Low & High Purine Foods for Gout [Best Gout Foot Treatment]

Low and high purine foods are the key to STOP gout! Your diet is the #1 way to control this painful disease, find out what to AVOID!

Gout Big Toe Joint Treatment [BEST Home Remedies 2022]

 

Causes:

Can controlling my diet really stop gout attack?

  • The truth is while diet can help restrict your gout, it is not the single best way to get rid of, especially while you are having an attack. If you are having an attack the single best thing you can do is go see your podiatrist for medications.
  • Medications like a steroid, or culture seen if taken immediately will dramatically improve your pain. Diet in great overall health control is great at controlling the guilt from happening, but if you are ready having a gout attack, then the diet will help you at this point.
  • As a result, dietary management of gout is an amazing tool for preventing gout, especially for people who have numerous gout attacks. Then it is a lot of work to adjust your diet completely, to simply avoid the possibility of a gout attack. Even if you are currently having a gout attack, there better things you can do to make your pain go away.
gout cure 1

Purine diet for gout:

  • The best options for  gout controlling diet, is to monitor your purine intake. Avoiding purines is basically impossible, but it is possible to limit them.
  • The question is: is it worth it to cut out purines from your diet if you have only had one or two gout attacks. The answer is probably a strong no.
  • This is a lot of lifestyle changes for something that is very rare. But on the other hand if you are having very frequent gout attacks, it is a great idea to really start modifying your diet.
  • That being said, the healthier you are overall, the less medical disease you have, and the better cardiovascular activity you get, this is really the key to prevent future health problems.

 

The best strategy for purine control diet:

  • Dr. Tom Biernacki states: “the best thing you can possibly do is to simply eliminate the highest purine foods in your diet. See how your gout attacks decrease or stop following this diet modification, at this point you can see if it is worth continuing or not.”
  • So the key is to control your gout by eliminating the highest purine foods.

 

Gout in Big Toe, Foot, Ankle or Knee: Gouty Tophus
This is an example of a gouty tophus in the big toe joint. We find that almost all gout that we see is in the big toe joint. This is a very rapid onset overnight. A podiatrist can help you get rid of this pain as quickly as possible!

What Is A Purine?

The purine definition is:

Purines are chemical structures found in food that are known to cause gout.  For scientific purposes this is an organic chemistry compound.  The definition of a purine is a heterocyclic aromatic organic compound.

But what is important for your diet is that it is found in high concentrations in meat and meat products, especially internal organs such as the liver and kidney. Purines are much lower in any type of plant-based diets. It is especially low in any green vegetables.

 

chronic goutaceous tophi in the big toe joint
This is a very advanced case of gout with goutaceous tophi. In chronic gout the patient can build up a large amount of white crystal like substance inside the joint. This leads to a large amount of pain, and takes a very long time to go way.

High Purine Foods and Purine Rich Foods:

Alcoholic drinks:

  • This includes beer, liquor and wine unfortunately.
  • Any alcoholic drink you can think of is not great for your gout!

Most fish seafood, shellfish,  anchovies, sardines, herring, mussels, codfish, scallops, trout and haddock.

Most meats are included, especially bacon, turkey, veal, venison and liver.

 

gout on top of the foot, toe foot heel ankle knee
This is a gout tophus forming at the big toe joint.

Best Home Treatment:

  • There are some great all natural supplements and treatments listed below.
  • Just be aware that these supplements may be well rated, but do lack overall deep scientific evidence.
  • Make sure to get your gout properly diagnosed by a podiatrist before administering any treatment at all!
  • Gout is one of the most misdiagnosed conditions that we run in to by patients.

 

Do Podiatrists Treat Gout? Best Doctor for Big Toe & Foot Gout!
Do Podiatrists Treat Gout? Best Doctor for Big Toe & Foot Gout!

Best Gout Supplements:

  • Use these at your own risk, but they do have great reviews!
  • The studies are not definitive on supplements, but people are very loyal to these.
  • Read the reviews on Amazon and give them a try.
  • Just make sure to check with your podiatrist before taking any medications!

 

Gout Supplements & Medication
Top rated gout specific cream on Amazon
Top rated cherry concentrate supplement.
Great Tumeric based anti-arthritis supplement.
Top rated overall Amazon anti-arthritis topical cream.
Gout and You Relief Cream for Joint Discomfort , Flare-Ups, Tendon - Fast Acting Muscle Ache Relieving Rub with Arnica/Ilex Leaf Extract, Aloe Vera and Tea Tree Oil
Sports Research Tart Cherry Concentrate - Made from Montmorency Tart Cherries - Non-GMO & Gluten Free (60 Liquid Softgels)
Turmeric Curcumin & Black Pepper Extract. High Absorption Joint Support Supplement with Bioperine. 95% Curcuminoids. Antioxidant Turmeric Supplement for Inflammation Balance & Immune Support. 1200mg
Penetrex Joint & Muscle Therapy – Soothing Comfort for Back, Neck, Hands, Feet – Premium Whole Body Rub with Arnica, Vitamin B6 MSM & Boswellia – Non-Greasy 4oz Cream
Price:
$19.97
$20.95
$23.97
$34.95
Overview:
There are not many topical gout specific relief creams. This is the one with best results!
This has 3,000+ near 5 star reviews, there are some studies there supporting it.
Top rate Tumeric based arthritis supplement, About 3,000 near 5 star reviews on Amazon.
Top rated overall arthritis topical cream. Over 30,000+ near 5 star reviews between all sizes!
Pros:
Excellent overall reviews, not much other options for specific gout designed creams.
Great overall reviews, good reviews, people swear by this.
This is one that patients definitely swear by. The reviews are excellent near 5 star levels with thousands of reviews.
Some of the best overall reviews on Amazon in total, long track record, lots of loyal followers.
Cons:
The scientific literature is not very strong regarding these creams.
The results are not thought to be instantaneous, like most supplements, the evidence is not overwhelming.
Like most supplements, the studies are not overwhelming, but there is some evidence for sure.
This is not gout specific, this is overall arthritis specific.
Important Tips:
Use these at your own risk, these are anti-inflammatory creams with great reviews, but not strong scientific literature!
Make sure you read the reviews and do your research, but they do have great overall results with many people that swear by it!
Some patients swear by this stuff, there is mixed evidence, but if you are in severe pain and trust the reviews, it can help!
Like any natural supplement, the research is lacking, do your own research and check with your doctor!
Affiliate Link (Buying through these links will connect you to Amazon):
Gout Supplements & Medication
Top rated gout specific cream on Amazon
Gout and You Relief Cream for Joint Discomfort , Flare-Ups, Tendon - Fast Acting Muscle Ache Relieving Rub with Arnica/Ilex Leaf Extract, Aloe Vera and Tea Tree Oil
Price:
$19.97
Overview:
There are not many topical gout specific relief creams. This is the one with best results!
Pros:
Excellent overall reviews, not much other options for specific gout designed creams.
Cons:
The scientific literature is not very strong regarding these creams.
Important Tips:
Use these at your own risk, these are anti-inflammatory creams with great reviews, but not strong scientific literature!
Affiliate Link (Buying through these links will connect you to Amazon):
Gout Supplements & Medication
Top rated cherry concentrate supplement.
Sports Research Tart Cherry Concentrate - Made from Montmorency Tart Cherries - Non-GMO & Gluten Free (60 Liquid Softgels)
Price:
$20.95
Overview:
This has 3,000+ near 5 star reviews, there are some studies there supporting it.
Pros:
Great overall reviews, good reviews, people swear by this.
Cons:
The results are not thought to be instantaneous, like most supplements, the evidence is not overwhelming.
Important Tips:
Make sure you read the reviews and do your research, but they do have great overall results with many people that swear by it!
Affiliate Link (Buying through these links will connect you to Amazon):
Gout Supplements & Medication
Great Tumeric based anti-arthritis supplement.
Turmeric Curcumin & Black Pepper Extract. High Absorption Joint Support Supplement with Bioperine. 95% Curcuminoids. Antioxidant Turmeric Supplement for Inflammation Balance & Immune Support. 1200mg
Price:
$23.97
Overview:
Top rate Tumeric based arthritis supplement, About 3,000 near 5 star reviews on Amazon.
Pros:
This is one that patients definitely swear by. The reviews are excellent near 5 star levels with thousands of reviews.
Cons:
Like most supplements, the studies are not overwhelming, but there is some evidence for sure.
Important Tips:
Some patients swear by this stuff, there is mixed evidence, but if you are in severe pain and trust the reviews, it can help!
Affiliate Link (Buying through these links will connect you to Amazon):
Gout Supplements & Medication
Top rated overall Amazon anti-arthritis topical cream.
Penetrex Joint & Muscle Therapy – Soothing Comfort for Back, Neck, Hands, Feet – Premium Whole Body Rub with Arnica, Vitamin B6 MSM & Boswellia – Non-Greasy 4oz Cream
Price:
$34.95
Overview:
Top rated overall arthritis topical cream. Over 30,000+ near 5 star reviews between all sizes!
Pros:
Some of the best overall reviews on Amazon in total, long track record, lots of loyal followers.
Cons:
This is not gout specific, this is overall arthritis specific.
Important Tips:
Like any natural supplement, the research is lacking, do your own research and check with your doctor!
Affiliate Link (Buying through these links will connect you to Amazon):

 

Control Inflammation:

 

Anti-inflammatories:

  • Motrin, Ibuprofen or even indomethacin can work great.
  • If you know a podiatrist, have them send you an oral steroid if possible.
  • Make sure you see your podiatrist first before taking medications!

 

Elevate your foot:

  • The more you can elevate your foot, the less blood flow will rush to the site.
  • This should really help reduce the pain.

Massage & Ice Products:

  • Icing can be done at home almost immediately.
  • Get yourself a cloth and use it around a frozen bag of peas or ice.
  • Apply this for your foot 20 minutes at a time.

 

Best Foot & Ankle Manual Massage Devices:
Best Premium Massage Roller
Most Cost Effective Massage Roller.
Cost Effective Freezable Massage Roller.
Recoup Fitness Cryosphere Cold Massage Roller - 6 Hours Cold Relief - Ice Cup - Myofascial Release- Great for Recovery - Free Rolling Removable Ball - Deep Tissue Massage - Pain Relief - Ice Pack
TheraFlow Multifunctional Foot Massager - Relieve Tension for Plantar Fasciitis and Aching Feet - Gain Myofascial Release Through Acupressure - Wood Therapy Massage Tools, Small
THERABAND Foot Roller for Foot Pain Relief, Massage Ball Roller for Arch Pain, Plantar Fasciitis Treatment, Heel Spurs Reliever, Tired Feet, Best Foot Massager with Ridges for Self Myofascial Release
Price:
Price not available
$10.99
$11.99
Overview:
Premium freezable metal ball that stays cold for up to 6 hours. Great for plantar fascia, neck, shoulders and calf muscles.
Amazing Price, Great Reviews - Non-Freezable Massage Rolling Stick
Great price and it is freezable. Budget friendly freezable massage roller.
Pros:
Great reviews - near 5 star. Stays cold for a long time with deep penetrating plantar fascia massage. Used by professional athletes. Stays cold for HOURS!
Great for what it does. You roll it back and forth along your plantar fascia massaging the swelling and irritation out. Decreases pain. Thousands of 5 star reviews on Amazon.
Excellent reviews. It massages and ices, so it is a step up over the massage rollers. Near 5 star reviews with >500 reviews.
Cons:
More expensive than some of the other options, but near perfect reviews.
Is not freezable like the other two options. Massaging a sore muscle without the cold sensation can be very painful and render it useless to you if really sore.
It does a great job doing what it is supposed to do. Main downside is that it does not stay cold as long as the premium metal ball.
Important Tips:
Use it with a sock to start (could be too cold). Massaging and icing definitely loosens you up and makes you feel better, but you still have to prevent the pain in the first place. You still need stretching, orthotics and good shoes to prevent the initial damage.
Two things: Without the freezing component, it may be really painful for a very sore arch (So make sure to use ICE also). Also this only reduces pain, it does not stop the cause! You still need good orthotics, shoes and stretching to stop the pain in the first place!
Start with socks at first, especially if you have peripheral neuropathy => don't freeze your foot! Remember that you still need good orthotics, good shoes and inserts as well as temporary activity reduction.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
Best Premium Massage Roller
Recoup Fitness Cryosphere Cold Massage Roller - 6 Hours Cold Relief - Ice Cup - Myofascial Release- Great for Recovery - Free Rolling Removable Ball - Deep Tissue Massage - Pain Relief - Ice Pack
Price:
Price not available
Overview:
Premium freezable metal ball that stays cold for up to 6 hours. Great for plantar fascia, neck, shoulders and calf muscles.
Pros:
Great reviews - near 5 star. Stays cold for a long time with deep penetrating plantar fascia massage. Used by professional athletes. Stays cold for HOURS!
Cons:
More expensive than some of the other options, but near perfect reviews.
Important Tips:
Use it with a sock to start (could be too cold). Massaging and icing definitely loosens you up and makes you feel better, but you still have to prevent the pain in the first place. You still need stretching, orthotics and good shoes to prevent the initial damage.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
Most Cost Effective Massage Roller.
TheraFlow Multifunctional Foot Massager - Relieve Tension for Plantar Fasciitis and Aching Feet - Gain Myofascial Release Through Acupressure - Wood Therapy Massage Tools, Small
Price:
$10.99
Overview:
Amazing Price, Great Reviews - Non-Freezable Massage Rolling Stick
Pros:
Great for what it does. You roll it back and forth along your plantar fascia massaging the swelling and irritation out. Decreases pain. Thousands of 5 star reviews on Amazon.
Cons:
Is not freezable like the other two options. Massaging a sore muscle without the cold sensation can be very painful and render it useless to you if really sore.
Important Tips:
Two things: Without the freezing component, it may be really painful for a very sore arch (So make sure to use ICE also). Also this only reduces pain, it does not stop the cause! You still need good orthotics, shoes and stretching to stop the pain in the first place!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
Cost Effective Freezable Massage Roller.
THERABAND Foot Roller for Foot Pain Relief, Massage Ball Roller for Arch Pain, Plantar Fasciitis Treatment, Heel Spurs Reliever, Tired Feet, Best Foot Massager with Ridges for Self Myofascial Release
Price:
$11.99
Overview:
Great price and it is freezable. Budget friendly freezable massage roller.
Pros:
Excellent reviews. It massages and ices, so it is a step up over the massage rollers. Near 5 star reviews with >500 reviews.
Cons:
It does a great job doing what it is supposed to do. Main downside is that it does not stay cold as long as the premium metal ball.
Important Tips:
Start with socks at first, especially if you have peripheral neuropathy => don't freeze your foot! Remember that you still need good orthotics, good shoes and inserts as well as temporary activity reduction.
Affiliate Link (Buying through these links will connect you to Amazon):

 

Menthol Based Gels:

  • Biofreeze is one of our favorites.
  • These gels have been studied to work 2x as long as ice.

 

Best Foot & Ankle Muscle/Ligament Pain Relief Products
Best & Proven Pain Relieving Gel.
Roll On Version of Biofreeze Gel.
A giant container of value size biofreeze.
Menthol Based Ointment with Hemp Extract
Biofreeze Pain Relief Gel, Arthritis Pain Reliver, Knee & Lower Back Pain Relief, Sore Muscle Relief, Neck Pain Relief, Pharmacist Recommended, FSA Eligible, 3 Pack (4 FL OZ Biofreeze Menthol Gel)
Biofreeze Pain Relief Roll-On, 3 oz. Roll-On, Fast Acting, Long Lasting, & Powerful Topical Pain Reliever, Pack of 3 (Packaging May Vary)
Biofreeze Menthol Pain Relieving Gel 1 Gallon Bottle With Pump Topical Pain Relief For Sore Muscles, Arthritis, Backache, And Joint Pain, Original Green Formula, (Packaging May Vary)
HEMPACTIV Joint & Muscle Relief Cream, Infused with Hemp, Menthol, MSM & Arnica, Soothe Discomfort in Your Back, Muscles, Joints, Neck, Shoulder, Knee, Nerves - 2 Fl Oz
Price:
$46.79
$29.90
$175.00
$19.99
Overview:
The Proven and Scientifically Published Menthol Based Gel
Same as biofreeze gel, but the roll-on is prefered by some people for their feet, less messy.
8.1 lbs(3.67 kg) of Value Sized Biofreeze!
This is an alternative cream: Basically Biofreeze + hemp extract.
Pros:
Scientifically proven to loosen up and relief pain up to 2x longer than Ice. Less effort than ice and great reviews. 900+ 5 star reviews on Amazon.
The roll-on application of this biofreeze can be easier to apply. Less overall mess.
If you know you already love it and trust the reviews. This is a great value that lasts a long time.
It has great reviews, loved by the all natural crowd. 100s of 5 star reviews with a near perfect rating.
Cons:
Don't put this on open sores or mucous membranes, it will burn! It can run out quick and doesn't prevent pain, just helps it.
Not as easy to spread in other areas, main difference is the roll on applicator, same solution.
A gigantic bottle that could fall over and injure you! Seriously this could be too big in some situations.
Basically looks like menthol(active Biofreeze ingredient), but with hemp extract SKYROCKETING the price.
Important Tips:
Menthol is the active ingredient in this and other hemp based creams. It works similar to ice, but once you apply it you can just move on rather than waiting 20 minutes. **Works great to get your through the night if you have pain sleeping**
Roll-on method is best for the bottom of the feet. No other real advantage. Most patients like it prior to bed for easy sleeping without foot pain.
If you know you love it, this stuff works all over the sore areas in your body not just your foot. I have had many people get me to order this for them in the past and LOVED IT!
The hemp extract is almost nothing and likely a marketing gimmick. It's basically Biofreeze with some hemp extract raising the price.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Best & Proven Pain Relieving Gel.
Biofreeze Pain Relief Gel, Arthritis Pain Reliver, Knee & Lower Back Pain Relief, Sore Muscle Relief, Neck Pain Relief, Pharmacist Recommended, FSA Eligible, 3 Pack (4 FL OZ Biofreeze Menthol Gel)
Price:
$46.79
Overview:
The Proven and Scientifically Published Menthol Based Gel
Pros:
Scientifically proven to loosen up and relief pain up to 2x longer than Ice. Less effort than ice and great reviews. 900+ 5 star reviews on Amazon.
Cons:
Don't put this on open sores or mucous membranes, it will burn! It can run out quick and doesn't prevent pain, just helps it.
Important Tips:
Menthol is the active ingredient in this and other hemp based creams. It works similar to ice, but once you apply it you can just move on rather than waiting 20 minutes. **Works great to get your through the night if you have pain sleeping**
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Roll On Version of Biofreeze Gel.
Biofreeze Pain Relief Roll-On, 3 oz. Roll-On, Fast Acting, Long Lasting, & Powerful Topical Pain Reliever, Pack of 3 (Packaging May Vary)
Price:
$29.90
Overview:
Same as biofreeze gel, but the roll-on is prefered by some people for their feet, less messy.
Pros:
The roll-on application of this biofreeze can be easier to apply. Less overall mess.
Cons:
Not as easy to spread in other areas, main difference is the roll on applicator, same solution.
Important Tips:
Roll-on method is best for the bottom of the feet. No other real advantage. Most patients like it prior to bed for easy sleeping without foot pain.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
A giant container of value size biofreeze.
Biofreeze Menthol Pain Relieving Gel 1 Gallon Bottle With Pump Topical Pain Relief For Sore Muscles, Arthritis, Backache, And Joint Pain, Original Green Formula, (Packaging May Vary)
Price:
$175.00
Overview:
8.1 lbs(3.67 kg) of Value Sized Biofreeze!
Pros:
If you know you already love it and trust the reviews. This is a great value that lasts a long time.
Cons:
A gigantic bottle that could fall over and injure you! Seriously this could be too big in some situations.
Important Tips:
If you know you love it, this stuff works all over the sore areas in your body not just your foot. I have had many people get me to order this for them in the past and LOVED IT!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Menthol Based Ointment with Hemp Extract
HEMPACTIV Joint & Muscle Relief Cream, Infused with Hemp, Menthol, MSM & Arnica, Soothe Discomfort in Your Back, Muscles, Joints, Neck, Shoulder, Knee, Nerves - 2 Fl Oz
Price:
$19.99
Overview:
This is an alternative cream: Basically Biofreeze + hemp extract.
Pros:
It has great reviews, loved by the all natural crowd. 100s of 5 star reviews with a near perfect rating.
Cons:
Basically looks like menthol(active Biofreeze ingredient), but with hemp extract SKYROCKETING the price.
Important Tips:
The hemp extract is almost nothing and likely a marketing gimmick. It's basically Biofreeze with some hemp extract raising the price.
Affiliate Link (Buying through these links will connect you to Amazon):

 

Wait it out:

  • Take it easy that day, generally doing these things for 1-2 days will start to feel better.
  • Go see you podiatrist as soon as possible for steroids or Indomethacin if possible.
  • Make sure it’s not a different problem as well!

 

And to prevent injury in the future… Get GREAT Shoes!

Best Podiatrist Recommended Shoes