hi there It is possible that you may have something called PTTD (Posterior Tibial Tendon Dysfunction). It is commonly seen in patients with flat feet or in patients who over pronate the foot whilst walking. This eventually leads to pain in other areas of the limb due to compensation. If you are suspecting gout then you should consider the risk factors. High content of red meat in your diet(High protein) as well as alcohol consumption , or a lack of ability of the kidney to adequately excrete uric acid. I would suggest you buy yourself a medial arch support insert to wear with your shoe and take a short course of NSAIDs for a week. It would be a good idea to have your bloods done if you find bo relief after a week. A full blood count , liver function test and a Uric acid level.