If a joint which includes bursitis is hot, hand calculators use ice on it, alternating 10 mins of ice with 10 minutes of rest, then the ice again and and much more.
The damage was basically caused by use and mistreatment. A gout attack is caused by an accumulation of urate in the body. https://Medium.com/@painrelief122/say-goodbye-to-pain-with-these-cbd-solutions-0fdd2e92c480