Gout Center - Framingham, MAFramingham Rheumatologist Doctors for GoutType of Physician: Rheumatologist What is a Rheumatologist? A subspecialty certification by the Board of Internal Medicine; practitioners treat diseases of the joints, muscles, bones, and tendons. The rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries, etc. The rheumatologist may work closely with other specialists such as orthopaedic surgeons and physical therapists. Specialty: Rheumatology Common Name: Rheumatologist Doctors in Framingham * Eileen Lynn Winston MD  Rheumatological Services  Hubert I Caplan MD  William F Winchell MD & Lenning Chang MD  Internists Associated PC  Newton-Wellesley Hospital Fibromyalgia Center  William F Winchell MD & Lenning Chang MD  Martin J Kafina MD  Alan B Marks MD  Tri County Rheumatology  Dedham Medical Associates  Brigham & Women's Orthopaedic & Arthritis  Women's Health Associates  Associates In Internal Medicine  Lahey Medical Center Lexington Internal Medicine  VA Boston Healthcare System West Roxbury  Stuart Schneller MD  Kenneth Pariser MD  Lahey Clinic Medical Center Rheumatology  Lahey Clinic Medical Center Rheumatology  Lahey Clinic Medical Center Rheumatology  Lahey Clinic Arlington Internal Medicine  Lahey Clinic Arlington Internal Medicine  Allan Ramey MD  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Fred G Kantrowitz MD  Beth Israel Hospital Rheumatology Department & Lupus Center  Miley & Davidson Medical Assoc  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Brigham & Womans Hospital  Brigham & Womans Hospital  Brigham & Women's Hospital  Brigham & Women's Hospital Arthritis Center  Beth Israel Deaconess Medical Center Orthopaedic Surgery  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Harvard School of Public Health  Cambridge Health Alliance Orthopaedics & Rheumatology  MIT Medical Department Rheumatology  South Shore Internal Medicine  Boston Medical Center Rheumatology  Fallon Clinic  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Fallon Clinic  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Fallon Clinic  Boston Medical Center Rheumatology  Fallon Clinic  Martha Skinner MD  Groton Medical Associates  Groton Medical Associates  MGH Rheumatology Associates  Massachusetts General Hospital Internal Medicine  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  Tufts Medical Center Rheumatology  Tufts Medical Center Rheumatology  Robert Pastan MD  UMass Medical Center Rheumatology  UMass Medical Center Rheumatology  UMass Medical Center Rheumatology Framingham, MassachusettsUpcoming Local Events2012-05-26
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GoutWhat is gout? What is hyperuricemia?Gout is a disease that results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints. When crystals form in the joints, it causes recurring attacks of joint inflammation (arthritis). Gout is considered a chronic and progressive disease. Chronic gout can also lead to deposits of hard lumps of uric acid in the tissues, particularly in and around the joints and may cause joint destruction, decreased kidney function, and kidney stones. Gout has the unique distinction of being one of the most frequently recorded medical illnesses throughout history. It is often related to an inherited abnormality in the body's ability to process uric acid. Uric acid is a breakdown product of purines that are part of many foods we eat. An abnormality in handling uric acid can cause attacks of painful arthritis (gout attack), kidney stones, and blockage of the kidney-filtering tubules with uric acid crystals, leading to kidney failure. On the other hand, some people may only develop elevated blood uric acid levels (hyperuricemia) without having manifestations of gout, such as arthritis or kidney problems. The state of elevated levels of uric acid in the blood without symptoms is referred to as asymptomatic hyperuricemia. Asymptomatic hyperuricemia is considered a precursor state to the development of gout. The term gout refers the disease that is caused by an overload of uric acid in the body, resulting in painful arthritic attacks and deposits of lumps of uric acid crystals in body tissues. Gouty arthritis is typically an extremely painful attack with a rapid onset of joint inflammation. The joint inflammation is precipitated by deposits of uric acid crystals in the joint fluid (synovial fluid) and joint lining (synovial lining). Intense joint inflammation occurs as the ... Recommended Reading Related to GoutHip bursitis facts
What is bursitis?A bursa is a closed fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. "Bursae" is the plural form of "bursa." The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees. When the bursa beco... Other Related Gout ArticlesEmergency Contact for Framingham
Nearby Framingham Hospitals *MetroWest Medical Center Framingham Union Hospital Kindred Specialty Hospital Natick MetroWest Medical Center Leonard Morse Hospital Whittier Rehabilitation Hospital Westborough UMass Memorial Marlborough Hospital Beth Israel Deaconess Hospital Needham Newton Wellesley Hospital Westborough State Hospital Westwood Lodge Hospital Milford Regional Medical Center VA Boston Healthcare System West Roxbury Campus Caritas Norwood Hospital Emerson Hospital Bournewood Hospital McLean Hospital Caritas St Elizabeth's Medical Center Hebrew Rehabilitation Center for the Aged Franciscan Hospital for Children Faulkner Hospital Kindred Hospital Boston Arbour Hospital Arbour HRI Hospital Mount Auburn Hospital VA Boston Healthcare System Jamaica Plain Campus Lemuel Shattuck Hospital Massachusetts Mental Health Center Brigham & Women's Hospital New England Baptist Hospital Dana Farber Cancer Institute Beth Israel Deaconess Medical Center Children's Hospital Boston Massachusetts Hospital School Radius Specialty Hospital Boston Edith Nourse Rogers Memorial Veterans Hospital Youville Hospital and Rehabilitation Center Cambridge Hospital Milton Hospital Somerville Hospital Lahey Clinic Medical Center UMass Memorial Clinton Hospital M I T Medical UMass Memorial Medical Center University Campus Boston Medical Center Caritas Carney Hospital HEALTHSOUTH New England Rehabilitation Hospital Worcester State Hospital Massachusetts Eye & Ear Infirmary Lawrence Memorial Hospital Massachusetts General Hospital Shriners Hospitals for Children Boston Burn Hospital Tufts New England Medical Center New England Sinai Hospital & Rehabilitation Center Spaulding Rehabilitation Hospital UMass Memorial Medical Center Memorial Campus Landmark Medical Center Adcare Hospital of Worcester St Vincent Hospital at Worcester Medical Center Winchester Hospital Quincy Medical Center Braintree Rehabilitation Hospital Kindred Specialty Hospital Stoughton Whidden Memorial Hospital Rehabilitation Hospital of Rhode Island Lawrence F Quigley Memorial Hospital Fairlawn Rehabilitation Hospital Caritas Good Samaritan Medical Center Melrose Wakefield Hospital Nashoba Valley Medical Center Kindred Specialty Hospital Braintree Boston VA Healthcare System Brockton Sturdy Memorial Hospital Arbour-Fuller Hospital South Shore Hospital Tewksbury Hospital HealthAlliance Hospital Leominster Campus Featured Articles*Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |
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Kidney Stones
- One in every 20 people develop a kidney stone at some point in their life. A kidney stone is a hard mineral and crystalline material formed within the kidney or urinary tract. Kidney stones symptoms and signs are, blood in the urine and pain in the abdomen, flank (lower back), or groin. A number of different conditions can lead to kidney stones including: gout, hypercalciuria, people with inflammatory bowel disease, kidney disease, and hypoparathyroidism. Some medications also increase the risk of kidney stones.
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Kidney Failure
- Kidney failure can occur from an acute event or a chronic condition or disease. Prerenal kidney failure is caused by blood loss, dehydration, medication. Some of the renal causes of kidney failure are from sepsis, medications, rhabdomyolysis, multiple myeloma, and acute glomerulonephritis. Post renal causes of kidney failure include bladder obstruction, prostate problems, tumors, or kidney stones. Treatment options included diet, medications, or dialysis.
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High Blood Pressure
- High blood pressure, also known as hypertension, is a repeatedly elevated blood pressure exceeding 140 over 90 mmHg -- a systolic pressure above 140 with a diastolic pressure above 90. There are two causes of high blood pressure, primary and secondary. Primary high blood pressure is much more common that secondary and its basic causes or underlying defects are not always known. It is known that a diet high in salt increases the risk for high blood pressure, as well as high cholesterol. Genetic factors are also a primary cause. Secondary high blood pressure is generally caused by another condition such as renal hypertension, tumors, and other conditions. Treatment for high blood pressure is generally lifestyle changes and if necessary, diet.
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Rheumatoid Arthritis
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Knee Pain
- The knee joint is composed of three compartments and ligaments which stabilize the joint. Causes of knee pain may include injury, degeneration, infrequently infection and rarely bone tumors. Although routine x-rays do not revel meniscus tears, they can be used to exclude other problems of the bones and tissues. The knee joint is the most commonly involved joint in rheumatic disease, as well as immune diseases that affect various tissues of the body.
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Dehydration
- Dehydration is the excessive loss of body water. There are a number of causes of dehydration including heat exposure, prolonged vigorous exercise, and some diseases of the gastrointestinal tract. The best way to treat dehydration is to prevent it from occurring.
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Foot Pain
- Foot pain may be caused by injuries (sprains, strains, bruises, and fractures), diseases (diabetes, Hansen disease, and gout), viruses, fungi, and bacteria (plantar warts and athlete's foot), or even ingrown toenails. Pain and tenderness may be accompanied by joint looseness, swelling, weakness, discoloration, and loss of function. Minor foot pain can usually be treated with rest, ice, compression, and elevation and OTC medications such as acetaminophen and ibuprofen. Severe pain should be treated by a medical professional.
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Hip Bursitis
- Bursitis of the hip results when the fluid-filled sac (bursa) near the hip becomes inflamed due to localized soft tissue trauma or strain. Symptoms include stiffness and pain around the hip joint. If the hip bursa is not infected, hip bursitis can be treated with ice compresses, rest, and antiinflammatory and pain medications.
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Menopause
- Menopause is the time in a woman's life when menstrual periods permanently stop, also called the “change of life." Menopause symptoms include hot flashes, night sweats, irregular vaginal bleeding, vaginal dryness, painful intercourse, urinary incontinence, weight gain, and emotional symptoms such as mood swings. Treatment of menopausal symptoms varies, and should be discussed with your physician.
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Sacroiliac Joint Dysfunction (SI Joint Pain)
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Alcoholism
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Arthritis
- Arthritis is inflammation of one or more joints. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of arthritis including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, gout, and pseudogout.
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Fever
- Although a fever technically is any body temperature above the normal of 98.6 degrees F. (37 degrees C.), in practice a person is usually not considered to have a significant fever until the temperature is above 100.4 degrees F (38 degrees C.). Fever is part of the body's own disease-fighting arsenal: rising body temperatures apparently are capable of killing off many disease- producing organisms.
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Polycythemia (High Red Blood Cell Count)
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Bursitis
- Bursitis is inflammation of a bursa. A bursa is a tiny fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. There are 160 bursae in the body. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.
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Obesity
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Bursitis of the Knee
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Chronic Pain
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Pseudogout
- Pseudogout, a form of arthritis, results when deposits of crystals collect in and around the joints. Symptoms of pseudogout include pain, stiffness, warmth, and joint swelling of the knees, ankles, hips, shoulders, and/or wrists. Treatment for pseudogout aims to decrease inflammation through the use of nonsteroidal antiinflammatory drugs, ice, and rest.
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Hydroxyapatite Crystal Disease
- Hydroxyapatite crystal disease is the inflammation caused by hydroxyapatite crystals. These tiny crystals of hydroxyapatite deposit by mistake in or around joints and may cause inflammation of the joints and nearby tissues such as the tendons and ligaments (particularly causing rotator cuff problems in the shoulder). Treatment options include rest, cold application, medications to reduce inflammation, and cortisone-related medication injections.
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