10 Natural ways to treat Gout
If you’re reading this, there’s a good chance that you’ve experienced the agonies of gout first hand. I can remember the first patient I ever saw with gout. I was a medical student working in a large hospital center in Brisbane, Australia. Australian’s are known for being tough so I was pretty shocked to find this older gentleman practically in tears from the pain. He actually requested that we amputate his foot.
It’s worth noting that patients with frequent gout are about 20% more likely to undergo lower extremity amputations than patients without gout. Good news for him, and for you, when treated and managed properly the symptoms can be extinguished fairly quickly.
What is Gout?
Gout is a form of inflammatory arthritis. It occurs when uric acid levels rise in the blood stream and ultimately causes crystals to precipitate in the joint space. It happens pretty suddenly and the pain can be intense.
Gout can theoretically attack any joint in the body but tends to prefer the joints of the lower extremities, more specifically it likes the main knuckle of the big toe. These crystals can form in the tubules of the kidney as well. Patients with gout are twice as likely to suffer from kidney stones.
How is Gout diagnosed?
Usually we diagnose it clinically. Based on history and appearance we can make a pretty good judgement. We can also aspirate a small amount of fluid from the joint and examine it under the microscope.
Visualizing the crystals is diagnostic. There are things that can mimic gout. These include septic joint which is an infection within the joint space. It can also be mistaken with cellulitis and bursitis since these all tend to produce redness and swelling. It’s important to work closely with your doctor to make sure an infection isn’t missed.
Most of the time acute gout will require treatment. NSAIDS (ibuprofen, naproxen, indocin) can be useful and effective. Although we’re careful using these in patients with kidney disease, on blood thinners or have history of stomach ulcers. Steroids are also pretty effective.
Recommended lifestyle changes
The most effective strategy to manage gout is through prevention. This is mostly accomplished with dietary changes. Limiting foods that are high in purines is recommended. These foods include red meats, seafood, alcohol and high sugar drinks. When I lived in New Orleans, we saw lots of gout during crawfish boil season. Also maintaining a healthy weight is beneficial to reducing gout flares. This is due to higher levels of uric acid production and inflammation that is present with increased weight.
10 Natural treatments for Gout
- Cherry Extract:
Some studies suggest that cherry extract or tart cherry juice may help reduce the frequency and severity of gout attacks. Cherries have anti-inflammatory properties and may help lower uric acid levels.
- Fish Oil:
Omega-3 fatty acids found in fish oil supplements have anti-inflammatory properties and may help reduce inflammation associated with gout.
- Vitamin C:
Vitamin C supplements may help lower uric acid levels in the blood, potentially reducing the risk of gout attacks.
- Turmeric and Curcumin:
Curcumin, the active compound in turmeric, has anti-inflammatory properties and may help reduce gout-related inflammation.
- Bromelain:
Bromelain is an enzyme found in pineapples and is available in supplement form. It may have anti-inflammatory properties and could be beneficial for gout sufferers.
- Devil’s Claw:
Devil’s claw is an herbal supplement that has been used to reduce pain and inflammation associated with various types of arthritis, including gout.
- Nettle Leaf:
Nettle leaf extract may help reduce inflammation and the pain associated with gout. It is available in various forms, including teas and capsules.
- Celery Seed Extract:
Some people believe that celery seed extract may help lower uric acid levels although this hasn’t been well studied.
- Probiotics:
Some studies suggest that probiotics may help improve gut health and reduce inflammation, which could indirectly benefit gout sufferers. Maintaining a healthy gut microbiome is important for overall health.
- Epsom Salt Soaks:
Soaking the affected joint in warm water with Epsom salt may help alleviate pain and reduce inflammation.
When to start preventative medication?
The American College of rheumatology recommend prevention therapy if a patient experiences 2 gout attacks in a year. Obviously this is up for discussion between you and your doctor.
Allopurinol is the most commonly used preventative medication. I don’t recommend starting allopurinol in the middle of an attack as it can prolong symptoms.
It’s also important to note that certain populations should be screened for genetic variants that can make allopurinol dangerous. This includes Chinese, Thai and Korean patients. African Americans are also more likely to possess this variant.
Special Note From The Doctor:
“Hey gout warriors! As we prepare to battle gout, we must first think of our plate as a shield—load it with fresh fruits, veggies, whole grains, and lean proteins while steering clear of high-purine foods like red meat and seafood. Swap sugary drinks for water, your new best friend in flushing out excess uric acid. And let’s not forget movement—regular exercise can keep those joints happy and your weight in check, which is a double win against gout. So, lace up those sneakers, grab a water bottle, and let’s embark on a gout-busting journey together. Your joints will thank you!”
Disclaimer:
The information provided in this blog is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of content found on this blog.
- If you think you may have a medical emergency, call your doctor or emergency services immediately. Reliance on any information provided by this blog is solely at your own risk. The author(s) of this blog do not assume any liability for the information contained herein, be it direct, indirect, consequential, special, exemplary, or other damages.
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