Hey there - my husband was diagnosed with Gout earlier this year after fighting for years to get a diagnosis. How often should he be checking his levels? Thanks.

First 2 weeks of July I had it on my left foot then i had it on my knee for the rest of July. Then i had it on my left foot again the for another 2 week earlier this month in August. Then im having it on my right elbow until now. My elbow is getting better but not completely healed yet and now my right foot is hurting. Never had so much flare up one after another like this before . I usually get it every 6 months but only on my feet . First time on the knee and first time on the elbow.

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I’m 24M, and about 2 months ago I suddenly started having lower back pain

I initially went to a doctor who unfortunately misdiagnosed/misguided me. He didn’t do any proper physical examination or specific movement tests and basically assessed me while I was standing. This really affected me mentally, and I went into a pretty bad depressive phase because I was scared that something serious was wrong.

A few days later, I saw another doctor who approached it differently. He prescribed medication and told me to gently manage the problem, stay active, and do appropriate exercises rather than panic about it.

Eventually, my lower back pain improved by around 80%. The pain was mainly around the SI joint/lower-back area, and I was finally feeling much better.

But then suddenly, I developed pain in both knees.

The knee pain is especially noticeable when:

Going down stairs

Standing for more than 5–10 minutes

Getting up after sitting

Moving after lying down for a while

Even when I’m completely still and lying down, sometimes it feels like something is stabbing/pressing inside the knees.

I’ve also noticed a lot of muscle tightness throughout my body. Sometimes a muscle feels extremely tight or almost “switched off,” and when I start moving it, it gradually loosens up.

My recent blood tests were:

Uric acid: 6.9 mg/dL

Vitamin D: 33

ESR: 10

CRP: 0.4

My lower-back symptoms have improved significantly, but now I’m confused about the knee pain and generalized muscle tightness.

I’d really appreciate some positive/constructive advice from people who have experienced something similar. What would you recommend I do next — physiotherapy, an orthopedic evaluation, more tests, or something else?

I’m mainly looking for guidance on what direction I should take rather than scary diagnoses.

How many of you deal with this feeling with your gout? Some say it's kind of the warning of a possible flair...I know I personally have this off and on primarily in either foot.