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Mainak SurShalmali RayAnirban PattanayakSouvik TewariPrathiksa PramanikPh ScholarB lvarez-LarioJ Macarrn-VicenteT BardinP RichetteM BelangerC WeeK MukamalE MillerF SacksL AppelW BerlingerG ParkR SpectorR BeylL HughesS MorganR BoltonK HeatonL BurroughsJ BruunM MaerskA BelzaA AstrupB RichelsenDe Freitas TavaresA RossI PradalL NevesM JamilkBht BertoliniGrfM DohertyE GoldbergJ AsherR MolonyA ShawC ZeissC WangX GuillotN TordiL MourotC DemougeotB DugueC PratiS JuraschekM Mcadams-DemarcoA GelberF SacksL AppelK WhiteS JuraschekC YokoseN MccormickIiier MillerL AppelH ChoiS JuraschekA GelberH ChoiL AppelE MillerBym KwanS OsmanL BarraG NukiP SimkinF Perez-RuizE MarimonS ChinchillaS RaiH ChoiS ChoiA TownsendK ShojaniaDe VeraMS RaiT FungN LuS KellerG CurhanH ChoiK RetterstlM SvendsenI NarverudK HolvenE RoddyA SaltielJ OlefskyL StampS JordanS TewariS VaishnavS BiswasR KhaluaR ChakrabortyA ChakrabortyA VieiraI GalvoL MaciaM SernagliaM VinoloC GarciaY WangC ChuK.-K WangJ.-W HuYan LvY.-BY YangW PiaoK HuangH FangL JuL ZhaoC YokoseN MccormickH ChoiC YokoseN MccormickN LuA JoshiG CurhanH ChoiM ZhangY GaoX WangW LiuY ZhangG Huang

Abstract

Increased levels of uric acid in the blood cause gout, a chronic and progressive disease.This causes urate crystals to develop in our joints, which causes inflammation and encourages gout attacks.Gout, a form of arthritis, results in painful, joint stiffness and decrement of joint space.Strengthening of muscles along with the biomechanical correction as much as possible, also maintenance and improving the joint range of motion reducing joint pain, increasing the mobility which are the benefits of physiotherapy.The act of walking may be painful or challenging in some cases of acute or, chronic joint discomfort.There are four stages that gout can go through.Asymptomatic hyperuricemia is the first stage, followed by acute gout, inter-critical gout, and chronic tophaceous gout as the fourth stage.Complex carbohydrate, low protein, low fat (mainly from MUFA and PUFA), high fibre, suitable vitamins, minerals, and adequate hydration intake are recommended for patients who are having goutrelated symptoms.On the other hand, physiotherapy is essential in the treatment of gout in addition to diet.In this review article, the effectiveness of diet and physiotherapy in reducing gout-related symptoms is reviewed.

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References
Uric acid and evolution
Lara D. Veeken · 2010 · 386 citations
Inflammatory mechanisms linking obesity and metabolic disease
Journal of Clinical Investigation · 2017 · 2,056 citations
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