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A 38-year-old member asked:

does gout always present itself with swollen joints or can you just have achy joints without the swollen joints?

2 doctor answers3 doctors weighed in
Dr. Angus Worthing
Internal Medicine 18 years experience
Almost always: Joints are almost always swollen, or red or warm. Also, pain comes quick, reaching max pain within 1 to 2 days.
Dr. Robert Breiner
Podiatry 34 years experience
Yes: Most of the cases of gout I have seen in my practice have red, hot swollen joints that are very painful to move or even to touch. I guess you could have a minor case of gout where the joint is only mildly swollen and painful, but i think that might be an overuse issue or other form of joint pain not gout.

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Last updated Mar 28, 2015
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