Gout Gout Gout is a form of inflammatory arthritis characterized by recurrent attacks of a red, tender, hot, and swollen joint. Pain typically comes on rapidly, reaching maximal intensity in less than twelve hours. The joint at the base of the big toe is affected in about half of cases. It may also result in tophi, kidney stones, or urate nephropathy. Gout is due to persistently elevated levels of uric acid in the blood. This occurs due to a combination of diet and genetic factors. At high levels, uric acid crystallizes and the crystals deposit in joints, tendons, and surrounding tissues,
Toe joints, which form the toes. Since the toes are deformed further, these may press against a shoe and cause pain. Deformities of the foot can also be caused by rheumatoid arthritis and diabetes mellitus. Deformities may predispose to ulcers and pain, especially when shoe-wearing. A common problem involving the big toe is the formation of bunions. These are structural deformities of the bones and the joint between the foot and big toe, and may be painful. Similar deformity involving the fifth toe is described as tailor's bunion or bunionette. A favourable option for the reconstruction of missing adjacent fingers/multiple digit