Categories
Ailmemts & Remedies

Brusists

Definition:Whether you’re at work or at play, if you overuse or repetitively stress your body’s joints, you may eventually develop a painful inflammation called bursitis.

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You have more than 150 bursae in your body. These small, fluid-filled sacs lubricate and cushion pressure points between your bones and the tendons and muscles near your joints. They help your joints move with ease. Bursitis occurs when a bursa becomes inflamed. When inflammation occurs, movement or pressure is painful.

Bursitis often affects the joints in your shoulders, elbows or hips. But you can also have bursitis by your knee, heel and the base of your big toe. Bursitis pain usually goes away within a few weeks or so with proper treatment, but recurrent flare-ups of bursitis are common.

Symptoms:
If you have bursitis, you may notice:

A dull ache or stiffness in the area around your elbow, hip, knee, shoulder, big toe or other joints:-

*A worsening of pain with movement or pressure

*An area that feels swollen or warm to the touch

*Occasional skin redness in the area of the inflamed bursa

Bursitis of the hip doesn’t cause any visible swelling or skin redness because the bursae are located beneath some of your body’s bulkiest muscles. In this type of bursitis, pain is primarily over the greater trochanter, a portion of your thighbone (femur) that juts out just below where the bone joins the hip.

Causes:
Common causes of bursitis are overuse, stress and direct trauma to a joint, such as with repeated bumping or prolonged pressure from kneeling. Bursitis may also result from an infection, arthritis or gout. Many times, the cause is unknown.

Bursitis in certain locations of your body is caused by repetitive motion related to certain activities:

Shoulder. Bursitis of the shoulder often results from injury to the rotator cuff, the muscles and tendons that connect your upper arm bone to your shoulder blade. Causes of the injury may include falling, lifting and repetitive overhead arm activities. Sometimes it’s hard to distinguish between the pain caused by bursitis and that caused by a rotator cuff injury.

Elbow. This type of bursitis is associated with actions requiring you to repeatedly bend and extend your Elbow. You may get such an inflammation by pushing a vacuum cleaner back and forth. Throwing a baseball and swinging a tennis racket or a golf club are other examples of repeated physical activities that may lead to bursitis or tendinitis of the elbow or shoulder. Simple repeated leaning on your elbows could lead to bursitis over the tip of your elbow

Buttocks. This type of bursitis describes an inflamed bursa over the bone in your buttocks. It may result from sitting on a hard surface for long periods, such as on a bike.

Hip. Bursitis of the hip is frequently associated with arthritis or a hip injury. The pressure from standing or sitting for a prolonged time also may lead to bursitis of the hip.

Knee. In this form of bursitis, a soft, egg-shaped bump occurs on the front of your knee, the result of repetitive kneeling while installing tiles, scrubbing a floor, gardening or doing other activities that place pressure on your knees. A sharp blow to the knee can cause inflammation of the bursae around the kneecap. People with arthritis who are overweight often develop bursitis of the knee.

Ankle.
Inflammation of the bursa in the ankle commonly occurs as a result of improper footwear or prolonged walking or in sports, such as ice-skating.

You may not be able to pinpoint a specific incident or activity that led to your bursitis. In some cases, the inflammation may stem from a staphylococcal infection.

Diagnosis:
Your doctor may have you undergo a physical examination and ask you about your recent activities. By feeling the painful joint and surrounding area, your doctor may be able to identify a specific area of tenderness.

If it appears that something else may be causing the discomfort, your physician may request an X-ray of the affected area. If bursitis is the cause, X-ray images can’t positively establish the diagnosis, but they can help to exclude other causes of your discomfort.

Although you usually can trace bursitis to events of overuse or pressure, there may be no obvious cause. In the latter case, your doctor may want to perform additional screening to rule out other causes of joint inflammation and pain. This may include blood tests or an analysis of fluid from the inflamed bursa.

Treatments :
Bursitis treatment is usually simple and includes:

*Resting and immobilizing the affected area

*Applying ice to reduce swelling

*Taking nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce inflammation

*With simple self-care and home treatment, bursitis usually disappears within a couple of weeks.

Sometimes, your doctor may recommend physical therapy or exercises to strengthen the muscles in the area. Additionally, your doctor may inject a corticosteroid drug into the bursa to relieve inflammation. This treatment generally brings immediate relief and, in many cases, one injection is all you’ll need.

If your bursitis is caused by an infection, you’ll need to take antibiotics. Sometimes the bursa must be surgically drained, but only rarely is surgical removal of the affected bursa necessary.

Lifestyle and home remedies:
To take care of your bursitis at home:

*Take nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs such as aspirin, ibuprofen (Advil, Motrin, others) or naproxen sodium (Aleve) can provide relief. Use as directed.

* Consult your doctor if you need NSAIDs for an extended period of time.

*Apply ice packs. Use them for 20 minutes several times a day during the first few days, or for as long as the joint area is warm to the touch.

*Apply heat. Use heat after the affected joint is no longer warm or red to help relieve muscle and joint pain and stiffness. But don’t overdo it. Don’t apply heat for more than 20 minutes at a time. Sometimes moist heat seems to penetrate deeper and give you more relief than does dry heat.

*Perform stretching exercises. Stretching can help restore full range of motion.

*Elevate the affected joint. Raising your knee or elbow can help reduce swelling.

Keep pressure off your joint. If possible, use an elastic bandage, sling or soft foam pad to protect a joint until the swelling goes down.

Herbal Remedy:

YOU can promote the healing of inflamed fluid sacs between tendons and bones, and fight the pain and tenderness of “tennis elbow” and “frozen shoulder” with these herbs from Mother Nature’s medicine chest:

Coral calcium with trace minerals, glucosamine sulfate, shavegrass.

Prevention:
To help prevent bursitis or reduce the severity of flare-ups:

*Stretch your muscles. Warm up or stretch before physical activity.

*Strengthen your muscles. Strengthening can help protect your joints. Wait until the pain and inflammation are gone before starting to exercise a joint that has bursitis.

*Take frequent breaks from repetitive tasks. Alternate repetitive tasks with rest or other activities.

*Cushion your joint. Use cushioned chairs, foam for kneeling or elbow pads. Avoid resting your elbows on hard surfaces. Avoid shoes that don’t fit properly or that have worn-down heels.

*Don’t sit still for long periods. Get up and move about frequently.

*Practice good posture. For example, avoid leaning on your elbows.

If your bursitis is caused by a chronic underlying condition, such as arthritis, it may recur despite these preventive measures.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
http://www.mayoclinic.com/health/bursitis
http://www.herbnews.org/bursitisdone.htm

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Ailmemts & Remedies

Knee Cartilage

Diagram of a synovial (diarthrosis) joint.

Image via Wikipedia

What is cartilage?

Cartilage is a tough, fibrous material found in joints throughout the body. Its primary purpose is to act as a buffer to stop bones rubbing together.

In the knee it takes the form of a C-shaped piece of material called the meniscus.

.CLICK & SEE THE PICTURES

1. Muscles
2. Tendon
3. Patella
4. Cartilage
5. Cruciate ligament
6. Medial ligament
7. Medial meniscus
8. Tibia
9. Fibula
10. Lateral ligament
11. Lateral meniscus
12. Femur
What can go wrong?

The majority of the meniscus has no blood supply.

For that reason, when damaged, the meniscus is unable to undergo the normal healing process that occurs in most of the rest of the body.

In addition, with age, the meniscus begins to deteriorate, often developing degenerative tears.

A partial or total tear of a meniscus may occur when a person quickly twists or rotates the upper leg while the foot stays still.

Typically, when the meniscus is damaged, the torn piece begins to move in an abnormal fashion inside the joint.

Because the space between the bones of the joint is very small, the torn fragment may become caught between the bones of the joint.

When this happens, the knee becomes painful, swollen, and difficult to move.

How is it treated?

If the tear is minor and the pain and other symptoms go away, the doctor may recommend a muscle-strengthening programme.

If the tear to a meniscus is more extensive, the doctor may perform keyhole surgery to see the extent of injury and to repair the tear.

The doctor can sew the meniscus back in place if the patient is relatively young, the injury is in an area with a good blood supply, and the ligaments are intact.

If the patient is elderly or the tear is in an area with a poor blood supply, the doctor may cut off a small portion of the meniscus to even the surface.

In some cases the doctor removes the entire meniscus.

Is removal a good idea?

Removal can increase the risk of degenerative problems in the knee such as the development of osteoarthritis.

However, if a torn meniscus goes untreated, flapping around within the joint, this too may result in osteoarthritis.

Is recovery quick?

On average, most patients are able to walk without crutches within 48 hours.

Sources: BBC NEWS12 Dec.2003

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Categories
Ailmemts & Remedies

Pseudogout

Definition:
Pseudogout is a form of arthritis that occurs when a particular type of calcium crystal accumulates in the joints. As more of these crystals are deposited in the affected joint, they can cause a reaction that leads to severe pain and swelling. The swelling can be either short-term or long-term and occurs most frequently in the knee, although it can also affect the wrist, shoulder, ankle, elbow, or hand. The pain caused by pseudogout is sometimes so excruciating that it can incapacitate someone for days.

CLICK & SEE THE PICTURES

It is a type of arthritis that, as the name implies, can cause symptoms similar to gout, but in reaction to a different type of crystal deposit.

As its name suggests, the symptoms of pseudogout are similar to those of gout (see “Gout“). Pseudogout can also resemble osteoarthritis or rheumatoid arthritis. A correct diagnosis is vital, as untreated pseudogout can lead to joint degeneration and osteoarthritis. Pseudogout is most common in the elderly, occurring in about 3% of people in their 60s and as many as half of people in their 90s.

Causes:
The cause of this condition is unknown. Because risk increases significantly with age, it is possible that the physical and chemical changes that accompany aging increase susceptibility to pseudogout.

Pseudogout develops when deposits of calcium pyrophosphate crystals accumulate in a joint. Crystals deposit first in the cartilage and can damage the cartilage. The crystals also can cause a reaction with inflammation that leads to joint pain and swelling. In most cases it is not known why the crystals form, although crystal deposits clearly increase with age. Because the condition sometimes runs in families, genetic factors are suspected of contributing to the disorder as can a severely underactive thyroid (hypothyroidism), excess iron storage (hemochromatosis), low magnesium levels in blood, an overactive parathyroid gland, and other causes of excessive calcium in the blood (hypercalcemia).

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Pseudogout also can be triggered by joint injury, such as joint surgery or a sprain, or the stress of a medical illness. If the underlying condition causing pseudogout can be identified and treated, it may be possible to prevent future attacks. Frequently, however, there is no identifiable trigger; in those cases there is no way to prevent pseudogout from recurring.


Who gets pseudogou

The calcium crystal deposits seen in pseudogout affect about 3 percent of people in their 60s and as many as 50 percent of people in their 90s. Any kind of insult to the joint can trigger the release of the calcium crystals, inducing a painful inflammatory response. Attacks of pseudogout also can develop following joint surgery or other surgery. However, not everyone will experience severe attacks.

Symptoms:
* pain, swelling, and stiffness around a single joint
* occasionally, more then one joint affected at a time
* fever, usually low-grade

Diagnosis:

It may be difficult to diagnose pseudogout because it shares so many symptoms with gout, infection, and other causes of joint inflammation. In fact, pseudogout often occurs in people with other joint problems, such as osteoarthritis. Therefore, even when pseudogout is correctly identified, it is important to investigate whether there are other conditions present as well.

Diagnosis is to be done on the basis of symptoms and medical tests. The physician will use a needle to take fluid from a swollen or painful joint to determine whether calcium pyrophosphate crystals are present.This is done with a needle, after applying a numbing medication to the joint.This joint fluid is then analyzed for evidence of calcium crystals, inflammation, or infection. Your doctor may also order tests for other conditions that can trigger pseudogout, including tests of calcium and thyroid function.

An X-ray of the joint may be taken to determine whether calcium-containing deposits are present, creating a condition known as chondrocalcinosis. Other potential causes of symptoms, such as gout, rheumatoid arthritis, or infection, must be ruled out. Pseudogout often is present in people who have osteoarthritis.

Treatment:
To combat joint pain and swelling, your doctor may prescribe NSAIDs such as indomethacin and naproxen, or may give you glucocorticoid injections to keep the swelling down (see “Corticosteroid injections”). Your doctor may also remove fluid from the inflamed joint, a procedure called aspiration, as this may help to ease the pressure and inflammation.

The combination of joint aspiration and medication usually eliminates symptoms within a few days, although the doctor may also recommend treatment with oral corticosteroids over a short period of time. Daily use of a low-dose NSAID or colchicine, a medicine that is also used in the treatment of gout, may help to prevent further attacks. Unfortunately, there is no treatment available that can dissolve the calcium crystal deposits, although the joint degeneration that often goes along with pseudogout may be slowed by treatments that decrease joint swelling. Occasionally, people with recurrent or chronic pseudogout may develop osteoarthritis. In this case, surgery (such as joint replacement) may be the only effective treatment.


Prevention:

It is not known how to prevent pseudogout. If the condition has developed because of some other medical conditions, such as hemochromatosis (too much iron stored in the body), or parathyroid problems, treatment of that condition may prevent progression of other features of that potentially dangerous illness and may, in some cases, slow the development of pseudogout.

You may click to see:->Pseudogout – 10 Things You Should Know

Points to Remember:
When a patient complains of joint pain, physicians often do not consider pseudogout because it can be confused with gout and other types of arthritis. Diagnosis is confirmed by microscopic identification of calcium pyrophosphate crystals. Anti-inflammatory agents can help lessen symptoms but there is currently no way to eliminate the crystals themselves.
The rheumatologist’s role in the treatment of pseudogout

Rheumatologists are actively engaged in research into the causes of pseudogout to better prevent and treat this form of arthritis. Because people with pseudogout tend to be older and more susceptible to side effects from anti-inflammatory medications, they benefit from seeing rheumatologists, who offer valuable expertise in using such drugs.

Rheumatologists are experts at diagnosing pseudogout and direct a team approach to the chronic, degenerative consequences of crystal deposits. This is important because the patient may need advice about surgery or may require additional information and support from physical and occupational therapists and nurses.
To find a rheumatologist

For a listing of rheumatologists in your area, click here.
For more information

The American College of Rheumatology has compiled this list to give you a starting point for your own additional research. The ACR does not endorse or maintain these Web sites, and is not responsible for any information or claims provided on them. It is always best to talk with your rheumatologist for more information and before making any decisions about your care.

The Arthritis Foundation
www.arthritis.org

National Institute of Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse
www.niams.nih.gov

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
http://www.rheumatology.org/public/factsheets/pseudogout_new.asp
http://www.everydayhealth.com/publicsite/index.aspx?puid=a2579e6f-f790-4eed-ad5e-e59719b4bff6&p=2

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Featured News on Health & Science

Living With Arthritis Without Resorting to Drugs or Surgery

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Arthritis is one of the oldest known afflictions and can affect virtually every part of the body, from the feet to the knees, back, shoulders and fingers. More than 50 million (about one in six) Americans suffer from arthritis.

CLICK & SEE
The most common types are rheumatoid arthritis, osteoarthritis and gouty arthritis.
There are natural ways to improve your arthritis symptoms. Dairy products, caffeine, citrus fruits, paprika, salt, tobacco and sugar should be reduced or eliminated from your diet, as these foods may increase joint inflammation. Additionally, nightshades (e.g., red, green and yellow bell peppers, eggplant, tomatoes, white flesh potatoes) should be avoided because they have a tendency to intensify arthritic symptoms.

Foods containing sulfur, such as asparagus, eggs, garlic and onions, are important for the repair and rebuilding of bone, cartilage and connective tissue, and also aid in the absorption of calcium. Other good foods include green, leafy vegetables (which supply vitamin K), fresh vegetables, non-acidic fresh fruits, whole grains, oatmeal, brown rice and fish. Fresh pineapple contains bromelain, a powerful natural anti-inflammatory agent, which works by stimulating the body’s production of prostaglandins.

One of the most overlooked approaches to improve the discomfort associated with arthritis is hydration. Depending on your level of activity, a good rule of thumb is to drink half of your weight in ounces. Thus, if you weigh 180 pounds, you should consume 90 ounces of pure, filtered water per day…….CLICK & SEE

Arthritis in any form can be a debilitating condition that prevents you from living the life you want. Rather than immediately accepting the dangerous side effects of drugs and risky surgeries, talk to your doctor about natural alternatives to keep your muscles and joints in optimal condition.

Sources:Your Health Newsletter (dctyh@mail4.mpamedia.com)

Categories
Ailmemts & Remedies

Gout

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Gout is a form of arthritis that is a painful inflammation and swelling of the joints caused by the buildup of uric acid in the body. Certain foods cause gout so diet plays a role. Treatment of gout can be acheived through medication and proper diet.

At least one male in a hundred over age 40 suffers from gout. Women can develop it too, mainly after menopause. Though people with gout feel fine much of the time, an attack can occur without warning, bringing on breath-catching joint pain that demands fast-acting, effective relief.

click to see the pictures of gout

Symptoms:

The most common gout symptom is sudden, severe attacks of pain, tenderness, redness, warmth and swelling in some joints. It usually affects one joint at a time, especially the joint of the big toe, but can also affect the knee, ankle, foot, hand, wrist and elbow. Redness and swelling in affected joint or joints.
Kidney stones develop occasionally, causing fever, severe low back pain, nausea, vomiting, or a swollen abdomen. Deposits of uric acid, called tophi, can appear as lumps under the skin around the joints and at the rim of the ear. In addition, uric acid crystals can also collect in the kidneys and cause kidney stones.

What It Is
Gout is a metabolic disorder linked to high levels of uric acid in the blood. Uric acid, a by-product of various body processes, is also formed after eating certain foods. The body rids itself of uric acid through the urine. But some people produce too much uric acid — or can’t dispose of it fast enough — and levels build up. Often, the excess uric acid is converted into needle-shaped crystals that settle in and around joints and other tissues, triggering inflammation and the excruciating pain associated with gout.

Causes of Gout
This is one of the few types of arthritis where the cause is known. It results from deposits of needle-like crystals of uric acid in the connective tissue, joint spaces, or both. Normally this is a byproduct of the breakdown of purines or waste products in the body. Normally uric acid breaks down in the blood and is eliminated in urine. When the body increases its production of uric acid or if the kidneys do not eliminate enough of it from the body, levels build up. This is called hyperuricemia. Hyperuricemia is not a disease and is not dangerous. However, if excess uric acid crystals form as a result of hyperuricemia, gout can develop.

Gout does have a genetic basis in 20 per cent of cases, and does tend to cluster in families. It is inherited through the X chromosome. Women are carriers of the defective gene, but seldom develop the disease as they have two X chromosomes. The normal chromosome suppresses the defective one. Men develop the disease.

Environment and diet also play an important role. Not everyone with a high uric acid level develops joint pain. Also, not everyone with the gene develops gout.

Foods that Cause Gout
Some people may benefit from a reduction of purine rich foods. These include beer and other alcoholic beverages, anchovies, sardines (in oil), fish roes, herring, yeast, organ meats (e.g., liver, kidneys), legumes (e.g., dried beans, peas, and soybeans), meat extracts, consommé, gravies, mushrooms, spinach, asparagus, cauliflower, and poultry. Weight loss can help reduce uric acid levels in those people that are overweight.
Modern Gout Treatment

Although there is no cure, most people with gout can keep it under control and lead normal lives. Treatment may consist of one treatment or a combination of treatments.

Gout Medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) block prostaglandins, the substances that dilate blood vessels and cause inflammation and pain. They are taken orally at their highest safe dosage as long as symptoms persist and for three or four days after. There are dozens of NSAIDs. Indomethacin (Indocin) is the usual choice.

Colchicine, a derivative of the autumn crocus, has been used to treat gout for thousands of years. This drug relieves the pain and swelling and can help prevent future attacks. Although highly effective, it is no longer the first treatment choice due to the potential for unpleasant side effects.

Corticosteroids may be used if NSAIDs are not tolerated.

Allopurinol (Lopurin, Zyloprim) blocks uric acid production and is the drug most often used in long-term treatment for older patients and those with high levels of excreted uric acid.
How is it diagnosed?
Standard diagnostic tools for gout may include a medical history and physical examination, a blood test for hyperuricemia, and urine sample. For a definitive diagnosis, a sample of synovial fluid from the affected joint is required. X-rays can provide helpful information in some cases.

What research is being done?

Scientists are studying whether other NSAIDs are effective in treating gout and are analyzing new compounds to develop safe, effective medicines to treat gout and other rheumatic diseases. For example, researchers are testing to determine whether fish oil supplements reduce the risk of gout. They are also studying the structure of the enzymes that break down purines in the body, in hopes of achieving a better understanding of the enzyme defects that can cause gout.
Click for more Gout web link

When to Call Your Doctor :If you experience symptoms of an acute gout attack — your doctor can prescribe medications to ease the initial pain.If you suffer the severe pain of passing a kidney stone.
Reminder: If you have a medical condition, talk to your doctor before taking supplements.
How Supplements Can Help
Uric acid can accumulate in the blood for years with no symptoms. An acute attack often happens suddenly and is best treated with conventional drugs. The main supplement that seems to help during an acute attack is bromelain. The others, taken together, may prevent future attacks. All can be safely used for long periods, though cherry extract, vitamin C, and nettle may be the simplest regimen to follow for long-term maintenance.

What Else You Can Do

Drink at least eight glasses of water a day to dilute the urine and help lower uric acid levels. Stay away from alcohol, which can trigger attacks.
Keep weight down. Obesity may play an important role in gout attacks.
Avoid fats, refined carbohydrates, excess protein, and, if you’re sensitive to purines, foods containing them (including organ meats, anchovies, legumes, oatmeal, spinach, asparagus, cauliflower, and mushrooms).
One of the oldest known remedies for gout — a drug called colchicine — is derived from the autumn crocus, also known as meadow saffron. Unfortunately, colchicine in pill form causes severe cramping and diarrhea in up to 80% of those who take it in the high doses needed to combat gout attacks. An injectable form of colchicine administered by your doctor, however, appears to work quickly and without side effects.
Eating fresh or canned cherries (a half pound a day) may help keep gout at bay by reducing levels of uric acid. Some people swear by them; and a small study conducted many years ago found that eating cherries may indeed lower uric acid levels. An easier way to get the benefits of cherries is to take 1,000 mg daily of cherry fruit extract pills (available at health-food stores). Strawberries, blueberries, celery, or celery seed extracts may have a similar beneficial effect.

Supplement Recommendations

Bromelain
Quercetin
Cherry Fruit Extract
Vitamin C
Nettle
Flaxseed Oil

Bromelain
Dosage: 500 mg every 3 hours during an attack; reduce to twice a day to help prevent further attacks.
Comments: Each dose should provide 2,000 GDU or 3,000 MCU.

Quercetin
Dosage: 500 mg twice a day between meals.
Comments: Take with bromelain to help prevent gout attacks.

Cherry Fruit Extract
Dosage: 1,000 mg 3 times a day following an acute attack.
Comments: Reduce dosage to 1,000 mg a day for maintenance.

Vitamin C
Dosage: 500 mg a day.
Comments: Add 500 mg every 5 days until you reach 1,000 mg twice a day. Reduce dose if diarrhea develops.

Nettle
Dosage: 250 mg standardized extract 3 times a day.
Comments: Also effective as a nettle tea compress applied to sore joints. (Use 1 or 2 tsp. dried herb per cup of hot water.)

Flaxseed Oil
Dosage: 1 tbsp. (14 grams) a day.
Comments: Can be mixed with food; take in the morning.

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You may click to learn more about Gout

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.

Reources:

Your Guide to Vitamins, Minerals, and Herbs (Reader’s Digest)

andhttp://www.arthritisinsight.com/medical/disease/gout.html

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