Yes, it typically starts there. But Gout can also occur in the insteps, ankles, heels, knees, wrists, fingers or elbows. Lumpy Tophi can also build up under the skin near joins or the rim of the ear.
Author and admin of Goutshare who classifies himself as a genetic gout victim who occasionally enjoys a good beer and steak. Since diagnosed with Gout at the age of 29, Alfred has been seeking to gain a greater understanding of this disease and in this process share his findings with other fellow gout sufferers in hope to bring awareness to all.