Ƙungiyar metatarsal-phalangeal a tushe na babban yatsan kafa yana shafar mafi sau da yawa, lissafin rabin lokuta. Sauran haɗin gwiwa, kamar diddige, gwiwoyi, wuyan hannu, da yatsun hannu, na iya shafar. Ciwon haɗin gwiwa yawanci yakan fara sama da awanni 2<unk>4 kuma a cikin dare. Wannan galibi saboda ƙarancin zafin jiki ne. Sauran alamun na iya faruwa da wuya tare da ciwon haɗin gwiwa, gami da gajiya da zazzabi mai zafi. Tsawon tsawan tsawan tsawan uric acid (hyperuricemia) na iya haifar da wasu alamun, gami da wuya, ba tare da jin zafi ba na uric acid crystals da aka sani da ƙarancin lokaci.
a cikin dare