Gout is a form of inflammatory arthritis, it is characterised by recurrent attacks of a red, tender, hot and swollen joint. Pain typically comes on rapidly in less than 12 hours. It can attack at any joint however commonly affects the big joe, fingers, wrists, elbows or knees. Clinically it presents as a swollen joint with heat to touch and redness to the skin. If an acute attack does not improve with use of NSAIDs then a corticosteroid injection is routinely recommended into the joint or muscle. Here it has the aim in reducing inflammation specific to a gout attack also ensuring no further damage to the joint from the acute flare up thus enabling a return to normal activity.