Rheumatology treats musculoskeletal and autoimmune diseases, including arthritis, lupus, gout, and vasculitis.
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Effective gout management requires treating immediate pain and lowering uric acid to prevent future attacks. Comprehensive plans combine medication and lifestyle changes to prevent joint damage and severe complications.
Medication Review: Inform your doctor if taking blood thinners; dosage may need adjustment, though small needle aspiration is often safe.
Allergies: Report allergies to latex, iodine, or local anesthetics.
Clothing: Wear loose clothing for easy joint access (e.g., shorts for knees).
Transportation: Arrange a ride home if the foot or knee joint is affected; soreness may persist briefly.
Once the acute pain is gone, the focus shifts to prevention. This is often called Urate-Lowering Therapy (ULT). The goal is to keep uric acid levels below a specific target (usually 6 mg/dL).
Common long-term medications include:
Our team at LIV Hospital adjusts these medications based on regular blood tests. This ensures the dosage is perfect for your specific needs.
Medication is not the only way to manage this condition. Non-surgical treatment for gout plays a massive role in recovery. Lifestyle changes can lower uric acid levels naturally.
Key lifestyle adjustments include:
LIV Hospital provides access to nutritionists who specialize in inflammatory diets. They work with you to create a meal plan that is both healthy and enjoyable.
While most gout cases are managed with medicine, some situations require procedures. This is common if the disease has progressed or if large crystals have formed, hard lumps called tophi.
Joint aspiration, or arthrocentesis, is a common procedure performed in our clinic. This is a minimally invasive method used for both diagnosis and treatment.
During this procedure:
This procedure is quick and is often done in the doctor’s office. It provides rapid relief for severe swelling.
In advanced cases, gout crystals form large, hard lumps under the skin. These are called tophi. Surgery may be needed if they cause pain, infection, or limit joint movement.
Tophi removal surgery involves:
Making a small incision over the lump.
Carefully removing crystal deposits.
Cleaning the joint to prevent infection.
This restores movement and prevents tophi from causing infections.
If gout is left untreated for many years, it can permanently damage the joint cartilage. In these rare cases, orthopedic surgery may be required to restore function.
LIV Hospital’s orthopedic and rheumatology teams work together. We ensure that if surgery is needed, it is performed with advanced techniques to minimize recovery time.
Gout is a chronic condition, meaning it requires lifelong management. Regular follow-up appointments are vital to ensure the treatment is working.
Monitoring protocols at LIV Hospital include:
Regular monitoring allows us to adjust medications before a new flare occurs.
Managing a complex condition like gout requires a team of experts. LIV Hospital offers world-class care for rheumatological conditions.
Accurate diagnosis is the first step to effective treatment. LIV Hospital utilizes Dual-Energy CT (DECT) scanning. This advanced imaging technology can see uric acid crystals that standard X-rays might miss. This allows us to diagnose gout earlier and more accurately.
At LIV Hospital, you are not just treated by one doctor. Our team includes:
This collaboration ensures that every aspect of your health is considered. We treat the whole person, not just the joint.
We understand that chronic pain affects your quality of life. Our goal is to make treatment as comfortable and effective as possible. From minimally invasive procedures to comprehensive rehabilitation, we support you at every step.
Send us all your questions or requests, and our expert team will assist you.
Treatment includes medications to stop pain (NSAIDs, colchicine) and medicines to lower uric acid (allopurinol). Lifestyle changes like diet and weight loss are also major treatment options. In advanced cases, procedures to remove fluid or tophi lumps may be used.
For a standard flare, recovery takes 3 to 10 days. If you require surgery to remove tophi or repair joint damage, rehabilitation may take several weeks. Physical therapy helps speed up the return to normal activity.
Most patients do not need surgery. Surgery is only recommended if you have large, painful tophi lumps that do not go away with medicine, or if there is severe joint damage or infection.
Acute attacks are treated with anti-inflammatories like ibuprofen, colchicine, or corticosteroids. Long-term prevention uses urate-lowering therapies such as allopurinol or febuxostat to keep uric acid levels safe.
During recovery from a flare, pain and swelling will gradually decrease. You may need to rest the joint and apply ice. With long-term treatment, you can expect fewer attacks and better joint mobility over time.
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