However, other joints can be affected, including the ankles, knees, elbows, wrists, and fingers. Pain is "most severe" four to 12 hours after it starts. Gout is ... develops in middle age after ...

People with gout may develop crystallized lumps ... Bouchard’s nodes are bony overgrowths of the middle joints of the fingers caused by osteoarthritis. They occur when the loss of joint ...