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Tuesday, 16 April 2024 00:00

Exploring Gout in the Elderly

Gout, a form of arthritis, presents unique challenges for elderly individuals, necessitating a deeper understanding of its intricacies. Characterized by sudden and severe joint pain, typically in the big toe, gout occurs due to the accumulation of urate crystals in the joints. While gout can affect anyone, its prevalence increases with age, making it a prevalent concern among the elderly population. Various factors contribute to gout development in older adults, including age-related changes in metabolism, chronic health conditions like hypertension and kidney disease, and certain medications commonly prescribed to manage age-related ailments. Dietary habits, particularly rich diets high in purine-containing foods like red meat and seafood, also play a significant role in gout onset and exacerbation. Proper management of gout in the elderly involves a varied approach, encompassing lifestyle modifications, medication adherence, and close monitoring to alleviate symptoms. If you are an elderly person who has had one or more gout attacks, it is suggested that you consult a podiatrist who can help you to manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from The Podiatry Center. 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 Richmond and Glen Allen, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Gout
Wednesday, 10 April 2024 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tuesday, 09 April 2024 00:00

Common Causes of Ankle Pain

Ankle pain, a prevalent discomfort that can significantly impede daily activities, stems from various underlying factors. One primary cause is ankle sprains, resulting from sudden twists or rolls of the foot, leading to ligament damage and inflammation. Similarly, overuse injuries, such as tendinitis, occur when tendons become inflamed due to repetitive stress or strain, commonly observed in athletes or individuals engaged in strenuous physical activities. Additionally, arthritis, a condition characterized by joint inflammation, can affect the ankle joint, causing pain, stiffness, and swelling. Fractures, often caused by falls, accidents, or high-impact injuries, also contribute to ankle pain, necessitating immediate medical attention. Furthermore, conditions like Achilles tendinitis, plantar fasciitis, and nerve compression syndromes can manifest as ankle discomfort. If you have ankle pain, it is suggested that you visit a podiatrist who can determine what the cause is, and offer you effective relief and treatment options.

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 from The Podiatry Center. 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 Richmond and Glen Allen, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Various Causes of Ankle Pain
Tuesday, 02 April 2024 00:00

Foot Conditions Podiatrists Can Treat

From minor discomforts to debilitating ailments, a podiatrist is adept at addressing a plethora of foot conditions. These professionals specialize in diagnosing and treating various podiatric issues, ensuring optimal foot health for their patients. One common condition treated by podiatrists is plantar fasciitis, characterized by inflammation of the tissue connecting the heel bone to the toes, resulting in heel pain. Bunions, a bony bump that forms at the base of the big toe, are another frequent concern addressed by podiatrists, often requiring corrective measures such as orthotic devices or surgery. Additionally, ingrown toenails, fungal infections, and corns and calluses are among the routine ailments managed by these specialists. Podiatrists play a vital role in managing chronic conditions like diabetes, which can significantly impact foot health. Regular foot examinations and preventative care are essential in averting complications such as neuropathy and foot ulcers. Overall, seeking the expertise of a podiatrist ensures comprehensive care for a wide array of foot-related issues, promoting mobility, comfort, and overall well-being. If you have foot pain for any reason, it is strongly suggested that you visit a podiatrist who can accurately diagnose and treat any foot condition you may have.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact one of our podiatrists from The Podiatry Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

  • Diagnose foot ailments such as ulcers, tumors, fractures, etc.
  • Use innovative methods to treat conditions
  • Use corrective orthotics, casts, and strappings to correct deformities
  • Correct walking patterns and balance
  • Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

If you have any questions please feel free to contact one of our offices located in Richmond and Glen Allen, VA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

 

Read more about What is a Podiatrist?

Cuboid syndrome, also known as cuboid subluxation or lateral plantar neuritis, is a condition where the cuboid bone in the outer midfoot becomes displaced. This displacement can occur due to trauma, overuse, or sudden twisting of the foot. Symptoms typically include pain and tenderness on the outer side of the foot, especially during weight-bearing activities like walking or running. Patients may also experience some difficulty moving the foot sideways. Diagnosis of cuboid syndrome involves a physical examination by a podiatrist, often including specific maneuvers to reproduce the pain and assess foot alignment. X-rays or other imaging studies may be ordered to rule out other potential causes of foot pain. Treatment is typically conservative, including rest, taping, or bracing to stabilize the foot, and exercises to strengthen the surrounding muscles. In some cases, manipulation or mobilization techniques performed by a podiatrist may be beneficial. If you have outer midfoot pain, it is suggested that you make an appointment with a podiatrist.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from The Podiatry Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact one of our offices located in Richmond and Glen Allen, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Cuboid Syndrome
Tuesday, 19 March 2024 00:00

Offloading Practice for Foot Wounds

Offloading practice for foot wounds refers to alleviating pressure and stress on injured or ulcerated areas of the foot. Offloading involves the strategic redistribution of weight to prevent further damage and promote healing. This method is particularly critical for individuals with diabetes or other conditions that affect circulation and reduce sensation in the feet. The essence of offloading lies in its ability to relieve pressure from vulnerable areas, allowing tissues to recover and regenerate without constant irritation or trauma. Offloading practice uses specialized footwear, orthotics, or other assistive devices to encourage healing and helps prevent wounds from getting worse. Additionally, it emphasizes the need for close collaboration between patients, caregivers, and podiatrists to optimize treatment outcomes. If you have diabetes and have a foot wound that has become ulcerated, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from The Podiatry Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact one of our offices located in Richmond and Glen Allen, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Tuesday, 12 March 2024 00:00

Daily Foot Stretches to Ease Pain

Incorporating stretches into your daily routine can significantly enhance the health of your feet and legs, potentially mitigating aches and the risk of injury. For example, the seated calf stretch targets the muscles at the back of your lower leg, pivotal for walking and maintaining balance. To perform this stretch, sit with your legs extended forward and a towel looped around the foot's ball. Gently pull on the towel ends, drawing your toes towards you, feeling a deliberate stretch along your calf muscles. Another beneficial stretch, the toe spread, focuses on the intrinsic muscles of your feet, which support your arches and improve toe dexterity. While seated, place your feet flat on the ground and attempt to spread your toes apart without moving your feet, holding the position to enhance muscle strength and flexibility. Bring the toes back together, and repeat this exercise several times. Lastly, the standing calf stretch is performed by placing your hands on a wall and putting one foot behind the other. Gently leaning forward while keeping the back heel on the ground stretches both the calf muscles and the Achilles tendon. If you’re experiencing pain or aches in the feet, it is suggested you make an appointment with a podiatrist to diagnose any potential problems and get more information about beneficial stretches for the feet

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact one of our podiatrists from The Podiatry Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctors to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

If you have any questions please feel free to contact one of our offices located in Richmond and Glen Allen, VA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Exercise for Your Feet

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 05 March 2024 00:00

Arthritic Big Toe Surgery

Debilitating arthritis often affects the big toe, a condition referred to as hallux rigidus. In cases where conservative treatments fall short, cheilectomy surgery may be an option. This procedure aims to address the impact of arthritis by removing bone spurs that form on the top of the big toe. Bone spurs, or bony lumps, are a common result of hallux rigidus and can lead to pain and limited range of motion. The body produces these spurs as a protective measure to restrict movement, to alleviate arthritic pain. Those considering cheilectomy typically experience pain while wearing shoes and may view this surgery as a treatment option for early-stage arthritis of the big toe. Cheilectomy is a relatively simple foot operation, and most patients can expect a full recovery within six to eight weeks post-surgery. The primary objective of the procedure is to eliminate the bone spur, providing relief from pain and enhancing toe mobility. If you are grappling with persistent big toe pain or restricted movement, it is suggested that you consult with a podiatrist. This foot doctor can assess your condition and help determine whether a cheilectomy is a suitable solution.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of The Podiatry Center. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact one of our offices located in Richmond and Glen Allen, VA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot and Ankle Surgery
Tuesday, 27 February 2024 00:00

Achilles Tendon Injuries From Running

Experiencing Achilles tendon pain while running can be quite uncomfortable, and preventing injuries is essential. The Achilles tendon connects the major calf muscles, the gastrocnemius and soleus, to the back of the heel bone. When it is subjected to excessive stress, it tightens and is forced to work too hard. This can lead to irritation or inflammation, which is commonly referred to as Achilles tendinitis. Over time, scar tissue, which is less flexible than the tendon, can develop on it. If the inflamed Achilles tendon continues to endure stress, it may tear or rupture, resulting in an Achilles heel injury. To address Achilles pain during running, the first step is to stop running when you feel discomfort. It is important to rest and seek professional advice from a podiatrist to assess the condition of your lower leg. Continuing to run with Achilles pain can potentially worsen the injury. If you are experiencing Achilles pain from running, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment plan.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of The Podiatry Center. 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 one of our offices located in Richmond and Glen Allen, VA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about What are Achilles Tendon Injuries
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