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The first step is to find a rheumatologist. Full instructions are on the page - just select South Africa on the right hand side of the page, then check the patient care box.
Tophi (the plural of tophus) can be shrunk by lowering uric acid below 6mg/dl, and maintaining this level for several months. allopurinol is the usual medication for this, but other treatments are available if allopurinol cannot be tolerated.
If the tophi have become so large as to restrict movement, cause pain, or become infected, then they may have to be surgically removed. Even if this is the case, then uric acid lowering treatment is still essential, as tophi will grow back on the same site, or elsewhere.
Got a Sore Point? If you see any mistakes on this website, or anything that makes you sore, please tell me or, even better, discuss it in the gout website forum.
Treating gout effectively requires an understanding of how and why gout occurs. By increasing alkalinity, uric acid is less likely to crystallize and gout attacks are reduced
Gout Videos
Here is a selection of videos related to gout.
Unfortunately the French word for taste, without accented letter o, is gout, so some of the videos may not be to your taste - just try another.
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