Extremely informative I have gout, my mother’s was indeed the worst ,I have ever seen crystals actually pushing through her skin in her toes turned her feet very very dark My 40 year old son in his knee and husband had his first flare a month ago it is the most painful thing I had ever felt, I thought my foot was broken it was my toe I couldn’t even have a sheet on my foot the pain was unbearable it has attacked my thumb leaving my hand painful swollen . Thank you for your informative article .