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I have had gout for about twenty years. An attack has always been in the joint of my left big toe. I don't get them that often (maybe once a year) and they seem to be triggered by activity (for example, squatting on the balls of my feet will trigger an attack). High uric acid is something I inherited from my father. I have also had surgery to remove a kidney stone.
A few months ago I began having pain in my left wrist. At one point my hand was like a claw for a day - I couldn't fully open or close it. I went to an orthopedic doctor. After x-rays, MRI, nerve tests and blood work he concluded gout was the cause of the pain due to high uric acid levels. He said the MRI indicated inflammation in my carpal bones and that I had a loose ligament in my hand. He gave me a shot of cortisone and sent me on my way. I scheduled a vist with my urologist thinking that if my uric acid levels were high enough to make me have an attack in a joint that never bothered me, I must have kidney stones as well. Test results showed no stones, though. I guess my question is how common is it for gout to move from one joint to another? I think it is more likely that the loose ligament is the culprit.
It is extremely common for gout to move from one joint to another.
The longer gout is left untreated, the more likely it is for other joints to be affected. Uric acid crystals build-up slowly throughout the body. You may not notice this for a long time, then one day the pain starts. Quite often two or three joints are affected at the same time.
This is why I am a frm believer in frequent uric acid testing at the first sign of gout. I think that the common professional practice of waiting until a patient has had several gout attacks before starting uric acid lowering treatment is just plain wrong.
Uric acid monitoring should be a priority for anyone with a familly history of gout, or a high uric acid test result, even if they have not had a gout attack, or only had one.
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