Gout on a bike

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Joined: 30 Jun 2018, 2:40pm

Gout on a bike

Postby fex54.0 » 20 Jan 2019, 6:08pm

I am currently suffering from gout for the first time in some 68 years. I think, from what I have heard, that the severity of my attack is low, so there's a blessing to be counted.

It started in my left foot last November and has since declined to about 10 - 20% of what it was, in terms of pain, but has not gone away. The joint in the ball of the foot is where I am affected and bending that joint is uncomfortable and can be painful. It has kept me off my bike, but I am starting to go out again. I find it difficult to put a lot of force through the left foot and I cannot stand on the pedals to go uphill. Changing gear certainly helps but this is not my preferred way of riding; I am a grinder not a spinner. It is also not much use on my single speed bike either. I ride on fairly flat routes anyway, in South Cheshire, and I am now sticking to routes that have no hills that I might consider to be steep. I am also cycling at much reduced speeds, although I was never exactly rapid.

I have also purchased some Shimano A520 pedals in the hope of load spreading over a larger area and used them for first time today. So far there seems little benefit and they are harder to clip into, especially on the affected foot, being one-sided. I am tempted to get some M530s which also have a bigger platform and are double sided; they seem to be available at a reduced price at the moment which helps.

The principal problem, however, seems to be to be the shoes. I have some Shimano MTB shoes with a single Velcro strap. The shoe is quite tight on the affected foot, especially with Seal Skin socks, and I think that this exacerbates the problem. I am thinking of buying a larger pair but these will be loose on the right foot and, if and when the gout goes, loose on both which I do not want. One possible answer is the Shimano SD5 sandal. This has a strap over the front of the foot and it looks like I can adjust the tightness with that. They will also be much easier to get on; I have to use a shoehorn on the left foot and putting the shoe on that foot cannot be done without discomfort.

Does anyone have experience and advice regarding cycling with gout and of the SD5 sandals, especially in cold weather or, indeed, any other helpful suggestions?

I have looked at other threads that consider gout but they do not answer my questions; they seem to consider the medical rather than the cycling aspects. FWIW I have taken Colchicine and am taking Naproxen; the latter seems to have reduced inflammation but the former seemed to have little effect.


Posts: 121
Joined: 20 Nov 2018, 4:16am

Re: Gout on a bike

Postby Cours » 21 Jan 2019, 8:08pm

As farcas cycling in cold weather my advice with gout is dont! My friend (62) had a very bad case of gout last month and was almost immobile for a fortnight. His GP put it down to winter dietary changes and cycling in low temperatures.

Apple cider vinegar in solution and walnuts are two very effective herbal pain relief treatments for gout, but rest and avoiding temperature extremes is the best remedy.

Tart cherries although expensive have been proven to give immediate relief from gout pain also.

Posts: 924
Joined: 7 Sep 2014, 9:11am

Re: Gout on a bike

Postby robing » 6 Feb 2019, 9:04am

You need to see your GP and get your gout under control! I first had gout 15 years ago at the age of 35 -family history of it. Like you it's always my big toe joint - left foot so any form of cycling is painful when it's bad. I had recurrent bouts over many years but now *touch wood* my gout is very well controlled with 300mg allopurinol daily.

Your GP probably won't recommend this straight away - indeed you shouldn't start allopurinol when you have a gout attack. To clear up the gout, you need a course of a stronger NSAID - naproxen is a commonly used one. Also I find ibuprofen works for me, but I need a higher dose - 800mg three times daily. But go and see your GP first and get checked out as not everyone can tolerate NSAIDS especially at higher doses.

Keep hydrated, drink plenty of water and avoid sugary drinks.