Toes, ankles, knees, elbows, achilles tendon and fingers. It’s hit them all in my case. Sometimes it moves from joint to joint. Just as it eases in one joint, another will flare up. Wandering gout, I guess.
The worst is when it hits my elbows, since those don’t seem to respond well to anti-inflammatories (in my case). The fluid build-up in the elbows can be excruciating.
And the side effects of allopurinol are severe for me, so no help there.
I agree with the poster who said diet doesn’t seem to have much of an effect. I have a pretty healthy diet, and still get the attacks. The one diet-related thing I’ve noticed is that liquor consumption in excess can trigger an attack. Beer not so much, it seems. But then I drink very rarely, so none of that is much of an issue.
The common denominator for me is stress. Anytime I am under a lot of pressure, I can be pretty sure gout will be along soon to make things worse.
When I eliminate the stress, I can go for months and months with no problems.