Natural treatments for gout

  • DEFINITION: Treatment of inflammation caused by the deposit of uric acid crystals in joints and tissues.
  • PRINCIPAL PROPOSED NATURAL TREATMENTS: None
  • OTHER PROPOSED NATURAL TREATMENTS: Aspartic acid, bromelain, celery juice, cherry juice, coffee, devil’s claw, fish oil, folate, ginger, olive leaf, selenium, turmeric, vitamin A, vitamin C, vitamin E, diet and lifestyle changes

Introduction

Gout is an inflammatory condition caused by the deposit of uric acid crystals in joints (primarily the big toe) and tissues. Typically, attacks consist of fierce pain, redness, swelling, and heat punctuating pain-free intervals. Conventional medical treatment consists of anti-inflammatory drugs for acute attacks and uric acid-lowering drugs for prevention.

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Proposed Treatments

The following herbs and supplements are widely recommended for gout, but they have no reliable scientific support:

Vitamin C. In a double-blind, placebo-controlled study of 184 people without gout, vitamin C at a daily dose of 500 milligrams significantly reduced uric acid levels. This suggests, but falls far short of proving, that vitamin C might help prevent​​ gout.

Folate. Folate has been recommended as a preventive treatment for gout since the last decades of the twentieth century. Some clinicians report that it can be highly effective. Scientific evidence on the method is contradictory. It has been suggested that a contaminant found in folate, pterin-6-aldehyde, may actually be responsible for the positive effects observed by some clinicians.

Devil’s claw. The herb devil’s claw is sometimes recommended as a pain-relieving treatment for gout, based on evidence for its effectiveness in various forms of arthritis. However, it has not been tested in gout.

Other supplements. Based on reasoning but no concrete evidence of effectiveness, fish oil, olive leaf, vitamin E, selenium, bromelain, vitamin A, and aspartic acid have also been recommended for both the prevention and treatment of gout. Other recommended supplements include coffee, ginger, and turmeric. 

Folk remedies. A traditional remedy for gout (with negligible scientific evidence) calls for consuming one-half to one pound of cherries daily. Over-the-counter tablets containing concentrated cherry juice are available too. Celery juice is another folk remedy for gout that is widely used in Australia.

Additional recommendations. Drinking more water, lemon water, and coffee ensures hydration and helps lower uric acid levels, which decreases the chances of getting gout. Avoiding the consumption of meats containing high amounts of purines and alcohol, as well as reducing stress, also improves symptoms and lowers the occurrence of flare-ups. Maintaining a healthy weight is also recommended. Applying ice packs, elevating joints, and managing stress can also help prevent gout flare-ups. 

Herbs and Supplements to Use with Caution

Various herbs and supplements may interact adversely with drugs used to treat gout, so individuals should be cautious when considering the use of herbs and supplements.

Bibliography

"Gout Diet: What's Allowed, What's Not." Mayo Clinic, 25 June 2022, hwww.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/gout-diet/art-20048524. Accessed 23 Sept. 2024.

Huang, H. Y., et al. "The Effects of Vitamin C Supplementation on Serum Concentrations of Uric Acid." Arthritis and Rheumatism, vol. 52, 2005, pp. 1843-1847.

Jacob, Divya. "What Is the Best Thing to Drink If You Have Gout? 8 Beverages." MedicineNet, www.medicinenet.com/what‗is‗the‗best‗thing‗to‗drink‗if‗you‗have‗gout/article.htm. Accessed 23 Sept. 2024.

Nall, Rachel and Adam Hotchkiss. "10 Home Remedies for Gout." 7 Sept. 2023, Medical News Today, www.medicalnewstoday.com/articles/324972. Accessed 23 Sept. 2024.

Parker, James N., and Philip M. Parker, editors. The 2002 Official Patient’s Sourcebook on Gout. Icon Health, 2002.

Silvestre, Samuel M., et al. "Natural Products as a Source for New Leads in Gout Treatment." Evidence-Based Complementary and Alternative Medicine: eCAM, 2020, p. 8274975. doi:10.1155/2020/8274975.