Do patients with gout need rest, and can they walk?

In general, gout patients have different needs regarding rest and activity depending on the stage of their condition. During acute episodes, rest should be emphasized and physical activity avoided. However, during chronic or intercritical periods, moderate walking is acceptable.

During acute gout attacks, the affected joints become red, swollen, warm, and painful. At this stage, patients should focus on rest, minimize physical activity, and even remain bedridden to reduce joint stress and prevent worsening of symptoms. Rest helps alleviate inflammation and promotes joint recovery. With guidance from a physician, patients may apply ice packs or cold compresses to the affected area for approximately 15–20 minutes multiple times daily, which can help reduce inflammation and pain.

During chronic or intercritical phases of gout, when symptoms are relatively mild or nearly absent, patients are encouraged to engage in appropriate physical activities such as walking, jogging, or practicing tai chi. These activities can improve physical fitness, help control body weight, facilitate uric acid metabolism and excretion, and reduce the frequency of gout attacks. However, patients should avoid strenuous exercise and excessive fatigue, as these may trigger gout flares.

In daily life, gout patients are advised to maintain healthy dietary habits, limit intake of high-purine foods, and increase consumption of fruits, vegetables, and whole grains, which helps manage the condition.