Arthritis
Gout causes severe pain and swelling. Gout normally affects the big toe. It can also affect heels, ankles, hands, wrists or elbows. Gout is from high levels of uric acid that is in the blood. Gout can cause urate crystals to settle in tissues of joints. Gout creates stone-like shapes. The stone-like shapes build in joints, ligaments and tendons.