It's been an issue in every generation of my maternal family.
I have psioritic arthritis and take strong painkillers to keep it at bay. Sometimes the pain is worse, sometimes the skin flare-up.
I've tried the alternative route but was so miserable that I chose drugs, though I avoid red wine and orange juice and never use any highly perfumed bodywash, lotions or washing powders. I'm not thin but I try to keep my weight steady and I still garden and walk. If it's bad I wake early to take my pills then cwtch up in bed with a hottie and/or Nut-Med which is a topical cream that helps. I drench my feet in Soothe-it before I go to bed.
(As I love lavender oil for insomnia and Olbas, well, just because DP says it's like sleeping with an old lady )
One of the worse aspects is that it's invisible, (well, i hide my feet out of consideration for other's sensibilities ) so you can feel like a shammer when you are in total agony and that you have a really bad dose of flu.
That was cheery, but I'm lucky so far in that I can manage mine and generally only have bouts that incapacitate me to the extent I stay in bed a couple of times a year.