If gout has got nothing to do with the central nervous system and if nothing is actually wounded enough to produce pain then why is gout treatment always started with a course of simple painkillers? This is a very intriguing yet easy to answer question. Gout starts as an accumulation of acid in the joints that slowly start churning away at the base where a fluid exists to ease movement. That makes the joints start brushing up against each other creating that intense feeling of pain when moving those particular joints.
Painkillers are required to be given to the patients because they simply cannot wait for the uric acids to decrease in concentration as that can take a long time. While the concentration starts dropping, the pain shall only slowly subside and without painkillers even this phase becomes unbearable. Some of the easiest available painkillers like Panadol is first given and later on anti-inflammatory drugs are added to the list.
