Breaking the Cycle: Why Gout Keeps Coming Back—And How to Stop It

By BlackDoctor.org

For anyone who’s experienced it, a gout flare feels like punishment—stabbing pain, redness, swelling so intense you can’t wear a sock, let alone walk into work. And just when you think it’s gone, it returns, often worse than before.

You’re not alone. Recurrent gout is more common than many realize, particularly in Black communities where access to diagnosis and long-term care can be inconsistent. The truth is, gout keeps coming back because the root cause—high uric acid—is rarely addressed.

Gout is a form of arthritis caused by uric acid crystals in the joints, most often in the toe, foot, ankle, or knee. Painkillers may calm the flare, but they don’t remove the crystals. Left untreated, attacks grow more frequent and severe, leading to chronic gout.

Why It Comes Back

Uric Acid Not Managed: Without medication or monitoring, crystals keep forming.

Only Treating Pain: Ibuprofen or steroids ease flares but don’t stop the cycle.

Diet Triggers: Red meat, shellfish, alcohol, and sugary drinks push uric acid higher.

Risk in Black Communities

Black men over 40 face higher gout risk, often compounded by hypertension, kidney disease, limited access to specialists, and mistrust in the medical system. Breaking this cycle is critical for protecting long-term joint and kidney health.

How to Take Control

Lower uric acid with long-term medication if needed.

Hydrate daily—10–12 cups of water.

Eat smart: lean poultry, beans, veggies, whole grains.

Maintain a healthy weight to reduce strain and uric acid buildup.

Track triggers to identify flare patterns.

If you’ve had more than two flares a year, see a rheumatologist. With the right plan, gout doesn’t have to control your life—you can.