Hi i am Dr Ahmed Aly thanks for using healthcaremagic site , I had gone through your question and understand your concerns .. In my opinion you have a kind of gouty arthritis due to increased uric acid that was mentioned in your given history . You may use painkillers like NSAIDs like advil tab when needed ,high fluid intake , proximol or allopurinol sachets , hot gentle massaging with topical gels , B12 vitamin supplementation physiotherapy and exercising will be helpful . Try to avoid overweight , vigorous movements , high protein and salty meals , red meat , alcohal and smoking are the main goal of treatment . Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.