A different kind of gout?
(New England, USA)
I've never had pain in my big toe. My toes have felt stiff and a bit achy, like I just finished the longest walk ever taken, but never the pain in the toe people describe. Instead, I get shooting pain in both my ankles and my knees, and occassionally, my shins. So far the drugs I've been put on haven't cured, or put into remission, any of these lovely symptoms.
Anyway, the point is, while gout might show itself in the toe in general, it's not always where it decides to take hold.