Gout and tenosynovitis may be confused, how to distinguish? Is a uric acid test possible?
Introduction: Joint diseases and muscle diseases are mostly caused by irritation, resulting in inflammation, which in turn causes pain in the affected area and inconvenience in movement. The symptoms of the two are highly similar, which also leads to the confusion between the two types of diseases, resulting in misdiagnosed symptoms. , once not treated in time, such inflammatory diseases will intensify, and it is likely to spread. The most typical two types are gout and tenosynovitis, which often require more scientific means to distinguish and diagnose.
Therefore, we will start with the two most easily confused diseases, gout and tenosynovitis, and analyze the differences between muscle and joint diseases point-to-face. We hope that patients with similar symptoms can gain something and have a better understanding of their own conditions. With an understanding, we can better cooperate with the next treatment.
What is the difference between tenosynovitis and gout?
Broadly speaking, this problem is somewhat scattered, so we can analyze it from two aspects.
In terms of etiology and symptoms, respectively.
Let's talk about the cause first :
Causes of Tenosynovitis
There is a liquid called tissue lubricating fluid between our muscle tissues . Usually, when our muscles are rubbed and strained, we need tissue lubricating fluid to buffer them, so as to increase muscle life and reduce The purpose of pain, however, if we perform wrist strain for a long time, it is very likely that the secretion of sufficient lubricating fluid will be insufficient, and the muscles will be directly rubbed, stimulating each other to produce swelling and inflammation, which in turn will damage the muscles. , this is tenosynovitis.
Causes of gout
Gout is often caused by excessive purine substances in the body, resulting in excessive crystallization of hydrochloric acid. The excess precipitated substances cannot be metabolized , and will naturally spread around the joints, stimulating inflammation , and such hydrochloric acid crystals are scattered. Stimulation of the wrist muscles and joints will produce gout symptoms similar to the symptoms of tenosynovitis, which is why the two are easily confused.
It can be seen from this that tenosynovitis is a targeted site strain, while wrist gout is a generalized inflammatory stimulus, and the two are fundamentally different in terms of etiology.
Let's analyze the symptoms:
Although the symptoms of the two are similar, there are still corresponding differences. As long as they can be distinguished according to the details, timely treatment is the best.
Symptoms of Tenosynovitis
The biggest difference between tenosynovitis and gout is the swelling of the tendon . As we mentioned above, tenosynovitis is mainly caused by the lack of synovial fluid between the muscles, causing wear and tear, which in turn causes swelling and pain. Therefore, the swelling of the tendon can be an important One of the distinguishing signs of gout, and the inflammation triggered by gout spreading in the joints will not act on the tendons. The tendons are located on the left side of the wrist and the center of the pulse. If there is swelling in this position, there is a high probability. Can be judged as tenosynovitis.
Distinguishing symptoms of gout
The difference between gout and tenosynovitis is much simpler. Just grasp the inflammation to distinguish it. Gout is caused by inflammation caused by the stimulation of hydrochloric acid crystals, and inflammation, an internal cause of swelling, is mostly accompanied by abnormal temperature and severe pain. Therefore, if the patient's swollen part has a significant increase in temperature and severe pain, it can be judged as gout with a high probability.
It can be seen that although the symptoms of both are swelling and pain, they are completely different in nature. Tenosynovitis is a lump that exists in a specific part, while gout tends to be judged by temperature and pain . I hope all patients can check themselves. Diagnose your condition and provide help for future treatment.
By the way, the above are all self-examination methods that patients can carry out. In medicine, there is also a more obvious method to determine gout, that is to check uric acid.
Why is uric acid test able to distinguish tenosynovitis from gout?
As mentioned above, the body induces the appearance of gout, which is often related to the increase of purines, and the increase of purines will lead to the increase of hydrochloric acid crystals in the body. High urine is what we often call high uric acid. On the contrary, we can also use high uric acid to determine whether a patient may have symptoms of gout. If a series of factors such as inflammation and swelling are taken into consideration, The symptoms of gout can be easily diagnosed , and naturally it can be well differentiated from tenosynovitis.
All in all, although the symptoms of the two are similar, there are still differences. If you really can't tell the difference, you can also thoroughly diagnose the possible disease you suffer from through the detection of medical uric acid.
Once the condition is clear, the next step is to treat it. What should we pay attention to in the treatment of tenosynovitis and gout, so that we can recover faster and better?
How to cooperate with the treatment of tenosynovitis:
1. Reduce fine movements at the wrist
After the treatment of tenosynovitis, the muscle tissue is often swollen and fragile. If a relatively intense strain is performed, it is likely to lead to the recurrence of tenosynovitis. Therefore, in the follow-up period of time, try to avoid fine movements at the wrist to avoid recurrence. Symptoms occur.
2. Keep your hands warm
Tendons need to be recovered after tenosynovitis treatment, and the increase in temperature can effectively help speed up blood circulation and improve the speed of healing . Conversely, it will limit the speed of recovery. Therefore, it is necessary to keep the affected area warm at all times, maintain a certain blood circulation speed, and help the disease recover. .
How to cooperate with the treatment of gout:
1, eat less "gout meal"
All have been diagnosed with gout. Of course, we must start with the source of gout, purines. For example, hot pot, beer, and peanuts that gout patients like are very large sources of purine intake. Gout patients must eat less of this type of food. A gout meal can effectively help you recover from your gout condition.
2. Drink more water
A large amount of hydrochloric acid crystals remains, which stimulates the joints to produce gout. Therefore, as long as it can be properly metabolized, the symptoms can be relieved more or less. Drinking water is a very good method . Increasing the amount of water can help the hydrochloric acid. It is better dissolved in urine and excreted through filtration, thus reducing the formation of hydrochloric acid crystals in the body to a certain extent, and naturally it can also effectively help gout recover.
Conclusion: It can be seen that although the symptoms of gout and tenosynovitis are similar, they can still be distinguished by some details. It is worth mentioning that no matter how you judge yourself, it is recommended to go to the corresponding hospital department for targeted treatment to avoid further deterioration. In the follow-up treatment, maintenance is recommended for tenosynovitis, and taboos are recommended for gout. Both have different recovery plans, which should be selected as appropriate.