilitation, poses associated with acrobatic positions should be avoided.

This is where the hip replacement happened. Behind the worst, as it seemed at that time, ahead of the patient is a laborious process called rehabilitation. Life after hip arthroplasty will depend solely on your thorough approach to rehabilitation.

• Three periods of rehabilitation
• Early period after arthroplasty
• Late period
• remote period
• Conclusion

Rehabilitation after hip arthroplasty is an integral stage of postoperative treatment aimed at restoring muscle tone and leg functionality. Rehabilitation consists in limiting (features) of physical activity in the period after surgery and in performing physiotherapy exercises.

Principles of the recovery period after hip arthroplasty:

• early start,
• individual approach in carrying out rehabilitation activities,
• subsequence,
• continuity,
• complexity.

Rehabilitation after arthroplasty has three periods: early, late and remote. For each of them, a specific gymnastics complex has been developed. The total duration of rehabilitation is up to a year.

Restoration of leg performance begins even in the hospital, where the patient underwent surgery. The approximate length of stay there is 2-3 weeks. You can continue rehabilitation at home or in a rehabilitation center, and finish it in a dispensary or a specialized clinic for rehabilitation treatment.

If you work out at home, it is important not to interrupt exercise therapy and therapeutic walks so that the recovery takes place in full - only then the musculoskeletal apparatus will securely fix the artificial joint, and all leg functions will be restored.

Lack of rehabilitation after arthroplasty threatens with the occurrence of dislocation of the endoprosthesis head due to ligament weakness, periprosthetic fracture, development of neuritis and other complications.

Rehabilitation after any type of joint surgery, including hip replacement with an endoprosthesis, is carried out by a rehabilitation doctor and (or) a physiotherapy doctor. He will draw up an individual program taking into account the physical condition of the patient, the degree of adaptation to physical activity, his age, the presence of concomitant diseases.

Three periods of rehabilitation

(if the table is not fully visible, scroll to the right)

Early rehabilitation period after arthroplasty

This period begins immediately after recovery from anesthesia and lasts no longer than 4 weeks.

Sleep on your back for the first few nights after hip replacement surgery;

you can turn on your healthy side with the help of a nurse at the end of the first day after surgery, on your stomach - after 5–8 days;

do not make sharp turns or rotations in the hip joint - this is contraindicated;

do not bend the affected leg so that the angle of flexion is more than 90 degrees;

neither bring together nor cross your legs - put a wedge-shaped pillow between your legs;

Do simple exercises regularly to prevent blood stasis.

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• Improve blood circulation in the operated hip area;
• learn how to sit in bed correctly, then get up from it;
• prevent the development of complications (pressure sores, thrombosis, congestive pneumonia, pleurisy);
• accelerate the healing of the postoperative suture;
• reduce swelling.

Basic exercises

Exercise rules:

• make several visits per day, spending 15-20 minutes from each hour during the day;
• keep a slow and smooth pace;
• combine exercises with breathing exercises according to the following scheme: with muscle tension - a deep breath, with relaxation - a long exhalation;
• do breathing exercises to avoid congestion in the lungs.
• first, do exercises in the early period only while lying on your back (although you need to get up on your feet already for 2-3 days), and then do the same gymnast while sitting on the bed.

A set of exercises for rehabilitation after arthroplasty

I presented the exercises described in the table above in the order of their implementation, they are relevant throughout the entire rehabilitation course. This exercise therapy complex is suitable for the rehabilitation of patients after almost any operation on the joints of the legs.

Many believe that the category of people most susceptible to joint damage is the elderly. This is an erroneous opinion! Young people, and even children, often go to the hospital with this problem. The joint can be damaged not only mechanically, but also by internal weakening of the body, for example, the transfer of a serious illness, lack of calcium, and so on.

How to prevent joint damage?

1. Proper nutrition rich in vitamins and drink enough fluids.
2. To live an active lifestyle.
3. In time to pay attention to pain in the joints.
4. Do not play dangerous sports.

For those who have undergone hip replacement surgery, it is important to remember that life goes on. It is necessary to work on the restoration of the body and take preventive measures. Take care of your body and be healthy!

Be sure to consult your doctor before treating diseases. This will help to take into account individual tolerance, confirm the diagnosis, make sure the treatment is correct and exclude negative drug interactions.

If you use prescriptions without consulting a doctor, then it is entirely at your own risk. All information on the site is presented for informational purposes and is not a medical aid. You are solely responsible for the application.

Remote recovery period

The first days after the operation are a difficult time, on which the speed of wound healing depends. If the operation went well, the patient is admitted to the hospital. The patient must comply with the most sparing mode.

The initial recovery period requires constant monitoring by the attending physician. The specialist explains how to sit correctly, explains the rules for turning during sleep, teaches not to be afraid of independent movements.

In the first days after endoprosthetics, you need to sleep only on your back. The patient is allowed to roll over on his side after 3 days, while lying on the operated side is impossible. Sit down with great care, making sure that the affected joint does not bend too much. The allowed maximum is 90 degrees.

Forbidden:

• squat down;
• get on your knees;
• cross one leg over the other.

The patient must control his movements, avoiding too wide steps and avoiding sharp attacks.

During sleep and rest, you can not cross your legs or bend them at the knees. A special roller between the legs will help to relax the muscles. It slightly raises the hips and allows you to fix the affected joint in the desired position.

In the first postoperative days, you need to move very carefully, but doctors also warn against complete immobility. After a few days, you can start gentle exercises. They will prevent internal and external edema, normalize blood flow, and ensure the speedy restoration of joint mobility.

• wiggling of the toes, circular movements of the feet;
• flexion of the foot in the ankle area back and forth;
• circular movements of the feet clockwise and against it;
• alternating tension and relaxation of the quadriceps muscles;
• isometric muscle contractions of the buttocks;
• slow bending of the legs at the knees;
• abduction of a straight leg to the sides;
• leg lift (simultaneous and alternate).

All exercises are done 6-10 times, resting after each approach. After the complex, slight fatigue and muscle tension may be felt. If pain occurs, exercise is stopped. In the early days, gymnastics is done lying on your back, after a week the same exercises can be done while sitting.

Doctor visits patient after surgery

It starts from the first hours after the operation and lasts up to about two weeks. This is a sparing period with a smooth tonic transition; at this time, the patient is recommended to perform a minimum load.

The following activities are carried out by the medical staff:

1. Surgical wound care. In the course of the surgical incision, in the wound area, under the skin, there may be staples or suture threads. The removal of the material is carried out by the doctor in the second week after surgery. Prior to removal, it is recommended to avoid getting moisture on the surgical wound. If friction occurs on clothing or compression underwear, then a postoperative bandage is put on.
2. Nutrition. Since the surgery is not performed on the abdominal organs, the patient is allowed to eat whatever he wants (at the same time, it is recommended to follow a light diet for the first three days). Many patients often feel a decrease in appetite, so they refuse to eat. Nevertheless, doctors recommend eating well in the early period, because the body needs great strength to recover. Food should be rich in vitamins, microelements and proteins (fresh fruits and vegetables, meat, cereals, rye bread).
3. Prevention of thrombosis. Deep vein thrombosis in the legs can lead to a dangerous and deadly complication - pulmonary embolism. As a preventive measure, it is recommended to use elastic stockings or stockings; variable pneumocompression is also performed. Without fail, doctors prescribe anticoagulant therapy, antiplatelet agents, unfractionated or low molecular weight heparin. You should not use medications on your own, even if the instructions included in the box describe the treatment regimen in detail!

Signs that should attract serious attention are pain in the calf muscles, redness of the lower leg, swelling of any part of the lower limb.

There are certain rules that the patient needs to follow in the early period:

• in the first few days after the operation, sleep only on your back;
• roll over to the healthy side only with the help of medical personnel; lying on the stomach is allowed in the second week after the surgical procedure;
• do not bend the leg more than 90 degrees at the knee joint;
• it is also forbidden to bring the legs together and cross - for an obstacle it is recommended to put a pillow or a small soft roller between the legs;
• be sure to follow the movements prescribed by the doctor.

The main goals to be achieved in the early period are the improvement of blood microcirculation, scar healing and reduction of edema. Also, the patient must learn how to sit down and stand up correctly.

Movement must be done slowly and smoothly. It is recommended to make up to five visits per day, the duration of each should be at least 15-20 minutes.

Restorative measures after setting an artificial joint

Table. Rehabilitation after total hip arthroplasty.

Foot toe movements	Bend and unbend the toes of both feet.
Foot Pump Swing	Exercises can be done on the day of surgery. Pull the foot up and down, bending and unbending at the ankle joint.
Foot rotation	Pull the toe slightly forward, with the foot to make circular movements.
Tension of the quadriceps femoris	Gymnastics on a sore leg should be carried out no earlier than on the 7th day. Lying on your back, straighten your leg and try to press the inner side of the knee cavity as tightly as possible to the bed.
Contraction of the gluteal muscles	Tighten the muscles of the buttocks alternately, then together.
Flexion of the leg at the knee joint	Slightly bend the leg at the knee and pull it towards you (you need to slightly tear the foot off the surface).
Extending the straight leg to the side	Without bending the knee and without lifting the leg up, it must be taken to the side, then returned to its original position.
Leg extension	Put the popliteal fossa on a small roller so that the leg is in a half-bent position. Straighten your leg and return to the starting position.

In addition to exercises on the legs, breathing exercises should be done. The easiest way is to inflate a balloon. In addition, you can draw the maximum amount of air into the lungs through the nasal passages, hold it for eight seconds and exhale through the mouth. Exercise to do up to ten times three times a day.

In the first and second weeks after surgery, specially trained medical personnel teach the patient how to properly move to a sitting position on the bed, roll over, as well as get up and use crutches.

As soon as the patient has learned to keep balance and can step on the operated limb, additional exercises are recommended to him:

• Lean on a table or headboard. Perform stepping movements in place at the support.
• Standing, take the leg to the side: first healthy, then operated.
• Pulling the leg back, while keeping the knee joint slightly bent.

The patient should not "pity" himself, but perform all movements, despite the severe pain. If the limb is not developed in time, then muscle contractures may develop (a pathological change in the structure of tendon muscles, blood vessels, subcutaneous fat), which leads to limited mobility of the hip joint.

This is the final and longest stage. The rehabilitation period after hip arthroplasty begins from the third month and lasts until the sixth, sometimes up to the twelfth (it is set strictly individually).

At this stage, the crutches are replaced with canes. About a month later, the patient is taught to walk independently, that is, all means of rehabilitation after hip arthroplasty are excluded (meaning all devices for maintaining balance during stepping movement).

Also, the patient is taught to stand on one leg and take it back (exercises are done without support). At this stage, short-term (up to ten minutes three times a day) walking walks are already shown - first on the simulator, and a little later - on the street. Gradually, the duration of walking is increased, depending on the general condition of the patient.

Physiotherapy at this stage is much more complicated. As a rule, the patient is already pretty tired of daily exercises (especially if he has already been discharged home from a medical institution), but they must be performed through “I can’t” and “I don’t want to”.

Recovery exercises

Examples of exercises (for more details, see the video in this article):

1. On the back. Put your hands under the waist. Imitate a bicycle, alternately pressing one and the other leg, bent at the knee, to the stomach.
2. Following this exercise, pull your legs to your stomach with your hand as much as possible.
3. Lie on the "healthy" side. Take the operated leg up, holding it in this position for up to a minute or more. Repeat five times.
4. Lie down on your stomach. Bend and unbend the legs at the knee joints.
5. Standing exercise. Holding on to a support, do half-squats - fifteen times.
6. In the same position. Put on a tight elastic band on your legs. Take the injured leg to the side, stretching it.
7. Get on all fours. We balance the body - we straighten the left arm and right leg, then vice versa - the right arm and left leg.
8. Step exercises. To do this, you need an elevation (platform) in the form of a step. You can make it yourself from wood, you can also use a strong box or timber, about fifteen centimeters high. Step from a healthy leg, then the patient rises, lowers in the same sequence.

• To prevent dislocation, bend the leg at the hip joint by more than 90 degrees. It is forbidden to cross the legs, toss on top of each other, to squat down. This can be done when the painful sensation is gone and there is a full recovery;
• Putting pillows between your legs will save you from similar actions in a dream;
• If you want to sit on a chair, you must choose it so that the knees do not exceed the level of the navel, and the hip joint itself is at right angles to the surface of the chair;
• When you take a sitting position or lie down on your back, your legs should be slightly apart;
• Do not bend below the level of the navel, performing any action, sitting or lying down, do not forget about the right angle.

First stage of rehabilitation

The operation takes on average about two hours. Before its completion, drainage is installed in the operated cavity and the wound is sutured. Drainage is needed to remove postoperative hematoma, it is usually removed 3-4 days after surgery.

Rehabilitation after hip replacement should begin immediately after surgery, in the first hours after the patient comes out of anesthesia. The first exercises consist of flexion and extension of the foot of the operated leg, rotation of the ankle joint, tension and relaxation of the anterior surface of the thigh and gluteal muscles. Such exercises improve blood flow and tone the muscles.

The first day the patient should not get out of bed. On the second day, with the help of a doctor - a specialist in physical therapy (LFK), the patient is allowed to rise and stand on his feet. Usually patients are immediately allowed to step on the operated leg with the full weight of the body, but in some cases the attending physician may limit the load on the new joint. All movements of the patient in the postoperative period should be slow and smooth.

You need to get out of bed from the side of the healthy leg, gradually lowering it down from the bed and pulling the operated leg up to it. In this case, it is necessary to ensure that the hips do not strongly diverge to the sides, and the foot of the operated leg does not turn outwards.

You can only sit while observing the “right angle” rule: the bend of the leg at the hip joint should not exceed 90 º. In other words, the flexed knee should not rise above the endoprosthesis. You can’t squat down, you can’t cross your legs.

During sleep, it is better to use two pillows placed between the legs. You can not bend down to the legs while sitting on the bed, for example, trying to reach the blanket lying at the feet. It is also impossible to bend over for shoes while sitting on a chair.

It is important to remember that the new joint is still in "free swimming", it is installed, but not fixed in the correct physiological position. For its fixation, the rehabilitation of the muscles and fascia cut during the operation and re-sutured during the operation is necessary.

Fusion of dissected tissues occurs in about 3-4 weeks. During this period, do not strain the hip muscles, especially while sitting or lying down. To ease the muscle load, it is necessary to move the operated leg slightly to the side.

The patient should already be prepared, and, first of all, morally, for the pain that he will have to experience at first after the operation. But, overcoming this pain, the patient must learn to walk independently with the help of crutches or walkers.

Gout and bath - these concepts have long been used together, and there are reasons for that.

Gout is a disease of the joints, which is most often provoked by impaired metabolism and, as a result, obesity. On the legs in the affected areas, inflammatory areas that are sensitive to any touch can be observed. The following factors can be considered predisposition to this disease:

1. Floor. Men get sick several times more often than women.
2. Age after 40 years.
3. Bad habits.
4. Excess weight more than 20 kg.
5. The use of alcoholic beverages.

At the first sign of gout - joint pain - you need to go to the hospital and get tested for the level of acid in the urine. Elevated acid levels will indicate the presence of this disease. Most dangerous purine acid is found in foods such as beer, brewer's yeast, offal, herring or sardine, red meat. When establishing a diagnosis, all these products should be completely excluded.

With gout, a characteristic symptom is a severe pain attack in the affected area, which can be removed by a very effective and pleasant procedure - take a steam bath. The steam bath is known for its healing properties in the presence of many diseases. Being in the bath will help to remove excess salts from the body, relieve muscle tone, lose a few extra pounds.

Is it possible to soar legs with gout and this will not lead to even greater health problems - this question worries many patients who have this unpleasant disease. As history shows, a steam bath was used in ancient Rus' as a remedy for gout. On the eve of it, they warmed it well and brought the patient there. It was necessary to stay in the bath for a long time, but the effect of the procedure was amazing.

Now you can go to the bath both in the event of gout, but only in remission, and for the prevention of this disease. With intensive heating, which occurs in the bath, all harmful substances are removed from the body, leading to the development of many diseases. Sensitive legs are comfortable in the bath, and the pain gradually decreases. This procedure is also popular because it does not require medication, special diets, etc. Although in the advanced form of the disease, drug treatment cannot be avoided.

If there is no opportunity to go to the bath or there are contraindications for being in the bath, for example, the disease is in the acute stage, you can soak your feet in hot medicinal decoctions. To do this, you need to prepare two basins and boil separately a medicinal decoction based on the following herbs:

• nettle;
• horsetail;
• calendula flowers;
• elder.

You can use other herbs that have an anti-inflammatory effect. In one basin with water you need to pour cold water, and in the other basin - water with hot broth. The diseased leg descends first into one pelvis, then into the other. This procedure will help relieve inflammation and reduce pain. Bath with gout is contraindicated during the acute stage of the disease. Before taking bath procedures, you must first consult with your doctor.

Healing ointments as traditional medicine

You can go to the bath with pre-prepared herbal decoctions based on rose hips, which improve kidney function and help remove excess acid from the body. Self-prepared ointments for the treatment of joint pain also help well. An ointment based on butter and alcohol, which must be applied to the affected area after bath procedures, has a beneficial effect. The pores of the skin after the steam are enlarged, and the remedy for gout will penetrate into them better. Well-known medicinal herbs such as chamomile and string will also help in the fight against gout. While steaming in the bath, you can apply a moistened piece of gauze in herbal decoction to your feet. It is proved that the effect of such procedures is very high.

When going to the bath, you can take some honey with you (especially healthy bark honey), which needs to be rubbed well in the bath. This natural bee balm promotes the removal of hydrochloric acid from the joints, and also makes the skin smooth and soft.

With an advanced or chronic stage of gout, you should visit the bathhouse several times a week, and every day you need to soak your feet in hot water. When visiting a bath, you should refuse to take alcoholic beverages or smoke cigarettes. Bad habits are categorically contraindicated in gout.

In the bath, the level of steam should be high, because it is he who helps to remove salts from the joints and helps to normalize their work.

Also in the bath for the treatment of sick legs, you can use brooms, preferably those made from nettles. Before use, the broom must be steamed for a short time.

In the case of a diagnosis by a doctor, it is better to treat the disease comprehensively, following the recommendations of a specialist. And if there are no contraindications, go to the bathhouse, go in for sports, and then any illness will not harm either the arms or legs.

Additional literature:

1. V.A. Nasonova, M.G. Astapenko. Clinical rheumatology.

2. V.G. Barsneva, F.M. Kudaev. Rheumatology: a national guide.

Is it possible to soar legs with gout, many patients are interested. Doctors not only do not prohibit, they, on the contrary, prescribe a thermal bath, as this helps to wash out salts from the joints, improves circulation, stops inflammation and pain. However, it is possible to warm the legs with gout only after the acute phase of the disease has been eliminated; during an exacerbation, it is extremely dangerous to do this. If there are no contraindications, then it is better to prepare baths based on a decoction of chamomile, walnut leaves, succession, thyme or sage.

Table of contents [Show]

General information about the disease

The pathology resulting from a metabolic disorder, when the level of uric acid salts increases significantly, is called gout. First of all, the joints of the feet are affected, and gouty arthritis develops. Medicines and traditional medicine will help to cope with gout. A hot bath or foot baths are effective in this pathology.

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Reasons for the appearance

Gout is usually diagnosed in people who don't move much. Serious eating disorders, injuries, taking diuretics and excessive stress on the joint increase the risk of developing gout. Direct provocateurs:

• heredity;
• diabetes;
• arterial hypertension;
• alcoholism.

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Symptoms

An attack of gout begins mainly at night. It manifests itself with the following symptoms:

• redness of the dermis and slight swelling at the site of the affected joint;
• sharp pronounced pain of the joints directly in the focus of accumulation of urates;
• increase in body temperature;
• tingling in the joint.

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Is it possible to soar legs in the treatment of gout?

Cold is contraindicated for painful joints, so they need to be provided with warmth.

Warm water improves blood circulation.

To do this, it is recommended to warm your feet in warm water, you will also need to create comfortable conditions for your big toes. Therefore, when buying shoes, it is important to make sure that they do not squeeze the fingers, and the foot is spacious and comfortable. The patient will need to refrain from going to the sauna if the gout is in an acute form. But if the disease is in remission, then taking a hot bath is useful and completely safe. Under the influence of high temperatures, metabolism will improve, and toxic substances will leave the body.

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What to soar with?

To achieve the most positive result, it is better to carry out warming procedures using natural remedies. Eucalyptus, oak and birch brooms show excellent results in the fight against gout. These components reduce painful symptoms and have a beneficial effect on the well-being of the patient as a whole. One of the highly effective remedies that often treat gout is nettle. This plant can severely burn the skin, so it should be immediately heated in boiling water, and then cooled in cold water.

The plant will help reduce pain.

Representatives of traditional medicine suggest using fern to fight gout. Before carrying out the procedure, it is necessary to pour 10 liters of boiled water into about 2 kg of fern leaves and leave to infuse for an hour. It is important to maintain a hot water temperature, adding boiling water as it cools. Feet soar in the infusion for half an hour daily for 2 weeks. If gout is localized not only in the lower extremities, then you can take a bath with fern infusion.

Good results are given by black elderberry and juniper baths, the preparation scheme of which is described in the table:

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Other recipes

Warmth is extremely important for gout, but it is not always enough to simply dip your feet in hot water, it is better to use herbal remedies that will help relieve inflammation and stop pain. Plants such as wild rose, chamomile, rock raspberry, blackcurrant leaves and angelica root are useful in the treatment of gout. From these medicinal plants, decoctions are prepared in the proportion: 150 g of the main component per 3 liters of water. Boil for 20-30 minutes, filter and pour into a vessel where the legs will be steamed. The duration of the procedure is about a quarter of an hour. It is recommended in the treatment of gout to do compresses and rubbing in between therapeutic baths.

Gout or gouty arthritis is a disease of the joints of the extremities in the adult population. Its development is due to the accumulation of uric acid salts (urates) in the joints. Nowadays, gout is confused with deformity of the big toe. In fact, this disease is much less common: 3 times per 1000 cases. Target "audience" - most often men after 40 years, less often - women after menopause.

1. Effectiveness of procedures
2. Rules for visiting the bath
3. Features of gout prevention

Gout develops against the background of impaired metabolism, physical inactivity, malnutrition and bad habits (alcohol and tobacco addiction). Gout is incurable and chronic. It has alternating exacerbations and remissions. To relieve periods of acute inflammation and prolong remission, you need to follow a diet. The gout diet minimizes the intake of purines, compounds that are broken down in the body into uric acid salts. It is also based on abundant frequent drinking of natural homemade drinks (juices, decoctions, compotes, fruit drinks).

With gout, physical overload and long walking are avoided, and emphasis is placed on gymnastics prescribed by the doctor. The bath, sauna and steaming of the legs bring considerable benefits. The course of treatment with bath procedures is prescribed only by a doctor, since independent visits to the steam room can cause irreparable harm to health.

Benefit and effect

The value of a bath or sauna is as follows:

1. Heat promotes enhanced metabolism. And, therefore, salts are actively excreted from the body. At home, you can also steam your legs with gout in a bath or basin with the addition of anti-inflammatory herbal decoctions.

2. Open pores remove toxins from the body many times faster. Blood circulation is enhanced and the joints are enriched with useful microelements.

3. Manual massage of the legs and a broom helps to develop the joints, makes them mobile and elastic.

Is it possible to bathe in the bath for patients with gout during an exacerbation? No. The inflammatory process is quite painful:

• pain when moving and touching the joint;
• redness;
• puffiness;
• an increase in temperature in the focus of inflammation.

Steam and heat will only aggravate the condition - blood will rush to the joints of the legs and cause unbearable pain. It is better to wait out the exacerbation in bed, eat right and drink plenty of fluids.

Bathing in a bath for gout is a step-by-step set of procedures, and not an ordinary visit to the steam room. The action will be obvious and quick if the patient adheres to the following instructions.

The number of sessions, frequency and duration of stay in the bath or sauna is prescribed by the attending physician. At the same time, take into account parallel health problems: high blood pressure, heart failure can make it impossible to go to the bathhouse.

Bath and sauna with remission of gout is much more effective if applied:

• ointments, balms for local rubbing;
• drink, use decoctions of herbs and berries in the form of compresses during warming up (lingonberries, rosehips, mint, lilacs, junipers, willows, nettles, black elderberries, calendula, peony, chamomile);
• use birch, oak or eucalyptus, as well as nettle (scald with boiling water so as not to burn the skin!).

There are special rules for wellness procedures in the bath, which are aimed at enhancing metabolism:

1. We take a shower - we prepare the skin and the body for warming up.

2. We go into the steam room for 5-7 minutes and return. We are waiting for the cooling of the body, the normalization of the pulse and breathing.

3. The second entry in the bath is regulated by sensations. Lie down on the top bunk, relax, and wait until you begin to sweat profusely.

4. When sweat has covered the body abundantly, it's time to start massaging with brooms. Particular attention is paid to all joints, and not just painful foci.

5. The next stage is rubbing ointments into sore joints, compresses from herbal decoctions. If you feel discomfort from the high temperature in the bath, go down from the top shelf by 1-2 tiers.

6. Gout on the legs is sensitive to contrast baths. After the steam room, dip your legs alternately in cold and hot water. You can add decoctions of herbs for maximum effect.

7. When ointments and compresses have been absorbed into the skin and a lot of sweat has come out, you can wash everything off the body. Take a shower with a hard washcloth. So you wash away all the toxins that remain on the skin.

The bath does not exclude an ice shower after cleaning or swimming in an ice hole, if this is not contraindicated for your body. In conclusion, cool down in the dressing room and drink hot drinks. Herbal tea will do. Avoid mulled wine and alcohol. They nullify the healing effect of the bath, increasing the content of uric acid in the blood. Steaming in a bath is not only an effective treatment, but also a powerful prevention of arthritis, slagging of the body.

Prevention and other treatments

In addition to diet No. 6 and bath procedures, gout is treated with paraffin and ozocerite heating, mud wraps, and physical culture. Drug therapy is aimed at fading symptoms, inflammation, accumulation of lactic acid salts and increasing metabolism, lactic acid blockers are popular. A prescription is strictly prescribed by a doctor.

Prevention is commonplace, like most methods of preventing many diseases:

1. active lifestyle (sports, daily movement, gymnastics);

2. giving up alcohol and smoking;

3. control of body weight through sports and nutrition;

4. healthy diet (the predominance of vegetables, homemade products, low-fat meat in small quantities, the rejection of fast food, products with animal protein);

5. moderate salt intake;

6. drinking clean water (about 3 liters of non-carbonated pure or mineral water daily);

7. thoughtful use of medications (for example, the danger is acetylsalicylic acid, which increases the content of uric acid in the blood);

8. timely treatment of diseases, including diseases of the musculoskeletal system, thyroid gland, metabolic disorders.

Alternative methods offer yoga classes, breathing exercises treatment, meditation, which help to increase metabolism.

Persons with a painful heredity of arthritis should be especially attentive to prevention. Genetic predisposition manifests itself many times faster in cases of neglect of health.

This disease has been known since the time of Hippocrates. Its name in Greek means "foot in a trap". Gout was also called the disease of kings and aristocrats, since it mainly affected wealthy and noble people. Unlike the poor, they did not have problems with food; moreover, they often overate. And the excessive consumption of meat dishes, delicacies and wine just contributed to the onset of the disease.

Actually, in our time gout mostly affects people with high incomes (usually men), often leading an unhealthy lifestyle.

The development of gout is associated with a metabolic disorder, caused, in particular, by an excess of animal proteins consumed with food. And this, in turn, leads to an increase in the blood level of uric acid and its salts - urates. The fact is that normally uric acid, which is the end product of cell vital activity, must be excreted by the kidneys. However, if its concentration in the blood increases, the kidneys cannot cope. As a result, crystallization of urates and their deposition in the tissues occurs. The pathological process primarily covers the toes, hands, as well as the knee and elbow joints.

What are the symptoms of the disease?

Being deposited in the joint cavity, sharp as needles, urate crystals cause local inflammation. In the initial stage, in most patients, the first metatarsophalangeal joint of the big toe is most often affected, which is accompanied by severe pain. An attack of gout occurs suddenly, usually at night. Very soon, the pain becomes unbearable, it intensifies even from a light touch to the reddened and swollen joint. The patient feels chills, his temperature often rises. By morning the pain noticeably weakens, but at night the attack is repeated again. This can go on for several days, and sometimes longer.

In the future, such attacks are periodically repeated. Over time, their frequency increases, they become longer, but less acute. In this case, the pathological process, as a rule, covers all new joints, and often also the kidneys and urinary tract. The occurrence of an acute attack of the disease can be provoked by such factors as the use of a large amount of animal products (meat, smoked meats, fatty fish), alcohol (especially red wine, beer), viral infections, hypothermia, stress, trauma, a sharp change in atmospheric pressure, some medicines.

Treatment of this chronic disease is primarily diet. Offal (kidneys, liver, tongue, brains), fatty meats and fish, broths, legumes (peas, beans, lentils), sorrel, spinach should be excluded from the diet. You can also not drink alcohol, coffee, cocoa, strong tea. The menu should include vegetable soups, cereals from various cereals, milk and dairy products, vegetables and fruits. Chicken eggs, hard cheeses, boiled meat or fish (2-3 times a week), salt (no more than 5-7 grams) are allowed. The patient needs to drink plenty of fluids (water, juices) and spend fasting days once a week (dairy, cottage cheese, kefir, fruit).

As for drug therapy, with frequent attacks of gouty arthritis (inflammation of the joint), its main principle is the long-term use of drugs that normalize the content of uric acid in the blood. If the patient, feeling improvement, cancels them on his own, attacks of gout may occur again. With an exacerbation of the disease, complete rest is necessary, the foot should be kept in an elevated position, putting a pillow under it. Cold has a good analgesic effect, for example, an ice pack, if, of course, the affected joint can be touched.

Well, during periods of remission (subsidence of the symptoms of the disease), physiotherapeutic procedures and physiotherapy exercises are shown. Phytotherapeutic recommendations help to restore a disturbed metabolism, in particular, an infusion of lingonberry leaves: 3 tbsp. l. dry crushed raw materials pour a glass of boiling water and insist for 30 minutes. Then strain and take a tablespoon 3-4 times a day.

And here is another recipe for an infusion from the collection of medicinal plants that contributes to the normalization of metabolism:

• heart-leaved linden flowers - 1 part;
• black elderberry flowers - 1 part;
• St. John's wort herb - 1 part;
• chamomile flowers - 1 part.

Pour one tablespoon of the dry mixture with a glass of boiling water, leave for 20 minutes, then strain. Take a glass of infusion 2 times a day.

folk recipe

With gout, you can use folk methods that have been proven for decades. They are able to relieve pain, significantly alleviate the condition of a person. It also eliminates excess uric acid.

Birch. Grind birch leaves - 2 tbsp. spoons. Pour them into half a liter of boiling water and boil for another 10 minutes. Then half an hour the broth should be infused. After straining, drink with meals three times a day. A quarter cup. This recipe will get rid of excess uric acid.

Chamomile branches and lime blossom. They have a similar effect. Helps reduce uric acid. Pour them (a total of 1 tablespoon) in equal proportions with half a liter of boiling water. Insist 35 minutes. Next, strain. Drink half a glass. This amount is designed for four doses during the day.

Onion soup. Useful for gout attacks, relieves pain. Wash three onions together with the husk, pour a liter of water. Let simmer until completely softened. This decoction is useful to drink a glass three times a day before meals. Duration - two weeks.

Sage. Like onion soup, it can help relieve gout attacks. Pour 200 g of sage leaves into one and a half liters of boiling water. After two hours of infusion, strain. Prepare a bath with a temperature of 33 degrees. Pour in the sage. Take a bath, reducing the temperature of the water to about 27 degrees.

Laundry soap. In addition to it, you will need about half a pack of salt. If you soar your legs in the way that we give below, you can get rid of the pain of gout. So. Grate half a bar of laundry soap on a grater. Dissolve the soap and the indicated amount of salt in two liters of water at 40 degrees. Gradually add boiling water to the solution if necessary. Steam your feet for at least half an hour.

Iodine and aspirin. Dissolve 5 aspirin tablets in 10 ml of iodine tincture. The solution will become colorless. Having lubricated them with sore spots before going to bed, put on warm socks or gloves at night. Iodine can also be used to prepare foot baths. 9 drops of it should be mixed with three teaspoons of soda and dissolved in three liters of hot water. After that, soar the legs.

Honey. It will help the formation of intra-articular lubrication, which contributes to the removal of uric acid. First, warm up the affected joint with a heating pad. Then rub honey into it for a quarter of an hour. With the help of honey, make a compress: spread it on a napkin, cover it with cellophane on top and fix it. Hold the compress for three and a half hours. Then wash the joint with warm water. Moreover, it is necessary to prepare such compresses according to a certain scheme. The first four are daily. And six more in a day. Then take a two-week break and repeat the scheme.

People suffering from joint diseases are interested in any means that help relieve pain, in particular, is it possible to soar legs with gout and how this will affect the general condition.

Healthy joint and gout.

What is this disease

Gout is considered a type of arthritis. With this disease, uric acid metabolism in the body is disturbed and salts begin to accumulate in the tissues of the joints, cartilage and bones, which can cause their destruction. In the chronic form of the disease, complete destruction of bone and cartilage tissue can be encountered.

Causes of gout.

This disease has long been known to mankind. It was believed that only people of the wealthy class could get sick with it, because they led a sedentary lifestyle and abused fatty foods and alcohol. However, it is not. Anyone can get sick, regardless of social and economic status.

The main symptom of the disease is inflammation and swelling of the joints, accompanied by severe pain. The joints near the big toes are especially affected. Painful attacks occur most often in the morning. The affected joint swells and hurts a lot. This state can last for several hours, and sometimes for several days. It is impossible to predict the frequency and duration of attacks.

Any stress for the body can provoke them: great physical exertion, climate change, nervous tension, abundant absorption of food, which includes uric acid, or another stressful situation.

Diet for gout.

It is not necessary to fight this disease with a large number of drugs. Much will depend on what products the patient consumes. You should avoid foods that are rich in uric acid, especially protein: meat, "strong" broths, rich soups. Preference should be given to vegetables and fruits, preferably citrus fruits, as well as dairy products. Tomatoes and raspberries should be excluded from the diet. You need to drink plenty of fluids - at least 2-3 liters per day. It is better to give preference to compotes, various fruit drinks, natural citrus juices, mineral water and green tea. Forget alcohol and coffee. Only table red wine is allowed in small quantities.

In ancient times, in the villages, acute attacks were fought with folk methods. A sufferer from pain was sent to a well-heated bath - and the attack stopped. It was necessary to stay in the bath for a long time, but as a result, the disease receded.

And today, a bath for gout is considered one of the most effective methods of treatment.

And compared to strict diets and medication, this is also a very pleasant procedure. In the bath, a person warms up well, and excess uric acid and other harmful substances are removed with sweat.

Steam room is the best doctor

Proper parka in the bath is both a pleasant and useful procedure.

A bath is not a way to get rid of all diseases, but it has an undeniable positive effect. But you need to take it seriously and, if you are going to go for a steam bath, you must first consult with your doctor. Patients in whom the chronic form of the disease has become acute, the joints are swollen and begin to hurt a lot, it is better to refrain from visiting the bath until the attack stops. Otherwise, under the influence of high temperature, the inflammatory process may aggravate and the effect will be exactly the opposite of what was expected.

Traditional medicine for those suffering from gout advises the use of decoctions and infusions of medicinal herbs with anti-inflammatory, analgesic and diuretic properties: blue cornflower, buckthorn, peony, calendula flowers, black elderberry, nettle leaves, horsetail, buckthorn bark, willow. In decoctions, it is recommended to soar the legs and joints.

For a greater effect, you need to do contrast procedures. The legs are lowered in turn, first into hot water, to which herbal decoction is added, and then into cold water. In the process, it is necessary to massage the joints. The course is repeated several times. During bathing procedures, you need to use brooms made of birch, oak or eucalyptus. They will help to overcome pain, relieve aches and soothe. However, nettle broom is considered the best. So that the nettle does not burn, it must first be scalded with boiling water, and then immediately lowered into cold water. Repeat the procedure 2-3 times. Due to this, the nettle will lose its burning properties.

It is necessary to apply brooms not immediately, but having previously prepared. Before entering the steam room, you should take a hygienic shower. Then go in and stay in the steam room until sweating starts. Get out, wash off the sweat in the shower and rest for a while so that the pulse and breathing return to normal. After that, you can go to the steam room again. You can start massage with a broom only after the body has steamed well and sweating has begun. Not only diseased joints are massaged, but also all the rest. This will be the best prevention of the disease.

Bath tinctures and ointments

Going to the bath, you need to take the roots of wild rose and prepare a decoction from them. It is useful to drink it instead of tea. A tincture of lingonberry leaves will also be good. It is also recommended to prepare medicinal ointments and tinctures that can be rubbed into the affected joints. For example, oil ointment will help in the fight against gout. It must be prepared from unsalted butter and alcohol, taken in equal amounts. Melt the butter in a water bath and bring to a boil. Remove the foam and pour in pure alcohol. Stir the mixture thoroughly and allow the alcohol to "burn out". The resulting ointment is rubbed into sore spots right in the steam room.

For procedures after the bath, you can prepare a lilac tincture. To do this, fill a half-liter jar with lilac flowers and fill them with vodka. Keep the composition in a dark place for 3 weeks. Tinctures from a string, chamomile, lingonberries will be good. A tissue soaked in a decoction is placed on the sore spot. After applying the ointments, the joint is loosely bandaged with a natural cloth to create a thermal effect.

A gout sufferer should visit the bath regularly, but infrequently. Once a week will be enough. The main thing is to adhere to a healthy lifestyle: do not abuse alcoholic beverages, do not break the diet - otherwise the disease will return.