I really appreciate this blog post about gout. I just had a second surgery on my foot in 3 months (the first was expected – Kidner procedure with flexor transfer). When I wasn’t progressing through PT as expected and severe pain developed, an MRI showed severe inflammation and coalition in the middle facet of the subtalar. The second surgery on Feb 6 for a subtalar fusion yielded a new surprise – gout crystals (and a subuquent uric acid blood test showing a ) AND an unexpected tear on the PTT hindfoot (ironically, not where the surgeon previously pinned the PTT for the first surgery). The concern is the gout. I’ve adjusted my diet (which wasn’t too bad to begin with), and my Primary Doc just put me on Allopurinol (which I understand can increase gout on a temporary basis). I want to do my best to ensure that this second surgery is successful, and my surgeon (who is a nice guy) is a bit hesitant to give me a straight answer. I’d really love to hear your insight on: 1) Gout affecting the PTT repair and subtalar fusion; 2) Is Allopurinol a bit premature at this stage since it can temporarily increase gout attacks; 3) The use of Indocin during this critical healing phase, if I THINK I have gout attacks. I’d like to use the information you provide to take back to my surgeon and Primary Doc. Thank you for your help!