Usually this gout affects the big toe. So when it is diagnosed in that area then it is very obvious that it is gout. But this gout can and does affect many other joints and often gets initially misdiagnosed as something else. In the foot, it cannot only affect the big toe for the reason that it can also affect the midfoot or rearfoot. After the big toe joint, it can second most commonly affect the midfoot joints resulting in dorsal foot pain. Gout in the ankle can also occur. When this happens the diagnosis is often delayed. A drug like colchicines is used which is very specific for gout it is the best way to make a diagnosis. Other conditions affecting this part of the fot will not get better with that drug, but gout will