Chronic gout occurs when uric acid crystals continue to build up in joints, causing pain and inflammation that do not fully resolve between flares. Symptoms include persistent joint pain, swelling, redness, stiffness, and limited movement, most often in the big toe. The joint may look enlarged, shiny, or misshapen, and firm lumps called tophi may develop under the skin. It often feels deeply sore, throbbing, or tender, even with light pressure or walking. Causes include long-term high uric acid levels, genetics, kidney disease, and diet factors. A podiatrist can help from the start by evaluating symptoms, reviewing medical history, examining…