Gout attacks in the same joint over many years can cause deterioration of the structure of that joint. Naproxen is a pain reliever and anti-inflammatory, but it will not protect your joints from deterioration. It just makes the pain more bearable.

I found Naproxen to be very beneficial for gout pain relief when I first started using it. But over time its effectiveness began to wear off. Finally, after 15 years of gout attacks, my gout was completely cured when my sleep apnea was diagnosed and resolved. The reason why the oxygen reduction from sleep apnea can cause gout attacks is described in the new book "The Perils of Sleep Apnea - An Undiagnosed Epidemic". It's available at amazon.com for less that ten bucks.

If sleep apnea is the root cause of your gout, you have much more to be concerned about than deteriorating joints. Your risk for a heart attack is three times higher than if you don't have sleep apnea. Your risk is greatly elevated for developing high blood pressure, stroke, coronary artery disease, heart arrhythmias, diabetes, kidney disease, depression, and even sudden death. And the cardiovascular benefit from all your exercise is lessened. Overcoming your sleep apnea will reduce all of these risks. Check it out!

I've taken BJJ on and off for several yers and have dealt with the evil gout that long as well. I have found that while there will be more pain involved in certain ankle locks, etc., as long as you tell your practice partner it should be fine. And don't roll during an attack of course. If anything, after dealing with gout, an arm bar seems like child's play. Now if there were only a way to tap out of a gout attack...

I am a bodybuilder and former martial artist who has suffered some very severe gout attacks over the years. My ankles have taken the brunt of the attacks and this has made them weak and less flexible. Since I was involved in traditional forms of karate, it made staying in my stances difficult, and my ankles also could not support any kicks I made with the blade of my feet.

If you are not on allopurinol, I would check with your doctor and see if you can get on that or probeniced. That will help to prevent any attacks. As a bodybuilder, I find the hardest part is getting enough quality protein given my protein limitations. Try and make sure you are strict with your diet to prevent attacks that will diminish your training time.

Good luck.

Ray

my experience says to continue sweating excercise to prevent gouty attacks.

till my schooling i was not having gout and was a regular badminton player with considerable caliber.
Discontinuing game thereafter resulted in gout.
Almost lost my legs because of severe and continous gout attacks after my college days.

But now (at 49 years) it is reversed because of starting the game again.
Daily sweating for two hours and i am almost out of the gout for last 3 years.

Gout and weight training
Depends on how much your gout has damaged your joints. I have had gout for years and the damage it has done to my ankles means that I can't really do calf raises as my joints really grind. I can train other lifts quite heavy though.

My advice is to work into your routine gradually over the course of 4 months, gradually increasing the weight each week and if any joints are problematic, switch to an alternative exercise. If you can't find an exercise that works for the muscle group without aggravating the offending joint(s), drop training that bodypart as I have done with calves (ankles).

My main issue was not the heavy weights but with getting enough protein to promote muscle growth without triggering attack. This is trial and error and you will have to find foods that you can eat to attain the 1g-1.5g of protein per 1lb bodyweight without triggering an attack. My main sources are white fish, whey, cottage cheese, skimmed milk, chicken breast and egg whites but you will need to find what works for you.

I've heard from numerous western and eastern doctors that WITH GOUT. You should not be taking part in any form of strenuous activity, especially when all that pressure is focused on your specified gout attack joint. If you must exercise, do it in light moderation, or SWIM.