Gout is a type of arthritis caused by the buildup of uric acid crystals in the joints, leading to intense pain and inflammation. This condition typically affects the big toe but can involve other joints as well. Uric acid is a waste product that the body normally eliminates, but when it accumulates in excessive amounts, it can form sharp crystals that irritate the surrounding tissues. Podiatrists treat gout by first diagnosing the condition through physical exams and sometimes tests to measure uric acid levels. Treatment often involves medications to reduce uric acid levels, manage pain, and decrease inflammation. Podiatrists may also recommend lifestyle changes, such as dietary adjustments and weight management, to help prevent future flare-ups. Wearing supportive footwear and custom orthotics can also assist in alleviating pressure on the affected joints, promoting healing and comfort. If you have had one or more bouts of gout, it is strongly suggested that you are under the care of a podiatrist who can effectively treat and manage this condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Emmanuel Bustos, DPM from New York. Our doctor 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 New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 10 December 2024 00:00

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Tuesday, 03 December 2024 00:00

Pain in the Bottom of the Foot

Pain in the bottom of the foot can be caused by several conditions, including plantar fasciitis, plantar warts, or Morton’s neuroma. Each has distinct causes and symptoms. Plantar fasciitis is the most common cause, resulting from inflammation of the plantar fascia, a band of tissue along the sole of the foot. It typically causes sharp pain in the heel, especially with the first steps in the morning or after long periods of rest. It is often due to overuse, tight calf muscles, or wearing improper footwear. Plantar warts are growths caused by the human papillomavirus, or HPV, appearing as small, rough bumps on the sole of the foot. They can cause pain when walking or standing, particularly if they are in weight-bearing areas, and are extremely contagious. Morton’s neuroma is a thickening of tissue surrounding a nerve in the ball of the foot, often between the third and fourth toes. Symptoms include burning, numbness, or sharp pain in the ball of the foot. A podiatrist can accurately diagnose these conditions and recommend treatments, including custom orthotics, targeted exercises, or in some cases, surgery. If you are experiencing persistent foot pain, it is suggested that you schedule an appointment with a podiatrist for expert care and relief.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Emmanuel Bustos, DPM from New York. 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 our office located in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 03 December 2024 00:00

Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place.  However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.

Thursday, 28 November 2024 00:00

Wounds That Don't Heal Need to Be Checked

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, 26 November 2024 00:00

Nerve Pain in the Heel

Heel pain can sometimes be traced to nerve compression, specifically when nerves in the heel become pinched between surrounding bones, ligaments, and connective tissue. This is known as medial and lateral plantar nerve entrapment. It can lead to nearly constant pain that worsens with activities like standing, walking, and running. High-impact activities and certain footwear can intensify the heel pain, making it challenging for people to perform daily tasks comfortably. Unlike other nerve issues, this type of entrapment typically does not cause burning or tingling.  Instead it produces a more constant, deep ache. Diagnosis of this condition requires a thorough examination by a podiatrist, who may recommend supportive orthotic devices to stabilize the foot and alleviate pressure. Wearing splints can also help manage symptoms. In more severe cases, additional treatments like cryotherapy or surgery might be considered. If you are experiencing heel pain, it is suggested that you make an appointment with a podiatrist for a diagnosis, exam, and treatment options.

Many people suffer from bouts of heel pain. For more information, contact Emmanuel Bustos, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

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Tuesday, 26 November 2024 00:00

Heel Pain

Have you ever gotten up from a chair or out of bed in the morning, and upon taking that first step, feel like your heel has stepped on a tack? Many people experience a feeling of sharp pain which radiates into their arch from their heel and which does not allow them to put their heel on the floor. Sometimes they need to sit back down, stand only on their toes and use the wall for balance. If you can take a few steps, it seems to go away and lessen, allowing you to then resume your activity. Later, throughout your day and after a period of rest, it can happen again. If this sounds familiar you may be suffering from your first attack of heel pain.

Heel pain is a debilitating condition that affects day to day activities. Running and walking both causes stress on the heel because the heel is the part of the foot that hits the ground first. This means that the heel is taking on your entire weight. Diagnosis and treatments for heel pain can be easily found through your podiatrist.

Plantar Fasciitis

One of the main causes of heel pain is a condition known as plantar fasciitis. The plantar fascia is a band of tissue that extends along the bottom of the foot, from the toe to the bottom of the heel. A rip or tear in this ligament can cause inflammation of these tissues, resulting in heel pain. People who do not wear proper fitting shoes are often at risk of developing problems such as plantar fasciitis. Unnecessary stress from ill-fitting shoes, weight change, excessive running, and wearing non-supportive shoes on hard surfaces are all causes of plantar fasciitis.

Achilles Tendonitis

Achilles tendonitis is another cause of heel pain. Similar to plantar fasciitis, inflammation of the Achilles tendon will cause heel pain due to stress fractures and muscle tearing. A lack of flexibility of the ankle and heel is an indicator of Achilles tendonitis. If left untreated, this condition can lead to plantar fasciitis and cause even more pain on your heel.

Heel Spur

A third cause of heel pain is a heel spur. A heel spur occurs when the tissues of the plantar fascia undergo a great deal of stress, leading to a separation of the ligament from the heel bone entirely. This results in a pointed fragment of bone on the ball of the foot, known as a heel spur.

Plantar fasciitis is a common foot condition characterized by pain and inflammation in the plantar fascia, the thick band of tissue connecting the heel to the toes. This tissue supports the arch of the foot, but repetitive stress or strain can cause tiny tears, leading to irritation and discomfort. The hallmark symptom is sharp heel pain, especially noticeable with the first steps in the morning, or after periods of inactivity. People who are on their feet for long periods, have flat feet or high arches, or wear unsupportive footwear are more prone to developing plantar fasciitis. Treatment focuses on reducing inflammation and supporting the arch. Stretching exercises, custom orthotics, and anti-inflammatory medications are common approaches. Severe cases may benefit from targeted exercises, steroid injections, or, in rare instances, surgery. If you have heel pain, it is suggested that you visit a podiatrist for a proper diagnosis and treatment.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Emmanuel Bustos, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

 

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Tuesday, 19 November 2024 00:00

Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.

There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.

People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.

Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.

If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.

Tuesday, 12 November 2024 00:00

Managing Morton’s Neuroma

Morton's neuroma is a painful condition affecting the nerve between the toes, typically between the third and fourth toes. It often arises from repetitive pressure or irritation and is frequently linked to wearing tight shoes or high heels. The condition can also be worsened by foot deformities like flat feet or bunions. Symptoms usually include sharp, burning pain in the ball of the foot, a sensation of a pebble in the shoe, and numbness or tingling in the toes. These symptoms may increase with activity or prolonged standing. A podiatrist can diagnose Morton's neuroma through a physical examination and imaging tests. Initial treatments often include changing footwear, orthotic inserts, and corticosteroid injections. If conservative measures fail, excision surgery may be recommended to remove the neuroma. Most patients experience significant long-term pain relief and improved function after surgery. If you are suffering from foot pain that may indicate Morton's neuroma, it is suggested that you schedule an appointment with a podiatrist for expert evaluation and care.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Emmanuel Bustos, DPM of New York. 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 our office located in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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