HI,
Before he stabs the joint I believe there's a very effective med for gout,
I'lld google gout and see what pops up.
Doug
http://www.webmd.com/a-to-z-guides/gout-medications
whoops last line says he must ID first and treat with meds after checking for gout in fluids.. Dang nabit, maybe he can push some predisone into the joint with a bit of lidocaine for pain relief that should make it all better for now..