Foot and neck pain is not necessarily gout, foot and neck generally refers to the ankle, ankle joint, causing foot and neck pain due to more reasons, such as trauma, osteoarthritis, rheumatoid arthritis, gout and so on. 1. Trauma: patients have obvious trauma history such as sprain, fracture, etc., with pain and activity disorder in ankle area. Resulting in ankle sprain and fracture; 2. Osteoarthritis: belonging to the degenerative joint disease, the affected joints can have pain and stiffness, which is serious after rest and slightly relieved after activities, if the ankle is involved, ankle pain will occur. 3. Rheumatoid arthritis: a group of chronic autoimmune diseases characterized by symmetric polyarthritis, with pain, tenderness and morning stiffness in the affected joints, which can be prolonged with the progression of the disease, and pain in the ankle joints, and joint deformity in severe cases. 4. Gout: often involves a single joint, if the ankle joint is involved, manifested as acute redness, swelling and heat pain in the affected joint. The patient has a history of hyperuricemia and may have recently consumed a large amount of high-purine diet. If there is pain in the ankle, it is recommended to consult a regular hospital in a timely manner to identify the cause and standardize the diagnosis and treatment under the guidance of the doctor.