What causes this pain?

A few weeks ago, I had gout, but currently, I do not have it, and my uric acid levels are normal.

Now, I experience a sharp, throbbing, burning pain that periodically manifests around the left metatarsal area. My doctor diagnosed arthritis after reviewing my X-ray, but I am somewhat skeptical since the pain appears to be at the skin level. This pain does not correlate with my physical activity or sleep patterns; it is sporadic and random. There is inflammation around that area.

Please share your advice. Thank you.

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