Treatment for gouty knee pain involves controlling uric acid levels and relieving pain with medication, while also adjusting diet and lifestyle. In the acute phase, nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, or corticosteroids can be used. In the chronic phase, long-term use of uric acid-lowering drugs such as allopurinol, febuxostat, or benzbromarone is necessary. Dietary recommendations include avoiding high-purine foods, drinking plenty of water, and maintaining moderate exercise.
1. Drug therapy is the core approach for treating gouty knee pain. During acute flare-ups, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can quickly relieve pain and inflammation; colchicine is suitable for patients who are intolerant to NSAIDs, but gastrointestinal side effects should be noted; glucocorticoids such as prednisone can be used in severe cases, with significant effects in short-term use. In the chronic phase, uric acid-lowering drugs are crucial. Allopurinol lowers blood uric acid levels by inhibiting uric acid production, febuxostat is more selective with fewer side effects, and benzbromarone works by promoting uric acid excretion.
2. Dietary adjustments are crucial for controlling gout. High-purine foods such as organ meats, seafood, and concentrated meat broths significantly increase uric acid levels and should be avoided as much as possible. Alcohol, especially beer, inhibits uric acid excretion and needs to be strictly limited. Sugary drinks and high-fructose foods also increase uric acid production, so it is recommended to reduce their intake. Drinking plenty of water helps dilute uric acid and promote excretion; daily water intake should be at least 2000 ml. Low-fat dairy products and foods rich in vitamin C, such as citrus fruits, help lower uric acid levels, and their intake can be increased appropriately.
3. Lifestyle improvements are the foundation for long-term gout management. Moderate exercise, such as swimming and cycling, can improve joint function, but strenuous exercise should be avoided to prevent triggering acute attacks; weight control helps lower uric acid levels, but weight loss should not be too rapid; regular sleep patterns and reduced stress can lower the risk of gout attacks. Quitting smoking is beneficial to overall health and can reduce the occurrence of gout complications.
Treatment for gouty knee pain requires a comprehensive approach involving medication, diet, and lifestyle interventions. Long-term adherence is essential for effective disease control and reducing recurrence. Patients should regularly monitor their blood uric acid levels, maintain communication with their doctor, adjust treatment plans according to their condition, and pay attention to joint protection, avoiding overexertion and exposure to cold to maintain a good quality of life.