Can gout be cold and hot?

Some gout patients are used to local cold compress during the attack, hoping that cold transmission can promote the contraction of small blood vessels, reduce local congestion and exudation, help relieve pain, or carry out hot compress in remission period, promote hematoma absorption, help diminish inflammation and swelling, and accelerate tissue regeneration. So is this correct? Medical experts pointed out that gout should not be hot and cold, otherwise it may be counterproductive and make the condition worse. Experts believe that the inflammation caused by gout is different from the general traumatic inflammation. Gout is caused by abnormal enzymes and excessive uric acid in the blood. Uric acid is deposited in the soft tissues around joints such as synovial bursa, tendon and cartilage in the form of tiny crystals. After phagocytosis, a large number of white blood cells are destroyed, releasing internal lysozyme, destroying surrounding tissue cells and causing local tissue congestion and edema. Although cold compress can temporarily relieve local pain, low-temperature stimulation makes local blood vessels contract and blood flow decrease, which is not conducive to the absorption and dissipation of gout inflammation. And local hypothermia can easily lead to more uric acid deposition under the skin and aggravate local inflammation; Hot compress aggravated the hyperemia and edema of the focus, which not only failed to relieve the pain, but sometimes aggravated it. Therefore, acute gout should not be cold and hot. The simplest and safest treatment is to stay in bed, move as little as possible, raise the affected limb, and apply colchicine immediately. In addition, physical therapy, acupuncture and massage will also aggravate local pain and should not be used; It is not advisable to paste Shangshi Zhitong ointment and Musk Zhuifeng ointment, nor to apply rheumatism oil and bone-setting water locally. In the chronic stage, you can consider applying.