Gout attack in the big toe. That is what no one wants to feel. It can get so painful that even when your bed sheets touch your foot the pain is unbearable. Do not ignore the symptoms of big toe pain. If left alone one can end up with severe joint damage . There are many treatments available for the pain. From oral medications to injections. There are times when surgery is necessary . That can happen when the gout develops into joint arthritis and the to can not move anymore. The disease process is a buildup of crystals do to excessive uric acid build up. Through diet and watching lifestyle habits one can prevent the flare ups. However there are times that the buildup of the crystals or gouty tophi get to be so great that surgery is necessary to remove them. An X ray can be very helpful along with blood work to evaluate the extent of the gout. Do not hesitate to come in if you have big toe pain.