Hi elle , if im your treating doctor, i would treat you and advice the precautions to be taken to avoid from further.
so initially from the treatment part, already you are on
ibuprofen and
diclofenac, so i can suggest you to take one shot of corticosteroid inj and subsides as you need. nextly the maintenance drug to be taken, which include
allopurinol and NSAIDs to decrease it and if you have any
liver and
kidney diseases i dont suggest you to take above drugs instead you can take the drug name
febuxostat which has no any side effects related to kidney or liver. this gives u a permanent relief and mean while you need to take an X ray of foot and you you need to be evaluated by doing
blood test (sr.uric acid).
some important precautions you can take is cut down alcohol and meat ,fish .Ice packs can be helpful in relieving pain and reducing inflammation. mantaining adequate hydration is key for minimizing the frequency and intensity of attacks. cherry juice also helps you in relieving the pain.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.