Over the last 13 years, I've had Gout attacks in both legs; in my knee, my ankle, my big toe, in-between the bones in the top of my foot, in the heel of my foot; in my wrist, and in the joint between my thumb and forefinger.
Sometimes an attack is mild, and only lasts a few days. But sometimes an attack is pure hell, and lasts a week to 10 days.
Without fail, just before or just after the opening of any hunting season that is important to me, I have an attack. I only have maybe 6 attacks per year on average, but they never happen when I have nothing to do.