GOUT (also known as Podagra when it involves the Big Toe) is a medical condition usually characterized by recurrent attacks of acute inflammatory arthritis – a red, tender, hot, swollen joint. The metatarsal-phalangeal joint at the base of the big toe is the most commonly affected (approximately 50% of cases). Gout is also found in joints of fingers. It is primarily caused by elevated levels of Uric Acid in the blood. The uric acid crystallizes, forming needle-like crystalline structures in joints, tendons, and surrounding tissues.