Natural Ways to Help Prevent Gout Attacks: Evidence-Informed Approaches from Foot and Ankle Center of Iowa

Gout is a painful form of inflammatory arthritis caused by elevated levels of uric acid in the blood. When uric acid builds up, it can crystallize in joints, often triggering sudden, intense flares—especially in the feet and ankles. At Foot and Ankle Center of Iowa, we understand the importance of empowering our patients with knowledge about both medical and natural strategies to manage gout and reduce its impact on daily life.

While prescription medications like allopurinol and colchicine are important tools in the management of gout, many patients also seek complementary approaches. Here, we offer a summary of natural supplements and lifestyle habits that may help prevent future flares—based on current scientific evidence.

Red, hot, swollen joint consistent with a gout attack.

Natural Supplements That May Help Prevent Gout Attacks

1. Vitamin C

• Effect: May help lower uric acid levels in the blood.

• Evidence: Studies suggest that taking 500 mg of vitamin C daily can modestly reduce serum uric acid levels.

• Note: This supplement is best used as a preventive measure—not during an acute gout flare.

  
  

2. Tart Cherry Extract

• Effect: Anti-inflammatory properties; may reduce frequency of gout flares.

• Evidence: Research supports that tart cherry juice or extract can help lower uric acid and reduce attacks.

• Dosage: 1–2 tablespoons of extract or 8–16 oz of juice per day.

• Note: Choose unsweetened or low-sugar varieties to avoid triggering flares with excess fructose.

  
  

3. Quercetin

• Effect: A natural flavonoid with both anti-inflammatory and uric acid-lowering potential.

• Evidence: Early studies show it inhibits xanthine oxidase, the same enzyme targeted by allopurinol.

• Dosage: Typically 500–1000 mg/day.

• Note: Use under medical supervision, especially if you're taking other medications.

  
  

4. Omega-3 Fatty Acids (Fish Oil)

• Effect: Reduces systemic inflammation.

• Evidence: Although not directly affecting uric acid, omega-3s support joint health and reduce inflammatory responses.

• Dosage: 1000–3000 mg of EPA and DHA daily.

• Note: Opt for high-quality, purified fish oil supplements.

  
  

5. Magnesium

• Effect: May help reduce uric acid levels and prevent crystal formation.

• Evidence: Low magnesium levels have been linked with elevated uric acid; further research is ongoing.

• Note: Commonly taken as magnesium citrate or glycinate and often found in multivitamins.

Additional Supportive Lifestyle Measures

Natural supplements can be most effective when combined with healthy lifestyle choices. We encourage the following habits:

• Stay well hydrated – Water helps the kidneys flush out uric acid more efficiently.

• Limit high-purine foods – Red meat, organ meats, and certain seafoods can increase uric acid.

• Avoid high-fructose corn syrup – Common in soft drinks and processed foods; can trigger flares.

• Maintain a healthy weight – Excess body weight is a strong risk factor for gout.

• Limit alcohol intake – Especially beer and spirits, which are common triggers for gout attacks.

Other Factors That Can Increase the Risk of Gout Attacks

Beyond diet, several other factors can contribute to gout flares:

• Pre-existing arthritis: Conditions like osteoarthritis can increase susceptibility to gout attacks. This can actually mimic gout at at times as well.

• Trauma to the foot: Injuries can trigger the body's inflammatory response, leading to uric acid crystal accumulation in joints.

• Surgery: Surgical procedures, especially those involving joints, can precipitate gout flares due to stress and tissue injury.

• Certain medications: Diuretics and immunosuppressive drugs can increase uric acid levels.

• Kidney disease: Impaired kidney function can lead to reduced excretion of uric acid.

• Dehydration: Lack of fluids can concentrate uric acid in the blood.

• Stress: Both physical and emotional stress can trigger gout attacks.

Important Caveats for Patients

It's important to remember:

• Supplements are not a substitute for medical treatment, particularly in moderate to severe or chronic gout.

• Always consult your physician before starting new supplements, especially if you are on prescription medications or have kidney disease.

At Foot and Ankle Center of Iowa, we are committed to partnering with you on your journey to a pain-free and functional life. If you’re experiencing gout symptoms or looking for integrative ways to prevent flares, our team is here to help.

Ready to Take the Next Step?

Our experienced providers can guide you through the safest and most effective strategies—both medical and natural—to help you manage gout.

Contact us today to schedule a consultation and take the next step toward lasting relief.

Disclaimer: This blog is for educational purposes only and should not be taken as medical advice. Always consult your healthcare provider before starting any new treatment or supplement