Yes: Because of the build of urate crystals in the joint.
Answered 6/16/2013
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Not always : An acute gout attack is always painful. However often gout crystals build up in joints for months or years without an symptoms. This process can result in joint deformities. For this reason i usually recommend proactive treatment for gout to prevent the complications. See your primary care doctor or a rheumatologist.
Answered 2/3/2016
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