A sprain is damage to ligaments and tissue around the joint which Will heal in time. In a toe with gout you have a situation where shards of uric acid crystals have settled in the joint and caused inflammation resulting in excruciating pain.
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Gout most often affects one joint in the big toe (i.e. podagra).
Gout is the name of the illness that is the result of uric acid crystals depositing in the big toe joint.
I was diagnosed with gout last week with my first horribly painful attack on a toe on my left foot. It has been about 7 days since the attack first came about. The itching on that one toe has been intense for the last day. I'm doing a search on the internet for itching & gout. With all that I'm reading, it appears it is quite common to have the intense itching associated with a gout attack.
No gout is generally the result of high uric acid in the blood stream. Often the first symptoms of this disease starts with excruciating pain at the top of the big toe joint. On the other hand "turf toe" is a painful condition at the base of the big toe. often as a result of athletic activities on hard surfaces, turf toe is more prevalent among athletes that compete on artificial turf.
Yes it is most likely to start in the big toe.