yes you can have gout without swelling. however gout usually will have some red lines in the area. and is very painful. if it continues see your dr. as there is medication you can start on for gout. like allopurinol.
can you have gout in your big toe without swelling? . i have arthritis and a neuroma in the foot that my big toe hurt so badly but i really don't have swelling in my toe. could it be gout anyway?