Intended for healthcare professionals

Rapid response to:

Clinical Review

Diagnosis and management of gout

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7553.1315 (Published 01 June 2006) Cite this as: BMJ 2006;332:1315

Rapid Response:

Not ice - heat!

Sir

It's been a long time since I studied physical chemistry but surely
the basic physical processes of crystalisation must be exploited in the
management of acute gout attacks.

Greatly increased water intake and the application of heat to the
affected joint will increase the rate of clearance of the crystalline
solute from the affected joint.

My advice to sufferers is analgesia, colchicine 500mcgm TDS, lots to
drink and soak the foot in a bucket of hot water.

Yours sincerely

Steven Ford

Competing interests:
None declared

Competing interests: No competing interests

15 June 2006
Steven Ford
GP
Haydon & Allen Valleys Medical Practice