Anyone who has experienced a gout flare-up in the past will be familiar with the pain associated with the condition. Many will have found this pain debilitating to the point that they are unable to walk. So, this should make exercise utterly unfathomable. But are there any exercises that could actually help with gout?
What is Gout?
Gout is a form of inflammatory arthritis that causes intense pain, swelling and stiffness in affected joints. These symptoms are caused by the formation of sharp uric acid crystals in the joints - a result of high uric acid levels in the blood. Gout most commonly affects the joints in the feet and, in particular, the big toes.
Uric acid can accumulate in the blood for a number of reasons, including inefficient filtration of the compound out of the body due to kidney problems. Uric acid is also a byproduct of purines, a natural compound found both within our body tissues and many foods. The over-consumption of high-purine foods such as red meats and organ meats and some seafood, can increase uric acid levels in the body.
During a gout flare-up, you may find it extremely difficult to go about your normal routine. For example, simple tasks like walking the dog, or even getting up the stairs can be excruciating. So, are there any specific exercises that could help to ease gout symptoms?
Gout and Exercise
While you might want to avoid exercise during a gout flare-up (and understandably so), exercise could in fact play a key role in the management of the condition. Some evidence suggests that some forms of exercise can help to reduce uric acid levels in the body. For example, data from a 2021 survey found a non-linear correlation between physical activity and serum uric acid levels.
In addition, regular exercise can also help to reduce the risk of other factors that may influence gout, including obesity, cardiovascular disease and kidney stones.
Reducing body weight can help to reduce the pressure and stress placed on joints in the feet and ankles. Exercise in general can also strengthen the muscles around your joints which can improve their function and stability.
Of course, higher impact exercises can put you at an increased risk of joint injuries. Injury to joints affected by gout can worsen symptoms associated with the condition. It is therefore recommended that individuals with gout engage in mild to moderate intensity exercises such as walking, jogging and swimming.
Conclusions
Effective gout management requires a long-term and multi-faceted approach. This includes making significant lifestyle changes such as adapting your diet and potentially introducing more exercise into your routine. Current evidence suggests that mild to moderate exercises such as walking, jogging, and swimming can benefit patients with gout by helping to reduce uric acid levels, reducing body weight, and strengthening joints and muscles.
However, it is important to consult with your healthcare consultant before making any significant changes to your lifestyle. They will be able to provide you with personalised advice regarding the best exercises for you. Moreover, continuing to take additional steps such as taking regular supplements, staying hydrated, and eating mindfully remain crucial for managing your gout symptoms.