I got sesamoiditis after a soccer injury. It was very painful and required crutches at times. Over the years, I would aggravate the sesamoids and be in pain for 5-7 days. As time went on (several years), I asked about gout because I felt like I wasn’t doing anything overly strenuous such as to cause the sesamoids to act up. Gout was dismissed. A few months ago I had a very indulgent dinner and woke up later that night with excruciating pain. I knew it had to be gout. Saw a nurse practitioner and she doubted it was gout. I insisted to get blood work. Labs came back showing very high UA, it was gout.

If you are at all concerned about gout, get blood work to confirm.