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Littlestown, PA

 (717) 359-5300

April 2023


Tuesday, 25 April 2023 00:00

Gout in the Foot

Gout is a type of inflammatory arthritis caused by the formation of uric acid crystals that settle in joints. High blood urate levels, or hyperuricemia, lead to crystal formation, and this can produce severe pain, stiffness, and swelling, often along the base of the big toe. One often has attacks of gout that can last from 12 hours to two weeks. If not tended to, gout can cause damage to joints, tendons, and other soft tissue that is irreversible. Hyperuricemia can also lead to kidney stones. Many people who suffer from gout have lifestyles, such as being overweight or eating or drinking items with high levels of purines or excess sugar or alcohol, that make them more vulnerable to gout. Those with some diseases, like anemia, psoriasis, and renal disease can also be more apt to get gout. Similarly, people taking certain medications can be more likely to get gout. Men are twice as likely to get gout than women. The chance of getting this ailment increases with age. If you have gout and you are experiencing pain in your big toe, it is suggested that you visit a podiatrist for an examination, treatment, and prevention techniques.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Todd Goldberg from Complete Family Foot Care Center. 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 Littlestown, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Published in Blog

Tuesday, 18 April 2023 00:00

The Many Types of Heel Pain

The heels of the feet endure a great deal of stress and, therefore, are often open to pain and injury. The most common causes of heel pain are plantar fasciitis, Achilles tendonitis, bone spurs, and stress fractures. Heel bursitis, Sever’s disease, and Haglund’s syndrome are other causes that occur less frequently. Pain can be experienced behind the heel, within the bone itself, and under the heel. Simply stepping on a hard rock can cause pain under the heel, but the most common cause is plantar fasciitis. This is an overuse injury to the tissue that runs under the foot and connects the heel to the toes. Chronic plantar fasciitis can also lead to the development of heel spurs on the calcaneus, the main heel bone. Inflammation to the Achilles tendon from overuse is the most frequent cause of pain behind the heel. A podiatrist, a medical doctor who is trained in ailments of the feet and ankles, can diagnose the cause of heel pain by conducting a number of tests. These may include X-rays and electronic imaging tests. If you are suffering from heel pain and are unsure of the cause, it is suggested that you make an appointment with a podiatrist today.

Many people suffer from bouts of heel pain. For more information, contact Dr. Todd Goldberg of Complete Family Foot Care Center. 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 Littlestown, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Published in Blog

Wednesday, 12 April 2023 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Published in Blog

The feet are the main instrument in a runner’s orchestra. Because they take a pounding with every step taken, injuries are apt to occur. Two common causes of forefoot foot pain in runners, stress fractures and extensor tendonitis, can be difficult to tell apart. A stress fracture is a tiny hairline crack that often occurs in the metatarsals. Stress fractures may be caused by increasing speed and distance of a run too rapidly. Over time, the metatarsal bones weaken ever so slowly until they crack. Extensor tendonitis is an inflammation of the network of tendons that run across the top of the foot. They affect the same part of the forefoot, but can be differentiated by a simple test of moving the toes against a bit of force. If that movement causes pain, then you probably do not have a stress fracture. The most common causes of extensor tendonitis can be traced to improper footwear, tight Achilles tendons, or tight calf muscles. For an expert diagnosis of the cause of forefoot pain, it is suggested that you make an appointment with a podiatrist, who is medically trained in dealing with problems of the feet. 

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Todd Goldberg of Complete Family Foot Care Center. Our doctor 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
  • Plantar Fasciosis
  • 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 feel free to contact our office located in Littlestown, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Published in Blog

A condition known as Raynaud’s phenomenon is a circulatory problem that causes the blood vessels in the extremities to narrow and restrict blood flow. This can cause the toes to become cold and even turn blue. There are two types of Raynaud’s phenomenon, primary and secondary. Primary has no known cause, but secondary may occur in conjunction with another underlying condition, such as lupus or rheumatoid arthritis. This type is far more serious and can lead to the formation of skin ulcers that may become gangrenous if ignored. Women are more at risk for Raynaud’s phenomenon, and it usually occurs in people in their 30s or younger. Emotional stress and smoking also can trigger attacks. When an attack occurs, the toes become exceedingly cold and may change color, which can evolve into burning and tingling when the toes finally get warmer. If you are having increasing problems with coldness and discoloration in the toes, it is suggested that you meet with a podiatrist who can properly diagnose your condition and offer treatment options.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Todd Goldberg of Complete Family Foot Care Center. 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 Littlestown, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet
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