Ankle soreness is not necessarily the result of gout. Of course, if a patient has gouty arthritis, he or she may experience ankle pain. During an attack of gouty arthritis, the best area is the first metatarsophalangeal joint, and the second best area is the ankle joint. Therefore, patients with gout may have soreness in the ankle joint, and the pain is often very intense in nature. Some patients may experience redness, swelling, and heat on the surface of the ankle joint. Ankle soreness can also be due to a range of other causes. First, it may be caused by prolonged exposure to cold. Some patients may suffer from cold due to inadequate clothing for a long time, which may also cause pain. Second, it may be caused by traumatic arthritis. The ankle joint is very easy to sprain, and if the patient repeatedly sprains it, it may cause traumatic arthritis and lead to pain. Third, it may also be caused by osteoarthritis or rheumatoid or rheumatoid arthritis.