for chest?
bit butterfly machine, pump up the arms, 3 sets of high reps bench and then i slowly increase weight.
being very carefull overall.
in the younger days, id come to the gym dead cold and start with 100lbs skull crushers, until it went bad once for my elbows, very careful ever since.
thanks for that.i was once diagnosed with borderline gout, this was terrible, but went away, had to follow some diet from doctor to get rid of it.
for me, it was usualy the left shoulder, but now the right one is even worse

flat bench and incline dont go well anymore.
itll be flies and decline for a while i guess
Sounds decent. Have you tried a complete pre-exhaust before hitting heavier presses? You may not be able to handle the same peak load but the peak contraction may end up being just as good.