Signs and Causes of Gout

Gout is a form of arthritis that causes sudden and severe pain, often affecting the joints, particularly the big toe joint. The condition occurs when excess uric acid builds up in the body, forming crystals in the joints. The most common sign of gout is intense pain, typically starting in the middle of the night, along with swelling and redness in the affected area. The joint may become warm to the touch and feel tender, making movement difficult. In some cases, gout attacks can recur, leading to joint damage over time. Elevated uric acid levels in the blood can result from factors such as diet, dehydration, obesity, or kidney problems. Excessive consumption of purine-rich foods like red meat, seafood, or alcohol can trigger or worsen gout attacks. If you have had one or more gout attacks, it is suggested that you are under the care of a podiatrist who can offer you effective relief and management tips.

Gout is a painful condition that can be treated. 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 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 Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Causes of Swollen Feet During Pregnancy

Foot swelling, also known as edema, is common during pregnancy. The feet swell as the body retains extra fluid to support the mother and growing baby. As the uterus expands, it can put pressure on the veins, reducing circulation in the lower legs and feet. Hormonal changes can also contribute to water retention. While the swelling is generally harmless, it can be uncomfortable. To find relief, pregnant women should elevate their feet whenever possible to encourage fluid drainage. Wearing comfortable shoes, staying hydrated, and avoiding standing or sitting for long periods can help reduce swelling. Gentle foot exercises and compression stockings may also provide comfort and promote better circulation during pregnancy. If your feet have become swollen during your pregnancy, it is suggested that you consult a podiatrist who can help you find relief.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

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Causes and Symptoms of Ankle Sprains

Ankle sprains are among the most common injuries in sports, particularly those that involve stopping, turning, jumping, or landing. Sports such as football, basketball, and running frequently cause ankle sprains, often when the foot twists inward, damaging ligaments on the outside of the ankle. Ligaments connect bones and provide joint stability, so tearing them, whether partially or completely, leads to pain, swelling, and localized tenderness. Symptoms usually include difficulty bearing weight and visible swelling on the ankle’s outer or inner side. Sprains on the outside of the ankle are far more common than on the inside. Diagnosis often involves a physical examination to assess ligament damage, and X-rays may be needed if a fracture is suspected. A podiatrist can evaluate the severity of the sprain, provide appropriate treatment, and recommend support options like braces or taping to stabilize the joint. Proper care is vital to prevent long-term pain or re-injury. If you believe you have sprained an ankle, it is suggested that you schedule an appointment with a podiatrist.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our office located in Co-Op City, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Let the Expert Treat Your Ingrown Toenails

Ingrown toenails can be painful and can make wearing shoes or walking uncomfortable. Seek professional help if you believe you've developed an ingrown toenail and be treated safely. 

Pickleball’s Popularity Brings Injury Risks

As pickleball surges in popularity, especially among older adults, so does the incidence of injuries, with Achilles tendon ruptures topping the list. This fast-paced sport combines quick starts, sharp turns, and sudden stops, placing significant strain on the lower body. Older male players are particularly vulnerable due to reduced flexibility, weaker tendons, and a greater likelihood of prior wear-and-tear injuries. Overuse and inadequate warm-ups can further increase the risk of Achilles tendon damage, which often occurs during abrupt lunges or rapid changes in direction. Proper preparation, including stretching, strengthening exercises, and wearing supportive footwear, is imperative for minimizing injury risks. Taking rest days and listening to your body also play a vital role in prevention. If you have persistent lower limb pain or injury, it is suggested that you consult a podiatrist to ensure prompt treatment and guidance.

Achilles tendon injuries need immediate attention to avoid future complications. 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 Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Co-Op City, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about The Causes, Types, and Treatments of Achilles Tendon Injuries

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