Hope you’re on permanent medication. Gout can and will cause permanent joint damage. I had a friend that started getting it pretty bad and he didn’t do anything about it for several years except change what he ate. He went through like five jobs because of it, he was basically unable to leave bed for weeks at a time. Now he has lost permanent mobility in one of his feet or toes or something so he has a limp and his knee is pretty janky too.