Possible causes of foot pain like twisting include cold, gouty arthritis, osteoarthritis and so on. 1. Cold: Localized cold in the feet may cause vasoconstriction, poor blood circulation and insufficient blood supply, resulting in pain like twisted feet. 2. Gouty arthritis: It may be caused by gouty arthritis. Gouty arthritis is due to abnormal metabolism of purine and alkali in the whole body, so that the uric acid in the blood is increased and deposited around the joints, thus causing an acute inflammatory reaction, and the patient will have localized pain, redness, swelling, and restricted movement. 3. Osteoarthritis: It may also be due to the proliferation and degeneration of the bones of the feet, and the chronic strain of the surrounding soft tissues, causing localized inflammatory reactions, resulting in osteoarthritis. Feet like twisted like pain may also have other reasons, it is recommended to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, under the guidance of the doctor to give targeted treatment or treatment.