Gout Treatments
There are many different ways to treat gout, and it’s just as well because we don’t all respond to the same stuff.
The ultimate key to successful treatment of gout is working with a team who are willing to take a sufficiently flexible approach, and trial a number of different therapies to see what works best on your specific case.
The commonly used medications for reducing the pain and swelling can definitely be useful. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) are not prescribed to people with kidney disease, stomach ulcers and some other health issues. Colchicine has to be taken within 24 hours for the best results. Corticosteroids can relieve gout pain but have a long list of undesirable side-effects. While we support the short term use of gout medications where necessary we don’t prescribe them at our clinic, you can see your family doctor if that’s the route you wish to take.
Cryotherapy reduces the inflammation in the soft tissues while promoting blood circulation and restricting the pain signals being carried by the nerves in the affected area. By reducing the inflammation, the naturally occurring swelling is reduced as well, providing a more rapid relief for the symptoms.
Laser Therapy uses red to near-infrared light (660nm–905nm) to promote blood flow in the area and support the body in combating the inflammation. It also helps to stimulate the release of natural endorphins and a substance called ATP. Many of our patients report instant relief from gout pain when they receive laser treatment.
Extracorporeal Shockwave Therapy is the use of intense soundwaves to trigger healing in the body. This treatment has shown great results in promoting new blood vessel development and the reduction of pain in gout. Shockwave therapy has been used for a long time to dissolve kidney stones and it may yet be shown to dissolve crystal formation in gout attacks.
The impact acupuncture can have on pain signals is now well documented. The pain of many gout attacks is so extreme that acupuncture alone is unlikely to help. Used as part of a suite of treatments, acupuncture can be a very useful tool when managing gout attacks.
There is little doubt that gout attacks can be triggered by certain foods and various forms of stress. Navigating this by yourself can be tricky and not all family doctors are receptive to these conversations. We are often able to help our patients identify lifestyle factors that are causing gout attacks and enable them to significantly reduce the frequency and intensity of those attacks.