Roy A. Rothman, DPM, PA
Podiatric Medicine and SurgeonFoot & Ankle Specialist
Gout is a form of inflammatory arthritis that causes sudden and severe pain, swelling, and redness in the joints, often affecting the big toe. This condition arises from the accumulation of uric acid crystals in the joints, leading to intense inflammation. Various risk factors contribute to the development of gout, including a diet high in purines, obesity, excessive alcohol consumption, and certain medical conditions such as hypertension and diabetes. Diagnosis of gout typically involves a thorough medical history, a physical examination, and tests to measure uric acid levels in the blood. In some cases, a joint fluid analysis may be performed to confirm the presence of uric acid crystals. Early diagnosis and management are vital to prevent recurrent attacks and joint damage. Gout can be painful, hindering daily activities. If you have had one or more gout attacks, it is suggested that you are under the care of a podiatrist who can help you to manage this condition.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Roy Rothman, DPM from Florida. 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 DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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.
Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.
Sesamoiditis is an inflammation of the sesamoid bones, which are small bones embedded within the tendons of the big toe. This condition typically arises due to repetitive stress or overuse, often experienced by athletes or individuals who engage in activities that involve pushing off the toes, such as running or ballet. Common symptoms include pain in the ball of the foot, swelling, and tenderness, particularly during movement or when pressure is applied. Affected individuals may also experience difficulty bearing weight or limited range of motion in the big toe. Factors contributing to sesamoiditis include wearing improper footwear, high-impact sports, and foot deformities like high arches or flat feet. Sesamoiditis can cause pain and discomfort, and it may become difficult to complete daily activities. If you have developed this condition, it is suggested that you are under the care of a podiatrist who can offer you appropriate treatment solutions.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Roy Rothman, DPM of Florida. Our doctor will treat your condition thoroughly and effectively.
Sesamoiditis
Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.
Causes of Sesamoiditis
Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Sesamoiditis is a condition that affects the joint that is just behind the big toe in the area known as the ball of the foot. It is most common in younger people and people who have just begun an exercise program. Since the sesamoid bones are like a pulley controlling the big toe, they can rub against each other and cause a gradual onset of pain. Pain may also be caused by the inflammation of tendons surrounding the bones. If ignored, sesamoiditis can lead to other, more serious problems such as severe irritation and fractures of the bones.
The cause of sesamoiditis is sudden increase in activity. The ball of your foot acts as a springboard to help you lift off when you are jogging or running. Sudden increase in the use of these bones or the tendon that controls them can cause irritation. The tendon then begins to develop inflammation and the joint begins to swell. People with smaller, bonier feet or those with a high arch are typically more susceptible to this condition.
Sesamoiditis is fairly simple to diagnose since the symptoms have a gradual onset rather than a sudden impact. The symptoms begin with slight irritation around the joint shortly after the increase in activity. The discomfort eventually turns to pain with light swelling and possibly redness. Although redness or bruising are rare, this may be a symptom. After each session of exercising, the aggravated joint becomes more irritated and increases into a very intense throbbing.
Treatment for sesamoiditis can vary depending on the severity of the situation. However, treatment is almost always approached in a noninvasive way. For a case that is just beginning the doctor may recommend a very strict rest period that will limit the activity allowed on the joint. If you must be active, a recommendation for as modified shoe or insole, along with bandaging and immobilizing the big toe will be made to ensure that pressure is not placed on the joint. For severe cases, it is typically recommended that the joint and the big toe be completely immobilized to allow adequate time to heal. Ice and an over the counter anti-inflammatory may can help with the pain and discomfort while you are at rest.
When you return to your regular exercise activities, it is recommended that you use an insole that will allow even distribution of impact to your entire foot, rather than just the balls of your foot. This will prevent further aggravation of the injury.
Toenail abnormalities can indicate underlying health issues and can include clubbed nails, fungal infections, trauma, and ingrown toenails. Clubbed nails appear enlarged and curved, often linked to respiratory or cardiovascular conditions. Trauma to the toenail can result from injuries, leading to discoloration, pain, or even loss of the nail. Fungal infections thrive in warm, moist environments and can cause thickening, discoloration, and brittleness of the nail. Ingrown toenails occur when the nail grows into the surrounding skin, causing pain, swelling, and potential infection. Additionally, nail-patella syndrome, a genetic disorder, may appear with abnormal toenails alongside other skeletal issues. If you notice changes in your toenails, it is strongly suggested that you consult a podiatrist who can determine the cause and offer effective treatment solutions.
Toe pain can disrupt your daily activities. If you have any concerns, contact Roy Rothman, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
When to See a Podiatrist
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures.
Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.
Pes planus, commonly known as flat feet, occurs when the medial longitudinal arch of the foot collapses. This results in the entire sole making contact with the ground, which leads to a flat appearance. Various factors contribute to the development of pes planus. Genetic predisposition plays a significant role, as some individuals inherit a tendency for weak arches. Additionally, obesity places excess strain on the feet, weakening the arch over time. Other causes include injuries or conditions that damage the tendons supporting the arch, such as posterior tibial tendon dysfunction. Chronic conditions like diabetes and rheumatoid arthritis can also contribute to the loss of the arch. If you have flat feet, it is suggested that you are under the care of a podiatrist who can offer you comfort options help you to manage this condition.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Roy Rothman, DPM from Florida. Our doctor will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Flatfoot is a foot condition in which the arch of the foot has either partially or totally dropped or has never developed. While it is common in babies and small children, it can become a problem for them in adulthood if the arch never forms. For adults, the development of flat feet can be brought upon by injury, as a result of pregnancy due to increased elasticity, or obesity. Those who have health concerns such as rheumatoid arthritis or diabetes may also be at greater risk for developing the condition.
If you suspect that you have flat feet, it is best to consult your podiatrist. Your foot doctor will examine the suspected foot and observe how it looks while you sit and stand. He or she may take an X-ray to determine how serious the condition is. Some common signs of flatfoot include toe drift, in which the toes and front part of the foot point outward, a short Achilles tendon, and a heel that tilts outwardly while the ankle tilts inward.
Once flatfoot has been diagnosed, your podiatrist may suggest one of several treatment options. Flat feet can be rigid, in which the feet appear to have no arch even when the person is not standing; or flexible, in which the person appears to have an arch while not standing, but once standing the arch disappears. Those with flexible flatfoot may be told to reduce any activities that cause pain and to avoid extended periods of walking or standing. Another suggestion may be weight loss, as excessive weight may be placing pressure on the arches
In few cases, if the condition is severe and all other methods have been exhausted surgery may be required. This is normally avoided, however, due to a lengthy recovery time and high cost.
Sever's disease, also known as calcaneal apophysitis, is an overuse injury that affects the growth plate in the heel of growing children and adolescents, usually between the ages of eight and 15. It occurs when repetitive stress or pressure on the heel bone, often from sports or physical activities, causes inflammation and pain in the heel. Sever's disease is common in children who are physically active and going through growth spurts, as the bones grow faster than the muscles and tendons, leading to increased tension on the heel. It manifests as heel pain, swelling, and tenderness, particularly during or after physical activity. Treatment focuses on reducing activity levels and wearing supportive footwear or orthotics. Most children outgrow the condition once their bones stop growing. If your child has heel pain that is persistent, it is suggested that an appointment be made with a podiatrist for a proper diagnosis and treatment to alleviate pain.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Roy Rothman, DPM from Florida. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
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