Chronic gout is a type of arthritis that is caused by the buildup of uric acid crystals in the joints. This condition can be particularly difficult to manage in patients with renal impairment, as the kidneys are responsible for filtering out uric acid from the body. When the kidneys are not functioning properly, uric acid can accumulate in the bloodstream and cause gout attacks.
One of the most common areas affected by gout is the shoulder. This is known as "unspecified shoulder" because it can refer to any part of the shoulder joint, including the rotator cuff, the bursa, or the tendons. Gout attacks in the shoulder can cause severe pain, swelling, and stiffness, making it difficult to move the arm and perform everyday tasks.
If you are experiencing chronic gout due to renal impairment, it is important to work closely with your healthcare provider to manage your symptoms and prevent future attacks. This may involve taking medications to reduce uric acid levels in the bloodstream, such as allopurinol or febuxostat. It is also important to maintain a healthy diet, exercise regularly, and avoid triggers that can cause gout attacks, such as alcohol, red meat, and certain medications.
In addition to medical management, there are several lifestyle changes that can help reduce the frequency and severity of gout attacks. These include:
Overall, chronic gout due to renal impairment can be a challenging condition to manage, but with the right treatment and lifestyle changes, it is possible to reduce the frequency and severity of gout attacks and improve overall quality of life.