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Posts for: December, 2021

December 23, 2021
Category: Foot Conditions
Tags: gout   Foot Conditions  

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. This acid can crystallize and become lodged in the joints of the feet, leading to sudden and intense pain, swelling, and inflammation. Gout typically flares up and then goes away, only to flare up again in the future. It can become a chronic condition if measures are not taken to prevent future flare ups. Chronic gout can cause large, visible bumps, called tophi, to form in bones, joints, or cartilage. Tophi are made of urate crystals and are usually not painful unless they become infected or press on a nerve. But although they’re not painful in and of themselves, tophi are problematic because they can damage joints, destroy cartilage, and eventually lead to bone erosion, deformity, and disability. For more information about gout, please consult with a podiatrist. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists of The Foot and Ankle Associates of North Carolina, PLLC. 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 one of our offices located in Ahoskie, Durham, Raleigh, and Rocky Mount, NC. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about gout


The plantar fascia is a long, thick band of tissue that spans from the heel bone along the bottom of the foot to the toes. The plantar fascia supports the bottom of the feet and toes (as the heel rises) during walking, running, and jumping. The plantar fascia can become overly stressed or even tear or rupture from overuse or injury, causing pain and inflammation (plantar fasciitis). Being obese, standing/working on your feet for prolonged periods of time, having flat feet or high arches, and engaging in activities that involve dancing, marching or running can all contribute to, or worsen the symptoms of, plantar fasciitis. Wearing certain footwear can also put you at an increased risk of developing this condition such as high heels, flip flops, worn out shoes, or other types of footwear with inadequate support. A podiatrist will use a variety of treatment protocols to treat plantar fasciitis depending upon the severity of the condition and how long the patient has been suffering from it. A combination of rest, icing, stretching, taping, protective footwear, orthotics, and pain medication may be used to help heal the damage done to the plantar fascia and reduce pain and inflammation. A podiatrist may treat more severe or chronic plantar fasciitis (including cases that don’t respond to initial treatment) with steroid injections, laser therapy, or even surgery.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists of The Foot and Ankle Associates of North Carolina, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your podiatrist right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact one of our offices located in Ahoskie, Durham, Raleigh, and Rocky Mount, NC. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Plantar Fasciitis


The ankle is a joint made up of many components, such as leg and foot bones, ligaments, nerves, cartilage, tendons, and muscles. As a complex joint that is responsible for the foot’s up-and-down movement, it is prone injury in various ways, often causing pain. Ankle sprains and strains are the most common form of ankle pain. Other possible reasons for ankle pain include Achilles tendonitis, a ruptured Achilles tendon, nerve damage, a tumor, and different forms of arthritis—such as gout, osteoarthritis and rheumatoid arthritis. Along with pain, you may experience redness, bruising and numbness, or tingling, and your ankle may feel weak or stiff. You may also have difficulty putting weight on the ankle. Podiatrists frequently deal with all matters of ankle pain, so it may be wise to make an appointment if you are experiencing any of these symptoms in order to get the proper diagnosis treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our podiatrists of The Foot and Ankle Associates of North Carolina, PLLC. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions, please feel free to contact one of our offices located in Ahoskie, Durham, Raleigh, and Rocky Mount, NC. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about ankle pain


Osteoarthritis is a common joint disease that is caused by degeneration of cartilage, a layer of tissue that lines the ends of bones and helps them move smoothly. When the cartilage is worn away, the bones begin to rub directly against each other as they move, leading to pain, swelling, and joint stiffness. Osteoarthritis often affects the joints in the feet and ankles. In addition to the symptoms of arthritis itself, this condition can also cause other foot problems, such as bunions, hallux rigidus, and corns and calluses. Osteoarthritis is associated with aging and tends to affect people over age 45. People who are overweight or obese, have a family history of osteoarthritis, or have a medical history of rheumatoid arthritis or gout are most at risk. If you are experiencing symptoms of osteoarthritis in your feet or ankles, please consult with a podiatrist.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact one of our podiatrists of The Foot and Ankle Associates of North Carolina, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your podiatrist will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions, please feel free to contact one of our offices located in Ahoskie, Durham, Raleigh, and Rocky Mount, NC. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about arthritic foot care