Gout is a type of arthritis. Gout will often appear by causing pain, swelling, and even warmth in the joints. The classic finding in Gout is when, it affects the big toe. It often happens in people who have a very high level of uric acid in their blood. Uric acid is produced when the body breaks down certain types of foods. Uric acid will often form sharp needle-like crystals that form in the joints especially the large toe and will often be painful. These crystals can even form inside the tubes that we use to transport urine from the kidneys to the bladder. These crystals are often referred to as “kidney stones” and will often cause pain and stop with the flow of urine.