病情描述(condition description)
Introduction to my condition
Hi doctor, I was first diagnosed with gout in October 2023. That time, it was really bad—I couldn’t walk at all for about a week. After I recovered, I didn’t have any more flare-ups for a while.
Recent flare-ups
But this year, things got worse. I’ve had three flare-ups in just a few months: The first was in mid-April. I started walking again around May 6. The second happened around May 11, and it was more serious—I couldn’t really walk properly until about June 2. Then I had a third flare-up starting June 7, and it lasted until just recently. I’m walking again now, but last week I was still limping.
Imaging and previous findings
Back in 2023, when I first had gout, I got X-rays and DR scans of my left ankle. The scan showed a small round shadow—about 0.3 cm—near the ankle. The doctor wasn’t sure, but said it might be some kind of cartilage damage. Then, during the April flare-up, I had another scan and this time they found a talar spur. I’m not sure if that’s what’s causing my problems now, or if it might need surgery.
Current symptoms
Right now, I can walk, but my left ankle still feels weird, like there’s something stuck or pinched in the joint. I can’t stand on my toes, and I can’t bend or flex my ankle very far—it just feels tight and painful if I try. There’s still a bit of swelling, and sometimes I feel a dull ache or gouty twinge, especially if I’ve been walking a lot.
Medication use
I’m taking diclofenac right now. I’ve already finished two full courses that my doctor gave me before. Now I’m on a third bottle, but I don’t take it every day—only when the joint feels sore or tight, like the gout might be coming back.
Questions and concerns
So I just want to figure out what’s really going on.
- Is the talar spur making things worse?
- Do I need new scans, like an MRI, to check the cartilage or bone?
- Is surgery something I should be thinking about?
- And should I maybe start taking uric acid-lowering medication to help prevent future attacks?
疼痛表述
1. Sore and swollen
最接近“酸酸胀胀”，用于描述轻微发炎或疲劳后的不适。
适合肌肉酸痛、关节不适
e.g., My toe feels sore and a little swollen — like it’s about to flare up.
2. Aching and tight
“酸” = aching，“胀” = tight（紧绷感）
e.g., There’s an aching, tight feeling in my joint today.
3. Throbbing and tender
更强调“隐隐跳动”的酸痛
e.g., It’s throbbing slightly and feels tender to the touch.
4. Dull and pressure-like pain
医学问诊中常用，“dull” 指隐隐作痛，“pressure-like” 描述胀感
e.g., The pain isn’t sharp — it’s more of a dull, pressure-like discomfort.
5. Mild discomfort with a swollen feeling
简洁直接，适合医生问诊时表达
e.g., There’s mild discomfort with a feeling of swelling in the joint.
常用表达
描述疼痛的词汇（按“疼痛类型”分类）
| 英文词汇 | 中文释义 | 发音（美式） | 使用示例 |
|---|---|---|---|
| pain | 疼痛（总称） | /peɪn/ | I have pain in my left ankle. |
| ache | 酸痛、持续的钝痛 | /eɪk/ | A dull ache that won’t go away. |
| throbbing | 跳痛、搏动性疼痛 | /ˈθrɑːbɪŋ/ | A throbbing pain around the joint. |
| sharp pain | 尖锐的疼痛，刺痛 | /ʃɑːrp/ | I felt a sharp pain when I stepped. |
| burning | 灼烧感 | /ˈbɜːrnɪŋ/ | It feels like a burning sensation. |
| stabbing | 刺痛（像被刀戳） | /ˈstæbɪŋ/ | A stabbing pain in the foot. |
| shooting pain | 放射痛，沿神经传导的痛感 | /ˈʃuːtɪŋ/ | Shooting pain going up the leg. |
| tingling | 麻刺感，刺麻感 | /ˈtɪŋɡlɪŋ/ | A tingling feeling in my toes. |
| numbness | 麻木 | /ˈnʌmnəs/ | Sometimes I feel numb around the joint. |
| stiff | 僵硬 | /stɪf/ | My ankle feels stiff in the morning. |
| swollen | 肿胀的（形容词） | /ˈswoʊlən/ | My ankle is still a bit swollen. |
| twinge | 突然刺痛，一阵酸痛 | /twɪndʒ/ | I feel a gouty twinge sometimes. |
身体部位相关（脚踝和关节）
| 英文词汇 | 中文释义 | 发音 |
|---|---|---|
| ankle | 脚踝 | /ˈæŋkəl/ |
| joint | 关节 | /dʒɔɪnt/ |
| heel | 脚后跟 | /hiːl/ |
| toes | 脚趾 | /toʊz/ |
| foot arch | 脚弓 | /fʊt ɑːrtʃ/ |
| tendon | 肌腱 | /ˈtɛndən/ |
| ligament | 韧带 | /ˈlɪɡəmənt/ |
| cartilage | 软骨 | /ˈkɑːrtəlɪdʒ/ |
| spur | 骨刺 | /spɜːr/ |
| talar spur | 距骨骨刺 | /ˈteɪlər spɜːr/ |
药物与治疗相关
| 英文词汇 | 中文释义 | 发音 |
|---|---|---|
| diclofenac | 双氯芬酸（止痛药） | /daɪˈkloʊfənæk/ |
| NSAID | 非甾体抗炎药 | /ˈɛnˌsɛd/ |
| uric acid | 尿酸 | /ˈjʊrɪk ˈæsɪd/ |
| flare-up | 发作 | /ˈfleər ʌp/ |
| anti-inflammatory | 消炎的 | /ˌæntiɪnˈflæmətɔːri/ |
| steroid injection | 类固醇注射 | /ˈstɪərɔɪd/ |
| allopurinol | 别嘌醇（降尿酸药） | /ˌæləˈpjʊrɪnɔːl/ |
| febuxostat | 非布司他（降尿酸药） | /fəˈbʌksəˌstæt/ |
| colchicine | 秋水仙碱（治疗急性痛风） | /ˈkɒltʃɪsiːn/ |
| blood test | 血液检查 | /blʌd tɛst/ |
| X-ray | X光 | /ˈɛksˌreɪ/ |
| MRI | 核磁共振 | /ˌɛmˌɑːrˈaɪ/ |
功能障碍和症状表达
| 英文表达 | 中文意思 |
|---|---|
| I can’t stand on my toes. | 我无法踮脚。 |
| I can’t bend my ankle properly. | 我的脚踝弯不下去。 |
| It feels like something is stuck. | 感觉骨头里卡住了。 |
| It hurts when I put weight on it. | 受力时会疼。 |
| I’m limping when I walk. | 我走路时一瘸一拐。 |
| My ankle is still slightly swollen. | 我的脚踝还有点肿。 |
| I feel a dull ache all the time. | 一直有点酸酸的钝痛。 |
| Sometimes there’s a sudden twinge. | 有时候会突然刺一下。 |