Gout Center - Royal Oak, MIRoyal Oak 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 Royal Oak * Berj M Nercessian MD  Manveen Saluja MD  Steven A Portney MD PC  Faith Primary Care PC  Henry Ford Hospital Internal Medicine  Allan Morton DO  South Macomb Internists PC  South Macomb Internists PC  John E Tower DO  John E Tower DO  Oakland Arthritis Center  Oakland Arthritis Center  Oakland Arthritis Center  Oakland Arthritis Center  Associated Rheumatology Consultants  Associated Rheumatology Consultants  Associated Rheumatology Consultants  Associated Rheumatology Consultants  Barclay Internists  John Dingle VA Medical Center  University Physician Group Internal Medicine  Associated Physicians of Dearborn  Botsford Rheumatology  Botsford Rheumatology  Josephine Aloot MD & Phyllis Birkel MD  Josephine Aloot MD & Phyllis Birkel MD  Voravit Geravipoolvorn MD  Ali M Dagher MD  Henein Arthritis & Osteoporosis Center  Grosse Pointe Park Internal Medicine Center  Samir R Yahia MD  Paul F Goerke DO  Bon Secours Cottage Internists  Joseph J Weiss MD  Shores Rheumatology  Shores Rheumatology  Shores Rheumatology  Levan Medical Center  Henry Ford West Bloomfield Internal Medicine  Wayne Arthritis Center  Eye Clinic of Michigan  Lane B Scheiber II MD  James B Lesser MD PLLC  Milford Family Practice  Eugene Y Su MD  Dale E Baker MD  Arthritis Institute of Michigan  Ann Arbor Rheumatology  Ann Arbor Rheumatology  Ann Arbor Rheumatology  David K Vallance MD  University of Michigan Infectious Disease  University of Michigan Rheumatology  University of Michigan Rheumatology  University of Michigan Rheumatology  University of Michigan Rheumatology  University of Michigan Infectious Disease  University of Michigan Rheumatology  University of Michigan Rheumatology  University of Michigan Rheumatology  University of Michigan Rheumatology  University of Michigan Rheumatology  University of Michigan Pediatric Pulmonology  University of Michigan Rheumatology  University of Michigan Rheumatology  University of Michigan Infectious Disease  University of Michigan Rheumatology  University of Michigan Rheumatology  University of Michigan Rheumatology  Michigan Rheumatology Group  Advanced Orthopedic Specialists PC  University of Michigan Brighton Health Center  Briarwood Health Associates  Advance Urgent Care & Walk-In Clinic  Advance Urgent Care & Walk-In Clinic  Consultants in Arthritis  Consultants in Arthritis  Orthopaedic Associates of Port Huron  St Mary's of Michigan Rheumatology  Arthritis & Rheumatology Center of Hillsdale PC  Allegiance South  Allegiance South  Valley Rheumatology Associates  Jonathan Rene MD  Great Lakes Rheumatology & Osteoporosis Center  John A Howland MD  Niti Thakur MD  John Kolstoe MD  Richard A Pittsley MD PC  Justus Fiechtner MD  Justus Fiechtner MD  Advanced Rheumatology, PC  Visiting Physicians Association  Carla Guggenheim DO Royal Oak, MichiganUpcoming 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 GoutWhat is a sedimentation rate?A sedimentation rate is common blood test that is used to detect and monitor inflammation in the body. The sedimentation rate is also called the erythrocyte sedimentation rate because it is a measure of the red blood cells (erythrocytes) sedimenting in a tube over a given period of time. Sedimentation rate is often abbreviated as sed rate or ESR. How is a sedimentation rate performed?A sedimentation rate is performed by measuring the rate at which red blood cells (RBCs) settle in a test tube. The RBCs become sediment in the bottom of the test tube over time, leaving the blood serum visible above. The classic sedimentation rate is simply how far the top of the RBC layer has fallen (in millimeters) in one hour. The sedimentation rate increases with more inflammation. What is the normal sedimentation rate?The normal sedimentation rate (Westergren method) for males is 0... Other Related Gout ArticlesEmergency Contact for Royal Oak
Nearby Royal Oak Hospitals *Henry Ford Kingswood Hospital DMC Surgery Hospital St John Macomb-Oakland Hospital Oakland Center William Beaumont Hospital Royal Oak Oakland Regional Hospital Southeast Michigan Surgical Hospital St John Providence Hospital Southfield Select Specialty Hospital Northwest Detroit Sinai-Grace Hospital Straith Hospital For Special Surgery St John Macomb-Oakland Hospital Macomb Center Henry Ford Macomb Hospital Warren Campus Henry Ford Hospital William Beaumont Hospital Troy Botsford Hospital John D Dingell VA Medical Center Detroit Receiving Hospital Barbara Ann Karmanos Cancer Institute Children's Hospital of Michigan Harper University Hospital Hutzel Women's Hospital Rehabilitation Institute of Michigan St Joseph Mercy Oakland Hospital Select Specialty Hospital Pontiac Henry Ford Macomb Hospital St John Hospital & Medical Center POH Regional Medical Center Havenwyck Hospital Doctors' Hospital of Michigan St Mary Mercy Livonia Hospital Crittenton Hospital Medical Center Beaumont Hospital Grosse Pointe Campus Garden City Hospital Henry Ford Cottage Hospital Oakwood Hospital & Medical Center Hawthorn Center Mount Clemens Regional Medical Center Henry Ford Macomb Mount Clemens Select Specialty Hospital Macomb St John North Shores Hospital Vibra Hospital of Southeast Michigan Walter P Reuther Psychiatric Hospital Oakwood Annapolis Hospital Oakwood Heritage Hospital St John Providence Park Hospital Henry Ford Wyandotte Hospital Huron Valley-Sinai Hospital Harbor Oaks Hospital Oakwood Southshore Medical Center Forest Health Medical Center Select Specialty Hospital St John Brighton Hospital St Joseph Mercy Ann Arbor Hospital VA Ann Arbor Healthcare System University of Michigan Health System C S Mott Children's Hospital 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
- Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation of the joints, the tissue around the joints, as well as other organs in the body. Because it can affect multiple other organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease.
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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)
- Sacroiliac joint (SI) dysfunction is a general term to reflect pain in the SI joints. Causes of SI joint pain include osteoarthritis, abnormal walking pattern, and disorders that can cause SI joint inflammation including gout, rheumatoid arthritis, psoriasis, and ankylosing spondylitis. Treatment includes oral medications, cortisone injections, and surgery.
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Alcoholism
- Alcoholism is a disease that includes alcohol craving and continued drinking despite repeated alcohol-related problems, such as losing a job or getting into trouble with the law.
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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)
- Polycythemia (elevated red blood cell count) causes are either primary (aquired or genetic mutations) or secondary (diseases, conditions, high altitude). Treatment of polycythemia depends on the cause.
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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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