During a flare

Having a gout flare right now? Start here.

The immediate goal is to follow your treatment plan, protect the painful joint and avoid adding unnecessary pressure.

Seek medical care promptly if this is your first suspected flare, you are unsure whether it is gout, you have fever or feel systemically ill, or symptoms are unusually severe or rapidly worsening.

1. Follow your prescribed treatment plan

If your clinician has given you a flare plan, follow it as directed. Do not change prescription doses based on a website.

2. Reduce pressure on the painful joint

Rest the affected area when practical. During a big-toe flare, footwear that presses directly on the joint may be especially uncomfortable.

3. Elevation and cold therapy

Some people find elevation and cold packs helpful for comfort. Protect the skin and avoid prolonged direct ice exposure.

4. Hydrate normally

Stay adequately hydrated unless your clinician has told you to restrict fluids. More is not automatically better.

5. Know when to get help

Joint infection can sometimes resemble gout. Fever, chills, severe illness, rapidly worsening redness, an open wound near the joint or diagnostic uncertainty deserve medical evaluation.

Prepare for a doctor visit Learn about treatment