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Hip, knee, leg and foot · Gout

Gout advice and assessment in Tunbridge Wells

Gout causes sudden attacks of severe pain and swelling in a joint, very often the big toe. It’s very treatable, but long-term treatment is usually managed with your GP. We can help assess painful joints and ease symptoms.

  • UltrasoundTo look at the joint
  • From £120Ultrasound scan
  • FreeInjection consultation
  • GPFor long-term treatment
The condition

What is gout?

Gout is a type of inflammatory arthritis. It happens when uric acid builds up in the body and forms sharp crystals in and around a joint, causing sudden, intense inflammation.

It’s more common in men, and linked to genetics, kidney problems, some medicines, being overweight, alcohol (especially beer) and a diet high in red meat, seafood and sugary drinks.

Symptoms

Symptoms of gout

  • Sudden severe pain

    Pain that comes on quickly, often overnight, and is at its worst within a day.

  • Swelling and redness

    A hot, swollen, red or purple joint.

  • Big toe

    The big toe is most often affected, but the ankle, knee, wrist and fingers can be too.

  • Very tender skin

    Even the weight of a bedsheet can be painful.

A hot, swollen joint with a fever or feeling unwell could be an infection, which needs urgent medical attention.

Treatment options

How we can help

Gout attacks and long-term treatment are usually managed by your GP. At Vale, we can help with:

  • Ultrasound scan

    From £120

    An ultrasound scan, which can show signs of gout crystals in a joint and help with diagnosis.

  • Steroid injection

    £250

    In some cases, an ultrasound-guided steroid injection to settle a flare in a single joint, once infection has been ruled out.

    About steroid injection →
Not sure which treatment is right for you?Book a consultation and we’ll talk you through your options.
Why patients choose Vale

Benefits of treatment

  • Ultrasound scanning on site

  • Injections guided by ultrasound

  • Clear advice on lifestyle changes

  • Liaison with your GP

How it works

Your four-step journey

  1. 01

    Get in touch

    Book online or call us. Many of our consultations are free.

  2. 02

    Assessment

    We listen to your history, examine you and, where it helps, scan the area with ultrasound.

  3. 03

    Your plan

    We explain what we think is going on and your options, with costs, so you can decide.

  4. 04

    Treatment and review

    We start treatment if it’s right for you, and check your progress as you go.

Long-term treatment

Working with your GP

If you have repeated attacks, your GP may suggest a daily medicine to lower uric acid levels, such as allopurinol, and a blood test to monitor it. This is the most effective way to prevent attacks and joint damage, and we’d encourage you to discuss it with them.

Your clinicians

Meet the team

Gary Edwards

Gary Edwards

Injection Therapist and Chiropractor, Clinic Director

GCC 03996

Dr Gabriel Azzini

Dr Gabriel Azzini

Doctor, Sport & Exercise Medicine

GMC 7689922

Registered and regulatedRegistered with the Care Quality Commission (CQC)General Medical Council (GMC) registered doctorsGeneral Chiropractic Council (GCC) registered chiropractors
Your questions

gout questions answered

Can gout be cured?

Gout can’t be cured, but it can be very well controlled. Medicines from your GP that lower uric acid can stop attacks altogether for many people.

What should I do during an attack?

Rest and raise the joint, keep it cool, and drink plenty of water. See your GP or pharmacist about anti-inflammatory medicine.

Do I need to change my diet?

It can help, but diet alone rarely controls gout. Cutting down on alcohol, sugary drinks and large amounts of red meat and seafood, and losing weight if needed, all help.

Got another question?Ask us at your consultation. You don’t have to go ahead.
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Written by Gary Edwards, Injection Therapist (PG Cert Injection Therapy) and Chiropractor (GCC 03996). Last updated 15 October 2026.