Items filtered by date: December 2021

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. This acid can crystallize and become lodged in the joints of the feet, leading to sudden and intense pain, swelling, and inflammation. Gout typically flares up and then goes away, only to flare up again in the future. It can become a chronic condition if measures are not taken to prevent future flare ups. Chronic gout can cause large, visible bumps, called tophi, to form in bones, joints, or cartilage. Tophi are made of urate crystals and are usually not painful unless they become infected or press on a nerve. But although they’re not painful in and of themselves, tophi are problematic because they can damage joints, destroy cartilage, and eventually lead to bone erosion, deformity, and disability. For more information about gout, please consult with a podiatrist. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor will treat your foot care 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 Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your foot needs.

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Neuropathy is a condition that can lead to numbness or loss of sensation in the feet, but it can also cause pain. This condition is more likely to develop for those who are diabetic, obese, or with high blood pressure.

The plantar fascia is a long, thick band of tissue that spans from the heel bone along the bottom of the foot to the toes. The plantar fascia supports the bottom of the feet and toes (as the heel rises) during walking, running, and jumping. The plantar fascia can become overly stressed or even tear or rupture from overuse or injury, causing pain and inflammation (plantar fasciitis). Being obese, standing/working on your feet for prolonged periods of time, having flat feet or high arches, and engaging in activities that involve dancing, marching or running can all contribute to, or worsen the symptoms of, plantar fasciitis. Wearing certain footwear can also put you at an increased risk of developing this condition such as high heels, flip flops, worn out shoes, or other types of footwear with inadequate support. A podiatrist will use a variety of treatment protocols to treat plantar fasciitis depending upon the severity of the condition and how long the patient has been suffering from it. A combination of rest, icing, stretching, taping, protective footwear, orthotics, and pain medication may be used to help heal the damage done to the plantar fascia and reduce pain and inflammation. A podiatrist may treat more severe or chronic plantar fasciitis (including cases that don’t respond to initial treatment) with steroid injections, laser therapy, or even surgery.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctorcan  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 podiatrist 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 Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your foot needs.

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If your feet always seem to be cold, especially at bedtime, you may be suffering from poor circulation in your lower extremities. When fatty deposits (plaques) build up within arteries (atherosclerosis), this can cause them to narrow and thereby reduce the blood supply. This condition, known as peripheral arterial disease (PAD), can make your feet feel cold and cause pain in your calves. It can also make your feet look blue or purplish when sitting and white or pale when lying down. Cold feet can also occur in people who do not have enough body fat, which helps insulate the body. Small blood vessels then try to conserve heat by constricting, which causes toes and other parts of the body to feel cold or numb and turn blue followed by white. This is known as Raynaud's phenomenon. If your feet feel cold or numb, it is suggested that you make an appointment with a podiatrist as soon as possible to assess the situation.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor will treat your foot 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 Montgomery, AL . We offer the newest diagnostic and treatment technologies for all your foot needs.

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