Tuesday, 10 June 2025 00:00

Gout is a form of arthritis that often affects the feet, especially the big toe joint. It is caused by a buildup of uric acid in the blood, which leads to sharp urate crystals forming in joints. These crystals trigger intense pain, redness, warmth, and swelling. Common triggers for elevated uric acid include genetic factors, obesity, certain medications, and kidney disease. The first metatarsophalangeal, or MTP, joint of the big toe is the most frequently affected site, although the ankle and other parts of the foot may also become inflamed. Gout flare-ups often begin suddenly, with severe pain that may make even the lightest pressure intolerable. Repeated episodes can lead to joint stiffness, permanent damage, and deformities. In more advanced cases, firm uric acid deposits, called tophi, may form under the skin. A podiatrist can help diagnose gout and recommend treatment, which may include medication or surgery, if joint damage is present. If you have had one or more gout flare-ups, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

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

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Tuesday, 03 June 2025 00:00

Morton’s neuroma affects the nerve between the toes, most often between the third and fourth toes. It usually develops from repeated pressure or irritation, leading to thickening of the nerve tissue. People with this condition often describe a burning or tingling sensation in the ball of the foot, sometimes with numbness in the toes. Many say it feels like a pebble is stuck in their shoe or that their sock is bunched up. The pain may come and go, becoming worse with wearing tight shoes or long periods of walking. In early stages, removing the pressure may help, but in more advanced cases, help from a podiatrist is often needed. If you have persistent forefoot pain or unusual sensations between your toes, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

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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Tuesday, 27 May 2025 00:00

Plantar fasciitis is a common cause of heel pain, especially in runners. It is caused by inflammation of the plantar fascia, the thick band of tissue that supports the arch of the foot. This condition often results from overuse, wearing improper footwear, tight calf muscles, or sudden increases in activity. Symptoms include sharp heel pain, especially with the first steps in the morning or after rest, and tenderness along the bottom of the foot. The heel may feel stiff, sore, or even swollen. Runners can reduce symptoms by wearing supportive running shoes with good arch support and cushioning, warming up properly, and doing regular calf and plantar fascia stretches. Cross-training with low-impact activities like swimming or cycling can help maintain fitness while reducing stress on the foot. A podiatrist can confirm the diagnosis and offer treatment, such as custom orthotics, targeted exercises, night splints, anti-inflammatory medications, and advanced therapies, if needed. If plantar fasciitis is affecting your running, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

 

Plantar fasciitis can be very painful and inconvenient. 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 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 doctor 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 our office located in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
Thursday, 22 May 2025 00:00

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. 

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