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The large joint at the base of the big toe (first metatarsalphylangeal joint) is the most common site for a gout attack but other joints commonly affected are the ankles, knees, wrists, fingers, and elbows.
These uric acid crystals can affect joints, causing stabbing pain and swelling. Over time gout attacks can result in damage to the joint. Although the big toe joint is often affected, gout can affect other joints as well, including the knee, wrist or fingers.