Joe, I've never run with Gout before, but I have run with black toes before and I feel your pain!!! First of all, good for you for passing on the steroid injects. If you know anyone with chronic breathing problems on chronic steroid therapy, they usually have very thin fragile skin with sores that easiy open up and bleed. Steroids help to reduce inflamation and allow people to breath easier or move more comfortably, but they are tough on the body's tissues! They should only be used as a last resort.
Second, Gout is a hereditary disease of metabolism. The treatment is focused on preventing the build up of uric acid in your blood. It sounds like you've been pretty well schooled on the causes of the disease. Since it is part of your genetic code, of course you can (and probably will) get it again. If your heart and lungs are healthy, and I assume they are if your running 35 mi/wk, you need to consume at least 3L of water per day (about 3 quart-sized jars). Avoid using aspirin as a supplimental anti-inflamatory; it can interfer with some of the prescription meds for gout treatment. Ibuprofen is a better choice. Stay off of the foot when it is in the inflamatory stage. I know that's not what you want to hear, but there is not a marathon that is worth the risk of serious complications. Warm moist heat is usually the most comfortable (as opposed to cold compresses), and be faithful to a low-purine diet. Get this thing healed up, then start your training again. I'll be happy to be a virtual training partner with you this season; I'm doing 5 TX marathons this year, so I'll be training all year!!! Good luck! If you need more information, I have lots of nursing a medical resources at my disposal--just ask. Buzzy
Post a reply on the Bulletin Board