I haven't had an attack since my last post, 4 months ago! I didn't use baking soda and am off allorpurinol. In fact, I am hydrating less than before and am not getting attacks!

All I had to do was monitor my heart rate and keep it from going beyond 160 during aerobic exercises. This apparently prevents the extreme fatigue that triggers high uric-acid production in my body.

I would encourage every gout sufferer who exercise regularly to try this too!

I have had gout since my early 20's and I am now 34. Whenever I twist an ankle I get an attack. Whenever I walk a long distance and get sore knees or feet I get an attack. If a carry something heavy and twist my wrist I get an attack. I hate not being able to exersize and play sports/martial arts etc. I am always carefull to not over exery myself.
I just signed up for a water aerobics and water weight lifting class at the YMCA and start in a few days. I am very excited about losing weight and regaining strength. I will let you all know how it goes.

I have seen a medical journal paper that reports that one effect of anaerobic exercise (as opposed to aerobic exercise) is the cellular overproduction of xanthine oxidase, which is a link in the chemical chain that leads to overproduction of uric acid. Thus, it is possible that anaerobic exercise can lead to a gout attack in some people.

Exercise can also lead to a gout attack by another means. In earlier gout attacks, the body stopped the attack by stopping the immune system's chemical sensing of the presence of monosodium urate crystals by forming a coating around those crystals. Exercise can rupture that coating, so that the presence of MSU is again detected, initiating the immune system's inflammasome respone that causes more gout pain and inflammation.

FIrstly, looks like most of the people here who get gout are young..I am 34, and I got my gout since about 25. It was after heavy swimming and running. And that's when I had my first attack.

Since then, I tend to get it after heavy running, of course there are times when I didn't need to exercise to get an attack. I believe there is a real correalation between exercise (fatigue, lactic acid build up) and gout. It was mask itself as a "sprain" after running when I did not sprain my foot. It will then creep up slowly within 2 days and becomes a major turn off.

I am writing so that more people can tell their doctors that exercising could be one of the bad reason for gouts, especially from what I have seen here. - young adults.

Even yoga can trigger gout from what I have seen. So exercise safe. And not go overboard. Usually I know it's coming when I "over-exercise".