Gout that doesn’t go down and keeps on hurting can be due to the gout itself or due to inflammation caused by recurrent gout attacks. Depending on the situation can be categorized into physical therapy, drug therapy and surgical treatment. 1. Physical therapy: You can use ice packs or cold packs locally, which can reduce the swelling and pain caused by gout. Avoid using ice packs to apply cold compresses directly to the affected area, and use a towel to apply cold compresses across the area to avoid localized frostbite. 2. Medication: If gout recurs and causes inflammation that leads to severe pain symptoms, you can take oral anti-inflammatory, swelling, pain medication, such as diclofenac sodium delayed-release tablets, celecoxib, meloxicam, etc., the use of medication should be in accordance with the doctor’s instructions. 3. Surgery: When the joints are swollen due to gout, there will be fluid accumulation in the joint cavity. At this time, it is necessary to do arthrocentesis as prescribed by the doctor to extract the fluid and inject glucocorticosteroids such as dexamethasone, and the gout stone can be taken out surgically, which can also reduce the swelling and pain caused by gout. If the gout has not been relieved, the patient should go to the hospital in time to clarify the cause of the disease and follow the doctor’s instructions for treatment.