Knee effusion, swelling, unable to walk after drinking beer
“I have had gout for 3 years now, every time my joints hurt I usually buy medicine to take myself. Yesterday, I had a few beers with friends, this morning my knee was swollen, red and hot, I couldn’t walk so I went to Hong Ngoc General Hospital - Phuc Truong Minh for a check-up”, Mr. NVT shared.
Through examination and medical history, MSc. Dr. Tran Thi Kim Chuan - Department of Musculoskeletal, said: "The patient had joint effusion due to acute gout, the thickness of the fluid layer was up to 17.24mm. The volume of fluid was so large that it could not be absorbed on its own even when taking oral medication."
Mr. NVT was examined by Master, Doctor Tran Thi Kim Chuan (Photo: BVCC).
Explaining further about this condition, Dr. Chuan said that gout is one of the leading causes of synovitis and joint effusion. Mr. T's case was due to drinking alcohol and eating a lot of protein, leading to high uric acid levels in the blood. At that time, urate crystals deposited in the joints, causing an acute inflammatory reaction.
If not treated promptly, the inflammation will continue to destroy the cartilage, leading to complications such as joint stiffness, joint adhesion, muscle atrophy, and even disability. Prolonged pain not only affects mobility but also seriously reduces the quality of life.
“Patients often worry that aspiration will dry out the joint, but this is a misconception. In fact, this procedure does not remove natural joint fluid, but only removes pathological inflammatory fluid. Ultrasound-guided aspiration helps relieve pressure in the joint, reduce pain, reduce inflammation and significantly improve mobility for patients,” Dr. Chuan affirmed.
15 minutes to aspirate 57ml of joint fluid , relieve pain, restore mobility
Mr. T. received early intervention with ultrasound-guided knee joint aspiration, which helps guide the needle precisely into the effusion site to quickly relieve pain and thoroughly aspirate without causing damage to surrounding structures.
After 15 minutes, the doctors took out 5 syringes containing a total of 57ml of joint fluid. This amount of fluid had the lemon yellow color of inflammation caused by acute gout.
After joint aspiration, the patient will be given anti-inflammatory injections in the joint to control the inflammation. In addition, the patient will continue to receive medical treatment to control the uric acid level in the blood, preventing acute gout attacks from occurring and causing recurrence of knee effusion.
After 15 minutes, the amount of fluid aspirated from the patient's knee joint was 57ml (Photo: BVCC).
“Right after the procedure, my knee joint was no longer tense and painful, I could stretch and bend normally and walk easily,” Mr. T. happily said.
Doctor Chuan also warned that not only gout but also diseases such as osteoarthritis, rheumatoid arthritis, infectious arthritis, etc. have a high risk of causing knee effusion. When symptoms of swollen, tense, red joints appear, patients need to immediately go to medical facilities with musculoskeletal specialists for timely examination and treatment. Delay can lead to serious consequences such as joint stiffness, joint adhesion, seriously affecting mobility and quality of life.
The Department of Musculoskeletal System at Hong Ngoc General Hospital - Phuc Truong Minh specializes in examining and treating musculoskeletal diseases using modern methods to effectively reduce pain and restore mobility safely and quickly.
Patients who need musculoskeletal examination and treatment at Hong Ngoc General Hospital - Phuc Truong Minh, contact hotline 0889 621 046.
Source: https://dantri.com.vn/suc-khoe/sau-buoi-nhau-nguoi-dan-ong-dau-khop-goi-du-doi-khong-di-lai-duoc-20250921192225374.htm
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