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The thorniest problem for me is when is it bout and when is it injury.
I'm an active early senior and go to the gym 5 times a week alternating with weight lifting and aerobics (stationary bike, elliptical trainer.) I hurt myself a LOT and the older I get the more likely I am to get joint and tendon pain with exercise. Since I have long ago been confirmed with gout and have taken allopurinol daily for well over a decade, I never know whether my joint pain is exercise pain or gout.
For joints like the knee or the shoulder thae pain can be bad but swelling is not likely to be so noticeable as in the toe or finger…same with tophi, they are likely to remain deeply buried.
I guess all I can do is keep on keeping on and watch my uric aciid…always below 6.5 but I still have a tophi or two on my fingers (one is vanishing over the years, one is growing…go figger, and maybe one bunion joint, maybe not.
But oh, have I been suffereing with knee and shoulder pain the last several months. I guess uric acid can cause sub-acute pain even if not a full blown attack that is crippling. But then it could be just the aches and pains of old age…like osteoarthritis or the tendonitis of injury.
So I guess!
There is no doubt that us poor gout sufferers are not immune from the ravages of time.
Indeed, there is strong evidence to suggest that prolonged uric acid crystal buildup can lead to joint damage.
As far as I know, only xrays, and more recently, ultrasound scans, can reveal the extent to which pain is caused by joint damage.
It sounds from your description, that not all uric acid crystals have dissolved from your body yet, though I am surprised after over 10 years.
Don't really know what else to say, except that I'm glad you can manage to exercise regularly – mobility is such a precious thing, and easy to lose for gout sufferers.
Perhaps a thorough joint checkup is in order to ensure that the exercises you do are not contributing to joint damage.
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