
Gary Edwards
Injection Therapist and Chiropractor, Clinic Director
GCC 03996
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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.
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.
Pain that comes on quickly, often overnight, and is at its worst within a day.
A hot, swollen, red or purple joint.
The big toe is most often affected, but the ankle, knee, wrist and fingers can be too.
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.
Gout attacks and long-term treatment are usually managed by your GP. At Vale, we can help with:
From £120
An ultrasound scan, which can show signs of gout crystals in a joint and help with diagnosis.
£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 →Book online or call us. Many of our consultations are free.
We listen to your history, examine you and, where it helps, scan the area with ultrasound.
We explain what we think is going on and your options, with costs, so you can decide.
We start treatment if it’s right for you, and check your progress as you go.
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.

Injection Therapist and Chiropractor, Clinic Director
GCC 03996

Doctor, Sport & Exercise Medicine
GMC 7689922



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.
Rest and raise the joint, keep it cool, and drink plenty of water. See your GP or pharmacist about anti-inflammatory medicine.
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.
Written by Gary Edwards, Injection Therapist (PG Cert Injection Therapy) and Chiropractor (GCC 03996). Last updated 15 October 2026.