Today a patient presented with foot, heel and arch pain and had received a diagnosis of plantar fasciitis from a doctor.  The top of his foot was swollen……and when I asked him where it hurt he pointed to the swollen area.  This was obviously not plantar fasciitis.  He said his foot stays swollen and throbs in pain.  This was not the typical running injury.  When I questioned him about any trauma to his foot he denied it.  I asked “Are you sure you did not drop anything on your foot?”  He said no.  I was puzzled until I looked over the history forms he had filled out.  I asked “You had Gout?”  He said yes but not now.  I said “When you have Gout it it does not go away it just goes to sleep, like a volcano.”  The he said” Actually it does remind me of what my big toe had felt like.”  After examining his foot and finding no evidence of plantar fasciitis or heel spurs I checked the swollen area.  Tender, swollen but no black-and-blue and no history of trauma.  “Yep, you have Gout.”  I wrote him a prescription for an x-ray and for 16 ounces of pure cherry juice per day.  Cherry juice does miracles for gout.