Gout

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

Gout's Impact on Foot Health

Gout's Impact on Foot Health

Gout, a form of inflammatory arthritis, can wreak havoc on foot health, causing intense pain, swelling, and stiffness. It often impacts the big toe first. It occurs when uric acid levels in the blood rise, leading to the formation of sharp urate crystals in the joints, often targeting the big toe joint. These crystals trigger sudden and severe bouts of pain, known as gout attacks, which can make walking and even wearing shoes unbearable. Managing gout involves dietary changes to help control uric acid levels. Foods rich in purines, such as red meat, organ meats, and shellfish, should be limited, as they can exacerbate gout symptoms. Conversely, incorporating plenty of fruits, vegetables, whole grains, and low-fat dairy products into the diet can help lower uric acid levels and reduce the frequency and severity of gout attacks. Staying hydrated by drinking plenty of water is also vital for flushing out uric acid from the body. If you have pain in your big toe and surrounding areas, it is suggested that you consult a podiatrist who can diagnose, treat, and offer additional nutritional tips to manage gout.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Foot & Ankle Centers of Charlotte County . Our doctors 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 offices located in Punta Gorda and Port Charlotte, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Ingrown Toenails

Ingrown Toenails

An ingrown toenail is a nail that has curved downward and grown into the skin.  This typically occurs at either the nail borders or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  In most cases, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Treatment Options for Ingrown Toenails

Treatment Options for Ingrown Toenails

Ingrown toenails are characterized by the downward curling of the toenail's side or corner into the adjacent skin. An ingrown toenail typically results in redness, swelling, tenderness, and in some cases becomes infected. While frequently seen in the big toe, any toenail can become ingrown. The major causes of ingrown toenails include wearing ill-fitting footwear, improper nail trimming techniques, and traumatic injury to the toe. Seeking professional evaluation by a podiatrist is essential for an accurate diagnosis and appropriate treatment. For mild cases, conservative measures such as warm water soaks and placement of a cotton ball beneath the affected nail corner may provide relief. However, persistent or worsening symptoms warrant prompt intervention to prevent complications, including bacterial infection. In such instances, treatment may involve antibiotic therapy or, in severe cases, surgical removal of the ingrown portion of the nail. Among the ways to prevent an ingrown toenail are trimming nails straight and wearing shoes that fit properly. If you have an ingrown toenail, especially if pain is persistent, it is suggested that you schedule an appointment with a podiatrist for a complete exam and treatment suggestions.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Foot & Ankle Centers of Charlotte County . Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our offices located in Punta Gorda and Port Charlotte, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Toe Pain

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

Definition and Causes of Black Toenails

Definition and Causes of Black Toenails

Black toenails, though often alarming in appearance, are a common foot condition with various potential causes. This discoloration typically occurs when blood accumulates underneath the nail, resulting in a darkened appearance, and may cause significant toe pain. One common cause is trauma or injury to the toe, such as stubbing it against a hard surface or dropping something heavy on it. The trauma can damage the blood vessels underneath the nail, leading to bleeding and subsequent change of color. Additionally, repetitive pressure or friction on the toenails, such as from wearing ill-fitting shoes or strenuous physical activity, can contribute to black toenails. Long-distance runners, hikers, and athletes are particularly susceptible to this type of injury. In some cases, fungal infections or underlying medical conditions like diabetes or peripheral artery disease may also be responsible for black toenails. If you have endured a toe injury and have developed a black toenail, it is strongly suggested that you consult a podiatrist who can effectively treat this condition.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Foot & Ankle Centers of Charlotte County . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our offices located in Punta Gorda and Port Charlotte, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Bunions

Bunions

A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out.  As a result, the skin over the bunion may start to appear red and it may feel sore.

There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.

The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis. 

Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.

Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.

The Relationship Between Arthritis and Bunions

The Relationship Between Arthritis and Bunions

Arthritis, encompassing various inflammatory conditions, can contribute to bunion formation, affecting the feet in distinct ways. A bunion, characterized by a bony protrusion at the base of the big toe, often results from joint misalignment. Types of arthritis such as rheumatoid arthritis, osteoarthritis, psoriatic arthritis, and gout can all play a role in its development. Rheumatoid arthritis induces joint damage and inflammation, leading to joint instability and eventual bunion formation. Osteoarthritis contributes by wearing down cartilage, promoting joint misalignment. Psoriatic arthritis, a condition linked to psoriasis, can also cause bunion formation, often accompanied by inflammation in toes. Additionally, gout, characterized by sudden, intense joint pain, commonly targets the big toe joint, potentially leading to bunion development. A podiatrist's involvement is important in managing arthritis-related bunions. They can provide personalized treatment plans, including pain management strategies, footwear recommendations, custom orthotic devices, and surgical options if necessary, ensuring optimal foot health and mobility. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist who can help you to manage this and other arthritis-related foot conditions.

If you are suffering from bunions, contact one of our podiatrists of Foot & Ankle Centers of Charlotte County . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our offices located in Punta Gorda and Port Charlotte, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions

Plantar Warts Can Be Treated!

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Custom Orthotics For Outdoor Activity

Custom Orthotics For Outdoor Activity

Embrace the great outdoors with confidence and comfort! Whether you're hiking, jogging, or exploring nature, Custom Orthotics are your perfect companion. Tailored to your foot's unique needs, they provide stability on uneven terrains and cushioning for those longer adventures. Don't let foot discomfort limit your outdoor experiences. With Custom Orthotics, every step is supported and secure. Call today to schedule an appointment.

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