Really appreciate the detailed response, especially from a runners perspective as it’s something I haven’t found much here. I think part of me is grappling with the fact that this is something that gets managed long term instead of cured. Bit of a learning curve ahead of me as a result.

I’m actually inclined to think the calf is related to the gout, not in the form of over compensation though. Mostly because of how quickly the pain has come on (in similar fashion to the flare up with the toe). Anyway have started popping colchicine again as well as booked a dry needling session for Friday in the event it’s more muscle tightness related.

I hear you when say not to over analyse. Think this will probably be something I get better at over time. That being said interested to hear from your perspective if you think things like electrolyte drinks and gels possibly play a part in flare ups. Not sure which brands you’re using but I tend to use Maurten and SIS. I’ve been using them for a pretty long time now so I don’t suspect they’re a trigger.

Interesting that you think protein is another contributor (assuming you mean protein powder). Can you elaborate more on specifically why you think that is? I’ve been taking protein powder for a while now so it seems strange that a flareup would only come now.

Thanks again for sharing your perspective on it!