Stacy S said:
Please excuse the bullet points but it is the easiest way to get the facts down quickly and succinctly.
That's good - I love bullet points.
is it even possible for a healthy 30 year old (obviously pre-menopausal) woman to get gout?
Yes
is it possible to have gout in multiple joints?
Certainly, this is typical.
could the swelling be caused by the uric acid crystals dissolving in my joints and the related immune system reaction to that process?
The immune reaction to uric acid crystals happens first when they form (uric acid level too high) and second when they dissolve (uric acid level low enough to improve your gout). First tends to be one or two joints, second tends to be many joints, but this is not conclusive. Uric acid monitoring can help here (see earlier post today), but please note this is very complicated. Occasionally obvious, often clouded in doubt. Focus must be lowering uric acid.
if so how long does that process take? weeks? months? years?
Hours (1 - 5), possibly minutes.
is there anything else I should/could be doing to speed my recovery? I cannot stay off my feet as I live in NYC and a great deal of walking is a daily necessity.
Walking, in my experience is good. But be a friend to yourself. Try not to overdo it. Rest when you can. Keep circulation going as best you can with knee bends (stairs not elevator). Wear most comfortable shoes you can. When resting, raise feet as high as you can (dare?), and keep anklles rotating, toes twitching. Take water.
Pre-menopausal female gout is usually due to kidney's under excreting uric acid, but you really need a rheumatologist to confirm this.