some time ago. She can't get into any of her old shoes (size 8.5 wide). She is not walking well and is somewhat incontinent, so we are reluctant to try to take her to try on shoes (would have to travel at least 50 miles). We bought a pair of Deerfoams we hoped would work, size 11-12.5. She could get left one on, but not the right. I have ordered edema shoes in a men's size 12, but if that doesn't work, I'm out of ideas. Any suggestions?
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There are a number of medications to treat gout. You can look at it two ways 1) Treat the 'effect'. 2) Treat the 'cause'. Generally, you treat the cause and be prepared to treat the effect. Most gout medications to treat the cause work by either preventing the body's creation of excessive uric acid or the improve the flushing of it. In my understanding, as the amount of uric acid is reduced in your system, the uric crystals that have formed in the tissues causing the pain, shrink in size with treatment, they move around again lodging elsewhere in the joint and you have another attack. Later the cycle repeats itself as the crystals become smaller until they are gone.
So management of pain with these attacks need to coincide with the reduction of the uric acid in the system. Generally Insaid or colchicine is used, but other pain medication is also used at times. Additionally, prednisone tablets may be used or a cortisone shot into the swollen joint if things get out of control. The problem with this treatment form, is people expect a "right now" fix. It doesn't work that way, it takes time to reduce the uric crystals and get them out of your system. The attacks can occur during this treatment phase for upwards and beyond a year in some people. Older people (and young also sometimes) don't understand this and are less inclined to cooperate for that long.
Edema has multiple causes which may be the primary or a contributing factor to her problems.
From what you said about this lady, she most likely is at a point that it is time to ask a/the physician to do another workup on her current status.
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Clearly you and the family are doing all you can in terms of providing her with activities and comfort, but my question is: what in the blazes is her MD doing? The doctor's care you mention is… unimpressive, to judge by these results. Ask searching questions.
I volunteer in a nursing home and would really hate to see her there.
That her shoes don't fit is no longer your problem. Sorry. :(
Shoes. Try backless shoes.
These come in 12's. They're silly, fun and $20. The red strap you see goes UP so that it becomes nonfunction and out of the way.
Then this kind....?
Here's a men's slipper that comes in a 13:
This slipper comes in a 14-15:
Hope something helps. Surf around on the internet. There's lots out there.