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Gout is a type of arthritis that occurs when uric acid, a substance created when the body breaks down the elements of some food and drinks, builds up in the blood and causes joint inflammation. Gout can be an acute or chronic condition.

  • Acute gout occurs suddenly and typically affects a single joint
  • Chronic gout occurs over time and may involve more than one joint

Causes

Gout is caused by higher than normal levels of uric acid in the body. If uric acid builds up in the synovial fluid surrounding a joint, it can start to form crystals that result in swelling and inflammation in the joint. The exact cause of gout is unknown, but it may have a genetic or familiar component. Gout can also develop as a result of other conditions such as:

  • Diabetes
  • Kidney Disease
  • Obesity
  • Anemia
  • Leukemia or other cancers affecting the blood

Symptoms

  • Symptoms usually affect only one or a few joints
  • Pain that starts suddenly
  • A joint that is warm or red
  • Tenderness in the affected joint
  • Fever
  • Joint swelling

Physical Therapy Interventions

Physical Therapists are professionals, educated and trained to administer interventions. As defined by The Guide to Physical Therapist Practice, interventions are the skilled and purposeful use of physical therapy methods and techniques to produce changes consistent with the diagnosis, prognosis and the patient or client’s goals.

If gout becomes chronic it may benefit from treatment from a physical therapist, who will perform a thorough evaluation to assess and determine the following:

  • Joint: a series of measurements will be performed to determine which joint is involved and the extent to which the inflammation is acute
  • Strength: resisted testing is performed to determine if there is associated weakness or strength imbalances
  • Flexibility: range of motion measurements will be taken to determine if there is reduced joint movement
  • Gait, Balance and Alignment: the therapist will assess your gait and balance on even and uneven surfaces. An assistive device such as a cane or walker may be indicated to improve safety, gait and reduce stress on the effected joint.

Physical therapy for gout must remain conservative at the onset to avoid aggravating the condition. Emphasis will be placed on rest, reducing the inflammation, protecting the joint and increasing the blood circulation for healing. Once the initial inflammation has reduced, a program of stretching and strengthening will be initiated to restore flexibility and improve function of the joint.

Treatments

  • Manual Therapeutic Technique (MTT): hands on care including soft tissue massage, stretching and joint mobilization by a physical therapist to improve alignment, mobility and range of motion of the affected joint. The use of mobilization techniques also helps to modulate pain.
  • Therapeutic Exercises (TE) including stretching and strengthening exercises to regain range of motion and strengthen muscles of the joint and affected extremity to support, stabilize and decrease the stresses place on joint cartilage.
  • Neuromuscular Reeducation (NMR) to restore stability, retrain the affected extremity and improve movement techniques and mechanics (for example, running, kneeling, squatting and jumping) of the involved extremity to reduce stress on the joint surfaces in daily activities. Taping, strapping or bracing may be indicated for joint protection and promote healing.
  • Modalities including the use of ultrasound, electrical stimulation, ice, cold, laser and others to decrease pain and inflammation of the involved joint.

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Real People, Real Testimonials.

“I loved being a patient at your facility because your therapist went by my and the doctors needs. I was there not only at the old location in somerset but also I went to the new location to in North Brunswick, which I loved it was bigger and better. All of the therapist are so friendly and nice and treated you with respect. I was treated by not only Melvie but also Nick and both are so professional and gentle of the way they did my treatments. If I ever need to have physical therapy in the future I will deffinately come back to your facility for you are very professional and well organized. I have been to other places but your facility beats them all.”

Christine

"I have had the pleasure of attending Twin Boro Physical Therapy this past year and prior to Optimum Health becoming Twin Boro, I had been a patient since 2006. The entire staff is very caring, professional, and make your PT sessions fun. There is always something to laugh about and get you through your pain! A special thanks to Keith for all he has done for me over the years!"

Donna R.

“Never having experienced physical therapy before, I had no idea what to expect. I feel so fortunate that my experience has been totally positive. Everyone helped me feel so welcome and comfortable. I feel that I am being challenged, but not too much. I feel that I make an improvement at each session.”

Tora

"After a wrist/hand surgery, I completed 6 months of physical therapy at the TWIN BOROS - DAYTON NJ location with therapist James Battaglia. In the beginning I was in a great deal of pain with very limited range of motion. I was cringing from pain and using safe words lol. From day one, James gave me excellent care! He was very patient and listened to my cues. He crafted a full complement of exercises for me both in the office and also an at-home exercise program. Christa (sp) another therapist - also filled in for James during vacations and worked on my wrist. She too was excellent! The assistants and office staff are all super friendly and address every patient by their first name. You are not just a “patient” here. The staff all genuinely care about you. By the time I “graduated” 6 months later my wrist was doing so much better. I was actually sad to leave. This is a great facility- clean, modern and professional. You won’t be disappointed with this facility at all!"

Starr D.

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