Acute gout assaults are characterised by a speedy onset of ache within the affected joint adopted by heat, swelling, reddish discoloration, and marked tenderness. The small joint on the base of the massive toe is the most typical website for an assault. Different joints that may be affected embrace the ankles, knees, wrists, fingers, and elbows. In some individuals, the acute ache is so intense that even a mattress sheet touching the toe causes extreme ache. These painful assaults often subside in hours to days, with or with out treatment. In uncommon cases, an assault can final for weeks. Most individuals with gout will expertise repeated bouts through the years.