Gout is a form of inflammatory arthritis that develops when uric acid builds up in the body and forms sharp crystals inside a joint. These crystals can trigger sudden and intense inflammation. Gout most often affects the big toe, although it can also develop in other joints. A gout attack may begin quickly and cause severe pain. The affected area can become swollen, red, and extremely tender to touch.

Several factors can increase the risk of developing gout. Genetics can play a role, while certain health conditions may make high uric acid levels more likely. Eating foods high in purines can also contribute because the body breaks purines down into uric acid. Dehydration, excess alcohol, and some medications may increase risk. Men are generally more likely to develop gout earlier in life, while the risk increases for women after menopause.

The big toe is a common location because the joint is relatively cool and exposed to repeated pressure. Uric acid crystals form more easily in cooler areas, making this joint vulnerable. Walking and wearing shoes can also make an inflamed big toe especially painful. During an attack, symptoms include sudden throbbing pain, swelling, and tenderness. Without appropriate management, repeated attacks damage the joint over time.

A podiatrist examines your foot and discusses your symptoms, medical history, and possible triggers. Testing may be recommended to help confirm gout and rule out other causes of joint pain. Treatment options include measures to reduce inflammation and protect the painful joint during an attack. A podiatrist may also recommend footwear changes and strategies that support long-term foot health. If you have gout symptoms, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our doctors from Andrea Hyperbaric Wound Care & Health Center. 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 office located in Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toe walking means a child walks on their tiptoes without letting their heels touch the ground. It can happen some, most, or all of the time. Toe walking can be part of normal development, and many children stop doing it between ages two and seven. However, continued toe walking deserves attention, especially when it affects balance, comfort, or the way a child moves. When there is no clear medical cause, it is called idiopathic toe walking. In a small number of children, toe walking can be linked to conditions that affect the brain, nerves, or muscles. These include cerebral palsy, muscular dystrophy, and autism spectrum disorder. A podiatrist can assess your child’s feet, legs, and walking pattern. They can also check muscle strength and flexibility to determine whether further evaluation is needed.

Frequent toe walking can be associated with tight calf muscles, which connect with the heel. Tight calves can make it harder for a child to place the heels flat on the ground when standing or walking. A podiatrist can help identify whether tight muscles, foot structure, or another concern is contributing to toe walking. This evaluation also helps determine whether the child’s walking pattern is changing or causing problems with everyday activities. Treatment options may include regular monitoring and supportive footwear.

Parents should seek professional advice when toe walking is apparent mainly on one side or if it begins suddenly after a child previously walked with their heels down. An exam also may be needed if the heels are prevented from touching the ground while standing. Attention is important when a child has stiff legs, unusual movements, or pain. A podiatrist can monitor changes in walking and recommend treatment when necessary. If your child exhibits toe walking on a regular basis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our doctors of Andrea Hyperbaric Wound Care & Health Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our office located in Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot pain from wearing sandals is common when footwear does not provide enough support for the arch or heel. Flat sandals can allow the foot to roll inward while walking. Thin soles may also increase pressure on the bottom of the foot. Symptoms can include aching or tenderness after walking. Risk factors include prolonged walking, existing foot problems, and suddenly switching from supportive shoes to sandals. People with poor arch support needs may notice discomfort quickly.

Wearing unsupportive sandals also can aggravate certain conditions. Plantar fasciitis is irritation involving the thick band of tissue along the bottom of the foot. It often causes heel pain after rest. Bunions are structural changes that cause the big toe to move toward the other toes. They may cause swelling and pressure near the big toe joint. Morton’s neuroma involves irritation around a nerve between the toes. It can cause burning pain beneath the forefoot. Seeing a podiatrist can help deal with any of these conditions.

A podiatrist begins by reviewing your symptoms, footwear habits and medical history. The foot is examined for tenderness, swelling, and pressure areas. Imaging may be recommended when structural problems need evaluation. Treatment depends on the diagnosis and may include wearing supportive footwear, custom orthotics, or medication, if appropriate. A podiatrist may also recommend stretching exercises, if suitable. Persistent bunions or nerve pain may require additional treatment if conservative care does not provide relief.

Choosing sandals with arch support, cushioning, and a secure fit can help reduce strain during walking and daily activities. Avoid unsupportive sandals for long periods of time when your feet already hurt. Gradually increase walking time and pay attention to changes in pain. Persistent symptoms should not be ignored because early care may prevent worsening. If foot pain caused by wearing sandals continues, it is suggested that you consult a podiatrist for effective relief tips, and guidance on choosing more appropriate shoes.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our doctors from Andrea Hyperbaric Wound Care & Health Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sesamoiditis is irritation or inflammation of the two sesamoid bones beneath the big toe joint. These tiny bones help absorb pressure and support movement. Sesamoiditis causes pain under the ball of the foot, especially beneath the big toe. Discomfort may develop gradually and worsen during activity. Tenderness, swelling, and pain when bending the big toe can also occur. Pain may increase with weight-bearing and repeated push-off. This condition affects the underside of the forefoot.

Several factors can increase the risk of developing sesamoiditis. Activities that place repeated pressure on the forefoot can contribute, particularly running, dancing, or jumping. Wearing high-heeled or poorly cushioned shoes may increase stress around the sesamoids. Foot structure can affect pressure distribution and place extra stress on the sesamoids. A sudden increase in activity may trigger symptoms. Repetitive stress, direct injury, and prolonged standing are common causes. People who participate in sports requiring push-off may have a greater risk.

A podiatrist begins treatment by reviewing symptoms, activities, and history. A foot examination helps identify tenderness and pain with movement. X-rays may be recommended to check the bones and rule out a fracture. Treatment options include activity changes, wearing supportive footwear, or temporary immobilization when appropriate. Medication may help control pain, when appropriate. Activity is gradually adjusted as healing progresses, helping prevent a flare-up.

Sesamoiditis can improve when repeated stress is addressed early. Wearing comfortable shoes with adequate cushioning and avoiding painful activities can help protect the area during recovery. Do not ignore persistent pain beneath the big toe, especially when walking becomes difficult. A podiatrist can determine whether sesamoiditis is responsible for your symptoms and create a treatment plan suited to your needs. If you have symptoms of sesamoiditis, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our doctors of Andrea Hyperbaric Wound Care & Health Center. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions, please feel free to contact our office located in Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.