If you have good insurance, go see a rheumatologist and ask him to put you on Kyrstexxa. I did and it dissolved all my tophi in about 6 months. It involves a bi-weekly infusion of Krystexxa under controlled conditions. It is painless and time consuming but gets the job done. Without insurance, it is likely not affordable. My cost before insurance was about $32,000 every 2 weeks or about $400,000 for the full treatment. The other alternative is a heave does of allopurinol daily for 3-4 years.
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