<s>[INST] I have been having pain and extreme tenderness to the touch on the right inside of my right forearm just below the elbow. I have only experienced this type of pain and sensitivity once before, and that was about 30 years ago but the pain was in my big toe, and it was diagnosed as gout. I also have bursitis and arthritis in my hips and shoulders, but this is the first time I’ve ever had this pain in my arm. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, it is possible that gouty arthritis of elbow or tennis elbow or pulled muscle etc. Until examination is done it is difficult to say what it is. Take rest , use cold compression and painkillers support. If symptoms not improved please consult your orthopedician, he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. </s>