Gout Specialist on the Upper East Side

Our gout management protocol at Healthy Feet NYC follows the 2020 American College of Rheumatology gout management guidelines, adapted to each patient’s individual clinical picture. Urate-lowering therapy is initiated with allopurinol at a low starting dose, titrated upward at two to four week intervals with repeat serum uric acid monitoring until the target is achieved a process that requires the kind of attentive, structured follow-up that busy primary care practices often struggle to provide. For patients who cannot tolerate allopurinol or who fail to reach target on maximum doses, febuxostat is a well-tolerated alternative. Patients with tophaceous gout, severely elevated uric acid levels, or frequent disabling attacks may be candidates for pegloticase a uricase enzyme therapy administered intravenously for which we provide evaluation and referral coordination. Throughout treatment, we monitor renal function, adjust prophylaxis duration, and ensure that uric acid targets are maintained over years, not just weeks.