Since the pain has returned after improving with medication, the underlying cause may still be present. If you were previously treated for high
uric acid/gout, reducing red meat and other high-purine foods can help, but diet alone may not be enough. Recurrent attacks need reassessment rather than repeatedly taking the same medicines on your own.
Next Steps
Consult an orthopaedic physicianfor examination. Depending on the site and nature of pain, tests such as serum
uric acid,
kidney function and relevant imaging may be advised.
Health Tips
Maintain good hydration and avoid excess alcohol, organ meats and large amounts of red meat until reviewed. Seek earlier evaluation if there is marked swelling, redness, warmth, fever, or inability to bear weight.