i have had it for 40 years , that little twinge you have in your toe is nothing to what is coming , the Elbow is good but the real nice one is in the Wrist that dose is a beauty because after a few times the Joint gets infected and the real fun begins . The best treatment for me was Colcihicin it is very good but as it is a Poison the will not give it you to often , i take ALLUPRINOL to control it and also watch what i eat ...... Plenty of Greens and Fruit stay off the Booze and keep away from fried food .