The symptoms of gout tend to happen suddenly and often at night. Gout can cause a sudden severe attack of burning pain, stiffness, redness and swelling in a joint, usually a big toe. You can also get attacks in the foot, ankle or knees, which can happen repeatedly unless treated.
Gout and Pain
The pain tends to be at its worst in the first four to 12 hours after it starts. Even after the most severe pain goes away, some joint discomfort can remain for a few days to as long as a few weeks. If gout is allowed to progress untreated, the person’s range of motion becomes increasingly limited. The skin around the joint may also start to peel and itch as the joint gets better.
In some people, gout does not cause intermittent painful attacks. Rather, they have gout all the time. This form, called chronic gout, may not be as painful and may be confused with other forms of arthritis.