knee pain gout

Terrible pain after gout attack?

I had a severe attack of Gout which affected both my knees and both ankles i could not walk for 4 days the swelling has since gone down but i am left with terrible pain in both ankle joints i cannot move without crutches and when i can it is not far please help. i am 50 years old.

This really is something you MUST discuss with your GP. Usual management is one of the older NSAIDs that also reduce Uric Acid levels such as Naproxen, this might need to be given with a PPI such as omeprazole as the NSAID dose required is often very high and you may need gastric protection.

If you are prone to frequent severe attacks then allopurinol might need to be started at the same time and then left on as a maintenance prophylactic to reduce the risk of further attacks.

Changes in diet are often suggested to avoid purines but seldom prevent definitively.

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