I had gout around 15 years ago, several bouts.
It got me right in the metatarsal-phalangeal joint at the base of the big toe.
At least I could wear socks and shoes so not the worst.
It felt like this,
The doc had me avoid purines.
I screwed a small block of wood the bottom of my work boot, right under the arch.
That got me walking again without flexing the, ouch, toe joint.
So far so good.