Can You Use Apple Cider Vinegar to Treat Gout Naturally?

Disclaimer: Results are not guaranteed*** and may vary from person to person***.

apple cider vinegar for gout

Apple cider vinegar (ACV) is a popular natural home remedy for many ailments. Studies show that it can help treat everything from strep throat and high blood pressure to wounds and fungal infections. But did you know that ACV is also an effective treatment for gout?

Research shows that ACV not only has the potential to reduce the symptoms of gout, but it may even prevent this painful form of arthritis from ever coming back.

What Is Gout?

Gout is a complex form of arthritis that occurs when urate crystals (a combination of calcium and urate, substances typically found in the urine) gather together in the joint, resulting in pain and inflammation.

These crystals are created when there are elevated levels of uric acid—the chemical created when the body breaks down purines—in the blood.

Uric acid will typically dissolve in your blood, passed through the kidneys and in the urine. But when your body produces too much uric acid, or your kidneys emit too little, uric acid will build up and create very sharp urate crystals in a joint or surrounding tissue.

This is what causes the pain and inflammation associated with gout.

Gout Risk Factors

You have a higher chance of developing gout if you have high levels of uric acid in your body. Everything from one’s diet, to medical conditions, to family history can factor into this increase. Let’s look at a few factors more closely:

Overweight/obese: People who are overweight or obese are at a higher risk of developing gout—mainly because their bodies produce more uric acid and their kidneys have a harder time excreting it.

High blood pressure/diseases: Untreated high blood pressure and other chronic conditions, such as kidney or heart disease, could make one more likely to develop gout. Medications to treat these conditions, such as thiazide diuretics (used to treat hypertension) or even low-dose aspirin, can increase uric acid levels and contribute to the development of gout.

Gender and age: Since women generally have lower uric acid levels, gout occurs more often in males. But age plays a factor, too. Women’s uric acid levels approach those of men after menopause. So men are more likely to develop gout in midlife (between 30 and 50 years of age) and women are more likely to develop it after menopause.

Symptoms of Gout

Gout symptoms can occur suddenly, mainly at night and with no warning. They include:

  • Constant discomfort: Joint discomfort can last anywhere from a few days to a few weeks.
  • Limited range of motion: You may struggle to move your joints or you may only be able to move your joints sparingly.
  • Intense joint pain: Gout usually affects the large joint in the big toe, but it can also affect your knees, feet, hands, and wrists. The most severe pain will likely occur within the first 12 hours after it starts.
  • Inflammation and redness: When the joint becomes inflamed, it can swell and become red.

How Apple Cider Vinegar Works for Gout

ACV contains antiviral, antibacterial, and antifungal properties. It is full of nutrients, like potassium, amino acids, calcium, and iron, which can help reduce toxin buildup and help rid the body of excess levels of uric acid.

ACV also contains acetic acid, an ingredient that is effective at preventing and treating gout. According to some researchers, acetic acid turns alkaline inside the body and forms a pH-balanced environment that prevents gout.

ACV also contains malic acid. This ingredient is able to dissolve the uric acid in your blood, which could reduce the intense pain and soreness associated with gout.

Drinking apple cider vinegar breaks up the uric acid crystals and thwarts them from reforming in the joints by supporting proper blood circulation. It also promotes joint flexibility by reducing swelling and inflammation in the joints.

Some people even claim to experience gout relief a few hours after drinking apple cider vinegar.

When to Take ACV for Gout

Take ACV for gout after you eat a full meal including foods that promote an alkaline body environment. These foods can help neutralize toxic dietary acids.

Try the following food sources:

What Type of ACV Should You Buy?

Make sure that you buy ACV that is organic, non-pasteurized, and non-fermented. This will ensure the ACV still contains essential nutrients, enzymes, and minerals. The ACV should also have a low acetic acid level.

How to Use ACV for Gout Relief

How do you use apple cider vinegar for gout? There are many ways of taking apple cider vinegar for gout relief.

For Internal Use:

1. ACV Drink

Your first option is to drink the ACV in the following recipe.


  • 2 tsp organic apple cider vinegar
  • 8-oz glass of filtered water


  • Mix the ACV into the glass of water.
  • Consume three times daily for best results.

2. Mixed Fruit Juice

Another internal option is mixing the ACV with other juices, such as grape, strawberry, or blueberry juice. However, it combines the power of ACV with homemade fruit juices for those who don’t like the taste of ACV.

Since there is natural sugar in fruit, there is no need to load this mixture with added sugar.


  • 2 tsp organic apple cider vinegar
  • 8-oz glass of freshly squeezed fruit juice (grape, strawberry, or blueberry)


  • Mix all ingredients together in a glass.
  • Consume two to three times daily for best results.

For Topical Use:

1. ACV Wrap

If you just can’t handle the taste of ACV, try soaking a cloth in undiluted ACV. This topical method is thought to work faster for gout relief.


  • 3-4 tbsp organic apple cider vinegar
  • A dry, clean cloth


  • Submerge the cloth in the ACV.
  • Once the cloth is completely soaked, wrap it around the affected joint.
  • Secure it with plastic wrap and an elastic bandage for overnight use.
  • Repeat the process three or four nights weekly for best results.

2. ACV Foot Soak

For another topical gout attack treatment, here is an option for a foot soak.


  • 1 cup organic apple cider vinegar
  • 4 cups hot water
  • 1 bucket


  • Soak your foot in a bucket containing four cups of hot water and one cup of ACV for about 30 minutes.
  • Repeat this method daily.

Combining Apple Cider Vinegar and Other Ingredients for Gout Relief

A variety of other apple cider vinegar combinations may also offer you gout relief. This section will show you how to take ACV using ingredients like cayenne pepper, baking soda, cherry juice, or honey.

1. ACV and Cayenne Pepper Paste

Cayenne pepper is loaded with anti-inflammatory properties, such as vitamin C, vitamin E, and flavonoids. This herb is great for gout symptoms like joint pain and nerve damage in the feet.

Here is how to combine it with ACV for a great gout remedy.


  • 2 tbsp organic apple cider vinegar
  • 1 tsp cayenne pepper powder


  • Mix the ingredients together to form a paste, and apply it over the affected joints.
  • Repeat once daily for best results, and until symptoms are controlled.

2. ACV and Baking Soda Drink

Baking soda is used for more than just deodorizing. The combination of ACV and baking soda is designed to lower acidity, and therefore further reduce uric acid levels in your body. Find out below how to do this.


  • 1/4 tsp aluminum-free baking soda
  • 2 tbsp organic apple cider vinegar
  • 250 ml (1 cup) warm filtered water


  • Combine all ingredients in a glass and stir well.
  • Drink twice daily for best results.

3. ACV and Cherry Juice

Cherry juice may be the ultimate gout treatment as it’s loaded with anti-inflammatory properties and antioxidants like quercetin, carotenoids, and anthocyanins.

Research shows that cherry consumption is linked with a 35% reduced risk of gout attacks, and there’s no telling how much more powerful it could be when combined with ACV.

Let’s see how you can combine cherry juice and ACV for gout in this recipe below.


  • 250 ml (1 cup) freshly squeezed cherry juice
  • 1 tbsp organic apple cider vinegar


  • Add the apple cider vinegar to a glass of the cherry juice.
  • Consume twice daily for best results.

4. ACV and Raw Honey

Raw honey is an antioxidant powerhouse that’s been shown as effective for treating any skin problem, from burns to wounds to, yes, gout as well. On top of that, you’re combining some sweetness with the bitterness of ACV.


  • 2 tbsp raw honey
  • 1 tbsp organic apple cider vinegar
  • 250 ml (1 cup) warm water


  • Combine all ingredients in a glass and mix well.
  • Drink twice daily for best results.

Gout Complications if Left Untreated

If left untreated, gout can lead to:

Kidney stones: Urate crystals may collect in the urinary tracts of those suffering from gout, resulting in kidney stones.

Advanced gout: Deposits of urate crystals can form under the skin in nodules (a growth under your skin filled with inflamed tissue and fluid) called tophi. Tophi can develop in areas like your fingers, hands, feet, elbows, or Achilles tendons on the backs of your ankles. They are not painful, but they can become swollen and tender during a gout attack.

Recurrent gout/joint destruction: Untreated gout can lead to recurring attacks—up to several times each year. It can also result in joint erosion or destruction.

Foods to Avoid If You Have Gout

Scallops: Scallops are rich in purines, which the body breaks down into uric acid. When your gout is at bay, you will have a little more freedom with your food choices, but it is still a good idea to keep the scallop consumption to a minimum.

Beer: Drinking beer is what I call a double-whammy for those prone to gout. Not only does it increase your uric acid levels, but it also makes it difficult for your body to get rid of this substance.

High-fructose corn syrup: Avoid beverages that are sweetened with high-fructose corn syrup, such as sodas or fruit drinks. These beverages will stimulate the body to produce more uric acid.

Goose and turkey: Goose and turkey meat are higher in purines, so you will want to avoid them. Substitute them with chicken or duck.

When Should You See a Doctor for Your Gout?

You should call or see your doctor if you:

  • Notice swollen, tender joints with warm, red skin over them
  • Experience sudden, severe pain in a joint

Final Thoughts on Taking ACV for Gout

In this article, we learned that apple cider vinegar for gout could definitely be the way to go for symptom relief. Drinking or applying organic, non-pasteurized, and non-fermented ACV for gout may provide you relief by reducing excess uric acid buildup in your body. This is due to the acetic and malic acid content, as well as antibacterial, antiviral, and antifungal properties within ACV.

Above we mentioned how to use ACV topically and internally—in a foot soak, as a rub, or as a drink combined with homemade juices. Since not everyone will experience the same level of relief with apple cider vinegar, you can increase the effectiveness when you combine ACV with cayenne pepper, baking soda, raw honey, or cherry juice as detailed above.

Also read:

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