Gout has not been able to lower uric acid for many years, and what should I do if my joints are deformed

Gout is a metabolic disease characterized by hyperuricemia and recurrent acute arthritis, chronic arthropathy, and renal disease. The key to treating gout is to lower the blood uric acid level to reduce the occurrence of complications.

Controlling blood uric acid levels is a challenging task for patients with long-standing gout. Although dietary modifications and lifestyle changes can improve symptoms and reduce pain, many patients do not have blood uric acid levels that fall into the ideal range.

In such cases, medication may be necessary.At present, commonly used drugs include drugs that inhibit the synthesis of uric acid such as febuxostat and allopurinol, and drugs that promote uric acid excretion, such as benzbromarone and probenecid. However, blood uric acid levels need to be closely monitored when using these drugs and dose adjustments should be made according to your doctor's recommendations.

If serum uric acid levels are not effectively controlled despite appropriate medical therapy, other treatments may need to be considered. For example, surgical procedures such as surgery to remove tophi or joint replacement can help relieve joint deformities and dysfunction.

For patients with long-standing gout, ongoing medication and regular follow-up are very important. At the same time, positive lifestyle changes can also help reduce symptoms and prevent further progression of the disease. Be sure to follow the guidance of a medical professional.