5 doctors weighed in:

How do doctors get rid of gout tophi?

5 doctors weighed in
Dr. Angus Worthing
Internal Medicine
2 doctors agree

In brief: Medications; depends

Discuss this with your physician.
Tophi are collections of uric acid. Medications that lower uric acid shrink tophi if the level of uric acid in blood can be lowered below 6mg/dl and the lower, the faster (but slowly; millimeters per month). If one has many bulky tophi and pills do not help over time, an infusion of pegloticase (krystexxa) can be much faster but is only rarely needed.

In brief: Medications; depends

Discuss this with your physician.
Tophi are collections of uric acid. Medications that lower uric acid shrink tophi if the level of uric acid in blood can be lowered below 6mg/dl and the lower, the faster (but slowly; millimeters per month). If one has many bulky tophi and pills do not help over time, an infusion of pegloticase (krystexxa) can be much faster but is only rarely needed.
Dr. Angus Worthing
Dr. Angus Worthing
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1 comment
Dr. Jerry Miles
Surgical excision works for single large lesions. However wound healing can be difficult.
Dr. Kenneth Tepper
Orthopedic Surgery
1 doctor agrees

In brief: Surgery

Surgical removal by making an incision over the tophi and removing it is very effective.

In brief: Surgery

Surgical removal by making an incision over the tophi and removing it is very effective.
Dr. Kenneth Tepper
Dr. Kenneth Tepper
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