How to Treat or Cure Gout

Gout can be controlled very well. When uric acid is kept low for long enough, crystals dissolve, flares stop and joint damage can be prevented. This is a long-term plan with a doctor.

Step 1: Confirm the diagnosis

A doctor examines the joint and may order a blood uric acid test, an X-ray or ultrasound, or a joint fluid test that shows crystals. Fluid is also tested to rule out infection.

Step 2: Treat the flare

Rest, ice, fluids and medicines such as NSAIDs, colchicine or steroids, started early.

Step 3: Lower uric acid for the long term

If you have repeated flares, tophi, kidney stones or kidney disease, a doctor may start allopurinol, febuxostat or another medicine. The aim is a uric acid level under 6 mg/dL. It is started slowly, often with colchicine cover for a few months to prevent flares.

Step 4: Change lifestyle

Weight loss, less alcohol, fewer sugary drinks and purine-rich foods, and good hydration.

Step 5: Follow up

Blood tests every few months until the target is reached, then at least yearly.

Is it curable?

Gout is usually a lifelong condition that can be controlled, and in many people flares stop completely while on treatment.

Surgery

Rarely used for large tophi or joint damage.

Urgent care

A hot, swollen joint with fever needs same-day care.

Before your appointment

Carry earlier uric acid and kidney reports, a list of all medicines and supplements, and notes on which joints hurt, when flares started and what you ate or drank beforehand. Tell your doctor about any kidney stones, diabetes, blood pressure or family history of gout.