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Managing Gout

Gout is a type of arthritis that causes sudden, intense pain, typically in the big toe. It occurs when uric acid builds up in the body, forming crystals in the joints. This leads to swelling, redness, and extreme tenderness. Gout attacks often come on suddenly and can cause the affected joint to feel hot, swollen, and stiff, making even the slightest touch unbearable. A podiatrist can help manage gout by assessing the severity of the attack and offering treatment to reduce pain and inflammation. This type of doctor may recommend anti-inflammatory medication to ease the symptoms. Lifestyle changes, like adjusting diet and managing weight, are also essential in preventing future flare-ups. In some cases, a podiatrist might suggest custom orthotics to provide relief while walking. If you experience recurring pain or have swelling in your toe joints, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat gout.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Elliot T. Udell, DPM from New York. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
If you have any questions please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Arthritis Can Cause Pain in the Feet and Ankles
Understanding the Common Causes of Foot Pain

Foot pain is a widespread issue that affects people of all ages and lifestyles. One of the most frequent culprits is improper footwear, which can lead to pressure points, arch strain, and misalignment. Long hours of standing or walking on hard surfaces often result in overuse injuries, such as plantar fasciitis or Achilles tendonitis. High-impact activities like running can cause stress fractures, while sudden movements may lead to sprains or ligament damage. Structural issues, such as flat feet or high arches, can contribute to chronic discomfort by altering weight distribution. Medical conditions like arthritis, diabetes, and nerve disorders may also cause persistent pain, inflammation, or numbness. Ignoring early symptoms can lead to worsening conditions, making daily movement difficult. Addressing foot pain early with proper footwear, rest, and professional care can help prevent long-term damage and keep feet healthy and pain-free. If you are suffering from persistent foot pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Elliot T. Udell, DPM from New York. Our doctor 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 Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Facts About Heel Spurs

A heel spur is a bony growth that develops on the underside of the heel bone, typically caused by repetitive stress or pressure. This condition is often associated with plantar fasciitis, where inflammation occurs in the thick band of tissue connecting the heel to the toes. Heel spurs are usually the result of constant stress on the feet, which can occur from activities such as running, walking, or standing for long periods. The most common symptoms of heel spurs include sharp pain at the heel, especially in the morning or after periods of rest. Swelling and tenderness may also accompany the condition. Over time, the pain may subside but can reoccur during physical activities. Treatment options include rest, stretches, and in some cases, orthotics or surgery if conservative measures do not provide relief. If you have heel pain, it is suggested that you consult a podiatrist who can do an examination and provide an accurate diagnosis and treatment.
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 Elliot T. Udell, DPM from New York. 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 Hicksville, NY . We offer the latest in diagnostic and treatment technology to meet your needs.
Understanding Plantar Fibroma

A plantar fibroma is a benign growth of fibrous tissue that develops in the arch of the foot. This condition often appears as a small, firm lump beneath the skin, typically in the plantar fascia, which is the connective tissue along the bottom of the foot. Symptoms include discomfort or pain when walking or standing for extended periods, especially when the fibroma presses against the inside of the shoe. The exact cause of plantar fibromas is not fully understood, but they are believed to be linked to genetic factors, trauma, or repetitive stress. Lifestyle factors such as wearing poorly fitted shoes, being overweight, or engaging in high-impact activities can increase the likelihood of developing this condition. Individuals with a family history of plantar fibroma or certain connective tissue disorders may be at higher risk. If you have the above symptoms, it is suggested that you consult a podiatrist who can help you to manage this condition.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Elliot T. Udell, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
Plantar Fibroma
A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.
What Causes a Plantar Fibroma?
While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.
What Are the Symptoms of a Plantar Fibroma?
There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.
Treatment and Prevention
A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:
- Steroid injections
- Orthotics
- Physical therapy to help apply anti-inflammatory creams on the bump
Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.
If you have any questions please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Wearing the Right Shoes While Hiking to Prevent Foot Blisters

Wearing the right shoes while hiking is essential to prevent foot blisters and protect overall foot health. Hiking on long trails subjects the feet to constant pressure and friction, which can lead to painful blisters if not properly addressed. The feet can also change shape over long distances, with the toes swelling and feet growing slightly in size due to increased activity. Wearing ill-fitting shoes that are too tight or too loose can worsen these issues, causing discomfort and blisters. Proper hiking shoes should provide adequate support, fit securely, and allow for enough room to accommodate foot expansion. It is also important to wear moisture-wicking socks to reduce friction and keep the feet dry. Caring for the feet while hiking includes taking regular breaks to rest and allowing the feet to breathe, using blister prevention products, and staying hydrated to avoid swelling. Foot blisters can be uncomfortable, and may cause a delay in hiking. If you have developed one or more foot blisters, it is suggested that you consult a podiatrist sooner rather than later who can offer you relief techniques, and effective prevention tips.
Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Elliot T. Udell, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
How Do Blisters Form?
Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.
Prevention & Treatment
It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.
If you have any questions, please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout Pain Can Be Managed
How Bunions Form

A bunion is a bony bump that forms at the base of the big toe, causing the toe to angle toward the second toe. This misalignment leads to pain, swelling, and difficulty in finding comfortable shoes. Bunions are often caused by a combination of factors, including genetics, abnormal foot mechanics, and wearing tight, ill-fitting shoes that put excessive pressure on the toes. Over time, the pressure can force the joint to shift, resulting in the formation of the bony protrusion. The severity of bunions can vary, with mild cases causing minimal discomfort, while severe cases may lead to significant pain and difficulty walking. In more advanced stages, the affected toe may become rigid and inflamed. Relief options range from conservative measures such as wearing supportive shoes and using padding, to surgical intervention in extreme cases where pain and deformity are unmanageable. If you have a bunion, it is suggested that you are under the care of a podiatrist who can monitor its growth, and offer appropriate treatment solutions.
If you are suffering from bunions, contact Elliot T. Udell, DPM of New York. Our doctor 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 office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Drinking Beer Can Contribute to Gout

Gout is a form of arthritis that causes sudden, severe pain, often in the joints of the feet, particularly the big toe. One of the primary triggers for gout attacks is the buildup of uric acid in the bloodstream, which can form crystals in the joints, leading to inflammation and intense discomfort. Beer, a popular alcoholic beverage, is known to increase uric acid levels in the body. This is because beer contains high levels of purines, substances that break down into uric acid. Consuming beer regularly or in excess can significantly raise the risk of developing gout or triggering a flare-up in individuals already suffering from the condition. Those with gout are often advised to limit alcohol consumption, particularly beer, to help manage their symptoms. Staying hydrated and making other dietary adjustments can also help reduce the likelihood of gout attacks. If you experience symptoms of gout, it is suggested that you consult a podiatrist for pain relief remedies.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Elliot T. Udell, DPM from New York. 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 Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
The Purpose of Diabetic Limb Salvage

Limb salvage surgery is a medical procedure aimed at preserving a limb that may otherwise require amputation due to severe injury, infection, or complications from conditions such as diabetes. In diabetic limb salvage, the primary goal is to prevent amputation by addressing issues like diabetic foot ulcers, infections, and poor circulation that are common among individuals with diabetes. The procedure typically involves cleaning and debriding infected tissue, improving blood flow through vascular surgery, and sometimes reconstructing damaged bone or soft tissue. In some cases, the surgeon may use skin grafts or other techniques to promote healing. By preserving the limb, limb salvage surgery allows for better functionality and quality of life. Early intervention and ongoing care are essential for a successful outcome, as untreated diabetic complications can lead to more severe consequences. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you manage this condition and discuss the limb salvage procedure with you.
Diabetic Limb Salvage
Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with Elliot T. Udell, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Diabetic Limb Salvage?
Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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What Is Plantar Fasciitis?

Plantar fasciitis is a foot condition that causes pain in the heel and along the bottom of the foot. It occurs when the plantar fascia, a thick band of tissue that connects the heel bone to the toes, becomes inflamed. The primary symptom of plantar fasciitis is sharp heel pain, especially when taking the first steps in the morning or after prolonged sitting. The pain may decrease after walking but can return after long periods of standing or physical activity. Common causes of plantar fasciitis include overuse, poor footwear, tight calf muscles, and abnormal foot mechanics, such as flat feet or high arches. Additionally, obesity, aging, and activities that place excessive pressure on the feet, like running or standing for long hours, can increase the risk of developing this painful condition. Plantar fasciitis can cause pain and discomfort, and it may be difficult to complete daily activities. If you have heel pain, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Elliot T. Udell, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
If you have any questions please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Tibialis Posterior Rupture

A tibialis posterior rupture is a significant injury involving the tendon that supports the arch of the foot and aids in stability during walking. This tendon is essential for proper foot movement and alignment. Ruptures are often caused by overuse, trauma, or degenerative changes, particularly in individuals with flat feet or those involved in repetitive, high-impact activities. Symptoms include pain along the inner ankle or foot, swelling, difficulty walking, and progressive flattening of the arch. Left untreated, the condition can lead to severe flatfoot deformity and impaired mobility. Diagnosis typically involves a clinical exam, imaging like an MRI scan, and functional assessments. Treatment options range from rest, bracing, and targeted exercises, to surgical repair for severe cases. Early intervention is essential for optimal recovery. If you suspect such a rupture, it is suggested that you consult a podiatrist for evaluation and a tailored treatment plan.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Elliot T. Udell, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendinitis
- Achilles tendon rupture
- Stress fractures
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions, please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Are Bunions Affecting Your Everyday Life?
What Causes Poor Foot Circulation?

Good blood circulation is essential for overall foot health, as it ensures that the feet receive the necessary nutrients and oxygen to function properly. Poor circulation in the feet can lead to various symptoms, including cold or numb feet, tingling sensations, and swelling. In some cases, the skin may appear pale or have a bluish tint, and wounds may heal more slowly. Causes of poor foot circulation often include conditions such as diabetes, peripheral artery disease, and heart disease. Lifestyle factors such as smoking, sedentary behavior, and excessive alcohol consumption can also contribute. Inadequate blood flow can result in discomfort and more serious complications if left untreated. If you have symptoms of poor foot circulation, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.
Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Elliot T. Udell, DPM of New York. Our doctor will treat your foot and ankle needs.
Poor Circulation in the Feet
Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.
Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.
Causes
Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:
- Muscle pain, stiffness, or weakness
- Numbness or cramping in the legs
- Skin discoloration
- Slower nail & hair growth
- Erectile dysfunction
Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.
As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication.
If you have any questions please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.