Acute gout attacks mainly affect the first metatarsophalangeal joint of the foot, especially in patients with the first attack of gout, about 90% of the attacks are on the first metatarsophalangeal joint. However, as the disease progresses, the site can gradually move up from the first metatarsophalangeal joint to the dorsal foot, ankle, knee, fingers, wrist, elbow and other joints. Although gout can also cause dorsal foot pain, not all dorsal foot pain is caused by gout in clinical practice. There are many causes of foot and back pain, but whether or not it is caused by gout requires a visit to the hospital, where a diagnosis will be made by an in-person doctor based on the results of relevant tests. Foot and back pain is not uncommon in clinical practice and can be caused by soft tissue injury, bone spurs, osteoporosis and other causes. If foot and back pain is present, it is best to go to the hospital and improve blood uric acid, rheumatoid factor, blood sedimentation, reactive protein, X-ray, joint muscle ultrasound and other tests under the guidance of the doctor to further clarify the cause. If gout causes foot and back pain, the onset is usually acute, mostly at night, with localized redness, swelling and heat in the back of the foot, and the pain is severe and unbearable. However, after 3-7 days, the symptoms of dorsal foot pain may reduce on their own or even disappear completely. Hematological examination may reveal elevated blood uric acid, increased blood sedimentation and elevated C-reactive protein. After the symptoms of dorsal foot pain appear, it is best to go to the hospital for immune-related tests to identify the specific cause of the disease and then treat it with the right medication to achieve a good treatment effect.