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Monday, 04 January 2021 00:00

How Uric Acid Causes Gout

Gout is a very painful type of arthritis that causes the joints to become stiff, hot, and tender. Gout is caused by a buildup of uric acid, most commonly in the big toe. Uric acids are produced when consuming high-purine foods such as red meat and alcohol. Too much uric acid can build up into needle-like crystals that inflame the joints. One key to manage this, is staying properly hydrated. It is also important to reduce or eliminate the consumption of alcohol and meat in order to manage gout. Maintaining a proper healthy weight also helps manage the uric acid buildup. Those who frequently experience gout attacks should consult with a podiatrist who can help provide tips for managing the effects of gout.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor 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 Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Gout
Monday, 28 December 2020 00:00

Signs That Foot Wounds Should Be Checked

An ulcer that develops on the foot is a wound that may not heal. This type of ailment can cause severe pain and discomfort and is common among diabetic patients. Redness on and around the affected area is often the first sign of a foot wound, and additional symptoms can include an unpleasant odor and possible drainage. There are several reasons why foot wounds may occur. These can consist of living a sedentary lifestyle, nerve damage, or circulation problems. Additionally, medical conditions such as high blood pressure and diabetes may make developing wounds on the feet more likely. If you are prone to foot wounds, it is strongly suggested that you are under the care of a podiatrist who can effectively treat this problem.

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 Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor 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 Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Sunday, 20 June 2021 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, 22 June 2021 00:00

Several Types of Foot Pain

There are several different types of foot pain that exist. An ankle impingement can  occur as a result of repetitive movement or from a sudden injury. This condition may have the same symptoms of an ankle sprain, and it may cause difficulty in walking. Children may experience heel pain, which may be indicative of Sever’s disease. This is an ailment that affects the growth plate in the heel, and the pain may be severe when pressure is put on the heel. A common form of foot pain is known as plantar fasciitis, and this occurs when the plantar fascia becomes inflamed. The plantar fascia is a band of tissue that is found on the bottom of the foot, and it connects the heel to the toes. This condition can happen from wearing shoes that do not fit correctly, or from standing on hard surfaces for the majority of the day. If you have any type of foot pain, it is strongly suggested that you are under the care of a podiatrist who can diagnose and treat foot disorders.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Richard P. Jacoby, DPM from Extremity Health Centers. 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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Tuesday, 15 June 2021 00:00

An Overview of Morton's Neuroma

Morton's neuroma is a swollen, inflamed nerve in the foot. It usually occurs on the nerves between the toes. Symptoms of this condition include sharp, burning pains on the bottom of the foot, and numbness that can radiate to nearby toes. The pain of a Morton’s neuroma usually increases with activity and decreases at rest or when massaging the foot. Conservative treatments such as resting and icing the foot, taking anti-inflammatory medications, and modifying activities and footwear can alleviate symptoms. Surgery may be an option in severe or chronic cases. If you are experiencing the symptoms of Morton’s neuroma, please seek the care of a podiatrist.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Read more about What is Morton's Neuroma?

Tarsal tunnel syndrome may not be a commonly known ailment, but have you heard of carpal tunnel syndrome? Carpal tunnel affects the hands while tarsal tunnel syndrome occurs in the feet and can cause pain and discomfort. Research has indicated that people who have arthritis may be prone to developing this condition, in addition to frequently enduring high-stress activities. Some of the symptoms that are associated with this ailment often include tired feet and ankles, and the overall foot may be numb or have tingling sensations. Some patients have pain in the Achilles tendon area, and the ankles may appear swollen. There are several symptoms that can be associated with tarsal tunnel syndrome so it is strongly suggested that you consult with a podiatrist when they first develop. This type of doctor can properly diagnose and effectively treat this condition.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor 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 feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Tarsal Tunnel Syndrome

A woman’s body can produce much more fluid and blood during pregnancy, which can lead to swelling and pain in the feet, ankles, and other parts of the body. Although this swelling, or edema, will affect most pregnant women, there are a few things they can do which may help alleviate symptoms and keep their feet more comfortable. Pregnant women should keep themselves hydrated throughout the day, and also limit salt intake. Elevating the feet for at least one hour is an easy way to improve blood circulation, while relieving pressure on the veins and reducing swelling. Shoes should be both supportive and wide enough to accommodate feet that have swollen during pregnancy. Soaking the feet for 15 minutes in the tub or a basin filled with warm water and Epsom salt can do wonders to relieve swollen, achy feet, and provide some much-needed self care. A podiatrist can provide additional information on proper footwear, and offer treatments to relieve swelling and keep feet safe and healthy throughout pregnancy.

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 Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor 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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Pregnancy and Foot Health

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.

Finding the right walking shoe for your foot is important for everyone—and especially so for those with wider feet. Wide feet may be genetic, or caused by age, flat feet, weight gain, or pregnancy. Trying to squeeze a wider foot into a medium or narrow width shoe can lead to bunions, hammertoe, ingrown toenails, blisters, calluses, and more. However, many people are not even aware that they need a wide shoe, so it is important to check your foot’s correct length and width every time you purchase new shoes. Stand on a piece of paper at the end of the day (after a full day of use), and trace the outline of both feet. Record the length (from the big toe to the heel) as well as the width at the widest part of the ball of the foot. Check these measurements against an online shoe-sizing chart to help determine if you need a wide fit walking shoe. Wide size feet also need walking shoes with ample room in the toe box, good arch support, a wide insole, and a well-constructed outsole with plenty of shock absorption and traction. If you need help determining the accurate length and width of your feet, or have foot issues that make it difficult to find shoes that are comfortable, consult with a podiatrist.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

  • Select a shoe that is shaped like your foot
  • Don’t buy shoes that fit too tight, expecting them to stretch to fit
  • Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
  • Walk in the shoes to make sure they fit and feel right
  • Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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

Read more about How to Get a Proper Shoe Fit
Monday, 17 May 2021 00:00

Types of Painful Toe Conditions

There are a variety of painful conditions that can impact the feet, and many of those can cause pain in the toes. Pain and swelling around the toenails where the nail has curled into the skin is a common sign of ingrown toenails. Bunions are formed near the big toe as painful bony lumps that form due to poorly fitting shoes. If any toes are broken, the toes will become painful and swollen, and walking could be difficult. If there is pain and stiffness around the joints, and they feel hot and swollen, that may be a sign of gout, which is affected by the level of uric acid in the blood. If the pain in the toes is severe, gets worse, results in a loss of sensation, or you are diabetic, consulting with a podiatrist is suggested. A podiatrist will be able to diagnose and provide treatment options for pain that is in the toes and feet.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Richard P. Jacoby, DPM from Extremity Health Centers. 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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
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