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My doc said the same thing about the needle. Why take the chance of introducing something into the area when the evidence all pointed to gout? Family history, high uric acid, red/warm area of pain, and the intensity of pain are enough to know what you're dealing with.
While it's rare, I've read of people who have it in multiple areas in their body. It's called Polyarticular Gout, and I truly feel for you if you have it.
How long has it been since your last attack?
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