How can gout lead to hallux rigidus?

One of the problems with being a runner is that you have a higher pain threshold.  If you have a minor attack of gout, it may not bother you as much as it would other people and what Gout is, is that you get painful crystals forming within a joint like the big toe joint. If you have what we call sub-acute gout, meaning it's not really killing you, it's just kind of a minor thing that's building up gradually, then the condition might actually sort of fly under the radar.  You might be gradually building up crystals in the joint that you're not really aware of at all.  How can gout lead to hallux rigidus?  Well, that's what we're talking about today on the Doc On The Run Podcast.