Gout is a form of inflammatory arthritis that occurs when uric acid builds up in the bloodstream and forms crystals within a joint, often affecting the big toe. This can cause sudden and intense pain along with redness, warmth, and swelling that may develop quickly and make walking or wearing shoes difficult. The joint may look inflamed and feel extremely tender, even with light pressure. A podiatrist can play an important role in identifying gout, helping to manage symptoms early and coordinating with other providers if testing is needed. Treatment typically focuses on reducing inflammation and relieving pain with appropriate medication while also protecting the joint during flare-ups. A podiatrist can also recommend proper footwear, activity adjustments, and strategies to reduce stress on the affected area to help prevent future episodes. If you have gout, it is suggested that you make an appointment with a podiatrist.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

A bump on the bottom of the foot can be caused by several conditions, including plantar fibromas, calluses, or plantar warts. Plantar fibromas are firm nodules within the arch that may feel like a small knot under the skin. Calluses develop from repeated pressure or friction and appear as thickened, hardened skin that can become uncomfortable over time. Plantar warts are caused by a viral infection and may look rough with small dark dots, often feeling tender with pressure. Some bumps remain painless, while others cause discomfort when walking or standing. The area may look raised, thickened, or irregular depending on the cause, and many patients describe a sensation of stepping on something. A podiatrist can evaluate the size, texture, and location of the bump and may use imaging or gentle debridement to confirm the diagnosis. Treatment options include padding, orthotics, or in-office procedures. If you have a troublesome bump on the bottom of your foot, it is suggested that you make an appointment with a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists  from Lewis Wolstein, DPM, P.C. & Associates. Our doctors 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 Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tarsal tunnel syndrome develops when the tibial nerve is compressed as it passes through the tarsal tunnel on the inside of the ankle. This pressure can cause burning, tingling, numbness, and shooting pain that may radiate into the foot. Other signs include weakness in the foot muscles and increased discomfort with activity. Diagnosis often involves a physical examination, nerve testing, and imaging, like MRI scans, to identify compression or structural abnormalities. Risk factors include flat feet, ankle injuries, inflammation, and space-occupying lesions. A podiatrist can provide proper evaluation, recommend orthotics or supportive devices, and design a treatment plan to reduce nerve pressure. If you have pain in this part of your foot, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Pain in the big toe can sometimes be confused because several conditions affect the same joint. Two common causes are turf toe and gout, but they develop for very different reasons. Turf toe is a sprain of the ligaments surrounding the big toe joint. It usually occurs when the toe bends upward too far during sports or sudden movement. Patients often notice pain, swelling, and stiffness at the base of the big toe, especially when pushing off while walking or running. Gout is a form of inflammatory arthritis caused by a buildup of uric acid crystals inside the big toe joint. The pain from gout often appears suddenly and may become severe within hours. The joint may look red, swollen, and feel very warm to the touch. A podiatrist can evaluate the symptoms, review medical history, and use imaging or testing to identify the exact cause. If you are experiencing significant pain in the big toe, it is suggested that you make an appointment with a podiatrist.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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