How to get rid of the severe gout pains is a million dollar question for gout patients. The pains have a peculiar burning feeling that varies in intensity further exacerbating the plight of patient. These pains can disturb the patient during his/her sleeps as well. Potential candidates for immediate gout relief include cortisone. It is famous for its curative effects for arthritis. Another remedy for immediate relief is icing. This reduces the inflammation that causes so much trouble. Similarly, putting feet in hot and cold water tubs in tandem can also result in immediate relief. Epsom salt is one of the most famous pain killers for gout too. Doctors might suggest some pain killers that will provide fast relief as well. Applying one or more of these remedies might have positive results for the patient. If the patient knows what works best, it can then be used to provide relief in future.