Acute gout attack can be alleviated with hot and cold compresses. The hot compress is applied on the swollen joint for about three minutes, and is followed by a cold compress for 30 seconds. This process can be repeated for 10 to 20 minutes. The hot compress increases blood circulation, while the cold pack reduces the inflammation and pain. However, do not apply an ice pack on the swollen joint for a prolonged period. Sometimes an ice pack can worsen the inflammation by inducing uric acid crystallization.

Recurrent gout flare-ups can be significantly reduced by eating at least 20 cherries each day. The positive effect of cherry intake on recurrent gout attacks has been confirmed through several clinical trials. Cherries are one of the richest sources of antioxidant compounds known as anthocyanins. These antioxidant compounds can negate the activities of free radicals that trigger inflammation and cell damage.

The pain and inflammation caused by gout attack can be reduced with the herb devil’s claw (Harpagophytum procumbens). The anti-inflammatory compounds in the herb can reduce swelling and pain in the joints affected by gouty arthritis. About 750mg of devil’s claw root extract can be taken daily to reduce the pain and inflammation during gout attacks. However, this herb should not be taken continuously for more than a year. Devil’s claw might be unsafe for people on anticoagulant medications. Gallstone and peptic ulcer patients should avoid this herb.

The anti-inflammatory property of curcumin, the active ingredient in turmeric, can benefit people suffering from gouty arthritis. People bothered by recurrent gout attacks can consume one to two slices of fresh turmeric or supplements containing curcumin extracted from turmeric daily. During the gout flare-up, about 300mg of turmeric can be taken thrice a day. Turmeric is well tolerated. It does not cause any adverse side effect when taken for a prolonged period. However, high doses of curcumin supplements might be unsafe for people on anticoagulant drugs.

Packing your meals with vitamin C rich foods can protect you from gout attacks. Vitamin C supports gout treatment by easing inflammation and reducing the uric acid level by boosting excretion of uric acid. Although most of your daily vitamin C requirement can be met by adding sufficient citrus fruits, peppers and sprouts in the diet, gout patients might need extra vitamin C in the form of supplements. Usually 500 to 1000mg of vitamin C can be taken daily to minimize the risk of gout attacks. Moderate doses of vitamin C are unlikely to harm your body. However, high doses of the vitamin, more than 1000mg, can cause diarrhea and other gastrointestinal problems when taken for a prolonged period.

In folk medicine, apple is widely recommended for treating gout. Malic acid present in the fruit dissolves uric acid crystals, thereby alleviating the symptoms of gouty arthritis. Besides adding an apple to your daily diet, you can reduce the frequency of recurrent gout attacks with apple cider vinegar. People plagued with recurrent gout flare-ups can take one to two teaspoons of apple cider vinegar mixed with equal amount of water every day.

Poultice with charcoal can reduce the swelling and pain in the joint. Prepare a paste by blending half a cup of activated charcoal with water and apply it to the affected joints. Leave the paste on the joint for about four hours.