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Gout is a very painful form of arthritis that is caused by an excess of uric acid build-up in the body. An excess of uric acid occurs when the kidneys are consistently overloaded and have a hard time eliminating the excess. As a result, these uric acid deposits can become crystallized and accumulate in between the joints, damaging them.
Those afflicted with gout often have uric acid deposits in their big toe joints. These uric acid deposits may appear as lumpy patches under the skin, and in the toes can make the wearing of shoes and even walking excruciatingly painful.  Gout can be so debilitating that even a bedsheet draped over the foot can cause excruciating pain.