Once someone has one episode of gout, they are at risk for future attacks. In some cases, recurrent attacks can happen up to several times per year. With recurrent attacks comes the risk of joint destruction or erosion.
When gout is not treated, it can become more advanced. At this point, it is possible to develop tophi, a type of nodule that may occur under the skin. The common areas for these nodules include the fingers, elbows, feet, hands, and along the Achilles tendon.
It is possible for the crystals that develop with gout to also develop in the kidneys and urinary tract. This could lead to kidney stones.
Medications are the typical course of treatment for gout. The following may be prescribed: