I had an attack starting 4am on May 2nd. Triggered by interval training. This attack is gone in almost 48 hours. The intensity of the pain during the attack (left ankle) was easily managed with 2 doses of 400mg ibuprofen. I did not notice any swelling, or redness. No, I didn't use any hc cream. I will leave that as an option for next time if there is one, and if I have the money. The cream is probably a better option than ibuprofen.
At my first gout attack I was 68.5 in tall, and 163 pounds. I didn't know what gout was, and thought I had jammed my toe. This was in November of 2003.
The last major attack was last year. The attack lasted about 2 weeks in left ankle, and another 5 days in the left big toe joint. I was at 198 lbs. last year. The swelling was so bad that my foot would not fit in a shoe. Not to mention the pain of that process. Of course, that was not unusual for a typical gout attack. It just lasted much longer than normal.
Prior to vitamin/ mineral supplementation, diet change, and loss of 40 pounds. A typical gout attack would last about 6 days. The attacks were getting longer, and more difficult to get rid of. Pain was pretty severe. Swelling, heat, and redness, were common symptoms.
I think in my particular case the inflammation has become much easier to control. I hope to see further improvement after a few months of continued supplementing. My latest theory on my case of gout: I spent years drinking drinking soda,from 1994 to 2011 . I was drinking a 2 liter a day at my worst in 2011. I believe that I am glucose sensitive. I also think that the soda habit, and poor diet, caused vitamin, and mineral deficiencies. These deficiencies, and my heritage, caused me to have gout. I am not methodical by nature. So, I haven't tested for deficiency, or recorded event durations, and frequency. Although, I am considering starting a gout journal now.
The other variable that I haven't mentioned. I plan on getting the amalgam fillings replaced when I have the money.
I have never been formally diagnosed with gout. My two younger brothers, and my father, all have been diagnosed with gout. All three have used allopurinol, and colchisine(sp). I don't like addressing symptoms without trying to address the underlieing problem. What really causes gout? I spent years trying individual supplements with a little success. I was missing the bigger picture, diet, and correcting all the deficiencies. I would much rather supplement for the rest of my life than add on new prescriptions every year for some new symptom. By chance I stumbled over Gary Taubes when I was in the process of quitting soda. Which reinforced my resolve to quit soda, and got rid of some dietary assumptions, or programming. And finally lead me to more focus on the vitamins, and minerals. Give the body what it needs, and it will take care of itself. I know I am stealing that idea from somewhere.