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The large joint at the base of the big toe (first metatarsalphylangeal joint) is the most common site for a gout attack but other joints commonly affected are the ankles, knees, wrists, fingers, and elbows.
posted on 4/7/10. Gout can cause a burning sensation in your toe or any joint that it has affected. The most common joint to be affected by gout is the joint between your big toe and your foot. The usual first attack will wake you up at night with the feeling that your big toe is on fire.