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When Gout Strikes the Big Toe

Gout is a form of inflammatory arthritis that often affects the big toe, causing sudden and intense pain. It may appear with redness, swelling, warmth, and extreme tenderness, sometimes making it difficult to walk or even touch the area. This condition develops when uric acid builds up in the blood and forms sharp crystals within the joint. The big toe is commonly affected because it is under frequent stress and has lower temperatures that allow crystals to form more easily. Risk factors include diet, genetics, weight, and certain medical conditions. A podiatrist can diagnose gout through examination and testing, then guide treatment to reduce inflammation and protect joint function. Early care can help prevent repeated attacks and joint damage. If you have symptoms of gout, it is suggested that you promptly consult 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 Pauline Fu, DPM from New York, NY. 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 New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Foot and Ankle Injuries in Pickleball

Pickleball combines quick movements, sudden stops, and rapid changes in direction, which can place stress on the feet and ankles. Injuries often include sprains, strains, and tendon problems, with Achilles tendon injuries being especially common. Older males may face a higher risk due to decreased flexibility and conditioning. Other risk factors include improper footwear, uneven playing surfaces, and lack of warm-up or stretching. These injuries can lead to pain, swelling, and limited mobility if not addressed early. A podiatrist can diagnose the injury, provide treatment, and recommend supportive footwear or exercises to promote healing and prevent future problems. If you have foot or ankle pain during or after playing pickleball, it is suggested that you consult a podiatrist.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Pauline Fu, DPM of New York, NY. Our doctors can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please contact our office located in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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When Toenail Fungus Keeps Coming Back

A fungal toenail infection can be frustrating when it keeps coming back. This infection occurs when fungi grow under or within the nail, leading to thick, discolored, and brittle nails. Recurrence is common because the infection can linger in the nail or surrounding skin even after treatment appears successful. It may take up to a year and a half for a new, healthy nail to fully grow, so early improvement does not always mean the fungus is gone. Risk factors for recurring toenail fungus include poor circulation, diabetes, and repeated exposure to warm, moist environments. A podiatrist can confirm the diagnosis with an exam and testing to create a treatment plan that targets the infection at its source. Care may include prescription medications, nail care, and monitoring nail growth. If you have a stubborn fungal toenail infection, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment plan.

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 Pauline Fu, DPM of New York, NY. Our doctors 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 contact our office located in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Sever's Disease and Teen Heel Pain

Sever’s disease is a common cause of heel pain in growing adolescents, especially those involved in sports. It is an overuse condition that affects the growth plate in the heel, where repetitive stress leads to inflammation and discomfort. This occurs when the heel bone grows faster than the surrounding muscles and tendons, creating tension and irritation. Risk factors include rapid growth, high activity levels, and wearing improper footwear. Symptoms often include heel pain during activity, tenderness, and limping. A podiatrist can evaluate the condition, recommend supportive footwear, provide custom orthotics, and guide stretching and activity modification. Early care can relieve pain and prevent worsening symptoms. If your active child is limping or has heel pain, it is suggested that you consult a podiatrist who can accurately diagnose the problem, and offer effective relief solutions.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Pauline Fu, DPM from New York, NY. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

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