hi, thank-you for providing the brief history of you. As you are diagnosed with Gout and now it s severe, you need to get a thorough clinical assessment and a diagnostic procedures done. physician can surely help reduce the levels of uric acid and pain management by pain killers. Also as your physician stopped steroids is due to the reason that steroid will have a long term side effects if taken in excess dosage so I feel the physician has taken some proper decision as per the ethics. Also how is your physical activity or exercises on a regular basis. As exercises will help you improve the metabolism and also reduce the levels of the uric acid. I will recommend you to contact a physical therapist and he will surely help you make functional too. in my clinical practice most gout cases respond well with the combination of drug therapy and physical therapy. As a combination of both helps the pharmacokinetics of the drug to be elevated and also metabolism too. Regards Jay Indravadan Patel