But for many active, healthy patients, this dietary shift comes with a painful surprise: A red, hot, throbbing big toe that feels like it’s on fire. This is Gout, and contrary to popular belief, it isn’t just a “King’s Disease” for the elderly. We are seeing a spike in Gout attacks among younger, fit patients who have drastically increased their protein intake. Read on for Atlantic Foot & Ankle Specialists’ explanation.