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A 37-year-old member asked:

osteoarthritis or gout? how to tell them apart?

2 doctor answers3 doctors weighed in
Dr. PHILIP WALLER
Rheumatology 33 years experience
Very different: Gout tends to be an arthritis with a rapid onset with severe pain, swelling, warmth, and difficulty moving the joints. Most patients with gout get the big toe involved. Osteoarthritis usually starts in different joints and does not have the rapid onset (24 hours) like gout. Also the above symptoms listed for gout are not as severe.In osteoarthritis. They are usually easily seperated by examination.
Dr. John Goldman
Rheumatology 55 years experience
Tap the joint: People with gout have elevated uric acid in the blood. The uric acid cecomes urate crystals precipitates in the joints and causes gout attacks. When you aspirate the joint you see the urate crystals under the microscope, in the joint fluid and that confirms the diagnosis of gout.

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A 38-year-old member asked:

I have both osteoarthritis, gout. What can help my mobility?

2 doctor answers6 doctors weighed in
Dr. John Goldman
Rheumatology 55 years experience
Treat both: It depend on how much each is contributing to your limited mobility. It is also important to locate where this limitation is. Is in the feet, the ankles, the knees, the hips or other. The good news is that we have ways to help both. You will need to be evaluated to identify where these impairments are and how much each diagnosis is contributing to your limited mobility.
A 34-year-old member asked:

What are the differences between RA, OA and gout?

1 doctor answer2 doctors weighed in
Dr. Ronald Oberman
Podiatry 31 years experience
See below: Is an inflammatory arthritis that usually attacks one joint at a time .This is caused by excessively high uric acid in blood from either producing too much or not excreting it fast enough. Rheumatoid arthritis is a systemic auto-immune condition that affects many joints of body including hand, feet, knees and elbows. OA is more of a "wear and tear" arthritis: cartilage in joint wears from overuse.

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Last updated Feb 26, 2014
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