By Schuyler Corrigan

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March 28, 2022

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What is Gout?

Gout is a form of arthritis marked by inflammation in the joints and deposits of needle-like uric acid crystals around those joints and connective tissue. Gout makes up approximately 5% of reported arthritis cases and is one of the most painful forms of arthritis. Under normal conditions, uric acid is the normal chemical breakdown of purines – a constituent found in many foods and in our body tissues. Uric acid is transported through the blood, processed through our kidneys, and eliminated via urine. If the concentration of uric acid in the blood is higher than can be processed effectively, uric acid may build up leading to a condition called hyperuricemia. Sometimes this condition is not dangerous, however, if it progresses to the formation of uric acid crystals, then gout will likely develop. 

 

Most commonly, gout presents in our extremities – most notably the big toe, and acute attacks of gout can be debilitatingly painful. These attacks are due to the body’s inflammation process reacting to the excess crystal buildup in the joint spaces. Occasionally, uric acid can build up in the kidneys as well, leading to the formation of kidney stones. People with gout may go weeks or months with no symptoms, then suddenly experience a flare that may last for hours or days. Gout is commonly treated with Nonsteroidal anti-inflammatory drugs (NSAIDs) or specific medications for acute gout or gout prevention. 

Nutritional Considerations

Nutritionally, we do have some control over the development of gout if we pay attention to our diet and avoid certain foods in excess. The leading nutritional causes of gout are over-consumption of alcohol and consuming too many purine-rich foods… These include sardines, anchovies, organ meats, red meats, and highly sugary foods. Drink plenty of fluids each day – approximately half of your body weight in ounces – to support healthy kidney function, and consume foods that are antioxidant-rich and anti-inflammatory such as berries (especially cherries!), fresh vegetables, and legumes. 

Naturopathic Approaches to Supporting Gout

Along with the above dietary recommendations, your ND will likely provide some personalized nutrition recommendations as well as lifestyle modifications including daily exercise, stress management recommendations, and appropriate supplements or herbs if needed. As always, your naturopath will listen to your concerns and health history to not only address any acute symptoms you are experiencing, but also focus on prevention and education.