Understanding gout and why it matters at work
Gout is one of the oldest recorded medical conditions, yet it remains a surprisingly misunderstood problem today. It is a type of inflammatory arthritis caused by a build-up of uric acid crystals in the joints. These crystals can trigger sudden and extremely painful attacks, often in the big toe but also in other joints such as ankles, knees, wrists and fingers. While gout is often thought of as a “lifestyle” disease or something that only affects older men, the reality is far broader. In a workplace setting, gout may seem like a minor personal health issue, but a worker experiencing a flare-up might struggle to stand, walk, type, or use tools, which can compromise their safety and capability.
What causes gout?
At its core, gout is caused by an excess of uric acid in the blood, a condition known as hyperuricaemia. Uric acid is a waste product that forms when the body breaks down substances called purines, which are found naturally in our cells and in certain foods and drinks. Normally, uric acid is dissolved in the blood and excreted in urine. When the body produces too much or the kidneys don’t remove enough, uric acid builds up and forms crystals in the joints. Several factors can increase the risk. Diets rich in purine-heavy foods (such as red meat, certain seafoods and alcohol – especially beer) are a cause, as is dehydration, obesity and some medications like diuretics. Genetics also play a role, meaning someone can develop gout even with a healthy lifestyle.
Recognising the signs of gout
One of the reasons gout can go untreated is that its symptoms appear suddenly and can mimic other conditions. A classic gout attack often starts at night, producing intense joint pain that peaks within 12 to 24 hours. The affected joint may become swollen, red, warm and tender to the touch, making even light pressure unbearable. Some people describe it as feeling like their joint is “on fire”. In the workplace, these signs might show up as a colleague limping or avoiding certain movements. Unlike some chronic conditions that have a slow onset, gout can flare up without warning, which makes it important for both workers and managers to understand what’s happening and respond appropriately. Early recognition can help prevent further complications and long-term joint damage.
Preventing gout before it starts
Gout is linked to both lifestyle and biological factors, so prevention should be multi-faceted. Maintaining a healthy weight, staying hydrated, moderating alcohol intake and eating a balanced diet low in purine-rich foods can all help. However, prevention doesn’t stop at personal choices. In a workplace setting, access to drinking water, opportunities for regular breaks and support for healthier eating can have an impact. Employers who provide wellness programmes or occupational health services can provide education for conditions like gout. Workers who understand their risk factors and know how to reduce them are better equipped to prevent gout from developing.
Common treatments for gout
For those who already have gout, effective treatment is key to reducing pain and preventing future attacks. During a flare-up, non-steroidal anti-inflammatory drugs (NSAIDs) are often used to reduce pain and inflammation. Colchicine and corticosteroids are other options prescribed by healthcare professionals when NSAIDs are unsuitable. Long-term management focuses on lowering uric acid levels to prevent attacks from recurring. Medications are commonly prescribed for this purpose. Treatment works best when combined with lifestyle changes, such as maintaining a healthy diet and limiting alcohol.
How employers can support workers with gout
Employers have an important role to play in reducing the impact of gout on their workforce. Simple adjustments, like providing seating options for staff who usually stand, ensuring workers can take breaks to manage pain, or allowing flexible working during flare-ups can make a significant difference. In roles where safety is critical, such as driving or operating machinery, reassessing duties during an acute attack may be necessary to protect both the employee and their colleagues. Beyond physical adjustments, creating an open culture where employees feel comfortable disclosing health conditions without stigma is essential.
How employees can support themselves and each other
Workers who have gout can take proactive steps to manage their condition. This includes adhering to prescribed medications, making dietary and lifestyle changes, and communicating openly with managers or HR about their needs. Staying hydrated at work, taking short movement breaks and planning meals to avoid known triggers are small steps that can prevent big setbacks. Colleagues also have a part to play. Understanding that gout is a medical condition rather than a sign of weakness or poor choices helps increase empathy. A supportive environment can reduce stress and embarrassment for the person affected, making it easier for them to manage their health and stay productive.
In conclusion
Gout is more than just a painful inconvenience. In the workplace, it can be a serious barrier to performance, safety and wellbeing. Yet with the right knowledge and approach, its impact can be significantly reduced. At MOHS Workplace Health, we believe that understanding conditions like gout is central to creating safer, healthier workplaces. By working together we can ensure that gout does not become a silent obstacle to your worker’s wellbeing.