Something I also experienced (and which isn’t specific to gout) is joint pain in the arm/hand climbing up (so to speak) to the shoulders or the upper back.
I guess this might be similar to how you can get back pain from limping badly (or using crutches) because of joint problem in the legs/feet. Or there may be a different nervous/process process (locking muscles as with repetitve stress injury perhaps?) that occurs only with the arms as opposed to the legs. I have no idea how the pain spreads to the next joint but I’m not the only one who experienced it.
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