Science doesn't tell us how ACV works with gout, but almost anyone who suffers from gout and has tried it claims it works. I am no different. It worked for me personally, but not enough to be a cure back then when I was fighting gout.
But make no mistake, ACV works, and I've also learned of a possibility of why it works, but more on that later. The first thing I need to tell you about is some compelling correlations that happen to surround apple cider vinegar and gout.
The relief was not enough to stop an attack, but it did lessen the pain and swelling. Just drop a couple of tablespoons of it in a glass of water and down it. You'll feel somewhat better within an hour to an hour and a half.
Most acidic natural remedies I've used have helped relieve gout pain fast. This includes lemons, limes, and vinegar, but apple cider vinegar with the mother is best by far. You could also use baking soda, tart cherries, and several other foods.
Acidic foods work, but I would avoid baking soda because of the statistics of gout patients also experiencing the onset of high blood pressure. There's no logical reason to use baking soda when there are other options.
There's an excellent post about Apple Cider Vinegar and Gout by Exitconfessions.com. The post explains what I've told you here, plus much more if you need more details on the correlations and science of ACV and gout.