As someone who works in an orthopedic office here is my recommendation/cyber medicine:
1. Ibuprofen likely will not be a strong enough anti-inflammatory. Indocin or Indomethicin is first line in treatment of gout flares.
2. See your family doc or an orthopedist. You will need a perscription for the indocin. There are other medications that they can also use to treat your current symptoms and prevent recurrence of gout flares as weithman5 stated above.
3. An orthopedist can give you a steroid injection into your joint to give you very quick relief. Sometimes they will aspirate some fluid and send it to the lab to confirm you truly have gout in your big toe. FYI the shot hurts like hell.
4. Sometimes there is a stiff soled sandal or post op shoe you can wear to unload the foot when walking until your symptoms subside.
5. Yes, diet restrictions will help minimize but not prevent future gout flare ups.
Good luck! Too bad you are in Hawaii and not Omaha. I could get you the hook up today