Uric Acid Poisoning and Turf Toe

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Uric Acid Poisoning and Turf Toe

Post by Admin on Mon Aug 22, 2016 11:15 am

Uric Acid Poisoning, Turf Toe

Turf toe gets no respect. Let's take a closer look at the causes of turf toe and see how to treat it more effectively. Turf toe is actually a form of hallux limitus. Hallux limitus is classically described as pain and progressive decrease in the range of motion of the first metatarsal phalangeal joint (MPJ). The onset of hallux limitus is due to the following: Embarassed

When treating turf toe be sure to recognize the fact that there is no nerve innervation in articular cartilage. Pain associated with stage one turf toe (hallux limitus) is either synovial pain or bone pain. If we recognize that painful stage one turf toe (hallux limitus) may be due to bone pain, we then realize that turf toe should be treated aggressively to insure the long term viability of the joint.

But before we go any further, we need to understand that the terms turf toe and hallux limitus aren't really synonymous. The fundamental difference between the two terms is the patient population that they affect. Turf toe is a term used in athletic circles referring to any injury of the great toe joint. Consequently, discussions about turf toe will focus on the first two causes of hallux limitus mentioned above; functional hallux limitus and direct physical injury. On the other hand, when we discuss hallux limitus, we're actually referring to a broader, 'non-athletic' patient population and need to include all three causes of hallux limitus.


Ronconi, P., Monachino, P., Baleanu, P.M.,Favilli, G. Distal Oblique Osteotomy of the First Metatarsal for the Correction of Hallux Limitus and Rigidus Deformity. J. Foot Surg. 39:3, 154-160, 2000



Turf Toe - Academy Foot and Ankle - Southlake, Hurst, Keller (Fort









  • Differential Diagnosis: The differential diagnosis of turf toe includes;
  • Arthitis Fracture Gout Joint infection Joint or bone tumor Synovitis Idea



Think of turf toe (hallux limitus) as an isolated case gout solution report cures arthritis in toe permanently the first MPJ. Whether the injury is acute or due to repetitive loading, the result is a load that is applied to the subchondral bone that is greater than what the bone can tolerate. As the injury progresses, a series of micro fractures will develop in the subchondral bone. The typical soft spongy character of the metaphyseal bone changes to become brittle and hard. The result is that the articular cartilage looses its' underlying support and becomes susceptible to damage. Juxtachondral eburnation, osteophytes, lipping, spurring; call them what you like, but what you see on your x-ray is the slow progressive destruction of the joint. We have used a mixture of seriousness and jokes in this composition on Gout Joint. This is to liven the mood when reading about Gout Joint.

References: Lombardi, C.M., Silhanek, A.D., Connolly, F.G., Dennis, L.N., Keslonsky, A.J. First Metatarsophalangeal Arthrodesis for Treatment of Hallux Rigidus: A Retrospective Study. J. Foot Surg. 40:3, 137-143, 2001 Keeping to the point is very important when writing. So we have to stuck to Gout Joint, and have not wandered much from it to enhance understanding.




Symptoms: Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step. Turf toe caused by a direct injury to the joint may or may not be obvious. Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise.

Nomenclature: First MPJ - the big toe joint Metatarsus primus elevatus - a functional or structural position of the first metatarsal First metatarsal - the foot bone making up the proximal portion of the big toe joint Hallux - the great toe To err is human, to forgive is divine. So we would indeed deem you to be divine if you forgive us for any misunderstandings that may arise in this article on Gout.

What's the actual physical change that takes place in the joint with turf toe? As an easy analogy, consider the changes that takes place when an apple falls from a height and is damaged. The skin of the apple appears intact but the underlying pulp is damaged. In the case of turf toe (hallux limitus), think of the skin of the apple as the cartilage of the joint and the damaged pulp of the apple is the subchondral bone. Mild cases of turf toe (hallux limitus), result in little damage to the subchondral bone and will merely exhibit signs of inflammatory change within the joint. Most authors would refer to these cases as stage one turf toe (hallux limitus). More severe cases result in damage to the joint surface, the subchondral bone or both. These are the stage two and three cases of turf toe (hallux limitus) that show visible change on x-ray. As the subchondral bone becomes increasingly damaged, it will create an uneven supporting surface for the cartilage. An increase in activity results in uneven loading of the joint due to the compression injury of the subchondral bone.

Treatment of turf toe varies with the type of healthcare provider and includes the use of rest, shoe modifications, orthotics, steroid injections and surgery. The success of non-surgical care will vary with the degree of injury, the rate at which the injury is healing and how much osteoarthritis has occurred. We see varying degrees of success with orthotics that promote plantarflexion of the first ray, effectively treating metatarsus primus elevatus and peroneus longus dysfunction. Simple arch supports can make a significant difference in the symptoms of turf toe. Should our patient not respond to conservative care in a reasonable time period, we are not reluctant to suggest american university to address the problem whether it be revisions of the joint defect, shortening of a long first metatarsal or structural revision of metatarsus primus elevatus. As mentioned before, the clinical appearance of dorsal lipping or visible radiographic changes are suggestive of moderately advanced osteoarthritis, a condition that is only repaired by joint revision or replacement.

Other Conditions

Synovitis, crystal deposition diseases such as gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc. Interesting is what we had aimed to make this article on Diseases Gout. It is up to you to decide if we have succeeded in our mission!




Anatomy: The great toe joint, or first metatarsal joint consists of two bones. The proximal bone is the first metatarsal and the distal is called the proximal phalanx or hallux. These two bone move against each other in an up and down motion through what we refer to as the sagital plane. Biomechanics: The motion of the great toe joint is dependant upon the plantarflexion of the first metatasal. If the first metatarsal is limitied in its' ability to plantarflex, the joint will jam resulting in funtional hallux limitus, which as we know is one of the causes of turf toe. It is always better to use simple English when writing descriptive articles, like this one on Diseases Gout. It is the layman who may read such articles, and if he can't understand it, what is the point of writing it?

Turf Toe Caused by a Direct Injury to the Joint May or May Not be Obvious

Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise. Time and tide waits for no man. So once we got an idea for writing on Gout Joint, we decided not to waste time, but to get down to writing about it immediately!

Functional Hallux Limitus

Biomechanical function that results in metatarsus primus elevatus and subsequent repetitive jamming of the first MPJ. Direct physical injury - injury to the articular cartilage or subchondral bone. These injuries may be due impaction injuries or hyperextension/flexion of the first MPJ.

Unger, K., Rahimi, F., Bareither, D., Muehleman, C. The Relationship Between Articular Cartilage Degeneration and Bone Changes of the First Metatarsophalangeal Joint. J. Foot Surg. 39:1 24-33, 2000 Laughing



  • Question : I'M a 55-year-old man who has been suffering from joint pains for a couple of years.
  • I've consulted my family doctor and was told I'm affected with gout.
  • Is there any natural remedy for this?



Answer: GOUT is a Painful and Potentially Disabling Form of Arthritis

It causes pain, tenderness, redness, warmth and swelling in some joints. This is due to the increasing levels of uric acids in the body. Coordinating matter regarding to Uric Acid took a lot of time. However, with the progress of time, we not only gathered more matter, we also learnt more about Uric Acid.

Have Sufficient Rest as Fatigue or Even Mild Tiredness can Exacerbate Arthritis

Healthy weight management is also important as being overweight can burden the joints, especially the knees, thus aggravating the pain. You may also consider Bowen therapy, a series of precise connective, non-invasive tissue moves that stimulates the energy flow and activates the body's natural healing ability.



  • Celery seeds neutralise uric acid and other excess acids in the body, thus aiding in the treatment and prevention of gout, joint pain and rheumatism.
  • Guaiacum has an anti-rheumatic action which is beneficial not only for stiff and painful joints but also affected muscles.
  • The combination of celery seeds, guaiacum, ginger, capsicum and sarsaparilla effectively reduces inflammation and soothes the pain.
  • Combination of exercise, diet, rest and relaxation is important in achieving an optimum level of health and wellness.
  • Light exercise such as brisk walking helps to keep the joint cartilage lubricated.
  • It also strengthens the supporting muscles, tendons and ligaments and increases the range of motion and flexibility of the joints.
  • This article will help you since it is a comprehensive study on Gout Joint



Besides that, alcohol, coffee and foods rich in purine such as seafood, beans, sweetbreads and anchovies should be avoided. Try to increase intake of food high in dietary fibre (vegetables and fruits) and complex carbohydrates (oats, barley, bran). Isn't it wonderful that we can now access information about anything, including Uric Acid form the Internet without the hassle of going through books and magazines for matter!



  • This article is dedicated to know the best Home Remedies for Gout. Gout is a general state of arthritis.
  • First of all let me tell you what is Gout?


  • It has been identified for more than 2000 years.

  • It is a situation that causes pain, inflammation and swelling in one or more of the joints.

  • It generally attacks a single joint suddenly and deeply, most commonly the first metatarsophalangeal (big toe).

  • Gouty joints demonstrate the most visibly red signs of inflammation of any of the 100 types of arthritis.

  • Gout is often linked to an inherited abnormality in the body to process uric acid.






Causes of Gout Gout is a disease caused by an inflammatory reply to the formation of monosodium urate monohydrate crystals which produce secondary to hyperuricemia. Gout attacks are caused by dump of crystallized uric acid in the joint. Uric acid is a misuse product in your blood that is removed by the kidneys and eliminated in urine. Gout takes place most commonly in the big toe because uric acid is sensitive to temperature changes. Suppressing our knowledge on Gout Attacks is not our intention here. In fact, we mean to let everyone know more about Gout Attacks after reading this!

Here is a list of some best Home Colchicine for gout: Home Remedies for Gout Apples are considered important in Home Remedy for Gout therefore Eat an apple after every meal. Even the beginner will get to learn more about Uric Acid Kidney Stones after reading this article. It is written in easy language so that everyone will be able to understand it. Very Happy.

Take out the juice of half lemon and put it in 1 glass of water and drink it thrice in a day. One more effective Home Remedy for Gout is the juice of French beans. Drink half cup of this juice everyday for about a month to treat gout. This is a dependable source of information on kidney stones Stones. All that has to be done to verify its authenticity is to read it! Embarassed



  • Charcoal bath is a good Home Remedy for Gout.
  • For this mix in old basin one half cup of charcoal powder with water until a paste is made.
  • Place affected foot into the basin and add water until the foot is enclosed.
  • Steep your foot in the charcoal bath for thirty to sixty minutes.
  • We have avoided adding flimsy points on Gout Treatment, as we find that the addition of such points have no effect on Gout Treatment.



The Cherry, Sweet or Sour, is Measured Well in Gout Treatment

The patient should consume about fifteen to twenty five cherries a day in beginning. Fresh cherries are best, but you can also use canned cherries. This is another superior Home Remedy for Gout. We have included some american intercontinental university on Gout Treatment. In this way, you are updated on the developments of Gout Treatment.

Gout can also emerge in an ear, heel of the hand, small hand joints, ankles, knees, elbows, or wrists with inflammation, swelling and deep pain from the build-up of uric acid crystals. Gout is linked with high blood pressure, kidney disease, diabetes, atherosclerosis, and uric acid kidney stones. We cannot be blamed if you find any other article resembling the matter we have written here about Uric Acid Gout. What we have done here is our copyright material!

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