I know there’s a few folks here with The Gout. My husband was diagnosed with it a few years ago, and between that and just general aging, the Cole Haan leather dress shoes he’s had for 25-ish years are no longer comfortable for him to wear. Fortunately his case has been pretty mild and he’s worked out what he needs to do to keep the worst symptoms at bay, but things still ain’t what they used to be.
He does need one pair of plain black dress shoes, and we’ll go shopping for them in the next few days to a week, so if anyone has any recs on anything that’s comfortable but nice enough to wear with dress pants, I’m all ears
Look into visiting a local orthotics provider. They can make custom shoes, custom shoe inserts, etc. as appropriate.
and allopurinol is a great drug for preventing acute gout attacks for most folks. But if there are significant bony changes due to gout, then it’s either surgery or special footwear or both that may be needed.