Chronic Gout

Probably one of the lesser known forms of gout is chronic gout. It is also one of the most unpleasant forms.

This stage normally will only appear after an extended period of suffering from the recurrence of the condition.

The main difference between recurrent and chronic gout, is that chronic pain is an almost permanent state of inflammation, redness and pain in the affected joints. Intensive pain treatment will be required at this stage.

Over time as the crystals continue to accumulate in the joints, the inflammatory response becomes so frequent that there is not enough time for one response to finish before the next one starts.

It is well established that this disease is one of the most painful conditions that you can get. Chronic gout leaves the sufferer in an almost permanent state of pain and suffering.

This can have a serious impact on a sufferer’s life, as the most simple of daily activities involve severe pain. If it affects the lower limbs then just getting up and walking across the room is a mission in itself. If the elbows, wrists or hands are affected by gout then even more simple activities become very difficult.

This condition comes about when a sufferer has ignored the warning signs, or has not realised that it is a progressive disease. As more attacks occur it becomes harder for the body to fix itself. Damage to the cartilage also occurs which further affects the patient. In the worst cases this may proceed to poly-articular gout which is a very painful attack affecting several joints at once!

Chronic gout can affect other joints in the body including the fingers, knees and ankle.
by Trace Meek under CC BY
Chronic gout can affect other joints in the body including the fingers, knees and ankle.


Let’s rewind the clock a little bit.

When someone first gets gout, they will usually experience unexpected and infrequent attacks. These might be weeks, months or even years apart. They may even move around to different joints. Because the pain comes and goes so quickly it is easy to just suffer the short term pain, and then just carry on with life.

However this is the very thing that will lead to worsening the condition. If someone who has had this disease in the past makes no changes to their lifestyle then they will be more susceptible to future problems. Many of the factors which lead to gout are related to diet and exercise. Without changing these, the conditions that cause this condition remain and it will get worse.

Recurrent attacks are the next stage of the disease. With recurrent gout, the attacks come more frequently and begin to stay for longer. By now the affected joints are very irritated and regularly inflamed, and it might take only the slightest trigger to set off an attack. Someone with this condition really needs to take a very good look at what is causing their gout, and do something about it.

Once recurrent attacks are coming so frequently that the body cannot recover, it becomes chronic gout. The sufferer is in almost permanent pain, and life is miserable. By this time the it may be present in more than one joint at a time, and both upper and lower limbs can be affected simultaneously.

Life becomes very difficult when every movement involves pain. Especially pain of the sort that a chronic sufferer of experiences.

There is an even more advanced stage of the disease, being tophaceous gout. Urate crystals start to clump together and form lumps under the skin called tophi. These can be as large as eggs! Essentially there is nowhere left for the crystals to go so they begin to lump together. The hands and fingers are common areas for the formation of tophi, but they are also found in the ears.

If you are a sufferer in one of the early stages of gout then take heed. Unless you start to look after yourself, things are sure to get worse. This disorder is not something to be messed with, and if you have already started to suffer from chronic gout then you need to do something about it. Now!

Start by checking out the foods to avoid when you have this condition. Also you might want to look into some of the homeopathic remedies that are known to be quite effective in helping with your gout.


  1. craig barnes says

    what kind of doctor should i be seein for tophaceous gout and what type of new treatments are there available. i hyave readf that Krystexxa is a new drug for reducing the crystals in the joints. thanks for any help you can give me.

  2. darren taylor says

    i have gout for nine years now im under the doctor but cant find the right drug for me im have a gout Attack every week and they are lasting longer and longer eery time im 33

  3. Robin Stewart says

    My son has had chronic gout for over ten years and was virtually house/bed bound because of the never ending flares. He started on Krystexxa a little over a year ago and was able to dance at my wedding two months ago. He is finally able to do things with his 10 year old daughter. After treatments his uric acid level went from a high in the 20’s to 0. Treatments are on-going, it is expensive but Medicare has approved it. I don’t think a lot of doctors are aware of it yet as I had to tell his doctor about the information I found on the internet. If you suffer with chronic gout like he did it is well worth looking it up and asking your doctor about it.

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