Went to see the specialist today been referred to a podiatrist now. Apparently my foot shape is that bad that he is surprised that I haven't had more problems. I think I may be Forrest Gump.I've been getting gout attacks for 20 years marra, although the 1st 10 years were misdiagnosed as early onset Arthritis as I mostly get attacks in the knees & ankles rather than toes. Because of the misdiagnosis it got progressively worse until most months I was hobbling roughly 3 weeks out of every 4.
I couldn't get away with Allopurinol either, it left me feeling weak & without much appetite. I'm on febuxostat instead now & it's been amazing. No side effects, no big attacks since November, just a few minor flareups that I've been able to either train with or work around.
It's my longest period of uninterrupted training since my late twenties & This year I've managed a Marathon, 20 mile road race, 16 mile road race, 4 ½ Marathons, 4 10ks, a 5 miler & 14 parkruns. I've actually signed up for this winter's cross country season for the 1st time in years as the cold & wet & long time before getting them properly warm & dry combination used to almost guarantee an attack but I'm fairly confident it's under control now.
I have three issues that aren't necessarily related. He thinks the gout will improve with medication and diet. The osteoarthritis isn't a major issue as far as he can tell and there's nowt that they can do anyway. He did say they would give a cortisone injection if I was in a lot of pain and was desperate to get through a half marathon. I doubt I would ever be that desperate to do one.
The foot shape is the major issue and I should be wearing insoles in my day to day shoes as well as my running shoes.