To treat gout in the big toe, initial management focuses on reducing pain and inflammation with medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, colchicine, or corticosteroids. Alongside medications, elevating the foot and applying ice packs can help ease swelling and pain. Drinking plenty of fluids, avoiding alcohol and sugary drinks, and reducing pressure on the toe by cutting the sock toe or wearing open-toe shoes are also recommended for relief. For long-term management, lifestyle changes such as reducing alcohol intake, maintaining a healthy weight, avoiding high- purine foods (seafood, organ meat, red meat), and regular exercise may prevent recurrent attacks. Physicians may prescribe medications like allopurinol or febuxostat to lower uric acid levels and prevent future gout attacks.
Immediate Gout Attack Relief
- Take NSAIDs (e.g., ibuprofen, naproxen), colchicine, or corticosteroids as prescribed.
- Elevate the affected foot above heart level.
- Apply ice packs for 20-30 minutes several times a day.
- Avoid aspirin, which may worsen gout.
- Cut the big toe out of socks to avoid pressure.
- Drink plenty of nonalcoholic fluids to hydrate and flush uric acid.
Long-Term Prevention
- Use uric acid-lowering medications like allopurinol or febuxostat if prescribed.
- Reduce intake of alcohol (especially beer), sugary drinks, and foods high in purines.
- Maintain a healthy body weight and engage in regular exercise.
- Monitor and manage uric acid levels through medical supervision.
It is important to contact a healthcare provider for proper diagnosis and treatment adjustments, especially if it is the first flare or symptoms persist beyond a few days. Untreated gout can lead to chronic joint damage.
