10 Gout Symptoms Accompanied by Pictures Pain in the toe. The most common joint attacked with gout is the big toe. Gout is caused by a buildup of uric acid. A person may experience pain so severe that they are unable to walk. Pages: Page 1, Page 2, Page 3, Page 4, Page 5, Page 6, Page 7, Page 8, Page 9, Page 10 Tags: GoutGout SymptomsSigns of GoutSymptoms of GoutGout Signs