When Is Surgery Needed for Gout?

Gout is a form of arthritis that commonly affects the feet, particularly the big toe, and can often be controlled with medications and lifestyle changes. However, when gout progresses and causes significant joint damage or chronic pain, surgery may be necessary. Surgery for gout is typically considered when uric acid deposits, called tophi, form around the joints and lead to severe pain, deformities, or infections. The three main types of surgery are tophi removal, joint fusion, and joint replacement. Tophi removal involves cutting out the painful deposits while preserving healthy tissue. Joint fusion stabilizes the bones to relieve pain but may reduce mobility. Joint replacement, used in more advanced cases, involves putting in an artificial joint to improve function and reduce discomfort. A podiatrist can help determine the most appropriate gout treatment based on the severity of the condition. If you have chronic pain from gout, it is suggested that you schedule an appointment with a podiatrist wh can determine if surgery is needed.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Cary Golub, 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 offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Foot Exercises to Address Excessive Supination

Supination refers to the outward rolling motion of the foot during walking or running, where the weight is concentrated on the outer edges of the foot. Excessive supination can lead to various issues such as ankle instability and foot pain. Specific exercises can be very beneficial. Strengthening exercises like calf raises and toe taps help enhance the muscles that support proper foot alignment. Stretching exercises, such as calf stretches and foam rolling, can improve flexibility and reduce tension in the calf muscles. Additionally, balance exercises like single-leg stand and stability ball exercises can help improve overall foot stability. If you have this type of foot condition, it is suggested that you contact a podiatrist who can provide treatment options which may include additional exercises.

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 Cary Golub, DPM from New York. Our doctor 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 doctor 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 our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Common Foot Problems in Older Adults

Elderly people frequently encounter foot problems, such as plantar fasciitis, arthritis, gout, and claw toe. Plantar fasciitis, marked by heel pain and inflammation of the tissue along the bottom of the foot, can be particularly bothersome. Arthritis, including osteoarthritis and rheumatoid arthritis, often leads to joint pain, stiffness, and swelling, impacting overall mobility. Gout, another type of arthritis characterized by sudden, intense pain and swelling, usually affects the big toe due to uric acid crystal buildup. Additionally, claw toe, a condition where toes bend into a claw-like position, can result from muscle imbalances or arthritis. If you are older and are experiencing specific foot conditions, it is suggested that you make an appointment with a podiatrist who can provide you with relief and treatment solutions.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions, please feel free to contact our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Causes of Pain in the Ball of the Feet

Pain in the ball of the foot, known as metatarsalgia, can arise from various causes. Often, it results from increased pressure on this area of the foot. This may result from wearing poorly fitting shoes, especially those with high heels or a narrow toe box, as well as engaging in activities that place a lot of stress on the feet, like running or tennis. Being overweight can also contribute by adding extra strain on the feet. Underlying health conditions, such as arthritis and diabetes, can lead to pain in the ball of the foot. Symptoms of metatarsalgia include a burning or aching sensation, shooting pain, or even tingling or numbness in the toes. A podiatrist can diagnose the cause of your foot pain and suggest footwear adjustments, supportive devices like insoles, or other medical interventions. If you have pain in the ball of your foot, it is suggested that you schedule an appointment with a podiatrist to determine the cause and recommend appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Cary Golub, 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 offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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