Hello! Thank you for reaching out. Gout is a form of arthritis and occurs when there are high levels of uric acid in the blood. Uric acid is a break down of purines (in short, which naturally occur in the body to assist with cell function). The problem is that when there is an increase of purines in the body there will be an increase in the amount of uric acid. The body can excrete and reabsorbs uric acid, but an over accumulation of uric acid, be it due to genetics or outside sources, causes this acid to crystallize and then deposit into joints, muscles, and surrounding tissues. When dealing with gout, you want to make sure that you follow up with your PCP and be sure to follow their given directives. To manage gout at home, I have the following recommendations. Now keep in mind that these are recommendations and not cures for your condition. First, make sure you are taking any prescribed med’s per your PCP’s order. ICE will be you best friend during flare ups. Now, if the flare up is unbearable, make sure that you seek out immediate medical attention. You always want to be proactive to prevent any possibility of severity of your condition. Drink plenty of fluids preferably water (alkaline). Alkaline water will help to bring a more alkaline state, which is a healing state for your body by flushing out acidity. If swelling is present, elevate your foot higher than your chest. If you are feeling pain when sleeping and you can’t stand for your sheets to touch you, then make sure that you bring your sheets to a level where the affected foot is able to breath. Avoid alcohol, red meats, and for that have nitrates. For fitness goals, isometric exercises would be best because there’s no motion of your joints. Also, make sure that you stretch your leg muscles before and after all activities. The following link has a few good stretches that I believe would help you: https://www.arthritis-health.com/treatment/exercise/knee-stretches
Hope this helps.