Hey Rusty,Not good to hear that this problem is ongoing. However to be absolutely sure it is not gout you need to have a small amount of fluid from the affected area tested. It is a really quick procedure and there is little pain involved. Trust me, I hate shots and needles, but it was quite fine. My doctor was able to tell me that the uric levels were ok and that the cause of the problem was muscle strain. This can be very slow to heal and it is worth giving it time to do so. Right now I am good and I feel that I could go for a run, but I am going to give it a little more time and then hit the pavement. I am not prepared to have another 4 weeks of crap with an ankle that hurts like hell to walk on.Good luck and give it a chance to recover, soft tissue injury can be quite slow to heal.