This paper explains that the Orthopedic approach states that gouty
arthritis is a systemic inflammatory illness (PMR), which
is a synovitis of the large proximal joints, although more distal joints also can be involved. The author points out that, in the Orthopedic approach, physical therapy is useful because patients' residual "stiffness" is more often mechanical rather than inflammatory in nature. The paper relates that the Renal approach states that an excess of uric acid in the body causes gout; this excess can be caused by an increase in production by the body, by under-eliminating of uric acid by the kidneys or by increased intake of foods containing
purines that are metabolized to uric acid in the body. Table of Contents Introduction and Thesis of the Investigation The Onset of Gout and a Brief Glimpse at the History of the Disease A Brief History of Gouty
Arthritis from the Viewpoint of Orthopedics Epidemiology Pathophysiology Clinical Features Some Treatments Alternative Treatment The Other Side of the Gouty Arthritis Argument What is Gout or Gouty Arthritis? This Group's Causes for the Disease What are the Symptoms of Gout from their Viewpoint? How is Gouty Arthritis Diagnosed? Gout and Hyperuricemia Risk Factors for Gouty Arthritis Conditions and Concerns in the Treatment of Gouty Arthritis With Knowledge of Both Sides of the Issue, What One Can Do?