Arthritis, joint, bone & muscle


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A form of arthritis characterised by intense pain in a single joint, often the big toe.

Affected areas

Most commonly affects the big toe, but may also occur in the knee, ankle, elbow and other joints


  • Pain in a joint, that appears very quickly
  • Inflammation
  • Swelling
  • Redness
  • Stiffness of the affected joint


Gout is a form of arthritis and is associated with high-blood-levels of uric acid, a compound that's a by-product of your body's normal breakdown of food. Uric acid itself is a product of the metabolism of purines, compounds found in a range of food.

Foods containing purines;

  • Offal (including related products like pate)
  • Game meat
  • Some seafood (especially anchovies and sardines)
  • Some vegetables including asparagus and mushrooms

Normally your body maintains uric acid levels by dissolving it in the bloodstream, filtering it through the kidneys and then urinating. If you start creating too much uric acid or other factors prevent your body dealing with the load, then uric acid crystals form on the joints. This is what causes the sudden pain, redness and swelling of gout.

Diet and lifestyle

It is advisable to see your doctor as soon as possible. This is important as gout can cause severe pain and permanent damage to the joints if left untreated. The dietary and lifestyle suggestions below are recommended as support measures but not as a replacement for medical treatment from a qualified medical practitioner.               

Lowering uric acid levels is a priority and changing your diet to reduce your intake of foods containing purines may help with this.

Important notes

Calcium Pyrophosphate Deposition (CPPD) or Pseudogout is a similar condition to gout though its causes are unknown. It has been linked with a variety of causes including low magnesium levels in the blood, an over-active parathyroid gland, and excessive quantities of iron, as well as genetic factors.

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Hi Dennis,
Thank you for your post.
I’m sorry to hear about the pain you are experiencing in your foot. Unfortunately I am unable to diagnose your problem – but I would suggest that it may be best for you to see your GP again to undertake some further investigation.
All the best. Kind regards,
Charmaine (Blackmores Naturopath)
Charmaine 14 Mar 2013
I have suffered stinging pain to my left side of the foot, and also the 2nd and 3rd toe! for years, and it occurs frequently when I retire. My Dr. states that I do not have gout! I have suffered for years, and panamax does not appear to have desired effects. I would appreciate your comments/ennis Keeley
Anonymous 14 Mar 2013
Hi Dot, Thank you for your post. I am so sorry to hear of the discomfort you are experiencing.
Firstly, I would probably arrange a for a check up with a podiatrist to check the general health of your feet and ensure that there are no obvious physical issues that might be creating pain for you. You may also need to check that you have appropriate footwear with adequate support and you might also need to invest in some shoes that have sufficient cushioning to offset the hardness of those floors!
Unfortunately I obviously can’t offer you a diagnosis of gout or osteoarthritis so going to a podiatrist or doctor would be the best to ascertain the cause of your problem.
I trust this information has been helpful Dot and I wish you all the best of health.
Kind regards, Rebekah (a Blackmores naturopath)

Hi I have just left a job in retail that I have served in many years and have gone back to hospitality. I now walk 6 hours a day non stop and my feet are killing me. But I have weeks when my feet are just fine and then some weeks when I feel like a cripple. Do I have gout or arthritis or is this just repetition in the job I am doing. I am 59 years old but have been on my feet all my working life. I have gone years with no trouble. Why now. The flooring is really hard I must admit and in retail I didn't have to move much. Can you assist me in any way. Thankyou
Anonymous 05 Mar 2013
thank's for the info, i'm suffering from gout at a moment.
hope all the info can help me.
Anonymous 26 Feb 2013
i read about the gout uric acid,,, i just want to know that i heard that not advisible to take any acid drinks....? can you please tell me whats kind a drink will be good for people have that sickness... Yours sencerly yours racel k.
Anonymous 07 Jan 2013
Hi Paul,
Thanks for your post. A glass of orange juice may not have sufficient Vitamin C within it, and this also depends on the source and storage of the orange juice. Antioxidant status can dramatically reduce as the juice ages. On average a 200ml glass of orange juice contains approx. 100mg of Vitamin C. Fruits and vegetables do aid the body’s elimination of uric acid. This is especially true of strawberries, blueberries and cherries. Celery has a long history of use in providing relief from the pain of gout. Celery can be added to the diet in many ways. It can be juiced, eaten raw or added to cooking. A minimum daily intake of at least two litres of filtered water also helps to dilute uric acid. If you have any further questions please feel free to contact the Naturopathic Advisory Service on 1800 803 760 or email us on Kind regards, Gina (a Blackmores naturopath)

Anonymous 20 Dec 2012
The information supplied was very helpful. As a Kidney transplant receipient I have had several bouts of Gout. Looking back from this recent attack of Gout in my knee I can see that having one kidney, not had enough water and having a session of beer drinking with mates has resulted in Gout. All makes sense now! Thanks
Anonymous 20 Dec 2012