• Can a surgery treat gout?

I have been diagnosed with gout, and the doctor says dietary changes will help manage my condition. But can a surgery be faster in providing relief?

11 Answers

  • Orthopedist
  • Greenville, SC

Unfortunately not. Gout is a problem wear uric acid, the waste product of every living cell in our body, is not cleared by the kidney. Either because there is more uric acid than normal being made or because the kidney is not good at getting rid of it. When the uric acid level is high, it will crystallize in joints (it literally looks like white paste in the joint). Most commonly the big toe joint. This can cause "gout attacks" with a red, hot, swollen, painful joint for several days. This is because the body is reacting to the uric acid accumulation by generating a massive inflammatory reaction in the joint. To treat gout, other than dietary changes, medications are used. There are 2 "maintenance" medications available, Uloric or Allupironol. These are taken every day and work by helping to decrease uric acid levels. A medication by the name of Colchicine is used only for gout attacks but should not be taken regularly. Anti-inflammatory medications like a prescription strength Ibuprofen can be used as well. The only time surgery is considered in the spectrum of a gout condition is when a joint becomes so destroyed by repeated gout attacks. At that point, a "clean up" type surgery may be warranted, or a more aggressive surgery like a replacement or fusion may be needed. Hopefully, in your case, this will never be needed.

  • Orthopedist
  • Oakland, CA

Typically, a proper diet and use of medication, especially during flare-ups, are advisable.

  • Orthopedist
  • BURLESON, TX

Gout is usually treated with prescription medicine. Rarely is surgery necessary.

  • Orthopedist
  • Smithfield, NC

Gout is not treated by surgery. Treatment involves lifestyle adjustments and medication

  • Orthopedist
  • Alexandria, LA

No

  • Orthopedist
  • Monsey, NY

Medical management and controlling the pathology for Gout is the mainstay of treatment for gout. Surgical intervention is not routinely necessary, but it also depends which joint of the body is involved.

  • Orthopedist
  • Key West, FL

No, gout is a medical problem and lowering the Uric acid is the key

  • Orthopedist
  • San Antonio, TX

Medical and diet modification are the current treatments for gout.

  • Orthopedist
  • Tyler, TX

Surgery can address certain issues like a gouty tophus, but surgery does not cure gout.

  • Sports Medicine Specialist | Sports Medicine
  • Mobile, AL

As doctors, we always treat patients with the least dangerous/invasive means prior to any surgery. Therefore, you would have to be treated for gout for a long time before any doctor would offer surgery. In cases where non-surgical means have failed, there are surgeries to treat a joint that has been damaged by gout.

Hope it helps!

Bose

  • Orthopedist
  • Huntington, WV

It depends if there is a collection of the gout in what’s called a tophi. Almost like a cyst. That can be treated with surgery. No surgery can cure the gout, though.

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