Lingering Gout Pain in Knee

Lingering pain & weakness 6 weeks after gout flare

Stopping Gout Together Forums Help My Gout! The Gout Forum Lingering pain & weakness 6 weeks after gout flare

This topic contains 28 replies, has 7 voices, and was last updated by  Darline Smith 2 months, 1 week ago.

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  • #2226

    GoutPal Seeker
    Participant
    Ŧallars: Ŧ 1.81


    The purpose of this topic is to help you get the right information about lingering gout pain from your doctor. Because it covers several related matters that help you learn what questions to ask your doctor about gout pain duration. Then you can understand why your gout is lasting so long. So I urge you to read this topic carefully. But I think you should first read some related facts about gout so that you understand the things we discuss here. However, if you prefer to read the discussion first, I will repeat these links at the end of the topic.

    Lingering pain after gout.
    See Lingering Pain After Gout because this explains why you get a gout flare that seems to last forever. Then it tells you what you need to do to avoid residual pain after gout attacks.
    Gout attack lasting weeks.
    See How Long Does a Gout Attack Last because this explains various factors that affect gout flare duration.
    Why is my gout lasting so long?
    See How Long Does Gout Last? It’s Your Call because guides you to consider what you really mean when you ask “Why is my gout lasting so long?” Then it helps you recover from gout as fast as possible.

    The original topic and responses continue below…


    TL;DR: Had a major gout flair in my right knee. Still having lingering pain/stiffness/weakness about 6 weeks later.

    The longer version:

    I was first diagnosed with gout in my right big toe about 10 years ago. After a treatment with indomethacin, the pain went away and I’ve been symptom-free since then, even though I’ve consistently had high Uric Acid readings (ranging from 8.5-10.7, depending on when the test took place).

    That all ended in mid-September. I had some stiffness in my right knee one day. No pain, just some arthritic stiffness that went away when I would move around. The next day I had some pain, weakness, and limited range of motion. The third day I could barely move my knee without major pain, so I finally went to the Dr. There was no pain to the touch, no redness or warmth, just major pain when I moved my knee beyond a very limited range. So I didn’t think “gout” and was just treating it with 800mg ibuprofen 3x/day. The urgent care Dr didn’t think gout either and sent me for x-rays to see if there was any damage. No damage, but there was some fluid so she sent me to see an orthopedist a few days later. I had no improvement in the meantime. The orthopedist aspirated the fluid and gave me a cortisone injection. That helped some. A day or two later he called and said there were crystals in the fluid and I had gout. By that point, I was about 90% better so they didn’t recommend any additional treatment beyond the ibuprofen.

    That’s about where I’ve plateaued. I still have stiffness/weakness/pain, especially if I’ve been sitting for a while. And my range of motion in my knee isn’t 100%, more like 90% on a good day and 75% on a bad day. I saw my PCP last week and he said that there can sometimes be some lingering arthritic symptoms after a gout flare. He wants me to wait a while longer to see if I get better on my own before looking to see if there is any undiagnosed structural damage that could have started all of this.

    Have any of you had any experience with lingering pain/stiffness/weakness following a major gout flair? This didn’t happen when I had it in my big toe 10 years ago.


  • #2228

    Keith Taylor
    Keymaster
    Ŧallars: Ŧ 1173.53

    Hi, Chris

    TL;DR Lingering pain, stiffness, and weakness, is common after a gout flare. This situation worsens as the uric acid burden grows.

    So, “What’s the uric acid burden?”, I hear you ask.

    Every day that uric acid is above the crystallization point, uric acid crystals form in our bodies. Our immune system engulfs uric acid crystal when it sees them. This prevents further inflammatory response. It hides the problem, but our bodies cannot cope indefinitely, with excess uric acid. Gout flares occur when the immune system gets overwhelmed.

    As you’ve experienced, Chris, the uric acid burden can grow over several years, without experiencing a gout flare. Eventually, the burden starts to produce low levels of discomfort, even when there is no acute gout flare. Also, the battle of uric acid crystals depresses the natural repair of joint tissues. So, joints become weaker as time passes.

    The crystallization point of uric acid is measured in the lab at usual human core body temperature as 6.8mg/dL. But, our joints are cooler than our core. So, uric acid crystals form at lower than 6.8. Anyway, your levels are much higher, Chris. Extensive, your burden is.

    Medics have a policy of not prescribing uric acid lowering until you get 2 gout flares in a year. That’s going to happen to you very soon, Chris.

    If you’ve been following my recent posts, you will see that I’m obsessed with Gout Groups. They make it easy for me to focus my help. And they also help me to ask the right questions at the right time. So, my question is, where do you want to go next? Questions for Gout Sufferers has the choices.

    You can ignore high uric acid, and join the Gout Victim Group. Or, you can start to consider the best uric acid lowering treatment for you, in the Gout Recce Group. You might even know which type of treatment you want and move straight to one of the treatment groups.

    What next, Chris?

  • #2229

    GoutPal Seeker
    Participant
    Ŧallars: Ŧ 1.81

    Thanks for the reply. I’m definitely not interested in ignoring my high uric acid any longer. The earlier attack in my toe was more acutely painful but this knee attack was far more debilitating. I’d like to do what I can to reduce the risk of having it come back, and also to get my knee as close to 100% again as possible.

    Everything I’ve read about treatment to lower Uric acid says that you shouldn’t start while in a flare. Is the lingering pain and weakness considered still an active flare or would it be safe to start treatment now? What have you seen to be effective in dealing with the pain and stiffness while working on lowering Uric acid levels? I’d of course talk about these with my doctor prior to starting treatment but I like to be an informed consumer of health care and would like to have some options already in mind when I meet with him.

    I’m in the US if that makes a difference in the available treatment options.

  • #2231

    Keith Taylor
    Keymaster
    Ŧallars: Ŧ 1173.53


    I understand why people suggest waiting until gout flare has gone before starting treatment. I know why I would not wait ( http://www.goutpal.com/4853/start-allopurinol-quickly-but-carefully/ ). What really matters is the view of your mentor.

    I believe all gout sufferers need a mentor, who will support them during the planning and therapy stages of uric acid lowering. I can improve my explanation of the importance of mentoring. But, for now, my best effort is my first Gout Mentor article. I believe your gout mentor should be your doctor. But, I’m happy to share that role.

    Leaving aside the question of starting allopurinol now, or waiting a week or 3, let’s focus on what is more important.

    To successfully manage uric acid lowering, I believe you have to be confident with your gout pain therapy. This is because most gout sufferers will experience gout flares, until allopurinol has worked it’s magic. That is why early start of allopurinol works in the study I mentioned. Because, gout patients who take preventative pain relief can start allopurinol without problem. It is logically and practically correct. But, it won’t work if your mentor doesn’t understand it.

    In theory, this is simple logic based on established medical facts. In practice, gaps in knowledge cause problems. That’s why I offer diaries for personal gout facts. And structured help for personal gout therapies. My services should support doctor’s medical history, and doctor’s scheduled consultations. Ideally, you don’t need my help. Especially if, your doctor provides the right treatment, with the right pre-treatment guidance and support.

    Pain control should address:
    1. Limiting inflammation spread
    2. Reducing inflammation
    3. Blocking residual pain.
    Country mainly affects the first of those 3. Limiting inflammation is usually a job for colchicine. I’m not getting any feedback on the latest situation on the Colcrys price problem. Officially, cheaper generic colchicine should now be available. Anyway, I’m visiting the States in January 2017. So, I can check it out for myself.

    Sorry, Chris, this has got a bit long-winded. Detailed timing and dosing must be personal. Also, there are individual choices about specific meds. A general guide for effective gout pain control during urate debulking is:
    1) 1 preventative colchicine at bedtime for 2 to 6 months. Additional 1 colchicine in morning, as required if gout symptoms justify.
    2) As required, gout strength ibuprofen, naproxen or other NSAID.
    3) As required, gout strength acetaminophen/paracetamol between NSAID doses.

    I hope it goes without saying that this must be doctor/pharmacist approved. It’s a starting point for discussion. Some doctors advocate steroids for gout pain control. To me, that’s a last resort.

    As with all things gouty, there are alternative points of view. So long as the final choice suits the patient best, we cannot ask for more.

  • #4865

    geoffz (old forum)

    Why does gout swelling in my ankle linger like this?

    I had my worst gout attack ever, 2 weeks ago now. It focused around my ankle bones on my left foot. It was so bad I did not sleep for a couple days and I had to see the doc to get a pain shot.

    Anyway, a week plus later I can walk pretty normal but the subtle swelling around both ankle bones just lingers. I’m wondering if that is swelling from lingering gout or inflammation from damaged tissue around the ankle? I can’t seem to get past this “last phase”.

    Any advice?

    • #4866

      gout bruise (old forum)

      I have had a gout attack on the same spot.

      Just got my 2 days of treatment down, a lot better but spot below ankle is still tender, sort of like a bruised feeling.

    • #4867

      zip2play (old forum)

      An acute attack of gout is an overwhelming insult the joint and some residual swelling might not be unexpected as your body tries to deal with the last remnants of uric acid. For persistent sufferers, the condition never fully resolves and that is often referred to a “chronic gout.”

      As long as there’s no pain, there’s not much point to analgesics. To relieve the swelling faster, try to sleep with your leg raised…same for Telly watching or reading.

    • #4868

      Jane (old forum)

      My husband’s latest gout attack seems to be lasting for over two months. He is still in great pain.

      Has anyone else had one that has lasted for so long? Or is this a sign that something else is at the bottom of the pain and swelling?

    • #4869

      zip2play (old forum)

      Jane,

      What is your husband doing for the attack? Colchicine, Indocin? Has he had gout for a long time, long enough for it to have gotten “chronic?”

      My longest attack was 9 days before I started the colchicine…cure took 22 hours.

    • #4870

      gout bruise (old forum)

      I too was surprised how long the attacks can go on and then the pain linger with only a few good days between attacks. For me, it has been 5 months now. I hate myself my tolerance level has become so low and my family is suffering for it.

      I have a few good days once in awhile. But, for the most part, I am miserable and in so much pain. As the days go on my Right Big toe swells more and more as does the severity of the pain.

      Colchicine does not seem to help and neither do the NSAIDs.

      I am on Allopurinol 200 mg. and drink plenty of water.

      5 months ago, before the Allopurinol, my serum uric acid was 8.5

      One month ago it was 6.5 yet attacks continue.

      I search every information I can find as the Dr. wait is always at least 2 months.

      6 weeks ago he referred me to a Rheumatologist and that appointment is not until mid-September.

    • #4871

      Keith Taylor
      Keymaster
      Ŧallars: Ŧ 1173.53

      At 6.5, you are just on the cusp of uric acid control. Because I believe what is happening is that you are moving constantly around the point where urate crystals form (around 6.8). So as soon as the crystals start to dissolve, the uric acid rises again, and new ones might form. For more information, use the search box near the top of each page to Google “Gout Hell”.

      Ask your doctor to approve 300mg, to get your level down more. Please don’t give up on the allopurinol, as it is your best chance of controlling the gout.

      You will still get some attacks for a few months, but they will reduce in intensity and frequency. Colchicine should help. How much do you take?

  • #4881

    cjeezy (old forum)

    Lingering gout symptom question

    Like many, mine started with the pulsating burning, throbbing feeling in the bunion area.

    Over the past weeks, the pain has subsided and that area is basically healed. The odd thing is that now the lingering pain is different spots that are NOT joints.

    First I now have pain in between the 2 tendons that stretch across the top of my foot (big toe and 2nd toe tendons). 2nd, I have slight pain on the pad of my foot (under neath the ball joint of the big toe).

    Is all this normal with gout? I thought it was a joint disorder.

    • #4882

      cjeezy (old forum)

      Looks like I spoke too soon! Woke up this morning and my bunion area is VERY sore again. What the hell?!?! This is starting to get really annoying.

      Do most people have lingering symptoms all the time. Or do you completely heal eventually?

      It’s now been almost 5 weeks. I go back to the Dr next week to have UA levels tested, but how can one ever even consider starting Allopurinol if you can’t ever get over the damn attacks, to begin with? What else can I do to get through this? I’ve watched my diet, I drink at least 3 liters of water/juice a day, cut out beer entirely, I take celery seed and cherry pills.

      I stopped taking Indocin (switched to Ibuprofen)because it was hurting my stomach and making me depressed. But I started it back up again today (gonna call Dr and see if there is an alternative).

      Any words of encouragement? Will I ever completely heal?

    • #4886

      cjeezy (old forum)

      Thanks Zip. I’ll post an update later today. Do most people eventually get back to normal or is there typically some sort of lingering pain at all times for gout sufferers. I guess what I’m getting at is is this pain something I’ll have to accept and live with daily?

    • #4883

      zip2play (old forum)

      Colchicine!

    • #4884

      cjeezy (old forum)

      I called my Dr this morning and explained that I had an appointment next week but wanted to see if they could call me in some Colchicine and renew my pain meds. She said that they would probably not do that unless I came in for a visit. I explained to her that the Indo was hurting my stomach and making me depressed…and didn’t work that well anyway. I also told her that I could not wait until next week to come in and I needed something now before I have a full blown attack again. She took my number down and said they would call me back.

    • #4885

      zip2play (old forum)

      Good luck,

      cjeezy

      (Indomethacin makes me dizzy)

    • #4887

      Tavery (old forum)

      It’s funny to read your posts because they are nearly carbon copies of my own posts over the last few months. I was at this stage a couple months ago and asking the same question.

      Yes, it will get better. I had lingering soreness for quite a while also and it will eventually fade.

      For general soreness, I would stick with Ibuprofen and only go back to Indo if the pain became problematic. In general, if you continue on a path similar to mine, it will go something like this.

      • Soreness around bunion, by the end of the day you are ready to put your feet up. Wife gets mad the grass isn’t getting mowed and the dog crap needs to be picked up.
      • Soreness fades after three days or so, but the area is still sensitive to the touch (i.e. it hurts if you push on the bunion area) This lasts a couple weeks and you spend a lot of time in loose fitting shoes or soft slippers. You mow the lawn, but by the early evening, you are looking for excuses to park your butt on the couch in the evening. Folding laundry became a personal favorite.
      • Twinge! You wake up one morning and feel something not quite right but it’s not debilitating either. You pop some drugs and up your water intake. It goes away by the next day.
      • You slide back into your old routine a bit and after a few weeks you wake up with that familiar pain of a flare-up, except this time it’s maybe half as bad as your original. You hobble and whine a lot and the wife reaches deep into her well of patience to keep from killing you.
      • You hobble to the computer and spend the $150 to order a home test kit from Britain.
      • Drugs, water and a week later you are back to something resembling normal. Just in time to get your new home test kit. Number fascination ensues. You spend a lot of time thinking about how to best poke your finger so you get a great blood sample.
      • You spend a month or two being attack free and you think that with the diet changes, a bit more exercise and self-monitoring you got this gout stuff licked.
      • One morning you wake up to yet another twinge and you analyze everything you have eaten/drank for the past week and can’t find a solid reason for a gout flare-up. Now you are in pain AND pissed.
      • Tired of laying awake and thinking about your own mortality and tired of trying to fight it, you then go back to the doctor and request 100mg of Allopurinol and set a date three months hence for another review.
      • You are on a pill every day for the rest of your life, but you sleep better. You make a few changes to your lifestyle anyway because you know it’s the right thing to do.

      😎

    • #4888

      cjeezy (old forum)

      LOL! Your post is funny! and somewhat true..except I’m not married yet and I already spent the damn $150 bucks for the home kit (should receive it next week).

      This stuff is really starting to tick me off but I appreciate your confidence that it will eventually go away (temporarily of course). 5 weeks of this crap and it’s still not gone? wtf? I know I’ll eventually need to take a Rx every day, but I think what I’ll probably do first is try and get through this attack completely (If that ever even happens!) and do the moderation thing for a while…just to see how long it takes for another attack to happen…UNLESS My UA levels are very high. Then I’ll start the pill sooner.

      I’m not going to obsess about triggers either. If I get another attack in the next year then I’m going to ask my Dr to start me on 100mg of Allopurinol to see if a minimal dosage can help lower UA levels below 6.5.

      Question about the home kit, if I’m on a Rx, is the home kit and accurate way to check my UA levels and the success of the drug? Or do I need to go back to the Dr every couple weeks?

    • #4889

      zip2play (old forum)

      Once you have had an attack, a serum uric acid of 6.5 is NOT low enough to avoid others. It may be fine for some one with NO uric acid crystals, but once you have had your first attack you will NEVER reach the point of no uric acid crystals and thus you cannot have supersaturation.

      Control below 6.0 is minimum treatment and control below 5.0 is optimal. Do not settle for 6.5.

      I described my 9 days of MURDER TOE and my 22 colchicine ad nauseum. I immediately began 300 mg. allopurinol and took my UA down to 4.7 by the next week. When the pain ended abruptly on colchicine, there was no lingering soreness at all in my toe…not for a single day.

      Yes, I get twinges years after if I am walking all day in the Summer sun, but never an attack or what I would call gout-related pain. I don’t doubt that the gout attack DID some damage to my bunion joint permanently and it will never be perfect but that is different from a gout attack.

      So there are two different scenarios for gout attack aftermath: with allopurinol and without.

    • #4890

      cjeezy (old forum)

      Rightfully said. Ok, less than 5 will be my goal. I’m curious what my Dr will tell me.


      Before you continue to discuss lingering gout you should read these relevant facts:

      Lingering pain after gout.
      See Lingering Pain After Gout because this explains why you get a gout flare that seems to last forever. Then it tells you what you need to do to avoid residual pain after gout attacks.
      Gout attack lasting weeks.
      See How Long Does a Gout Attack Last because this explains various factors that affect gout flare duration.
      Why is my gout lasting so long?
      See How Long Does Gout Last? It’s Your Call because guides you to consider what you really mean when you ask “Why is my gout lasting so long?” Then it helps you recover from gout as fast as possible.
  • #2255

    William Phelps

    Occasional Gout Keeps Returning

    Hello
    I’ve just had a recurrence of Gout that was quite painful cleared up after taking Anti Inflammatory (diclofenac ) for a week, my uric acid was 6.6 on my last medical March 2016

    Is it best to take allopurinol as a precaution or just accept the occasional bout?

    William

  • #2256

    Keith Taylor
    Keymaster
    Ŧallars: Ŧ 1173.53

    Hi William,

    It’s not for me to say what’s best for you. There are arguments for starting uric acid lowering treatment as soon as possible. And, there are arguments against.

    Common arguments against medical uric acid lowering treatments are risks of side-effects. Many gout sufferers claim they would rather change their lifestyle to try and lower uric acid. From what I’ve seen, very few people make a real commitment to this. So, they end up as Gout Victims.

    Personally, I’m a great believer in allopurinol as an effective treatment for gout. However, there are lots of other choices. My main role is to help you identify what choices you have. Then, when you understand your options, I want to help you manage your gout in the way that is best for you.

    Above all, realize that gout is a progressive dangerous disease. There is no such thing as “occasional gout”. However, you can suffer occasional gout attacks. In between those attacks, you suffer what the medics call inter-critical gout. During inter-critical gout, excess uric acid continues to damage you. I mentioned gout is progressive. The progression is:

    1. Gout attacks become more intense, more widespread, and more frequent.
    2. Bones, tendons, and other joint tissues become permanently damaged.
    3. Uric acid deposits (tophi) spread to soft tissues. Skin, kidneys and heart are commonly damaged. But, all organs are at risk, except the brain.
  • #2263

    Patrick
    Participant
    Ŧallars: Ŧ 106.46

    Is it best to take allopurinol as a precaution or just accept the occasional bout?

    William, personally I don’t take Allopurinol as a precaution. I take Colchicine as a precaution. Allopurinol is prescribed for one reason only…..to reduce Uric Acid in your body. That’s not a precaution, that’s a cure. Colchicine, on the other hand, can be taken as a precaution because it helps with inflammation, which comes as a side effect/result of excess Uric Acid. See the difference?

    I will give my PERSONAL opinion. Do NOT accept the occasional bout. If your bouts are anything like mine, then can be debilitating. Living with pain is not a way to go through life. For me, I’m lucky. I don’t expereince the side effects of Allopurinol that some people do. I’ve taken it for almost a full year now and it has worked wonders for me. My Uric Acid went from a high of 9.6 to 4.7. I occasionally get a minor flare, but with the knowledge I have obtained here and other places, I know exactly what to do to combat it and I can easily kill the flare in a day.

    Gout and Uric Acid can long term health problems to your joints. Do yourself a favor and live pain free. For me (again, personally) I’d rather risk the very minor side effects of Allopurinol than spend one day in Gout pain.

  • #2293

    Chetan

    Can’t bear weight on foot after 2 weeks gout

    Hello,

    Thanks for creating this forum, i hope this is active and i will get response to my post. Here is my story, One night i felt i had bad dream and twisted my foot in dream, woke up in night with pain in foot (Area before small finger on foot). pain was not deadly, morning i went to office with bit pain in right foot, later evening went to super stores with bit pain in foot. thought its normal and will get better. but later that night i coudnt sleep due to swelling in foot and even i couldnt bear weight of blanket. got fever due to pain and took ibrpofene. Next day saw doctor and did blood test, doc said uric level is 9.2 and i have gout and he put me on indomethacin (3 times) for two days,
    Its two week since than still i am using crutches to walk and couldnt bear weight on my right foot. I am not taking indomethacin or any Med. i am not sure if this is gout! did Doc wrongly declared it as Gout. how long it takes for me to start walking normal again.
    I am Vegetarian , No alcohol, No meat, No fish, No family history of Gout.

    Thanks,
    Chetan


  • #2294

    Keith Taylor
    Keymaster
    Ŧallars: Ŧ 1173.53

    Hi Chetan,

    You posted via my old gout forum. The GoutPal Helpdesk team posted your message here. They’ll be in touch with you about how you can post here yourself.

    You definitely have gout. Your first gout attack can be extremely worrying. I’m here to share your worries. A gout attack needs much more than “indomethacin (3 times) for two days”.

    Gout Pain Control
    Indomethacin is a good component of a gout pain therapy combination. But it only works by itself for mild gout flares.

    Normally, I suggest colchicine as the first part of the combination. But, you are probably too late for this. Discuss it with your doctor, if you have to see him again about your gout.

    Indomethacin for severe gout pain should be maximum strength. You can take indomethacin, ibuprofen, or any NSAID (Non-Steroidal Anti-Inflammatory Drug). But, never mix them. Usually gout attacks resolve in 3 to 5 days. 7 days is not unusual. Prescription strength anti-inflammatories should help you get mobile quicker. In my experience, gout pain resolves quicker if you stay active, with gentle exercise.

    With severe gout attacks, you can get residual pain, even with maximum strength NSAIDs. If you have residual pain 2 hours after an NSAID dose, you should consider support from a compatible drug that blocks pain. Usually, this is acetaminophen/paracetamol. But, you must ask your doctor what is suitable for you. Be sure to tell them about all medicines you take (including herbal medicines). You want a compatible pain killer at maximum strength, which is safe in combination with other meds.

    If you are not sure about your best way to control gout pain, please ask for clarification.

    Vegetarian Gout
    Vegetarians, statistically, have the lowest risk of gout. But, you can still get gout. Because, your body turns the plants that you eat into meat (your flesh). That’s where most uric acid comes from. If your body cannot deal with uric acid, you get gout.

    If you have an unhealthy vegetarian diet, you might be able to improve it. But, it’s most likely that you will need uric acid lowering medicine. How do you feel about that?

  • #7375

    Jyothish Nair
    Participant
    Ŧallars: Ŧ 1.87

    Gout attack lasting more than 2 months!

    I am 40 years old male with height of 178 cm & weight of 77 Kg. When I woke up on 19th May 2018, I had a severe pain in the back side of my left ankle which made it literally impossible for me to get out of the bed. After 4 days, still limping severely, I had been to the GP who ordered blood tests and the result shown Uric acid level of 8.9 mg/dL. I was prescribed allopurinol 100 mg X 3 times a day. The pain flares up and reduces(but never stopped) since then and I have been limping for these duration due to the continuous pain. I used to consume alcoholic drinks once in 2 months (a maximum of 60 ml). But since the pain, I have kept away from any form of alcohol.I consume Chicken & seafood once a week. Rest of the days I am on a vegetarian diet.
    Can anyone please tell me whether Gout attack will last this long & do I need to take another medicine? (even as of today, I have severe pain in my ankle (back side).

  • #7376

    nobody
    Participant
    Ŧallars: Ŧ 502.46

    Hi!

    If allopurinol is the only medicine you take, yes you should be taking another medicine.
    You shouldn’t quit allopurinol. Typically, people take allopurinol their whole life. It takes care of the cause of gout but curing gout takes a long time.
    In the meantime, there are many medicines that can help with the pain, swelling and so forth. The most common are a class of fast-acting anti-inflammatory drugs called NSAIDs which includes ibuprofen.

    Gout attacks do not typically last this long but it is not unheard of.
    When people start taking allopurinol especially, they often get frequent attacks. Frequent attacks could of course feel like a single attack of varying intensity if the location of the pain doesn’t change.

    Finally, you didn’t ask about that but it would be prudent to get another blood test done if you haven’t had one since starting allopurinol. First, you need to make sure your body tolerates allopurinol well (typically, liver and kindney function are checked). Second, the efficacy of allopurinol should be verified because it varies between individuals (some people take a higher dose than you do while others take a smaller dose).

    Goof luck!

  • #7724

    Darline Smith
    Participant
    Ŧallars: Ŧ 2.90

    10th day of painful big toe gout attack. Thought attacks did not last this long
    Oh

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