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9TMR Non-Drug Therapy  2019, Vol. 2 Issue (4): 136-141    DOI: 10.12032/TMRND201902020
Review     
Non-drug therapies for acute gouty arthritis treatment
Hui-dan Li1,*(), Xing Wei1
1Tianjin University of Sport, No.16 Donghai Road, West Tuanbo New Town, Jinghai District, Tianjin 300381, China.
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Highlights

Non-drug therapies are now being increasingly evaluated for its role in acute and chronic gout with less side effects and better therapeutic effects. This review summarized the possible mechanisms of non-drug therapies for the acute gouty arthritis and provided the available evidence on the effectiveness of these modalities in acute gouty arthritis.

Editor’s Summary

Non-drug treatments include traditional therapies, such as acupuncture, puncture cupping, and modern therapies, such as laser therapy, electrotherapy, magnetic therapy and ultrasonic therapy. The non-drug therapies, especially the increasing varieties of modern physical therapies, have achieved good effects in the treatment of acute gouty arthritis with the characteristics of less toxicity and side effects, which is worthy of wide use. However, at present, these effects are from the clinical observation, and further researches on the specific mechanisms should be encouraged.

Abstract

The incidence and prevalence of acute gouty arthritis are increasing with the total prevalence of gout in China. Non-drug therapies are now being increasingly evaluated for its role in acute and chronic gout with less toxic and side effects and better therapeutic effects. This review summarized that activated coarse fiber, inhibited fine fiber, the influence on 5-hydroxytryptamine (5-HT), increased K+ and the anti-inflammation factors were the possible mechanisms of non-drug therapies for the acute gouty arthritis; This review also introduced the traditional non-drug therapies and modern non-drug therapies; The traditional non-drug therapies, including acupuncture, puncture cupping can significantly alleviate acute inflammation of gout joints and prevent joint dysfunction without obvious toxic and side effects; Modern non-drug therapies, such as laser therapy, electrotherapy, magnetic therapy and ultrasonic therapy, also could effectively improve swelling and pain symptoms and joint function of patients with acute gouty arthritis, and reduce the levels of C-reactive protein, serum uric acid and erythrocyte sedimentation rate. To sum up, the non-drug therapies, especially the increasing varieties of modern physical therapies, have achieved good effects in the treatment of acute gouty arthritis with the characteristics of less toxicity and side effects, which are worthy of wide use.



Key wordsGout      Acupuncture      Cupping therapy      Laser      Intermediate frequency      Ultrashort wave      Magnetic therapy     
Received: 08 August 2019      Published: 06 December 2019
Corresponding Authors: Li Hui-dan   
E-mail: 1439034635@qq.com
Cite this article:

Hui-dan Li, Xing Wei. Non-drug therapies for acute gouty arthritis treatment. 9TMR Non-Drug Therapy, 2019, 2(4): 136-141. doi: 10.12032/TMRND201902020

URL:

https://www.tmrjournals.com/ndt/EN/10.12032/TMRND201902020     OR     https://www.tmrjournals.com/ndt/EN/Y2019/V2/I4/136

Figure 1 The mechanisms of non-drug therapies for acute gouty arthritis
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