The pain in the back of the foot is not necessarily a gout attack, but may also be caused by other reasons, which need to be analyzed on a case-by-case basis. Gout is a kind of crystal arthritis caused by hyperuricemia, generally acute onset, patients can show sudden joint pain, the first metatarsophalangeal joint is more common, manifested as local redness, swelling, heat, pain, symptoms can be progressively aggravated within 24 hours and reach a peak, mostly in a few days or weeks to relieve themselves. Some of them may involve the dorsum of the foot, and pain in the dorsum of the foot may occur. However, the pain in the back of the foot needs to be ruled out if it is caused by other reasons, such as the presence of minor local fractures, osteophytes and infections of skin breaks, etc. Patients are advised to consult the orthopedic department of the hospital in time to clarify the cause. Patients with dorsal foot pain should pay attention to a light diet, avoid spicy and stimulating, fatty and greasy food, drink more water and take regular rest.