Should You Use Ice or Heat for Gout Relief? Are you wondering if you should use ice or heat for gout relief? Both ice and heat therapies can be utilized for managing pain and inflammation; however, cold therapy is likely the best choice for managing pain and inflammation during a gout flare. Gout, a form of inflammatory arthritis, can cause excruciating pain and discomfort during flare-ups. This condition, characterized by sudden and severe attacks of ...