What should I do if I have gouty arthritis and the medication doesn’t work?

  With the improvement of people’s living standard and the change of diet structure, the incidence of gout is increasing year by year, and gouty arthritis has become a common disease in orthopedic clinics, most patients will gradually relieve the pain with the application of anti-gouty drugs, but with a little careless diet, the joint symptoms will soon recur, so repeatedly, the effect of drugs orally or even infusion for pain treatment will be poor, in addition, the advanced stage of gouty arthritis In addition, patients with advanced gouty arthritis will be deposited in the joints by the uric acid salt extensive destruction and lead to joint deformation, loss of function.  Currently, there is no cure for gout and there is limited improvement in joint symptoms and function in patients with acute arthritis, as urate crystals continue to settle in the joints due to local pH, temperature, and weight, and damage to intra-articular structures continues to increase. Joint irrigation can temporarily and partially remove urate crystals from joints, eliminate joint swelling and pain, and help restore joint function, but it cannot accurately determine the condition of intra-articular lesions and is less effective than arthroscopic debridement for patients with cartilage damage and degenerative osteoarthritis caused by combined gout.  Using arthroscopic techniques, the internal structures of the knee joint can be viewed directly under minimally invasive conditions. A fully skilled arthroscopist can view the knee joint from all sides and thus cleanse the knee joint of as much urate as possible and remove it directly. This includes free urate crystals in the joint cavity, urate deposited on the cruciate ligaments of the knee capsule, urate deposited on the articular cartilage and meniscus, and toothpaste-like urate masses deposited under the synovial membrane of the joint capsule in conjunction with MRI.  Patients with preoperative fever, intractable pain, and ineffective hormone use of arthroscopic techniques to remove uric acid deposits in the knee is a positive result. Patients who have been taking medication for a long time and have recurrent episodes can seek out an arthroscopic surgeon with comprehensive skills to remove the root of uric acid deposits in the joint cavity for you. After the surgery, you can keep away from gout by adhering to medication to lower uric acid, combined with diet control and proper exercise.