What is the treatment for gouty arthritis?

Often not Rx fully: It's a very good question, firstly because it is often not rx correctly, and because often people that suffer from this often don't think they could ever be in a pain-free state. But that should be the goal. Hydration most important to prevent uric acid kidneys stones or acute gout. Allopurinol & uloric lowers serum uric acid levels; benemid (probenecid) inc excretion; Colchicine + nsaids rx acute attacks, etc.

Ideally prevention: Arthritis from gout occurs when uric acid crystals from the blood stream get deposited in the joints. The crystals cause an inflammatory reaction that can cause severe joint damage and arthritis. Ideally the treatment involves lowering uric acid levels in the body either with diet or medication. Thank you for the question.

Acute or chronic?: An acute gout attack will respond to Colcrys (over-priced colchicine), oral nsaids or a steroid injection into the joint. Chronic gout requires uric acid management and possibly joint surgery, if too much damage has already occurred.

Gout: The arthritic form of gout can destroy joints and is the result of many attacks both acute and sub-acute. The goal is always a normal uric acid level . Hydration helps a little , but diet modification and proper medication are the keys. Surgical resection may be needed for badly damaged joints.

Lowering uric acid !: You need to lower uric acid, but if done too rapidly, it paradoxically might bring on an attack. Most patients should have an acute attack dealt with nsaids, colchicine, or even a steroid injection into the inflamed joint. Low dose Allopurinol 100 mg is started a few days later and incrementally increased to lower uric acid levels to or below 6mg/%. No need for anyone to have chronic problems.

Usually medication: Colchicine, allopurinol, uloric and to maintain a diet to control gout.