Hi, thank you for providing the brief history of you. As mentioned your age is 51, feet swollen and gout. So Gouty arthritis are possibly responsible for the swelling of the feet. As in gout there is increase in the uric acid levels and that can be checked by a laboratory test. Taking medicine to reduce the uric acid levels is important to help reduce the swelling. Also, due to the pain in the feet, there is restriction of the mobility, may not be visually seen, but it happens such. So performing regular exercises for the lower limb will help improve the venous return and also core stability to stabilize the spine. With these there will be increase in the urine output and elimination of the uric acid. Also, currently you can use how water fermentation and elevate the leg above the level of the heart to reduce the swelling, but it will be a symptomatic help. For long term relief, performing exercises for the lower limbs and also the feet exercises which will be guided by a physical therapist can help to maintain the long term relief. I have seen many gouty arthritis patients, and with a combination of medication and physical therapy i have found 99% success rate in my patients. I wish the same for you. Regards Jay Indravadan Patel