Smaller joints: It really does not start from the limbs. It starts in your blood, and gouty crystals can not be excreted from your body. Then these crystals travel via blood to the joints in your limbs and cause what is know as gouty attack. You need to follow up with your doctor for the correct treatment of gout which will in turn prevent gouty attacks in your limb joints.
Answered 12/23/2014
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