X-rays are not usually done but sometimes an ultrasound is done to see if there are crystals in the joints.
If NSAIDs can’t be tolerated or the person has a history of ulcers then they may try:
Resting the joint and applying ice packs may also help with pain and inflammation. When the affected joint is a big toe, a box or cage to keep the bedclothes off the toe may be helpful.
People can reduce their chances of having another attack of gout by taking certain medication and making lifestyle changes to reduce the level of uric acid in the body:
People experiencing gout attacks should avoid medicines containing aspirin as these can make gout worse.
Preventing acute gout attacks is just as important as treating the attacks of gout. Prevention of gout generally involves:
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Gout causes sudden severe joint pain. See a GP for treatment to help during an attack and to stop further attacks.
You might be sent for a blood test, ultrasound or X-ray. Sometimes a thin needle is used to take a sample of fluid from the affected joint to test.
The tests will find out how much of a chemical called uric acid there is in your body.
Having too much can lead to crystals forming around your joints and causing pain.
Attacks of gout are usually treated with anti-inflammatory medicine like ibuprofen.
If the gout doesn’t improve after 3 to 4 days, you might be given steroids as tablets or an injection.
Gout can come back every few months or years. It can come back more often over time if not treated.
If you have frequent attacks or tests show you have a high level of uric acid in your blood, your GP might prescribe medicine called allopurinol or febuxostat.
This is used to lower the levels of uric acid and needs to be taken in the long term.
It’s important to take uric-acid-lowering medicine regularly, even when you no longer have symptoms.
If you injure or bruise a joint and it’s more painful than you would expect after a minor bump, it could be an attack coming on.
It’s rare to get lots of attacks, but if you do, you can develop permanent damage to the joint (chronic gout).
Chronic gout can also cause tiny white lumps (tophi) to appear under your skin, especially on your ears, fingers or elbows.
You can get kidney stones if your uric acid levels are very high, so you’ll need treatment to reduce the levels. If you’re having difficulty with is there a cure for gout arthritis you can try a training course or various other instructional content.