Q. A 52-year-old man comes to the emergency room with an acute onset of severe pain and swelling at the base of his left big toe from 36 hours ago. The pain is localized in the first metatarsophalangeal joint, associated with redness and severe tenderness. He has no fever, systemic symptoms, or recent trauma. This is the first time he is experiencing such symptoms. On physical examination, the first MTP joint is swollen, erythematous, and tender to the slightest touch, with severe pain on motion. He has been diagnosed with type 2 diabetes mellitus, hypertension, and hyperlipidemia, all of which have been under control with medications. On lab tests, the WBC count is 9800/mm3, ESR is 22mm/h, CRP is 1.1 mg/dL, and serum uric acid level is 7.8 mg/dL. Fine needle aspiration of the joint shows a high leukocyte count, negative Gram stain, and numerous needle-shaped negatively birefringent crystals. What is the treatment approach for him in an emergency setting?