I had a gout attack at 3am Sunday morning. I was awakened by excruciating pain in my big toe. I never experienced anything like it before. I treated myself with 600mg ibuprofen 4 times a day. The pain began to subside in a few hours and is minimal as I write this. The reason I am posting this here is because the gout pain spread to my tkr and thr. My GP explained that the gout pain travels to the weakest joints first (big toes and artificial joints.) I talked to my OS and he said to follow the GP's instructions. I had lab work done today. Results tomorrow. My GP is thinking the gout may have been brought on by other issues that I was dealing with: UTI, med change, spending more time on my feet than usual, etc. I'm feeling pretty good at the moment but I was a little scared when the pain moved to my knee. Thankfully, it was temporary and I thought it was worth a mention.