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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I have just had a blood test which shows I have gout with a reading of 42. I haven't had a gout episode but exrays to my feet show I have early arthistis. I don't drink or eat any of the food mentioned. I have however in the week before the test eaten a lot of asparagus could this have effected the blood test? Thanks Lauren
Anonymous 08 Dec 2014
my husband passed away a few months ago and I must say I have not been eating properly. I use to have maybe 2 glasses of white wine in a week but now I will have maybe a glass a night. I now have Gout my ankle is very swollen and very hot. I was wondering what I should do as far as food, drink,exercise and vitamins I can take,
Anonymous 08 Dec 2014
yeah,i found your info & adivce very helpful,cheers
Anonymous 08 Dec 2014
Hi Carol,

Thanks for your post.

There are lots of helpful diet & lifestyle tips for gout in the article above.
Try to reduce your intake of foods high in purines. These include processed meats, organ meats (e.g. liver, kidneys, brains, heart, paté, lambs fry), some seafood (e.g. anchovies, sardines, herring and mackerel), and yeast-containing foods such as beer and yeast spreads. Also avoid drinking alcohol, and soft drinks.

Ensure that you are eating plenty of fresh fruit and vegetables, lean protein, nuts and seeds. Also ensure you are staying well hydrated by drinking plenty of fresh filtered water. Including fresh or canned cherries in your diet daily may help to reduce uric acid levels, and dairy foods may have a similar effect.

I hope this is of help to you Carol. If you need any further advice please contact our naturopaths directly on 1800 803 760, or you can email us at

Kind regards,
Charmaine (Blackmores naturopath)
Charmaine 01 Dec 2014
gout tell me more what foods etc which may help
Anonymous 28 Nov 2014
Dear Ben,

Thank you for your post.

I’m sorry to read that you are disappointed with the advice we are giving. We take our role here very seriously and strive to provide the best possible naturopathic advice at all times.
You will see below that there are 18 pages of questions and advice given by our naturopaths regarding gout – the majority of which contain dietary, lifestyle and supplement suggestions to assist people

In regard to Grant’s post – the symptoms he has described are not a typical presentation of gout. Given the surgical history, recent change to type and amount of exercise, and description of symptoms that seem to improve with walking a referral to his GP was given for a proper physical assessment and diagnosis.

Naturopathic professional codes of practice, ethical principles and duty of care all come into the recommendations that are given via this service. As naturopaths we are unable to diagnose conditions, and our duty of care dictates that we recommend other opinions and services when indicated.

We encourage any user of Blackmores products or those who are seeking more personalised advice to contact our qualified team via phone on 1800 803 760. Alternatively contact us via our live chat service or the Ask a Naturopath function on the Blackmores website.

Thank you for your feedback.

Kind regards,
Charmaine (Blackmores naturopath)
Charmaine 18 Nov 2014
I just happened to come across this today and am extremely disappointed about the advice that you are giving to some people on this site....especially re the gout query with Grant below. Why would you advise them to see their doctor when they are writing to YOU for advice?? Most (not all) doctors are very ignorant as all they use is toxic, harmful chemicals whose side effects are often worse than the original condition. I have successfully treated hundreds of gout cases exclusively with natural medicine. Yes, he has had surgery, but shouldn't you inquire as to how much beer and wine he sees as moderate?!Can you please tell me what Blackmores advisory service is for...if not to advise? I was fortunate enough to work on the advisory service and give free advice to customers all over to see no advice given other than go and see your doctor, made me extremely upset! This person has approached you seeking advice. If you don't want to give it on the net, refer them to the toll free number where they can talk to an experienced naturopath on 1800 803 760.
Dear Judith

Hammer toes are due to contractures (abnormal bending of joints) that can place pressure on the joints and yes this can be extremely painful as you have described in your post. They may be as a result of trauma or can be inherited.
They cause physical deformities in the toes as well as pain due to irritation and inflammation. Pressure can also cause other issues such as corns and calluses due to rubbing or pressure from footwear.
I would highly recommend getting a referral from your GP to a podiatrist for further advice and treatment. It may be necessary to consider having orthotics fitted in your shoes to help support pressure points. Also splinting, padding or strapping may provide support and help relieve pain
Pain relief is important and supplementation may include fish oils as an anti-inflammatory and also herbs such as devils claw, ginger and willow bark. Please feel free to contact Blackmores Naturopathic Advisory Service on 1800 803 760 and speak to one of our Naturopaths for more specific advice or email us at