 [ Symptoms ] does anal fissure affect the spincter muscle [ Disease ] sorry to hear you are experiencing this it sounds unpleasant you are right it could be gout it could also be something entirely different reynaud is phenomenon for example can cause a tinglingprickly sensation to the toes the only way to determine for sure what is causing your symptoms is a physical examination by a health care provider and even then you might not get an answer to your question why because there are so many possible causes for the symptoms you describe unless or until you experience additional symptoms a physician may not be able to pinpoint exactly what is causing the toe tingling one thing is for sure the only way to begin figuring this out is to see a health care provider i would suggest you start with your primary care provider wishing you well