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Removal of Gouty Knee Fluid

Gout is a form of arthritis marked by pain, inflammation and redness in the joints. These symptoms are caused by a build-up of uric acid in the blood and deposits of uric acid crystals in the joints. Knees, ankles, toes and elbows are very common sites for gout attacks. Knees and toes are particularly susceptible to extreme swelling. This inflammation is extremely painful, so effective treatment is vital.

  1. Allopurinol

    • Allopurinol, a xanthine oxidase inhibitor, is one treatment for fluid in the knee caused by gout. Allopurinol is effective at reducing inflammation and swelling in joints, which is why it is often prescribed during an acute gout attack. In many cases, allopurinol can clear up an attack of gout within 48 hours. The drug may also be prescribed for daily use as a preventative method.

    Colchicine

    • Colchicine, like allopurinol, is an effective treatment for inflammation and swelling from gout. It works to eliminate uric acid in the body, the build-up of which is the main cause of gout symptoms. This drug is used to treat acute attacks and prevent future bouts with the condition.

    Corticosteroids

    • When gout fluid and pain are severe, a physician can give an injection of corticosteroids. Corticosteroids are powerful anti-inflammatory agents and pain relievers and work by mimicking the natural hormones hydrocortisone and cortisone to promote immune function and fight swelling.

    Non-Steroidal Anti-Inflammatory Drugs

    • Non-steroidal anti-inflammatory drugs (NSAIDs) are also used when gout causes fluid to accumulate around joints. These drugs work by blocking inflammation-causing chemicals in the body called prostaglandins. They can be prescribed by a doctor, or over-the-counter versions, such as ibuprofen, can be used. Unfortunately, NSAID pain relievers cause side effects, including stomach pain, heartburn and ulcers. If you are taking NSAIDs for a long period of time, your doctor may prescribe a proton pump inhibitor to protect your stomach from damage.

    Aspiration

    • If swelling and inflammation get out of hand, a physician may be forced to aspirate the fluid. Most of the time, however, this is just a temporary fix to relieve severe pain. Without further treatment, the fluid is likely to return to the knee.

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