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A Guide to Diagnosing Gout
Gout, a form of inflammatory arthritis, can be excruciating, often affecting the big toe and ankles. Recognizing its symptoms is vital for timely management. The diagnosis begins with a keen observation of the symptoms, which are often sudden, intense joint pain, swelling, redness, and warmth, typically striking at night or in the early hours. The affected joint might feel tender to the touch, making even the lightest pressure unbearable. An accurate diagnosis often involves a comprehensive medical history review and a physical examination by a podiatrist. They may also conduct tests like joint fluid analysis to detect urate crystals, which are consistent with gout. Blood tests measuring uric acid levels can aid in confirmation, although high levels do not always guarantee a diagnosis. Imaging tests, such as X-rays, may reveal joint damage in chronic cases. If you have pain in the top of your foot, with a focus on the big toe, it is strongly suggested that you contact a podiatrist who can effectively 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.
Definition and Causes of Bunionettes
Bunionettes, also known as tailor's bunions, are bony bumps that develop on the outside of the foot, near the base of the pinky toe. Understanding the definition and underlying causes of these foot deformities is vital for effective management and prevention. Essentially, a bunionette forms when the bone at the base of the fifth toe protrudes outward, often accompanied by the misalignment of the toe joint. This condition is primarily attributed to structural imbalances in the foot, including inherited foot shapes, abnormal foot mechanics, or wearing narrow shoes that compress the toes. Over time, pressure and friction on the affected area can exacerbate the deformity, leading to pain, inflammation, and difficulty wearing certain footwear. While bunions and bunionettes share similar characteristics, they affect different areas of the foot. Bunionettes typically develop on the outer edge of the foot, whereas bunions occur at the base of the big toe. If you have developed a bunion or bunionette, it is suggested that you visit a podiatrist who can determine what the best course of treatment is for you.
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.
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!
Causes of Foot Stress Fractures
Foot stress fractures are a common yet often overlooked injury that can sideline individuals from their daily activities. These fractures occur when repetitive stress on the bones surpasses their ability to repair themselves, resulting in tiny cracks or breaks. Several factors contribute to the development of foot stress fractures, including overuse, sudden increases in physical activity, improper footwear, and biomechanical abnormalities. Runners, dancers, and athletes involved in high-impact sports are particularly susceptible to these types of fractures due to the repetitive stress placed on their feet. Additionally, factors such as poor bone density, nutritional deficiencies, and hormonal imbalances can increase the risk of stress fractures. Symptoms of foot stress fractures include localized pain, swelling, and tenderness. It is beneficial to incorporate into your routine proper rest, adequate footwear, and training techniques that may help in preventing foot stress fractures. If you have endured this type of injury, it is suggested that you consult a podiatrist who can accurately diagnose and treat foot stress fractures.
Stress fractures occur when there is a tiny crack within a bone. To learn more, 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.
How Are They Caused?
Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon. Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.
Risk Factors
- Gender – They are more commonly found in women compared to men.
- Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
- Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
- Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
- Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures
Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.
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.
Understanding What Plantar Fasciitis Is
Plantar fasciitis is a common foot condition characterized by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes. This condition typically manifests as heel pain, particularly with the first steps in the morning or after periods of rest, which can gradually worsen throughout the day. The precise cause of plantar fasciitis is not always clear, but it often results from repetitive strain or excessive stress on the plantar fascia. Factors contributing to the development of plantar fasciitis include overuse from activities such as running, walking long distances, or standing for extended periods. Additionally, certain risk factors like obesity, high arches, flat feet, or tight calf muscles can increase the likelihood of developing plantar fasciitis. If you have heel pain, it is suggested that you visit a podiatrist who can effectively diagnose plantar fasciitis, and offer an appropriate treatment plan.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. 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 one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best 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.
What Is an Ingrown Toenail?
An ingrown toenail, a common foot condition, occurs when the edge of the toenail grows into the surrounding skin, leading to pain, swelling, and discomfort. This condition typically affects the big toe but can occur on any toe. Ingrown toenails can develop due to a variety of factors, including improper nail trimming techniques, wearing tight-fitting shoes, or sustaining toe injuries. Additionally, individuals with curved or unusually shaped toenails may be more prone to ingrown toenails. Symptoms of ingrown toenails include redness, tenderness, and inflammation around the affected nail, as well as the presence of pus or drainage in severe cases. If left untreated, ingrown toenails can become infected, causing further pain and complications. Recognizing the causes and symptoms of ingrown toenails is important for prompt treatment and prevention strategies. If you have developed an ingrown toenail, it is suggested that you contact a podiatrist who can treat this condition, which may include minor surgery for partial or total removal.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
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.
Understanding Foot Changes During Pregnancy
Pregnancy is marked by numerous changes in the body, including the feet. One notable alteration is the increase in shoe size experienced by many expectant mothers. This change occurs due to hormonal fluctuations and the body's natural tendency to retain fluids, which leads to swelling in the feet and ankles. Consequently, women may find that their usual shoe size feels snug or uncomfortable during pregnancy, necessitating the need for larger footwear to accommodate the swelling. Additionally, some pregnant individuals may encounter itching and redness on the soles of their feet, a condition known as pruritus gravidarum. This symptom can arise due to heightened blood circulation, hormonal changes, or skin stretching, causing discomfort and irritation. While these foot changes are a normal part of pregnancy, expectant mothers need to prioritize foot health by wearing supportive footwear, practicing gentle foot exercises, and elevating the feet to reduce swelling. Consulting with a podiatrist can also guide in managing foot discomfort and ensuring a smooth pregnancy journey. If you are seeking relief from foot conditions developed during pregnancy, it is suggested that you consult a podiatrist.
Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Elliot T. Udell, DPM from New York. Our doctor will attend to all of your foot and ankle needs.
What Foot Problems Can Arise During Pregnancy?
One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward. This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.
Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages.
How Can I Keep My Feet Healthy During Pregnancy?
- Wearing orthotics can provide extra support for the feet and help distribute weight evenly
- Minimize the amount of time spent walking barefoot
- Wear shoes with good arch support
- Wear shoes that allow for good circulation to the feet
- Elevate feet if you experience swelling
- Massage your feet
- Get regular, light exercise, such as walking, to promote blood circulation to the feet
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.
Exploring the Realities of Heel Pain
Heel pain can stem from various underlying causes, impacting the daily activities and quality of life of people of all ages. One common reason is plantar fasciitis, which is the inflammation of the tissue connecting the heel bone to the toes. This condition often causes sharp pain in the bottom of the heel, particularly upon standing or walking after periods of rest. Achilles tendonitis, another frequent cause of heel pain, involves inflammation of the Achilles tendon at the back of the heel, typically the result of overuse or repetitive stress. Other factors contributing to heel pain include heel spurs, stress fractures, and nerve compression. Symptoms may range from mild discomfort to severe pain and may worsen with activity. Proper diagnosis by a podiatrist is critical for effective treatment and management strategies tailored to address the underlying cause of heel pain. If you have developed heel pain, it is suggested that you consult a podiatrist who can offer you a tailored treatment plan.
Many people suffer from bouts of heel pain. For more information, 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.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please 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
If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.
The Necessity and Benefits of Hammertoe Surgery
Hammertoe, a deformity characterized by an abnormal bending of the toe joint, can lead to discomfort, difficulty walking, and even pain during daily activities. While many cases of hammertoe can be managed with conservative measures such as padding, shoe modifications, and orthotic devices, surgery may be necessary in certain instances. Hammertoe surgery becomes essential when the condition progresses to a point where conservative treatments no longer provide relief or when the deformity interferes significantly with mobility and quality of life. During surgery, the surgeon may release tight tendons, reposition bones, or remove damaged tissue to straighten and realign the affected toe. Although surgery involves risks like any medical procedure, it can offer long-term relief and improve functionality for individuals suffering from severe hammertoe deformities. If you are living with hammertoe, it is strongly suggested that you are under the care of a podiatrist who can determine if surgery is the correct choice for you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Elliot T. Udell, DPM of New York. Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
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.
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Athletes and Flat Feet
Athletes often face various challenges in their pursuit of excellence, and flat feet can present an additional hurdle to overcome. Flat feet, or fallen arches, occur when the arch of the foot collapses, causing the entire sole to make contact with the ground. This condition can lead to discomfort, instability, and an increased risk of injury during physical activity. However, many athletes with flat feet have found effective ways to cope and excel in their sports. One important strategy involves wearing supportive footwear with proper arch support and cushioning to help distribute weight evenly and reduce strain on the feet. Additionally, incorporating exercises to strengthen the muscles surrounding the feet and ankles can improve stability and alignment, enhancing overall performance and reducing the risk of injury. Seeking guidance from a podiatrist can also provide valuable insights and personalized recommendations for managing flat feet while pursuing athletic goals. If you have flat feet and participate in sporting activities, it is suggested that you consult a podiatrist who can offer you additional relief strategies.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Elliot T. Udell, DPM from New York. Our doctor will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
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.
Understanding Foot Function and Ensuring Proper Care
Our feet, the unsung heroes of our daily activities, are intricate structures that enable mobility and support our entire body weight. Comprising numerous bones, joints, muscles, ligaments, and tendons, the feet work in unison to provide stability, balance, and the ability to walk, run, and stand. Maintaining optimal foot health is essential for overall well-being. To keep our feet in top condition, it is important to choose footwear that provides proper arch support and cushioning, and fits well. Regularly cleaning and inspecting the feet, especially between the toes, can help to prevent infections. Stretching exercises promote flexibility while strengthening exercises help maintain the foot's arch and stability. Alternating shoe choices, wearing moisture-wicking socks, and allowing feet to breathe can prevent issues like fungal infections. Paying attention to any discomfort or pain and seeking timely medical attention ensures prompt intervention. By understanding the marvel of how our feet function and adopting simple yet effective tips, we can prioritize our health and continue to move through life with comfort and ease. If you are seeking additional information about foot function and care, it is suggested that you confer with a podiatrist.
If you have any concerns about your feet, 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.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
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.
Understanding Contagion Risks of Toenail Fungus
Toenail fungus, also known as onychomycosis, is a common fungal infection that affects the nails. This condition is typically characterized by discoloration, thickening, and crumbling of the nails. While toenail fungus is not considered extremely contagious, it can spread from person to person under certain circumstances. Direct contact with infected nails or contaminated surfaces such as shower floors, swimming pools, and communal areas can facilitate transmission. Additionally, sharing shoes, socks, or nail clippers with an infected individual increases the risk of contracting the fungus. Individuals with compromised immune systems, diabetes, or poor circulation are more susceptible to toenail fungus and may experience more severe infections. Maintaining good foot hygiene, wearing breathable footwear, avoiding sharing personal items, and keeping nails trimmed and dry can help reduce the risk of toenail fungus transmission. If you have toenail fungus, it is strongly suggested that you consult a podiatrist who can offer effective treatment remedies, in addition to discussing contamination risks.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
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
Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.
