
Q Is it okay to exercise if I have gout? What kind of exercise is good, and what should be avoided?
A During an acute attack, joint stability is the priority, so you should rest from exercise. During the intermittent phase, low-weight aerobic exercises such as swimming, cycling, and brisk walking are recommended. Caution is required regarding intense anaerobic exercise or long-distance running, as these can cause lactic acid to build up, inhibiting uric acid excretion and potentially impacting the joints.
Detailed Answer
Intense anaerobic exercise accelerates the breakdown of ATP in muscles, increasing purine production, and lactic acid competes with uric acid for excretion in the kidneys, causing a temporary rise in uric acid levels. It also has the combined effect of inducing dehydration to further increase uric acid concentration. On the other hand, regular moderate-intensity aerobic exercise improves insulin sensitivity and reduces body weight, which is beneficial for long-term uric acid control. Swimming, cycling, and aqua aerobics, which place minimal stress on the joints, are particularly suitable for gout patients. From the Perspective of a Korean Medicine Clinic In Korean medicine, appropriate exercise is part of lifestyle treatment that activates the circulation of Qi and blood, clears the pathways, and prevents the accumulation of waste products. However, since excessive exercise depletes the body's vital energy and vital fluids, exacerbating the decline in kidney function, it is crucial to replenish fluids and get sufficient rest after sweating. At Dongjedang, we provide individual guidance on exercise intensity and types tailored to the patient's physical condition in conjunction with treatment. We also implement a rehabilitation approach using acupuncture needles and flat-tipped needles to accelerate the recovery of joint function after an attack.
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