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Gout is a form of inflammatory arthritis that causes painful flares typically lasting for a week or two. It most often affects the big toe, but also can develop in ankles. Gout is triggered by the accumulation of urate crystals in the joints, resulting from high levels of uric acid in the body, termed hyperuricemia. This can lead to crystal formation, though not everyone with elevated uric acid levels develops gout. The disease progresses through stages, including hyperuricemia, acute flares, periods of no symptoms, and, if untreated, crystal formation. Symptoms commonly include sudden intense pain, swelling, redness, and warmth in the affected joint. Gout attacks are often caused by certain foods, alcohol, medications, or other illnesses. Without proper management, gout can lead to complications, such as joint damage and associated health issues like hypertension, kidney disease, obesity, and heart problems. Risk factors for gout include genetics, diet, age, and gender. Menopause, alcohol consumption, and obesity may also be factors. Early diagnosis, diet and lifestyle changes, and treatment can significantly alleviate symptoms and prevent complications. If you are experiencing symptoms of gout in the big toe or ankle, it is suggested that you schedule a appointment with a podiatrist.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Howard Horowitz from Bowie Foot & Ankle . 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
Risk Factors
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 Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.
Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.
Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.
Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.
Golf, often perceived as a leisurely sport, can surprisingly pose risks of foot and ankle injuries, especially if proper precautions are neglected. One common cause of injuries is the repetitive motion of the golf swing, which can strain the muscles, tendons, and ligaments in the feet and ankles. Additionally, uneven terrain or poorly maintained golf courses can increase the risk of slips, twists, and falls, leading to sprains or fractures. To prevent foot and ankle injuries in golf, it is essential to prioritize proper warm-up exercises before hitting the course. Dynamic stretches targeting the lower body muscles can enhance flexibility and reduce the risk of strain during the swing. Wearing supportive golf shoes with ample cushioning and traction can provide stability and protect against injuries. It is also helpful to maintain good posture and technique while swinging can help distribute forces evenly across the body, minimizing stress on the feet and ankles. If you have endured a foot or ankle injury playing golf, it is suggested that you visit a podiatrist who can offer you treatment methods and injury prevention tips.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Howard Horowitz of Bowie Foot & Ankle . 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:
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 Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Foot and ankle injuries are common among people who participate in sports. Several factors contribute to this. They include failing to stretch or warm up properly, not wearing the proper type of shoe and not taping or providing other types of support for the ankle or foot. The most common foot and ankle injuries suffered by people involved in sports are plantar fasciitis, ankle sprains and Achilles tendon damage or ruptures. If not treated properly, they can lead to permanent disability.
Treating these injuries is relatively simple if they are identified and addressed early. Many athletes dismiss the initial aches and pains associated with injury as just soreness or tired muscles. Their first response is usually to try to work through it. This can lead to serious problems. Many minor injuries are made far more serious when athletes continue to put strain and pressure on them. That attitude can change a mild strain into a serious strain and a minor tear into a rupture. Athletes should have unusual aches and pains evaluated by a skilled medical professional.
Plantar fasciitis is a painful injury. It is inflammation of the plantar fascia, the thick band of tissue running from the heel to the base of the toes. If left untreated, it can lead to a degenerative disease called plantar fasciosis. There are several effective treatments for this ailment. Doctors often prescribe rest, massages, stretching, night splints, physical therapy, anti-inflammatory medication, corticosteroids or surgery, usually in that order. The most effective treatment for plantar fasciitis is orthotics, which offers foot support. Surgery is occasionally used as a last resort, but it comes with the risk of nerve damage and infection and often does not stop the pain.
The Achilles tendon is the largest tendon in the body. It connects the calf muscles to the heel bone. Running, jumping and walking all impact this tendon. Two common injuries to the Achilles tendon are tendonitis and a rupture of the tendon. Tendonitis is inflammation in the tendon often caused by an increase in the amount of stress placed on it. Non-surgical treatments include rest, ice or anti-inflammatory medication. A rupture (tear) of the Achilles tendon can be treated by placing the lower leg in a cast for several weeks or with surgery. Many physicians feel surgery is the better option because it lowers the risk of re-ruptures. Both methods require 4 to 6 months of rehabilitation.
Ankle sprains are the most common sports related foot and ankle injury. A sprain occurs when the ligament holding the ankle bones and joint stretches beyond its normal range. It can be treated non-surgically with a combination of rest, ice wrapped around the joint for 30 minutes immediately after injury, compression by a bandage and elevating the ankle above the heart for 48 hours. This combination is referred to as RICE. Severe ankle sprains in which the ligaments are torn may require reconstructive surgery followed by rehabilitation.
Tinea pedis, commonly known as athlete's foot, extends its reach far beyond the realm of athletes. This fungal infection thrives in warm, moist environments, making anyone susceptible, regardless of their athletic pursuits. Individuals who frequent communal spaces like gyms, swimming pools, or shared showers are at highest risk. Preventive measures play an important role in warding off this uncomfortable infection. Keeping feet clean and dry, especially between toes, helps create an unsatisfactory environment for fungi to flourish. Wearing breathable footwear made of natural materials and changing socks regularly can minimize moisture buildup. Avoiding walking barefoot in public areas and using antifungal powders or sprays as a preventive measure can further reduce the risk of infection. Athlete’s foot can be treated by a podiatrist. If you notice signs of this uncomfortable foot condition, it is strongly suggested that you visit this type of doctor who can prescribe medication for effective treatment.
Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor will treat your foot and ankle needs.
Athlete’s Foot: The Sole Story
Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.
Solutions to Combat Athlete’s Foot
Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.
If you have any questions please feel free to contact our office located in Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Athlete’s foot is a type of fungal infection that affects the skin on the feet. It is caused when the tinea fungus grows on the foot. It is possible to catch the fungus through direct contact with someone who has it or by touching a surface that is contaminated with it. This type of fungus thrives in warm, moist environments such as showers, locker room floors, and swimming pools. Your risk of getting it may also increase by wearing tight-fitting, closed-toe shoes, or by having sweaty feet.
Symptoms of athlete’s foot include itching, stinging or burning sensations between the toes. You may also experience toenails that are discolored, thick, crumbly, or toenails that pull away from the nail bed.
Your podiatrist may diagnose athlete’s foot by detecting these symptoms or by doing a skin test to see if there is a fungal infection present. The most common exam used to detect Athlete’s foot is a skin lesion potassium hydroxide exam. To use this method, your doctor will scrape off a small area of the infected skin and place it into potassium hydroxide. The potassium hydroxide will destroy the normal cells and leave the fungal cells untouched so that they are visible under a microscope.
There are a variety of treatment options for athlete’s foot. Some medications are miconazole (Desenex), terbinafine (Lamisil AT), clotrimazole (Lotrimin AF), butenafine (Lotrimin Ultra), and tolnaftate (Tinactin). While these options may be able to treat your fungus, it is best that you consult with a podiatrist in order to see which treatment option may work best for you.
In some cases, Athlete’s foot may lead to complications. A severe complication would be a secondary bacterial infection which may cause your foot to become swollen, painful, and hot.
There are ways that you can prevent athlete’s foot. Washing your feet with soap and water each day and drying them thoroughly is an effective way to prevent infections. You also shouldn’t share socks, shoes, or towels with other people. It is crucial that you wear shower sandals in public showers, around swimming pools, and in other public places. Additionally, you should make sure you wear shoes that can breathe and change your socks when your feet become sweaty. If you suspect that you have Athlete’s foot, you should seek help from a podiatrist as soon as possible.
Arthritis, encompassing various inflammatory conditions, can contribute to bunion formation, affecting the feet in distinct ways. A bunion, characterized by a bony protrusion at the base of the big toe, often results from joint misalignment. Types of arthritis such as rheumatoid arthritis, osteoarthritis, psoriatic arthritis, and gout can all play a role in its development. Rheumatoid arthritis induces joint damage and inflammation, leading to joint instability and eventual bunion formation. Osteoarthritis contributes by wearing down cartilage, promoting joint misalignment. Psoriatic arthritis, a condition linked to psoriasis, can also cause bunion formation, often accompanied by inflammation in toes. Additionally, gout, characterized by sudden, intense joint pain, commonly targets the big toe joint, potentially leading to bunion development. A podiatrist's involvement is important in managing arthritis-related bunions. They can provide personalized treatment plans, including pain management strategies, footwear recommendations, custom orthotic devices, and surgical options if necessary, ensuring optimal foot health and mobility. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist who can help you to manage this and other arthritis-related foot conditions.
If you are suffering from bunions, contact Dr. Howard Horowitz of Bowie Foot & Ankle . 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?
If you have any questions, please feel free to contact our office located in Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Bunions are large bony bumps at the base of the big toe. Medically known as hallux valgus, a bunion is a misalignment of the metatarsophalangeal joint, or big toe joint. The misalignment will generally worsen with time if left untreated.
The exact cause of bunions is unknown, with genetics seen as a potential cause. High heels and poorly-fitted footwear, rheumatoid arthritis, and heredity all seem to be potential factors behind the exacerbation of bunions. Women have been found to be more likely to develop bunions in comparison to men.
Bunions do not always produce symptoms. The best way to tell is if the big toe is pushing up against the next toe and there is a large protrusion at the base of the big toe. You may or may not feel pain. Redness, swelling, and restricted movement of the big toe may be present as well.
Podiatrists use a variety of methods to diagnose bunions. If there are symptoms present, podiatrists will first consider that it is a bunion. If not, a physical examination will be conducted to check function of the big toe. Finally, an X-ray may be taken to view the extent of the bunion and confirm it is a bunion.
Typically, nonsurgical methods are used to treat bunions, unless the bunion has become too misaligned. Orthotics, icing and resting the foot, roomier and better fitted shoes, taping the foot, and pain medication are usually utilized first. If the bunion doesn’t go away or causes extreme pain, surgery may be required. Surgeons will either remove part of the swollen tissue or bone to straighten the toe out.
If you have a bunion, it is recommended to see a podiatrist. The longer it is left untreated, the worse it may get. Podiatrists can properly diagnose and treat a bunion before it gets worse.
As women enter their 40s, specific foot care becomes important to maintain overall health and mobility. Common foot issues like plantar fasciitis, bunions, and arthritis can affect women more significantly due to factors like hormonal changes, pregnancy, and footwear choices over the years. To avoid exacerbating these issues, it is beneficial for women to steer clear of high heels and narrow-toed shoes, which can lead to foot deformities and chronic pain. Additionally, prolonged wearing of flip-flops or flats without proper support can strain the arches and contribute to plantar fasciitis. Instead, opt for supportive footwear with cushioning and roomy toe boxes to accommodate natural foot shape and reduce pressure points. Regular foot exercises and stretches can also help alleviate discomfort and maintain flexibility. If you are a female and experiencing problems with your feet as you age, it is suggested that you consult a podiatrist for personalized care and treatment for long-term foot health.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Howard Horowitz from Bowie Foot & Ankle . 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:
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 Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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