According to UpToDate, gout attacks are most intense within 12 to 24 hours of commencing, but noticeable symptoms last longer. Gout attacks typically begin to improve after reaching peak intensity with recovery times estimated at several days to several weeks.
Gout attacks occur suddenly, according to UpToDate. Symptoms of a gout attack include severe joint pain accompanied by swelling, inflammation and tenderness in the joints. Recovery from an attack occurs naturally although the mechanism the body uses to stop and recover from the attack is not medically clear. The intent of treatment is usually to diminish the pain and inflammation associated with a gout attack as swiftly as possible. Health care professionals consider anti-inflammatory medications to be the best options for treating gout attacks.