Description

What These Minimally Invasive Procedures Aim to Treat

• Painful, tense gout flare in a joint (toe, ankle, foot, knee, elbow) that is too swollen to move or bear weight
• Tophi (hard uric acid deposits) that are swollen, irritated, leaking or at risk of breaking through the skin
• Recurrent gout swelling in the same spot that is now forming a lump and affecting shoe fit, grip or joint motion
• Localised build-up causing constant pressure, throbbing pain or difficulty sleeping / working

Who This Service Is For

• Patients with severe, targeted pain and swelling that is not settling fast enough with medication alone
• Patients with tophi that keep getting inflamed, rubbing on footwear or threatening to ulcerate / open
• Patients whose joint is so tight and stretched that they cannot walk, flex, grip or sleep comfortably
• Patients who have been living with large, visible tophi and now want active intervention instead of repeating painkillers

How Minimally Invasive Gout / Tophi Procedures Work

1. Focused Clinical Assessment
   The doctor examines the swollen joint or tophus to confirm it is gout-related and not an infected joint or other emergency. Medical history (uric acid levels, previous flares, other conditions like diabetes or hypertension) is reviewed first.
2. Local Anaesthesia
   The target area is cleaned and numbed so that the procedure can be done as an outpatient day case, keeping you as comfortable as possible.
3. Minimally Invasive Intervention
   Depending on the case, the clinician may perform a small controlled procedure on the affected area, for example relieving pressure from a tense, angry tophus or addressing painful local build-up. The aim is to reduce acute pressure, pain and risk of skin breakdown while protecting surrounding tissue. (For complex/deep cases that require full surgical excision, you will be advised if referral is safer.)
4. Dressing and Protection
   The treated area is cleaned and covered. You get instructions on elevation, rest, footwear / support, and how to keep the site clean and protected from friction.
5. Aftercare and Monitoring
   You receive guidance on pain control, red-flag signs (spreading redness, fever, pus), and when to return for review. You will also be advised on long-term uric acid control to prevent repeat buildup.

Why Choose Clinic-Based Minimally Invasive Care

• Targeted Relief – Focus on the exact swollen, tender point that stops you from walking, gripping or sleeping, instead of only giving general painkillers.
• Local Anaesthesia, Day Case – Performed in a clinic setting under local anaesthesia, typically without hospital admission.
• Protection of Skin and Joint – Early controlled intervention aims to prevent the lump from ulcerating, leaking or deforming the joint over time.
• Structured Wound Care – You leave with clear dressing instructions, support advice (shoes, splinting, rest position) and specific review timing.
• Chronic Management Link – After the immediate problem is handled, WeCare Clinic can continue long-term gout management (uric acid control, flare prevention, weight and blood pressure support) in the same network.

Our Locations

• We-Care Clinic (HQ & Surgical Centre), Ukay Boulevard
  13G-Ground floor, Ukay Boulevard, 54200 Kuala Lumpur. Tel: 03-4162 3000
• Klinik We-Care Desa Melawati
  4, Jalan 5/4c, Taman Desa Melawati, 53100 Kuala Lumpur. Tel: 03-4147 3000
• Klinik WeCare Setiawangsa
  Gout/tophi aftercare, pain control and chronic disease follow-up for Setiawangsa / Kuala Lumpur. Tel: 03-4265 2500