ALLERGY, RESPIRATORY
Asthmatics Who Quit Smoking May Reverse Lung Damage
Keep Asthma, Allergies at Bay for the Holidays
Climate Change Could Sting Allergy, Asthma Sufferers
ALTERNATIVE MEDICINE
Acupuncture May Help Restore Lost Sense of Smell
Birds Don't Miss a Beat
Alternative Treatments May Boost IVF Success
ANIMAL CARE
Safe Toys for Dogs
Beware of Dog Bites
'Comfort Dogs' Come to Emotional Rescue
BONES & JOINTS
Are We Exercising Pain Away? Not So Much.
Using a Balloon to Repair a Broken Back
Fractures in Older Adults Up Death Risk
CANCER
Vitamin D May Improve Melanoma Survival
Breast Self-Exam Rates Go Up With Counseling
Vitamin D Good for Breast Cancer Patients
CAREGIVING
Memory Loss Help from Brain Supplement Prevagen
Timing May Matter in Organ Donation Decisions
Moms Who Breast-Feed Less Likely to Neglect Child
CIRCULATORY SYSTEM
Smog Tougher on the Obese
Mercury in Fish Linked to High Blood Pressure
Laughter Can Boost Heart Health
COSMETIC
Wrinkle Fillers Need Better Label Warnings: FDA Panel
Contact Lenses Boost Kids' Self-Image
Get Sugared!.... Its a sweet choice for hair removal
DENTAL, ORAL
Rheumatoid Arthritis May Harm Gums
Gum Care Helps Control Type 2 Diabetes and Its Complications
Gum Disease Treatment Doesn't Cut Preterm Birth Risk
DIABETES
Diabetes Linked to Cognitive Problems
Study Shows Turmeric May Prevent Type 2 Diabetes
Boosting Vitamin D Can Do a Heart Good
DIET, NUTRITION
Eat Light - Live Longer
Caffeine May Offer Some Skin Cancer Protection
6 Million U.S. Kids Lack Enough Vitamin D
DISABILITIES
Review Finds Marijuana May Help MS Patients
Could Your Cell Phone Help Shield You From Alzheimer's?
ENVIRONMENTAL HEALTH
What's Cookin'? It Could Be Air Pollution
City Kids Find the Breathin' Is Easier Elsewhere
Freckles, Moles May Indicate Risk for Eye Cancer
EYE CARE, VISION
Poor Night Vision May Predict Age-Related Eye Disease
Nutrient-Rich Diet Lowers Risk of Age-Related Eye Disease
When Gauging Age, the Eyes Have It
FITNESS
Moderate Aerobic Exercise Lowers Diabetics' Liver Fat
Daily Exercise at School Yields Rewards
Research Confirms How Valuable A Healthy Lifestyle Can Be
GASTROINTESTINAL PROBLEMS
Gum Chewing May Speed Colon Surgery Recovery
Soothing Imagery May Help Rid Some Kids of Stomach Pain
Bowel Prep Harder on Women Than Men
GENERAL HEALTH
Can a Bad Boss Make You Sick?
Adults Need To Get Thier Food Facts Straight
Pay Attention to Signs That Say You're Too Fatigued to Drive
HEAD & NECK
Ski Helmets Encouraged for All
Many Children Will Outgrow Headaches
Zen May Thicken Brain, Thwart Pain
HEALTH & TECHNOLOGY
'Comfort Dogs' Come to Emotional Rescue
Airport Full Body Scanners Pose No Health Threat: Experts
'Cell Phone Elbow' -- A New Ill for the Wired Age
HEARING
Summer Sounds Can Lead to Hearing Loss
Noise Hurts Men's Hearing More, Study Shows
HEART & CARDIOVASCULAR
Most Fast-Food French Fries Cooked in Unhealthiest Oil
More Steps a Day Lead to Better Health
Omega-3, Some Omega-6 Fatty Acids Boost Cardiovascular Health
INFECTIOUS DISEASE
Dry Weather Boosts Odds of Flu Outbreaks
Bacterial Infections May Succumb to Honey
Swine Flu Loves a Crowd
INFERTILITY
Obesity May Affect Fertility in Young Womene
KID'S HEALTH
Too Many Infants Short on Vitamin D
Exercise Helps Reduce Falls in Young and Old
When It Comes to Toys, Shop Smart, Shop Safe
MEN'S HEALTH
Low Iron Levels Cut Cancer Risk in Men With PAD
Lots of Sex May Prevent Erectile Dysfunction
The Dark Side of Vegetarianism
MENTAL HEALTH
A Simple 'Thank You' Brings Rewards to All
How to Attack Holiday Stress Head-On
The Acne Drug Accutane More Than Doubles Depression Risk
PHYSICAL THERAPY
PREGNANCY
Breast-Feeding Benefits Moms and Babies
Expectant Mom's Exercise Keeps Newborn's Birth Weight Down
Mom's Extra Pregnancy Pounds May Raise Child's Heart Risks
SENIORS
Friends, Not Grandkids, Key to Happy Retirement
15-Point Test Gauges Alzheimer's Risk
Seniors Who Volunteer May Live Longer
SEXUAL HEALTH
SLEEP DISORDERS
Pay Attention to Signs That Say You're Too Fatigued to Drive
Sleeping Could Help Women Lose The Baby Fat
Better Sleep, Grades Seem to Go Up
WOMEN'S HEALTH
Being Active an Hour a Day Puts Brakes on Weight Gain
Lifting Weights Can Ease Arm Swelling in Breast Cancer Survivors
Heal Your Life® Tips for Living Well
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Basketball Star Details His Struggle With Gout

By Alan Mozes
HealthDay Reporter

FRIDAY, May 23 (HealthDay News) -- He's a 15-year veteran of the National Basketball Association, a four-time NBA All-Star, and head coach of the Philadelphia 76ers. He's basketball great Maurice Cheeks.

And he's got gout.

"I had no idea what gout was," Cheeks said, describing his first encounter -- at the age of 46 -- with the often-debilitating arthritic condition. "Never heard of it. Never talked to anyone about it, and then I started to find out that there were many other people with this condition."

Cheeks made his remarks at a press conference Thursday in New York City to mark the second annual National Gout Awareness Day, sponsored by the Gout & Uric Acid Education Society (GUAES). The goal is to draw attention to the risks, symptoms, and treatments associated with a condition that strikes between three million and five million adult Americans, and to debunk stereotypes about the so-called "disease of kings."

According to GUAES, gouty arthritis results from a condition known as hyperuricemia -- the build-up of abnormally high levels of uric acid in the blood. A normal waste product that forms from the breakdown of purines found in cells and a wide range of foods, uric acid is usually dissolved in the blood, passed through the kidney, and excreted through urine.

But in excess amounts, sodium urate can crystallize. In some cases, the resulting needle-like formations lodge and jab into joints, bringing about sudden and painful bouts of tenderness, redness, stiffness, and swelling in the big toe, instep, ankle, heel, knee, wrist, finger, or elbow.

People typically describe the pain as akin to the trauma of childbirth or breaking a bone.

"I don't think I can adequately express the pain," Cheeks said.

"I once had a severe ankle sprain, and in order for me to play, they had to wrap it and wrap it and wrap it, because any time I put my foot down, I was not able to play," he added. "But the game was so important. So I played, even though that was probably my worst pain ever. And that pain doesn't even compare to gout."

In February, Cheeks' fourth acute attack of gout triggered inflammation so severe he had to coach several 76ers games with one shoe on and one shoe off. For many people, an attack can turn the mere act of standing and walking into an unmanageable ordeal.

Today, gout is the most common form of arthritis among men over 40. Women also suffer from the condition, but typically after menopause, according to GUAES.

Obesity and the excessive consumption of purine-rich foods -- such as meats, shellfish, and hard liquor and beer -- have long been associated with a risk for gout. And portly figures of history, such as Henry VIII, Benjamin Franklin and Isaac Newton -- all suffered from gout, popularizing the view that it's an illness of the privileged and out-of-shape.

"But [Maurice Cheeks] defies the stereotypes," said Dr. N. Lawrence Edwards, chairman of GUAES, and vice chair of the department of medicine at the University of Florida, who spoke at the press conference.

While diet does play some role in who get gout, genetics is a major factor, with one in four people having a family history of gout, Edwards said.

"There is an assumption that this is a self-inflicted disease," noted Edwards. "That's the stereotype out there. But clearly Coach Cheeks represents none of this. It's an equal opportunity employer. It affects all strata of society."

Edwards agreed that lifestyle changes, such as keeping in shape and watching one's diet, could help somewhat reduce -- though probably not eliminate -- the risk for acute attacks among people with high levels of uric acid.

He stressed the importance of seeing a doctor and getting a uric acid reading for those who've experienced an attack -- with the aim of getting the serum acid level below the danger point of 6.8 mg/dL. And for many patients hovering above the cut-off, chronic daily medications may be the most effective way to fight back, he said.

"If any of you ever had [gout], you would know you would try to do everything possible to try and prevent it," Cheeks said with a wry smile. "Because once it's full-blown, there's not a whole lot you can do."

More information

To learn more, visit the Gout & Uric Acid Education Society.



SOURCES: Maurice Cheeks, head coach, Philadelphia 76ers; N. Lawrence Edwards, M.D., chairman, Gout & Uric Acid Education Society, and vice chair, department of medicine, University of Florida, Gainesville

Last Updated: May 23, 2008

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