Most of the time gout affects the first metatarsophalangeal joint (big toe) joint of the foot and the diagnosis is usually obvious. However, gout can affect any joint. As its not common in these other joints it may take some time to reach the diagnosis. Gout can also affect the heel, but affecting the subtalar joint and also the urate crystals can deposit around the plantar heel and mimic plantar fasciitis. Suspected gout in the heel can be treated initially with colchicine to help with the diagnosis.

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1. Why does gout affect mostly the first metatarsophangeal joint?

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