Prevention and Treatment of Gout

The best way to prevent gout is to prevent the buildup of uric acid in the blood. Changing your diet and avoiding foods high in purines may help lower your risk of having future attacks. Doctors recommend that people who have gout maintain a healthy body weight through moderate daily exercise and regulation of their fat and caloric intake.

Avoid diets that promise quick or extreme weight loss as they can increase uric acid levels in the blood.  The American Medical Association recommends a diet high in complex carbohydrates (whole grains, fruits, vegetables), low in protein (15 percent of calories from sources such as soy, lean meats, poultry), and no more than 30 percent of calories from fat (10 percent animal fat). Drink plenty of fluids and don’t overindulge in caffeinated drinks.

Shoes or boots that provide sufficient width in the toe box ensure minimal compression and rubbing of the big toe (the first metatarsal phalangeal joint), a common location for gout. Wearing inserts and/or orthotics that provide cushioning and proper arch support help reduce stress on the feet.

Wearing padded socks can also reduce foot stress. Therefore, to ensure feet are optimally protected, IPFH suggests wearing properly selected and fitted, as part of an integrated approach,  padded socks with shoes with non-slip outsoles and any inserts or orthotics prescribed or recommended by a doctor or foot health professional.

Treatment for gout usually involves taking medications prescribed by your doctor.

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