The Effect of Foot Soaking Therapy with Ginger Water on the Level of Pain in Gout Arthritis Patients at the Central City Health Center
Keywords:
Gout Arthritis, Warm Ginger Water, Hydrotherapy, Pain Level.
Abstract
Gout arthritis triggers acute pain that interferes with mobility. At the Central City Health Center, there were 459 cases with a tendency for patients to avoid chemical drugs. Warm ginger water foot soaking therapy comes as a nonpharmacological alternative that takes advantage of the thermal and phytochemical effects of ginger. This Quasi-Experimental quantitative research with Non-Equivalent Control Group Design involved 36 respondents who were selected by purposive sampling. Respondents were divided into intervention groups (warm ginger water) and control (warm water). The pain scale was measured using the Numeric Rating Scale (NRS) and analyzed using the Wilcoxon and Mann-Whitney tests. The majority of respondents were men (56%) with an age range of 41-50 years (44%). Both groups showed a significant reduction in pain after the intervention (p=0.000). Although the decline in the ginger group was slightly higher, the intergroup test showed no significant difference in effectiveness (p=0.318). Soaking your feet in warm ginger water and regular warm water are equally effective in relieving gout arthritis pain. This therapy is recommended as a safe and economical independent pain management for the community.
References
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Asghari, K. M., Zahmatyar, M., Seyedi, F., Motamedi, A., & Zolfi, M. (2024). Gout: global epidemiology , risk factors , comorbidities and complications : a narrative review. BMC Musculoskeletal Disorders. https://doi.org/10.1186/s12891-024-08180-9
Astrilian, T., & Yuniartika, W. (2024). Public health counseling: Management of treatment for gout patients using booklet media. Holistic Journal of Health, 18(1), 18–25. https://doi.org/10.33024/hjk.v18i1.213
Bangun, S., & Silalahi, E. L. (2022). Pengaruh terapi rendam kaki air hangat dan air hangat jahe terhadap penurunan tekanan darah The Effect of Warm Water Foot Soak and Warm Ginger Water on Lowering Blood Pressure. 18(2), 175–182.
Dewi, S. L., & Khayati, N. (2021). Foot Hydrotherapy Using Red Ginger ( Z ingiber Officanale Var Rubrum ) For Reducing Hypertension in the Elderly Non-communicable Diseases or Non Communicable Diseases are one of the main causes of high mortality and morbidity rates in the world. M. Unimus, 4, 1613–1624.
Dian Faqih, Ainul Yaqin Salam, & Grido Handoko Sriyono. (2023). Analysis of factors related to uric acid levels. Journal of Health Sciences Research, 2(2), 146–156. https://doi.org/10.55606/jurrikes.v2i2.1749
Dramawan, A., & Ningsih, M. U. (2022). Assistance in the use of red ginger as a non-pharmacological treatment ingredient in the community. 6, 60–64.
Fajri, I., Nurhamsyah, D., Aisyah, S., Mudrikah, K. A., & Azjurnia, A. R. (2022). Non-pharmacological Therapy in Reducing Pain Levels in Patients with Stage 2-4 Breast Cancer: A Literature Review. Indonesian Scientific Journal of Nursing (JIKI), 5(2), 106. https://doi.org/10.31000/jiki.v5i2.6139
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Green, M., Hayley, A., Gunnersen, J. M., Thompson, S., Chakravarthy, K., & Nazemian, V. (2025). Transforming Chronic Pain Management: Integrating Neuromodulation with Advanced Technologies to Tackle Cognitive Dysfunction – A Narrative Review. May, 2497–2507.
Griselda, L. A., & Akhmad, M. (2023). Soaking the feet with a decoction of red ginger water (zingiber officinale var rubrum rhizoma) to lower blood pressure in hypertensive patients. Young Ners, 4(1), 104. https://doi.org/10.26714/nm.v4i1.11270
Haksara, E., & Rahmanti, A. (2022). Application of Foot Soaking Therapy with Warm Ginger Water to Reduce Pain in Gout Arthritis Patients at the Mungkid Health Center, Magelang Regency. Journal of Veterans Affairs, 2(1). https://journal.amikveteran.ac.id/index.php/
Irot, R. A., Manampiring, A. E., & Kapantow, N. H. (2022). Are Nutritional Status, Protein Intake, and Vitamin C Intake related to Gout Levels? Sam Ratulangi Journal of Public Health, 3(2).
Ministry of Health, R. I. (2023). Indonesian Health Survey. 1–68.
Krisnandari, R. R., Sani, F. N., & Andhikatias, Y. R. (2022). Effectiveness of Ginger Warm Compress Therapy in Gout Arthritis Patients: Literature Review. 281–287.
Lestari, W. Y., Nuroini, F., & Mukaromah, A. H. (2021). Overview of uric acid levels in farmers in Penaruban Village, with high levels of uric acid in the blood. 3, 1556–1563.
Lilis, D. N., Artikasari, L., Sukmawati, Y., Health, P., Jambi, K., & Midwifery, J. (2021). Pengaruh Hydrotherapy Terhadap Nyeri Persalinan Kala I Fase Aktif The Effect Of Hydrotherapy On The Of Maternity In The Active Phase. 3(1).
Liu, P., Liang, Y., Cui, S., Hu, K., Lin, L., Shao, X., & Lei, M. (2023). Association of uric acid with the decline in estimated glomerular filtration rate in aged and elderly populations : evidence based on the China Health and Retirement Longitudinal Study. 1–9. https://doi.org/10.1136/bmjopen-2023-071771
Mahmudi, M., Safitri, D. N. R. P., & Mubin, M. F. (2024). Reduction of pain and uric acid levels in patients with Gout Arthritis with acupressure therapy at the Taixi point (KI 3). Holistic Nursing Care Approach, 4(1), 1. https://doi.org/10.26714/hnca.v4i1.12873
Mao, S., Xiao, K., Zhou, W., Xu, H., & Zhang, S. (2023). The Impact of Hot Spring Hydrotherapy on Pain Perception and Dysfunction Severity in Patients with Chronic Low Back Pain : A Systematic Review and Meta-Analysis. November, 3925–3944.
Mao, T., He, Q., Yang, J., Jia, L., & Xu, G. (2024). Relationship between gout , hyperuricemia , and obesity — does central obesity play a significant role ?— a study based on the NHANES database. 1, 1–12.
Masniah, M., Rezi, J., & Faisal, A. P. (2021). Isolation of active compounds and activity test of red ginger extract (Zingiber officinale) as an immunomodulator. Indonesian Journal of Pharmaceutical Research, 3(2), 77–91. https://doi.org/10.33759/jrki.v3i2.131
Nugroho, A. A., Anisah, R. L., & Parmilah. (2022). Efforts to Reduce Chronic Pain of Gout Arthritis with Bay Leaf Boiling Water Case Study. Journal of Akper Al-kautsar. https://jurnal.akperalkautsar.ac.id/index.php/JIKKA/article/view/51
Oktaviani, R. (2023). Nursing Care for the Elderly with Gout Arthritis at the Tresna Werdha Nirwana Putri Samarinda Social Home. Accident Analysis and Prevention, 183(2), 153–164.
Prasetya, E. Y. (2021). Application of soaking feet in warm water with a mixture of salt against blood pressure reduction in elderly patients with type 1 hypertension. 3(5), 6.
Qin, H., & Hua, Y. (2024). Association of sedentary behaviour with gout and the interaction effect of hyperuricemia : a cross-sectional study from 2007 to 2018.
Rohmantika, H. (2022). Warm ginger water foot soaking therapy in elderly people with gout arthritis pain.
Rosima, W., Fitri, D. E., Anggreini, S. N., & Ezdha, A. U. A. (2023). Application of Lemongrass Stew Warm Compress (Cymbopogonictratus) on the Elderly with Joint Pain Sufferers of Gout in Pebatu Village. Journal of Health and Recreation Education UNIMA, 4(1), 84–100.
Sani, F. N., & Fitriyani, N. (2021). Soaking Feet Boiled Red Ginger Water Has an Effect on Lowering Blood Pressure in Hypertensive Patients. Health Scientific Journal, 14(1), 67–76.
Sigh. (2024). Nursing Care for Elderly Gout Arthritis with Acute Pain Problems at the Tresna Werdha Nirwanapuri Social Home in Samarinda. February, 4–6.
Supriyatin, Alam, M., Sas, O. Al, & Nurjannah, E. (2021). Description of uric acid levels in patients with kidney failure. 5(2).
Timsans, J., & Palomäki, A. (2024). Gout and Hyperuricemia: A Narrative Review of Their Comorbidities and Clinical Implications. 1–22.
Toto, E. M., & Nababan, S. (2023). Application of Non-Pharmacological Therapy to Reduce Pain and Reduce Gout Levels in the Elderly Gout Arthritis. Young Ners, 4(1), 13. https://doi.org/10.26714/nm.v4i1.11488
Tyas, N. E., Sudiarto, & Priyatin, W. (2025). Description of Giving Warm Red Ginger Water Soaking to Reduce Gout Pain in Mrs. M. Multidisciplinary Indonesian Center Journal (MICJO), 2(1), 141–147. https://doi.org/10.62567/micjo.v2i1.356
Wang, Y., Zhang, W., Qian, T., Sun, H., Xu, Q., Hou, X., Hu, W., Zhang, G., Drummond, G. R., Sobey, C. G., & Charchar, F. J. (2021). Reduced renal function may explain the higher prevalence of hyperuricemia in older people. Scientific Reports, 1–7. https://doi.org/10.1038/s41598-020-80250-z
Wati, N. K., Kesumadewi, T., Inayati, A., Dharma, A. K., & Metro, W. (2022). Application of Guided Imagery on Pain Scale of Thalassemia and Dyspepsia Patients in General Hospital. Ahmad Yani Metro City Implementation Of Guided Imagery On Pain Scale Of Thalassemia And Dyspepsia Patients In General Hospital. Journal of Young Scholars, 2(3).
WHO, (2023). Taste. https://platform.who.int/mortality/themes/theme-details/topics/indicator-groups/indicator-group-details/MDB/gout
Yasin, L. R., Ns. Febriyona, R., & Ns. Sudirman, A. N. A. (2023). The Effect of Cat Whisker Boiled Water on the Reduction of Gout in Manawa Village, Patilanggio District. Journal of Health Sciences Cluster, 3.
Zainiyah, S., Asih, S. W., & Hidayat, C. T. B. (2021). The Effect of Foot Soaking Therapy with Warm Ginger Water on Gout Pain in the Elderly at PSTW Bondowoso Regency.
Andriani, & Fatmawati, I. (2023). Lemongrass Citronella herbal tea is effective in reducing uric acid levels in people with hyperuricemia (Vol. 2, Issue 1). http://e-journal.lppmdianhusada.ac.id/index.php/PIPK
Anjani, D., Adawiyah, S. R., & Windyastuti, R. (2025). Gerontic Nursing Care in Gout Arthritis Patients with Red Ginger Warm Water Compress Therapy Intervention to Reduce Pain Intensity at Marfati Nursing Home Tangerang. Warehouse Journal of Health Sciences 2, 81–95.
Asghari, K. M., Zahmatyar, M., Seyedi, F., Motamedi, A., & Zolfi, M. (2024). Gout: global epidemiology , risk factors , comorbidities and complications : a narrative review. BMC Musculoskeletal Disorders. https://doi.org/10.1186/s12891-024-08180-9
Astrilian, T., & Yuniartika, W. (2024). Public health counseling: Management of treatment for gout patients using booklet media. Holistic Journal of Health, 18(1), 18–25. https://doi.org/10.33024/hjk.v18i1.213
Bangun, S., & Silalahi, E. L. (2022). Pengaruh terapi rendam kaki air hangat dan air hangat jahe terhadap penurunan tekanan darah The Effect of Warm Water Foot Soak and Warm Ginger Water on Lowering Blood Pressure. 18(2), 175–182.
Dewi, S. L., & Khayati, N. (2021). Foot Hydrotherapy Using Red Ginger ( Z ingiber Officanale Var Rubrum ) For Reducing Hypertension in the Elderly Non-communicable Diseases or Non Communicable Diseases are one of the main causes of high mortality and morbidity rates in the world. M. Unimus, 4, 1613–1624.
Dian Faqih, Ainul Yaqin Salam, & Grido Handoko Sriyono. (2023). Analysis of factors related to uric acid levels. Journal of Health Sciences Research, 2(2), 146–156. https://doi.org/10.55606/jurrikes.v2i2.1749
Dramawan, A., & Ningsih, M. U. (2022). Assistance in the use of red ginger as a non-pharmacological treatment ingredient in the community. 6, 60–64.
Fajri, I., Nurhamsyah, D., Aisyah, S., Mudrikah, K. A., & Azjurnia, A. R. (2022). Non-pharmacological Therapy in Reducing Pain Levels in Patients with Stage 2-4 Breast Cancer: A Literature Review. Indonesian Scientific Journal of Nursing (JIKI), 5(2), 106. https://doi.org/10.31000/jiki.v5i2.6139
Gorontalo, D. K. P. (2025). Gout Arthritis Data.
Green, M., Hayley, A., Gunnersen, J. M., Thompson, S., Chakravarthy, K., & Nazemian, V. (2025). Transforming Chronic Pain Management: Integrating Neuromodulation with Advanced Technologies to Tackle Cognitive Dysfunction – A Narrative Review. May, 2497–2507.
Griselda, L. A., & Akhmad, M. (2023). Soaking the feet with a decoction of red ginger water (zingiber officinale var rubrum rhizoma) to lower blood pressure in hypertensive patients. Young Ners, 4(1), 104. https://doi.org/10.26714/nm.v4i1.11270
Haksara, E., & Rahmanti, A. (2022). Application of Foot Soaking Therapy with Warm Ginger Water to Reduce Pain in Gout Arthritis Patients at the Mungkid Health Center, Magelang Regency. Journal of Veterans Affairs, 2(1). https://journal.amikveteran.ac.id/index.php/
Irot, R. A., Manampiring, A. E., & Kapantow, N. H. (2022). Are Nutritional Status, Protein Intake, and Vitamin C Intake related to Gout Levels? Sam Ratulangi Journal of Public Health, 3(2).
Ministry of Health, R. I. (2023). Indonesian Health Survey. 1–68.
Krisnandari, R. R., Sani, F. N., & Andhikatias, Y. R. (2022). Effectiveness of Ginger Warm Compress Therapy in Gout Arthritis Patients: Literature Review. 281–287.
Lestari, W. Y., Nuroini, F., & Mukaromah, A. H. (2021). Overview of uric acid levels in farmers in Penaruban Village, with high levels of uric acid in the blood. 3, 1556–1563.
Lilis, D. N., Artikasari, L., Sukmawati, Y., Health, P., Jambi, K., & Midwifery, J. (2021). Pengaruh Hydrotherapy Terhadap Nyeri Persalinan Kala I Fase Aktif The Effect Of Hydrotherapy On The Of Maternity In The Active Phase. 3(1).
Liu, P., Liang, Y., Cui, S., Hu, K., Lin, L., Shao, X., & Lei, M. (2023). Association of uric acid with the decline in estimated glomerular filtration rate in aged and elderly populations : evidence based on the China Health and Retirement Longitudinal Study. 1–9. https://doi.org/10.1136/bmjopen-2023-071771
Mahmudi, M., Safitri, D. N. R. P., & Mubin, M. F. (2024). Reduction of pain and uric acid levels in patients with Gout Arthritis with acupressure therapy at the Taixi point (KI 3). Holistic Nursing Care Approach, 4(1), 1. https://doi.org/10.26714/hnca.v4i1.12873
Mao, S., Xiao, K., Zhou, W., Xu, H., & Zhang, S. (2023). The Impact of Hot Spring Hydrotherapy on Pain Perception and Dysfunction Severity in Patients with Chronic Low Back Pain : A Systematic Review and Meta-Analysis. November, 3925–3944.
Mao, T., He, Q., Yang, J., Jia, L., & Xu, G. (2024). Relationship between gout , hyperuricemia , and obesity — does central obesity play a significant role ?— a study based on the NHANES database. 1, 1–12.
Masniah, M., Rezi, J., & Faisal, A. P. (2021). Isolation of active compounds and activity test of red ginger extract (Zingiber officinale) as an immunomodulator. Indonesian Journal of Pharmaceutical Research, 3(2), 77–91. https://doi.org/10.33759/jrki.v3i2.131
Nugroho, A. A., Anisah, R. L., & Parmilah. (2022). Efforts to Reduce Chronic Pain of Gout Arthritis with Bay Leaf Boiling Water Case Study. Journal of Akper Al-kautsar. https://jurnal.akperalkautsar.ac.id/index.php/JIKKA/article/view/51
Oktaviani, R. (2023). Nursing Care for the Elderly with Gout Arthritis at the Tresna Werdha Nirwana Putri Samarinda Social Home. Accident Analysis and Prevention, 183(2), 153–164.
Prasetya, E. Y. (2021). Application of soaking feet in warm water with a mixture of salt against blood pressure reduction in elderly patients with type 1 hypertension. 3(5), 6.
Qin, H., & Hua, Y. (2024). Association of sedentary behaviour with gout and the interaction effect of hyperuricemia : a cross-sectional study from 2007 to 2018.
Rohmantika, H. (2022). Warm ginger water foot soaking therapy in elderly people with gout arthritis pain.
Rosima, W., Fitri, D. E., Anggreini, S. N., & Ezdha, A. U. A. (2023). Application of Lemongrass Stew Warm Compress (Cymbopogonictratus) on the Elderly with Joint Pain Sufferers of Gout in Pebatu Village. Journal of Health and Recreation Education UNIMA, 4(1), 84–100.
Sani, F. N., & Fitriyani, N. (2021). Soaking Feet Boiled Red Ginger Water Has an Effect on Lowering Blood Pressure in Hypertensive Patients. Health Scientific Journal, 14(1), 67–76.
Sigh. (2024). Nursing Care for Elderly Gout Arthritis with Acute Pain Problems at the Tresna Werdha Nirwanapuri Social Home in Samarinda. February, 4–6.
Supriyatin, Alam, M., Sas, O. Al, & Nurjannah, E. (2021). Description of uric acid levels in patients with kidney failure. 5(2).
Timsans, J., & Palomäki, A. (2024). Gout and Hyperuricemia: A Narrative Review of Their Comorbidities and Clinical Implications. 1–22.
Toto, E. M., & Nababan, S. (2023). Application of Non-Pharmacological Therapy to Reduce Pain and Reduce Gout Levels in the Elderly Gout Arthritis. Young Ners, 4(1), 13. https://doi.org/10.26714/nm.v4i1.11488
Tyas, N. E., Sudiarto, & Priyatin, W. (2025). Description of Giving Warm Red Ginger Water Soaking to Reduce Gout Pain in Mrs. M. Multidisciplinary Indonesian Center Journal (MICJO), 2(1), 141–147. https://doi.org/10.62567/micjo.v2i1.356
Wang, Y., Zhang, W., Qian, T., Sun, H., Xu, Q., Hou, X., Hu, W., Zhang, G., Drummond, G. R., Sobey, C. G., & Charchar, F. J. (2021). Reduced renal function may explain the higher prevalence of hyperuricemia in older people. Scientific Reports, 1–7. https://doi.org/10.1038/s41598-020-80250-z
Wati, N. K., Kesumadewi, T., Inayati, A., Dharma, A. K., & Metro, W. (2022). Application of Guided Imagery on Pain Scale of Thalassemia and Dyspepsia Patients in General Hospital. Ahmad Yani Metro City Implementation Of Guided Imagery On Pain Scale Of Thalassemia And Dyspepsia Patients In General Hospital. Journal of Young Scholars, 2(3).
WHO, (2023). Taste. https://platform.who.int/mortality/themes/theme-details/topics/indicator-groups/indicator-group-details/MDB/gout
Yasin, L. R., Ns. Febriyona, R., & Ns. Sudirman, A. N. A. (2023). The Effect of Cat Whisker Boiled Water on the Reduction of Gout in Manawa Village, Patilanggio District. Journal of Health Sciences Cluster, 3.
Zainiyah, S., Asih, S. W., & Hidayat, C. T. B. (2021). The Effect of Foot Soaking Therapy with Warm Ginger Water on Gout Pain in the Elderly at PSTW Bondowoso Regency.
Published
2026-01-09
How to Cite
Wanda Ayu Nita, Nurdiana Djamaluddin, & Erwin Purwanto. (2026). The Effect of Foot Soaking Therapy with Ginger Water on the Level of Pain in Gout Arthritis Patients at the Central City Health Center. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(1), 598~606. https://doi.org/10.56338/ijhess.v8i1.10057
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Copyright (c) 2026 Wanda Ayu Nita, Nurdiana Djamaluddin, Erwin Purwanto
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