New Clinical Consensus Statement Designed to Address Controversies in Pathophysiology & Treatment of Gout

News release:

ACFAS & & American Association of Nurse Practitioners ® Publish Interdisciplinary, Joint Statement

CHICAGO-Oct. 25, 2019-ACFAS and the American Association of Nurse Practitioners ® have actually developed a joint medical agreement statement on gouty arthritis localized to the foot and ankle. Published in the November/December concerns of The Journal of Foot & & Ankle Surgery and The Journal for Nurse Practitioners, the statement is planned to work as a discussion guide for the threat factors, medical diagnosis, treatment and avoidance of the illness.” Gout is a condition that commonly impacts the foot and ankle, and professionals who deal with these structures ought to be mindful of the methods used to treat this form and identify of arthritis, and likewise to acknowledge extra-articular manifestations of the illness,” said the standards lead author Roya Mirmiran, DPM, FACFAS, a foot and ankle surgeon at Sutter Medical Group in Sacramento, CA and a Fellow Member of ACFAS. “Using the very best readily available proof, medical experience and common sense, we were able to reach joint agreement on 17 of 23 declarations on the etiology, diagnosis and treatment of gout in the foot and ankle.”

Among the papers substantial agreements are:

– Alcohol, diet plan and age usage are threat elements for gout. – Joint aspiration and microscopy are the gold standards for making the diagnosis of gout. – Nonsteroidal anti-inflammatory drugs should be utilized as the first line treatment for acute gout. – Long-term medications, such as allopurinol, are essential in the treatment of recurrent gout. – Multidisciplinary referral offers ideal care in cases of recalcitrant gout. – Patient education should consist of dietary adjustment, medication adherence and follow-up care with their assigned healthcare companies.”In working with an interprofessional team, we have had the ability to produce a comprehensive consensus declaration for the management of patients with gout,” said co-chair Michael Zychowicz, DNP, ANP, FAAN, FAANP, Professor and Director of the MSN Program & & Lead Faculty in Orthopedic NP Specialty at Duke University School of Nursing in Durham, NC. “This file will serve as an important scientific guide for the interprofessional management of gout arthritis.””We are pleased for the chance to work together with our podiatric surgical colleagues on this clinical agreement declaration,” said Tom Bush, DNP, FNP-BC, FAANP, Assistant Dean of the University of North Carolina at Chapel Hill School of Nursing and a faculty member in the UNC Department of Orthopedic Surgery. “Podiatrists and nps have complementary abilities and experience to offer comprehensive care to maintain joint function and treat issues of this olden illness.” “As a clients first point of contact, nurse professionals, specifically those with orthopaedic specialty, were the natural and optimal profession with which to work together for the advancement of this joint agreement statement,” stated John S. Steinberg, DPM, FACFAS, president, American College of Foot and Ankle Surgeons. “Together, foot and ankle surgeons and nurse specialists can offer the very best, collective look after patients struggling with gout, and we hope that this paper serves as a guide for all medical professionals whose clients are at risk for or are presently being dealt with for the illness.””The American Association of Nurse Practitioners ® is happy to have worked with ACFAS in the advancement of a joint medical consensus statement on the etiology, medical diagnosis and treatment of gouty arthritis localized to the foot and ankle,” stated AANP President Joyce Knestrick, PhD, C-FNP, APRN, FAANP. “This joint consensus statement is special because it is obtained based on an interdisciplinary team technique.

“As a patients very first point of contact, nurse specialists, particularly those with orthopaedic specialized, were the natural and ideal occupation with which to work together for the development of this joint agreement statement,” stated John S. Steinberg, DPM, FACFAS, president, American College of Foot and Ankle Surgeons. “This joint consensus statement is unique in that it is derived based on an interdisciplinary group method.

” Gout is a condition that typically impacts the foot and ankle, and practitioners who treat these structures should be aware of the approaches used to treat this kind and diagnose of arthritis, and likewise to acknowledge extra-articular symptoms of the illness,” said the standards lead author Roya Mirmiran, DPM, FACFAS, a foot and ankle surgeon at Sutter Medical Group in Sacramento, CA and a Fellow Member of ACFAS. “Using the finest available evidence, clinical experience and typical sense, we were able to reach joint agreement on 17 of 23 statements on the etiology, diagnosis and treatment of gout in the foot and ankle.”
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  • ALL-AROUND AID – It’s time to get back on your feet! By reducing uric acid, your gout relief supplements are known to relieve joint pain, fortify healthy circulation, and regulate blood pressure!
  • THE EASIEST ESSENTIAL – With your joint-support supplement, a simple routine brings pain-saving results. For immediate relief, take 1 of your 60 capsules twice daily, with a meal.
  • OUR PREMIUM PROMISE – Combat discomfort with Mt. Angel Vitamins! We ensure your positive experience with restorative results from personally crafted and tested, non-GMO supplements!
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  • PROVEN RESULTS – As a naturopathic remedy using only natural and organic ingredients, we addressed the root causes of uric acid buildup, kidney function and circulation. With proven ingredients that address kidney function, inflammation, pain, circulation, and many other health specific issues that take place to create the imbalance of uric acid in the body, these natural remedies are for you. Uric Acid Complete is used both during the course of an attack and as a preventative measure.
  • A COMPLETE ALTERNATIVE – With both Organic and Kosher certifications, we use only the highest concentration and quality of ingredients. We use more than 35 ingredients, 3 times more than any comparable product, to help reduce inflammation, increase circulation, cleanse and flush out infection, and rebalance Ph, mineral and uric acid levels. With our 100% SATISFACTION GUARANTEE, you can feel safe that you are making the best choice in a proven and natural uric acid reducer.
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The 28-Day Gout Diet Plan: The Optimal Nutrition Guide to Manage Gout
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  • 231 Pages - 01/22/2019 (Publication Date) - Rockridge Press (Publisher)
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  • Clear and combat buildup: Handle excess uric acid levels naturally by helping nourish kidney function, your body's key player for a healthy metabolism that breaks down uric acid
  • Take control: Keep normal uric acid levels balanced with help from tart cherry and quercetin; Supports healthy immune function and circulation with ginger root
  • Two capsules: Take up twice daily without food for 3 days, then reduce to 2 daily capsules from thereon; Vegan, gluten free, non-GMO and tested for purity by a third-party lab
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ACR Releases Gout Management Guideline with Emphasis on Treat-to-Target Strategy for Urate Lowering Therapy

News release:

ATLANTA– Today, the American College of Rheumatology (ACR) released the 2020 Guideline for the Management of Gout. The upgraded standard shows brand-new clinical evidence that appeared considering that the ACR last released a treatment standard for the condition in 2012, Among the 42 recommendations provided, addressing standard treat-to-target urate lowering therapy (ULT) was a crucial focus for the authors due to its benefit for all clients with gout that are on ULT.

” With this upgrade, we looked for to look at new and emerging clinical evidence that would be beneficial for treating clients with gout,” said John FitzGerald, MD, PhD, a rheumatologist and among the standards co-principal detectives. “The guideline now includes expanded indicators for beginning ULT, a higher focus to utilize allopurinol as the first line agent for all clients with gout that require urate lowering treatment consisting of those clients with chronic kidney illness, and broadened suggestions about who requires HLA-B * 5801 screening prior to starting allopurinol.”

A highlight of the upgraded standard is a strong recommendation to use a treat-to-target technique with ULT for all patients with gout, based on information from more recent clinical trials. The standard recommends a management technique of starting with a low-dose of a ULT medication and escalating the dose to accomplish and keep a serum urate level of less than 6 mg/dL to optimize client outcomes over a fixed-dose strategy. This technique alleviates the risk of treatment-related unfavorable impacts (i.e., hypersensitivity), in addition to flare threat accompanying ULT initiation. Other suggestions include:

– A conditional suggestion for HLA-B * 5801 testing prior to starting allopurinol for clients of Southeast Asian descent (e.g., Han Chinese, Korean, Thai) and African American descent who have a higher prevalence of HLA-B * 5801 and against HLA-B * 5801 screening in patients of other ethnic or racial backgrounds.

Gout is the most common form of inflammatory arthritis, impacting about 9.2 million adults in the United States. This condition hurts and potentially disabling, can affect anyone, and its threat factors differ. Signs are normally extreme episodes of painful swelling in single joints, most frequently in the feet, specifically the big toe, however any joint can be involved.

ACR guidelines are presently established using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology, which produces strenuous requirements for judging the quality of the literature readily available and appoints strengths to the suggestions. The updated and broadened suggestions can be seen at https://www.rheumatology.org/Practice-Quality/Clinical-Support/Clinical-Practice-Guidelines/Gout.

– A strong suggestion to utilize allopurinol as the first-line ULT, including in clients with chronic kidney disease.

– Indications for starting ULT have actually been broadened to conditionally consider patients with irregular gout flares or after their very first gout flare if they likewise have moderate to extreme chronic kidney disease (CKD stage ≥ 3), significant hyperuricemia (serum urate > > 9 mg/dl) or kidney stones.

– A strong suggestion to use an anti-inflammatory prophylaxis (e.g., colchicine, NSAIDs, prednisone/prednisolone) when starting ULT for a minimum of 3-6 months instead of less than 3 months, with continuous assessment and continued prophylaxis as needed if the patient continues to experience flares.

– A conditional suggestion against initiating ULT for patients experiencing their first gout flare without above comorbidities.

An emphasize of the updated guideline is a strong suggestion to utilize a treat-to-target technique with ULT for all clients with gout, based on data from newer medical trials. The standard recommends a management method of beginning with a low-dose of a ULT medication and escalating the dosage to preserve a serum and attain urate level of less than 6 mg/dL to enhance client results over a fixed-dose technique. Other recommendations include:

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  • Quercetin with Bromelain - Experience the power of a more natural type of daily supplement with a plant-based antioxidant that brings many benefits like joint support for tired joints and muscles
  • Healthy Kidney Support Supplement - Get the most out of our daily uric acid supplement that features chanca piedra which is known to boost kidney health and function by balancing your uric acid levels
  • A Naturally Powerful Formula - Our daily uric acid supplement features a range of essential ingredients such as vitamin b6 and citric acid as well as balancing ingredients like celery seed extract
  • Uric Acid Flush Antioxidant - Our natural ingredients-based uric acid helps joint support and maintains uric acid production in a normal range while also metabolizing excess uric acid in the body
  • Natures Craft Quality - Here at Natures Craft we have your needs in mind which is why all of our supplements are 3rd party tested for potency and formulated in the United States by GMPc laboratories
SaleBestseller No. 2
Ultimate Gout Cure Handbook: A 7 Step Relief Formula to Stop Pain From Gout Inflammation in Its tracks: Gout Diagnosis, History, Science, Prevention and Natural Treatment Remedies
  • Audible Audiobook
  • David Whitehead (Author) - Jerry Wright (Narrator)
  • English (Publication Language)
  • 04/21/2021 (Publication Date) - Silk Publishing (Publisher)
SaleBestseller No. 3
The Healing Gout Cookbook: Anti-Inflammatory Recipes to Lower Uric Acid Levels and Reduce Flares
  • Andrews MEd RD LD, Lisa Cicciarello (Author)
  • English (Publication Language)
  • 158 Pages - 03/31/2020 (Publication Date) - Rockridge Press (Publisher)
Bestseller No. 4
Uric Acid Support Supplement – Go-Out Tart Cherry Extract Capsules for SUSTAINED Relief, Improved Joint Health & Circulation with Celery Seed Extract, Turmeric, Bromelain by Mt. Angel Vitamins, 90-Ct.
  • LIVE LIVELY – Don’t let discomfort ruin your day. Ease joint pain and enjoy activities with Mt. Angel Vitamins! Go-Out uric acid cleanse provides sustained relief so you can get back on your feet!
  • IMPROVE & MOVE – Sick of stiffness? Help restore joint flexibility with black and tart cherry extract, celery seed extract, bromelain, and turmeric root. Go with go out capsules formulated with ingredients known to reduce inflammation.
  • GO WITH THE FLOW – By lowering uric acid levels, your go out relief capsules are known to fortify healthy circulation and blood pressure, protecting muscles and joints from damage.
  • SIMPLE SOLUTION – Enjoy a supplement that works with your schedule! To free yourself from pain, just take 1 of your 90 inflammation relief capsules twice daily. Support has never been so simple!
  • OUR PROMISE – At Mt. Angel Vitamins, we take pride in our capsules’ quality. We ensure your positive experience with restorative results from personally crafted and tested, non-GMO supplements!
Bestseller No. 5
Gout and You Pain Relief Cream for Joint Flare-Ups, Tendon, Muscle Ache - Fast Acting Pain Relieving Rub with Arnica Extract, Ilex Leaf Extract, Aloe Vera and Tea Tree Oil
  • Immediate, Lasting & Quick Relief: Did you know that our unique pain relief cream is preferred by those dealing with inflammation, pain and discomfort related to flare-ups? Numerous All Natural pain relievers go to work to reduce inflammation, provide soothing relief and get you back on your feet!
  • Non-Greasy, Non-Staining & Fast Absorbing: Arnica gel cream with a refreshing mint scent. Within minutes, the cream is absorbed and the scent is vanished. Get back to your normal life!
  • Made In The USA: Manufactured and Packaged in the USA in a GMP Approved Facility for Purity and Potency
  • Natural Ingredients: Include Arnica Extract, Tea Tree Oil, Ilex Leaf Extract, Aloe, vitamins E & B6 and MSM.
  • Money Back Guarantee: We stand behind our Therapeutic Pain Relief Cream 100% and are sure you are going to love it! If you are less than 100% Satisfied with our product, for ANY reason, we will refund your money in full with no questions asked. What do you have to lose? Buy Now!
Bestseller No. 6
Extra Strength Uric Acid Support – Go-Out Joint Pain & Stiffness Flare-Ups Supplement with Celery Seed Extract, Tart Cherry Extract, Boswellia, Bromelain, Black Pepper by Mt. Angel Vitamins, 60-Ct.
  • BOTHERS, BE GONE – Never fear when flare-ups rear. Find support in Mt. Angel Vitamins! Your Go-Out Extra Strength uric acid cleanse has ingredients known to help minimize joint inflammation attacks so you can stay active!
  • LOOSE & LIVING – Stiffness won’t stop you. Help restore joint flexibility with your capsules’ powerful formula of cherry extracts, celery seed extract, boswellia, and more!
  • ALL-AROUND AID – It’s time to get back on your feet! By reducing uric acid, your gout relief supplements are known to relieve joint pain, fortify healthy circulation, and regulate blood pressure!
  • THE EASIEST ESSENTIAL – With your joint-support supplement, a simple routine brings pain-saving results. For immediate relief, take 1 of your 60 capsules twice daily, with a meal.
  • OUR PREMIUM PROMISE – Combat discomfort with Mt. Angel Vitamins! We ensure your positive experience with restorative results from personally crafted and tested, non-GMO supplements!
Bestseller No. 7
The Gout and Pseudogout Handbook: The definitive guide - Take control of your gout
  • Jones, Dr Ben (Author)
  • English (Publication Language)
  • 260 Pages - 06/02/2022 (Publication Date) - Birch Briar Media (Publisher)
Bestseller No. 8
Gout Complete 8oz - Natural & Organic Liquid Gout Treatment, Uric Acid Flush & Remedy Support Medicine (W/Tart Cherry)
  • WHY USE A LIQUID TREATMENT? – Research indicates that liquid supplements are more easily absorbed into the body. With an average absorption rate of better than 90% vs. pills at 10-15%, doesn’t it make sense that a liquid can control uric acid better and is the best alternative? Pills using the best of ingredients are simply less effective for relief.
  • PROVEN RESULTS – As a naturopathic remedy using only natural and organic ingredients, we addressed the root causes of uric acid buildup, kidney function and circulation. With proven ingredients that address kidney function, inflammation, pain, circulation, and many other health specific issues that take place to create the imbalance of uric acid in the body, these natural remedies are for you. Uric Acid Complete is used both during the course of an attack and as a preventative measure.
  • A COMPLETE ALTERNATIVE – With both Organic and Kosher certifications, we use only the highest concentration and quality of ingredients. We use more than 35 ingredients, 3 times more than any comparable product, to help reduce inflammation, increase circulation, cleanse and flush out infection, and rebalance Ph, mineral and uric acid levels. With our 100% SATISFACTION GUARANTEE, you can feel safe that you are making the best choice in a proven and natural uric acid reducer.
  • MADE IN THE USA! USDA Organic and OU Kosher Certified.
Bestseller No. 9
The 28-Day Gout Diet Plan: The Optimal Nutrition Guide to Manage Gout
  • Amazon Kindle Edition
  • Kamveris MS RD LDN, Sophia (Author)
  • English (Publication Language)
  • 231 Pages - 01/22/2019 (Publication Date) - Rockridge Press (Publisher)
Bestseller No. 10
Redd Remedies, Gouch!, Support for Healthy Joints and Uric Acid Levels, 60 Capsules
  • Award-winning relief: Rescue your joints from the aches of unruly uric acid levels with the holistic support of our all-natural formula; For pill-free support, try Gouch! Liquid
  • Clear and combat buildup: Handle excess uric acid levels naturally by helping nourish kidney function, your body's key player for a healthy metabolism that breaks down uric acid
  • Take control: Keep normal uric acid levels balanced with help from tart cherry and quercetin; Supports healthy immune function and circulation with ginger root
  • Two capsules: Take up twice daily without food for 3 days, then reduce to 2 daily capsules from thereon; Vegan, gluten free, non-GMO and tested for purity by a third-party lab
  • Put your health in order: Get back into balance with our high-quality, natural supplements designed to nourish and support your health

I get commissions for purchases made through links on this website. As an Amazon Associate I earn from qualifying purchases.