Symptoms That May Indicate Gout
Gout is an inflammatory condition that causes extreme pain in the joints and is particularly common in the big toe. Patients with gout suffer from hyperuricemia, an overabundance of uric acid in the bloodstream. Uric acid then crystallizes, forming sharp, short needles that settle in the joint and cause extreme pain. Anyone can suffer from gout, but it is more common among men over the age of 30. Risk factors for gout are genetics, alcohol use, and a diet rich in foods that contain a high level of purines. These include red meat, seafood, and beverages made with alcohol or large amounts of sugar. The top indicator of gout in the big toe is severe pain. This may come on suddenly and typically occurs at night. The intense pain can linger for days. Swelling, tenderness, and redness are also hallmarks of gout. The skin on the toe may begin to peel and then become itchy and flaky. It also may begin to feel hot to the touch. In some cases, a low-grade fever develops, along with flu-like symptoms. If you believe you may have gout in the big toe, it is suggested that you make an appointment with a podiatrist who can offer treatment options.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Jordan S. Steinberg, DPM from Florham Park Podiatry . Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in Florham Park, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Everything You Need to Know About Gout
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.
Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.
Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.
Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.
High Heels and Negative Effects on the Feet
Women can feel comfortable wearing high heels in various settings, from casual to formal occasions. The appeal of wearing this type of shoe may include making an individual look taller while enhancing the shape of the legs. Despite this attraction to wearing high heels, they may not be the best for the feet when they are frequently worn. The higher the heel, the greater the impact they can have on the ball of the foot. The heel height can reduce the range of motion in the ankle and may decrease support in the heels. This may cause ankle instability and result in enduring an ankle fracture or sprain. Bunions and hammertoes are common ailments among those who wear high heels daily. The toe areas of high heels can be narrow, causing the toes to shift together and possibly leading to unwanted foot conditions. High-heel wearers may want to compromise and choose a shoe with a wider toe box and a lower heel. If you would like to have additional knowledge about how the feet are affected by wearing high heels, it is suggested that you confer with a podiatrist.
High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Jordan S. Steinberg, DPM from Florham Park Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.
Effects of High Heels on the Feet
High heels are popular shoes among women because of their many styles and societal appeal. Despite this, high heels can still cause many health problems if worn too frequently.
Which Parts of My Body Will Be Affected by High Heels?
- Ankle Joints
- Achilles Tendon – May shorten and stiffen with prolonged wear
- Balls of the Feet
- Knees – Heels cause the knees to bend constantly, creating stress on them
- Back – They decrease the spine’s ability to absorb shock, which may lead to back pain. The vertebrae of the lower back may compress.
What Kinds of Foot Problems Can Develop from Wearing High Heels?
- Corns
- Calluses
- Hammertoe
- Bunions
- Morton’s Neuroma
- Plantar Fasciitis
How Can I Still Wear High Heels and Maintain Foot Health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available.
If you have any questions please feel free to contact our office located in Florham Park, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Why High Heels Are Not Ideal for Healthy Feet
It is no secret that high heels are uncomfortable to wear for long periods of time. Although beauty is pain, you should not sacrifice the health of your feet for a stylish heel. Wearing high heels can potentially cause many different foot conditions that may be avoided by wearing proper footwear.
The structure of high heels forces weight of your body to get shifted forward toward the ball of the foot. The higher the heel you wear, the more weight and pressure get shifted forward. The pressure that your toes may experience from wearing heels may lead to hammer toes, bunions, and ingrown toenails. Extra weight and pressure resulting from wearing heels may cause stress fractures. Furthermore, heels may cause pinched nerves which may result in Morton’s neuroma.
High heels are even more dangerous for people who are clumsy. Falling or tripping while wearing heels can cause an ankle sprain or twist.
What many people don’t know is that heels can also cause back and knee problems. In order for your body to stay balanced on heels, your spine has to sway unnaturally, which adds stress to your spine muscles. This may cause you to experience a sore lower back.
If you decide to wear high heels regardless of the risks associated with them, there are ways you can minimize their harmful effects. One way to reduce injury is to massage and stretch your legs at the end of the day. Stretching can prevent the Achilles tendons and calf muscles from becoming too tight. If you are simply looking for more height, wedges and platforms provide a better surface area to distribute the body weight across compared to thinner heels.
If you experience pain from wearing high heels, it is important to see a podiatrist before any of your symptoms become worse.
Are You Suffering From Ingrown Toenails?
If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!
Sever’s Disease and the Heel’s Growth Plate
Heel pain in children may be a sign of Sever’s disease, which is a foot condition that affects physically active young children and teenagers. While it can cause severe pain and discomfort and is considered to be the most common cause of heel pain in children, it generally does not cause long-term damage. Sever's disease is defined as an inflamed growth plate in the heel. This can happen from excessive force or overuse, resulting in heel pain. This plate is necessary for shaping the heel bone, in addition to producing tissue for proper growth. Some types of activities that can contribute to developing Sever’s disease include running, jumping, or standing for extended periods of time. It can affect basketball or soccer players, and gymnasts may also feel the effects of Sever’s disease. Common symptoms that are associated with Sever's disease can consist of a swollen and reddened heel, and it can be difficult to walk. Mild relief may happen when the offending activity is temporarily stopped and the foot is frequently elevated. If your child has heel pain, it is strongly suggested that you consult with a podiatrist who can effectively diagnose and treat Sever's disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Jordan S. Steinberg, DPM from Florham Park Podiatry . Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our office located in Florham Park, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
Sever's Disease
Sever’s disease, also known as calcaneal apophysitis is a common bone disorder that occurs during childhood. The disease is defined as an inflammation of the growth plate in the heel. When a child has a growth spurt, his heel bone grows faster than the muscles, tendons, and ligaments in his leg. This disease is a result of overuse. The people who are most likely to be affected by this disease are children who are in a growth spurt, especially boys who are from the ages of 5 to 13 years old. 60% of children with Sever’s disease have both heels involved.
Symptoms of this disease are heel pain that intensifies during running and jumping activities. The pain is typically localized to the posterior part of the heel. Symptoms may be severe, and they can easily interfere with daily activities. Children who play soccer, baseball, and basketball are more likely to develop Sever’s disease.
Your doctor will diagnose your child based on his or her symptoms, x-rays are generally not helpful in diagnosing this disease. Your doctor may examine both heels and ask your child questions about his or her activity level in sports. Your doctor may then use the squeeze test on your child’s heel to see if there is any pain. Nevertheless, some doctors might still use x-rays to rule out any other issues such as fractures, infections, and tumors.
Sever’s disease can be prevented by maintaining good flexibility while your child is growing. Another prevention method is to wear good-quality shoes that have firm support and a shock-absorbent sole. Sever’s disease can be treated by ceasing any activity that causes heel pain. You should apply ice to the injured heel for 20 minutes 3 times a day. Additionally, orthotics should be used for children who have high arches, flat feet, or bowed legs.
If you suspect your child has Sever’s disease, you should make an appointment with your podiatrist to have his or her foot examined. Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen to relieve pain. In more severe cases, your child may need a cast to rest his or her heel. Fortunately, Sever’s disease does not cause long-term foot problems. After treatment, your child should start to feel better within two weeks to two months.
A Broken Toe and the Buddy Taping Method
There are several bones in each foot, and any one of them may become fractured. Common reasons a broken toe can happen can include dropping a heavy object on it or stubbing it into a piece of furniture. The pinky toe can easily break, as it is located on the outermost part of the foot. Many people experience immediate symptoms that can consist of bruising and swelling, and it can be difficult to walk. Mildly broken toes may be treated by using the buddy taping method, which is done by taping the broken toe to the toe next to it. This can be effective in providing necessary stability as it heals. Severely broken toes may have a bone protruding from it and will often be accompanied by bleeding and severe pain. Some patients may have difficulty moving the affected toe after it has healed, which may indicate arthritis has developed. If you have broken your toe, it is suggested that you contact a podiatrist who can effectively diagnose and guide you toward the treatment option that is best for you.
A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Jordan S. Steinberg, DPM from Florham Park Podiatry . Our doctor will treat your foot and ankle needs.
What to Know About a Broken Toe
Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).
Symptoms of a Broken Toe
- Throbbing pain
- Swelling
- Bruising on the skin and toenail
- The inability to move the toe
- Toe appears crooked or disfigured
- Tingling or numbness in the toe
Generally, it is best to stay off of the injured toe with the affected foot elevated.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.
If you have any questions please feel free to contact our office located in Florham Park, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What to Know About a Broken Toe
Trauma to the foot, especially the toes, can occur in many ways. Banging them, stubbing them, or dropping something on them are a few different ways this trauma can occur. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break or fracture. Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.
Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, or when there is an open, bleeding wound present on the toe.
Generally, a minor toe break will heal without long-term complications. However, it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe and immediately get a splint or cast to prevent any more additional movement of the toe bones. You can also immobilize your toe by placing a small cotton ball between the injured toe and the toe beside it. Then, tape the two toes together with medical tape. Swelling can be alleviated by placing an ice pack on the broken toe directly as well as elevating your feet above your head.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery, especially when the big toe has been broken. Due to its position and the pressure the big toe endures with daily activity, future complications can occur if it is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications. Prescription pain killers may be necessary for severe toe fractures.
The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. You should immediately speak with your podiatrist if you think you have broken your toe due to trauma. They will be able to diagnose the injury and recommend the appropriate treatment options.
Stretches for Heel Spurs
People who develop heel spurs often have heel and foot pain. A heel spur is defined as a bony growth that forms on the underside of the heel and is made of calcium. It can happen as a result of standing on hard surfaces for the majority of the day, or from consistently wearing shoes that do not fit correctly. The pain from a heel spur can range from a dull ache to a sharp pain, which may slightly diminish after walking. Some patients have found mild relief when specific stretches that target the heel are frequently performed. The plantar fascia, which attaches the heel to the toes is often affected in people who have heel spurs. This band of tissue may feel better when it is massaged, which can be done by standing on a tennis ball, and slowly rolling the foot back and forth. The calf stretch is also an effective stretch for the heel. This is done while standing on a step, and lowering one heel at a time until a gentle stretch is felt. If you have heel pain, it is suggested that you confer with a podiatrist who can effectively diagnose a heel spur, and offer you an appropriate treatment method.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Jordan S. Steinberg, DPM from Florham Park Podiatry . Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact our office located in Florham Park, NJ . We offer the latest in diagnostic and treatment technology to meet your needs.
