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Wednesday, 20 April 2022 00:00
Everything You Need to Know About Gout
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.
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Tuesday, 12 April 2022 00:00
How to Protect Your Feet as You Age
Foot care gets more inconvenient for the elderly, sometimes because it is just hard to reach your feet, and other times because an underlying condition makes it nearly impossible. There are a few simple ways for the elderly to practice foot care. Because the fatty pads that protect the soles of the feet may have thinned, one way is to wear shoes that fit properly, provide adequate arch support and cushioning for your heels while also avoiding walking barefoot at home. Try not to sit with your feet hanging down for long periods, and instead, keep them elevated as often as possible, especially if you are less active. Exercising the feet and ankles is a good idea in order to keep the blood flowing and reduce swelling. Practice good skin care, such as keeping your feet clean and dry, applying moisturizer to prevent cracked heels, and having calluses removed. Trim toenails straight across, to avoid ingrown nails that can become infected. If your feet are uncommonly cold, seem numb, red, bruised or swollen on a regular basis, or if they have sores that do not heal properly, it is a good idea to consider regular visits to a podiatrist who can keep on top of these symptoms and provide proper treatment before they worsen.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Cary, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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Tuesday, 12 April 2022 00:00
Elderly Foot Care
As you grow older, you will start to notice more problems with your feet due to wear and tear. This may also happen because the skin will start to become thin and lose elasticity. Some signs of aging feet are regular aches and pains, bunion development, and clawed toes.
Fortunately, there are ways you can improve comfort, relieve pain, and maintain mobility in your feet. One of the best ways to deal with aging feet is to exercise. If you keep active, your muscles will become toned which will then strengthen the arches in the foot and stimulate blood circulation.
It is important that you practice proper foot care to protect your aging feet. You should wash your feet in warm water on an everyday basis. Afterward, the feet need to be dried well and it is important to dry between the toes. Your toenails should be trimmed and kept under control; nails that are poorly cut may become ingrown. At the end of each day, performing an inspection of your feet will allow you to detect any ailments in their early stages.
As you grow older, it becomes more important that you wear comfortable shoes. Your shoes should be secure, and they should provide decent arch support. If you are looking to buy a new pair of shoes, it is best to look for a pair that are made from a breathable material. It is also helpful to have shoes that have a bit of extra room at the top of the shoe, especially if you suffer from swollen feet.
The most common foot problems that elderly people will encounter are bunions, calluses, corns, hammertoes, heel pain, and foot problems related to diabetes. Some other issues include arch pain, tarsal tunnel syndrome, Achilles tendonitis, and Morton’s neuroma
An annual foot examination is a great way for you to ensure that you do not have any serious health problems with your feet. You should talk to a podiatrist about the available treatment options for whichever foot issue you are dealing with.
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Tuesday, 05 April 2022 00:00
Shoes Can Tell the Story of Your Feet
Many foot problems can be solved by taking a look at the shoes you wear, whether it be running shoes, flip-flops, dress shoes or bedroom slippers. For instance, plantar fasciitis, one of the most common causes of heel pain, can be the result of doing pounding exercises in shoes that lack proper cushioning and padding. Similarly, metatarsalgia and Morton’s neuroma, resulting in pain in the ball of the foot, can be directly linked to shoving your feet into tight high-heeled shoes with pointy toes and then walking in them or standing for long periods of time. Flip-flops can be bearers of fatigue, caused by lack of arch support and cushioning in the heel. Any shoes with thin flat leather soles and uppers may be the root of calluses and corns that turn into painful areas on the toes and soles of your feet. Taking long walks, hiking, or running in shoes that are not specifically made for the activity, can result in painful blisters. A good way to find out which shoes are best for your feet and your lifestyle is to consult a podiatrist for guidance in seeking proper footwear.
Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will treat your foot and ankle needs.
Proper Shoe Fitting
A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:
- Be sure the shoes fit correctly right away
- Ensure the ball of your foot fits comfortably in the widest portion of the shoes
- Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
- Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity
Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.
If you have any questions please feel free to contact our office located in Cary, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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Tuesday, 05 April 2022 00:00
How to Get a Proper Shoe Fit
Many people suffer from foot problems because their shoes are poorly fitted. When shopping for a new pair of shoes, fashion usually triumphs over comfortability. A pair of well fitted shoes is essential in preventing foot problems and potential injuries.
Poorly fitted shoes can cause foot issues such as plantar fasciitis, bunions, hammertoes, ingrown toenails, and foot pain. Shoes such as high heels and sandals may cause problems for your feet. These shoes put the foot in an unnatural position for long periods and fail to provide good foot support. It is recommended to not wear either one for an extended period.
When you are trying on shoes, make sure they have enough space for your toes to move around. Shoes shouldn’t be cramped but also shouldn’t have too much room that your foot moves around in them. A snug shoe is a good choice. They should also provide good arch support and cushioning. Athletic shoes tend to offer both good support and cushioning. A degree of flexibility is necessary so they aren’t too stiff or too unsupportive.
If you can wear your shoes for a long period of time without experiencing any discomfort, this is a sign that your shoes fit properly. Do not be too dismayed if the shoe isn’t a perfect fit at first; many shoes take a few days to weeks to properly break in. However don’t expect an uncomfortable shoe to become fitted to your foot.
For those with foot conditions such as flat feet or pronation, orthotics may be helpful or even necessary to prevent foot pain. Orthotics are inserts that are placed in the shoe and provide support and cushioning for the foot. While there are many types of orthotics out there, custom-made orthotics may be necessary depending upon your foot and foot conditions.
Feet change in size over time. It is important to check your foot size over time so that you can make sure you have the perfect fit for your feet. A podiatrist can provide more information on proper shoe fitting and foot orthotics.
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Tuesday, 29 March 2022 00:00
Ankle Replacement Surgery
When your ankle joint is damaged by arthritis, trauma, or a medical condition and it’s not responding to conservative treatment—and your quality of life is suffering—ankle replacement surgery may offer relief. This may be a viable treatment option, depending on your condition and overall health. Ankle replacement surgery (sometimes referred to as ankle arthroplasty) involves removing the damaged bone and cartilage of the ankle joint and replacing them with prosthetics made of metal or plastic that work together and operate like your natural ankle joint. Ankle replacement surgery can help increase stability and mobility in the joint as well as reduce pain. To learn more about ankle replacement surgery and determine if you might be a good candidate, it is a good idea to consult with a podiatrist for an exam and diagnosis.
In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Joint Replacement Surgery?
Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.
Arthritis in the Foot
Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.
Joint Replacement Surgery in the Foot
The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.
If you have any questions, please feel free to contact our office located in Cary, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Tuesday, 29 March 2022 00:00
Joint Replacement Surgery
When conservative, noninvasive treatments prove unsuccessful, podiatrists will often turn to surgery as the last line of treatment for their patients. If patients are suffering from joint pain, issues in mobility, or are seeking to correct a deformity, joint replacement surgery is an effective option. Joint replacement surgery is also successful in treating arthritis, which is the most common cause of improperly working joints.
Patients with symptoms that include joint pain, stiffness, limping, muscle weakness, limited motion, and swelling are typically considered for joint replacement surgery. Range of motion and activity post-surgery will vary between patients and depending on the specific surgery performed, the affected joint, and the damage that will need to be repaired.
Joint replacement surgery replaces the damaged cartilage and bone, the latter if required. The damaged cartilage is typically replaced with a prosthesis that is attached to the bone, allowing the implant to grow into the bone. Following surgery, the patient will typically undergo physical therapy to become familiar with movement using the replaced joint.
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Tuesday, 22 March 2022 00:00
Why Do I Have Nighttime Pain In My Feet?
There are several conditions that cause foot pain that worsens in the evening or interrupts sleep. Fibromyalgia is a chronic condition causing musculoskeletal pain, burning, tenderness, and tightness which often occurs in the feet. These symptoms can be worse in the evening due to decreased levels of cortisol. Tarsal tunnel syndrome is a condition where the tibial nerve in your ankle becomes compressed, causing pain, numbness, tingling, or a pins and needles sensation in your feet that may flare up at night. Bony bunions that get irritated rubbing against shoes during the day are often sore at night and throb. Peripheral neuropathy (damage to nerves outside of the central nervous system) can cause painful sensations such as tingling, burning or sharp pains, which tend to intensify due to cooler nighttime temperatures. If you are experiencing any type of nighttime pain or discomfort in your feet or ankles, it is suggested that you get your condition diagnosed and treated by a podiatrist.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Michael Tomey, DPM from Cary Foot & Ankle Specialists. 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:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
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 Cary, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Tuesday, 22 March 2022 00:00
Foot Pain
Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place. However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.
Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.
Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.
If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.
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Tuesday, 22 March 2022 00:00
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.
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