Sometimes people ask me what can happen if gout is not treated.  The first thing that comes to my mind when they ask is, what do they mean by “treated”?  It is quite a project to understand what gout is, and then, what is the best thing to do about it.

​…​If Gout Is Not Treated, Complications Follow…

​If you do a search about what can happen if gout is not treated, you will get two general answers:

  • Long term joint damage

  • Gouty tophi

…neither of which are anything to take lightly.

If gout is left untreated, it possible for the build up of urate crystals to cause erosion that leads to destruction of a joint.  Commonly, the most frequently attacked, (as you probably know) is the big toe joint, the ​​metatarsophalangeal.

Tophi are very unsightly deposits of urate crystals that grow underneath the skin.  They can collect at almost any joint but seem to be most common on the fingers and toes.

​A tophus looks like a white-ish lump of cottage cheese under the skin.  It starts small, but then slow grows unnoticed until it can become not only embarrassing to look at, but can start to protrude and become sore and irritated.

…if gout is not untreated, bad things will happen…

The whole purpose of this blog post is to help educate you about the seriousness of gout.  To help illistrate the point, Gout Killer Mark has offered to share his story.  Mark’s story paints the picture of why you need to get on with taking gout more seriously, and start today to change the course of your future.  Please read his story below.

Hi Bert,

Thank you for all your emails and advice.  I refer to the correspondence we had from August last year and would like to continue telling you about my awful experience. I hope you can use it to tell other people to take very seriously as clearly I have not.

As mentioned below I eventually had gout surgery on my left foot to remove 3 tophi, as I could barely wear running shoes.  The tophi on my 4th toe had broken through the skin and the wound would not heal.

As I mentioned my gout was really bad so I had decided to have these tophi removed and get on a plan with the doctor, as well as use your diet and other advices to get my life back.

So I had the tophi removed in day surgery in March this year.  Yes as you mentioned it was pretty painful.  It seemed to be taking a bit longer than suggested to heal but I thought that was normal.  One part of the wound kept weeping a bit of uric acid but I thought it would heal slowly.

I had reduced my beer intake, improved my diet – neither to a great extent but it was a start – and got an Allipurinol etc plan from my rheumatologist.  I knew it may give me a gout attack at the start.  In May I started taking 100mg daily.  After 6 days I started getting a gout attack so I took all the usual pills to keep it at bay but it just got worse and worse even after doubling and tripling the intake of indocid, prednisone and colgout.  My foot just swelled and swelled and the wound was weeping more.  So after 3 days of suffering I went to the doctor who said my foot looked infected.  The next day I went to the emergency department at my local hospital where it was confirmed that I had an infection there.  Wow no wonder I felt so bad.

The hospital confirmed I had a massive golden staff infection and need urgent surgery and intravenous antibiotics.  

Well, by tomorrow that was 3 weeks ago.  I have now had 5 surgeries to remove all the infection and uric acid build up in my foot and have been on a drip all this time. I now have a big hole in my foot where the gout had eaten away part of my foot.  I now require plastic surgery to fill the hole.  I am not sure how much longer I will be in hospital but it will be a long while before my foot is healed.  I hope my health fund covers most of this.

I know this is a bit gruesome but I just wanted to share this with you and any of your potential clients so that they will take this disease very seriously.  I almost lost my foot.  This is as low as I want to go so a big change is required.  I have to do it.

Thanks for listening.



​How do you want to “treat” your gout?

I am a certified nutritionist, not an MD.  I do not diagnose, prescribe, or treat anything.  Everything you read here is for informational purposes only.

​Medical doctors “treat”…with the drugs and surgeries they prescribe.  I am here to inspire and motivate you to make adjustments to the way you go about your life, and apply discipline to create new habits.  We live and die (and get gout!) by our habits.  Your habits of the past are responsible for your current struggle with gout.  Trading those bad habits for good ones is your mission.

If you’ve looked at my Kill Your Gout NOW! ebook, it is all about getting you out of a gout attack.  But if you take the leap and buy it, I give you a greatly reduced discount on my Kill Your Gout FOR GOOD video program, which is ALL the how-to to change those gout causing habits.

​Bottom-line:  If you’re wondering what can happen if gout is not treated…don’t wonder too long.  There is plenty you can be doing about it, and you need to get started today!


Bert Middleton

“I know your pain. Let me help you kill your gout for good!  And teach you to advocate for yourself and take ownership of your gout recovery, by showing you how to live the gout-free lifestyle.” Two decades ago, Bert Middleton found himself diagnosed with gout. Like 8.3 million other people in the United States (approximately 4% of the population), he struggled helplessly with the physical, emotional, social, and financial impact that gout left unchecked can have on your life. Prescription drugs were of limited help… And the terrible pain of regular gout attacks left him unable to enjoy even the simplest daily pleasures. His marriage was suffering. His finances were spiraling due to the impact gout had on his ability to work. And maintaining a social life was often nearly impossible. Tophi surgeries left him in terrible pain.  And he found himself depressed … and angry … that gout was stealing years of his life.

Until one day, after hundreds of hours of research and self-experimentation, Bert finally had a breakthrough and created a blueprint for a way of living that would prove to be “the answer” to living gout-free for nearly a decade now. Today, Bert and his “Gout Wife” Sharon devote their evenings and weekends to educating other gout sufferers on how to live the gout-free lifestyle. Showing others his 911 Emergency Response Gout Recovery Plan for getting PAINFUL gout attacks under control in as little as 4 hours. And then, how to make daily choices that keep gout under control for GOOD! So you can finally start LIVING again!