Roy A. Rothman, DPM, PA
Podiatric Medicine and SurgeonFoot & Ankle Specialist
Experiencing sudden joint pain, swelling, and redness in your big toe? It could be gout, a condition where urate crystals accumulate in the joints. To determine whether you have gout, a podiatrist may recommend various tests. Blood tests are essential to check uric acid levels, although elevated levels don't always signify gout. Joint fluid testing, or arthrocentesis, involves extracting fluid from the affected joint to identify uric acid crystals, confirming a gout diagnosis. Ultrasound imaging can reveal inflammation and the presence of crystals, or tophi, around the joint. Additionally, dual-energy computerized tomography, or DECT, scans provide detailed images to show uric acid crystals within the joints, aiding in diagnosis. If you're experiencing severe and persistent discomfort in the big toe joint, it is suggested that you make an appointment with a podiatrist. This foot doctor is medically trained to diagnose symptoms of gout and offer the appropriate options to manage this condition.
Gout is a painful condition that can be treated. 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 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
Risk Factors
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 DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.
Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.
People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.
Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.
Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.
To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.
In-toeing in your child is a foot deformity where the front half of the foot bends or turns inward toward the side of the big toe. This condition, known as metatarsus adductus, can be attributed to the baby's positioning in the womb. Family history can also play a role. Symptoms of metatarsus adductus typically include inward angulation of the front part of the foot, with ankles and heel in a normal position. In-toeing, or walking with the forefoot turned in, can result from this deformity. Diagnosis is typically made after a physical exam, with an additional assessment of the hips to rule out other issues. Although metatarsus adductus may correct itself with time, performing certain stretching exercises, wearing splints, special shoes, or a cast may be treatments prescribed by a podiatrist. The type of intervention is generally based on the flexibility of the foot. Surgery is rarely needed for in-toeing, and is usually postponed until the child is older. Despite their in-toeing, most children can still engage in athletic activities later in life without interference. To find out more about managing your child's in-toeing, it is suggested that you schedule an appointment with a podiatrist.
Congenital foot problems require immediate attention to avoid future complications. 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.
Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.
What are Causes of Congenital Foot Problem?
A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.
What are Symptoms of Congenital Foot Problems?
Symptoms vary by the congenital condition. Symptoms may consist of the following:
Treatment and Prevention
While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome 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.
A congenital foot problem is a problem affecting the feet, toes, and/or ankle that a child is born with. Several issues with a child’s feet can occur congenitally. Such problems include clubfoot, vertical talus, tarsal coalition, polydactyly, macrodactyly, and cleft foot. Some of these problems have a genetic basis, with someone in their family history having a gene causing the condition, and some are simply an anomaly.
The following are specifics about a few of these conditions:
- Clubfoot, also called congenital talipes equinovarus or talipes equinovarus, is When the tendons of the foot shorten, the bones are of an unusual shape, and the Achilles tendon is tight, causing an inward and downward pointing of the foot. The soles of the feet might also face each other. In most cases of clubfoot, both feet are affected. If not treated, the affected child will walk on the sides of their feet or ankles.
- Polydactyly is a condition where the child has more than five fingers or toes on either or both feet. Presentation usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
- Vertical talus is where the talus bone forms in the wrong position, other bones in the foot do not line up properly, the front of the foot points up, and the bottom of the foot is stiff, has no arch, and usually curves out. This can occur in one or both feet and if left untreated, can lead to serious disability or discomfort as the child grows.
- Tarsal coalition is when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot. The tarsal bones, located toward the back of the foot and in the heel, are the ones affected. This condition is often present at birth, but signs of the disorder usually come on in early adolescence.
- Cleft foot is a rare condition where the foot has missing toes, a V-shaped cleft, and other anatomical differences. Surgery can often help improve the foot’s function since the heel remains normal and is what is most needed for walking. The main issues with this affliction are whether the affected foot can fit into a shoe and the shape and appearance of the foot.
- Macrodactyly is when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue. Having this condition makes it harder for the child to use the affected foot for certain activities.
If you break your big toe, seeing a podiatrist can be helpful. This type of doctor will examine your toe to determine the extent of the injury. Depending on the severity, X-rays may be taken to see the extent of the fracture. The podiatrist can provide guidance on how to care for your broken toe properly. They can recommend resting the foot and elevating it to reduce swelling. In some cases, they may suggest buddy taping the broken toe to the adjacent one for support. If the fracture is severe or if the toe is misaligned, they may need to realign it or provide a splint to keep it in place. The podiatrist can also offer pain management techniques and advise on when it is safe to resume normal activities. If you believe you have fractured your big toe, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment that is deemed necessary.
Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Roy Rothman, DPM from Florida. Our doctor will treat your foot and ankle needs.
What Is a Broken Toe?
A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.
Symptoms of a Broken Toe
Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.
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 care needs.
The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.
Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.
Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.
If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more.
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, leading to pain, swelling, and redness. This common condition typically affects the big toe and can result from various factors. Improper nail trimming, such as cutting nails too short or rounding the edges, increases the risk of ingrown toenails by encouraging the nail to grow into the skin. Wearing tight or ill-fitting shoes can also exert pressure on the toes, causing the nail to grow abnormally and become ingrown. Additionally, injury or trauma to the toe, such as stubbing or repetitive pressure, can disrupt nail growth patterns and contribute to ingrown toenails. Individuals with curved or unusually shaped nails may be more susceptible to this condition. Poor foot hygiene and fungal infections further exacerbate the risk of ingrown toenails. If you have symptoms of an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist who can properly diagnose this condition, and offer appropriate treatment solutions.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Roy Rothman, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
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.
An ingrown toenail is a nail that has curved downward and grown into the skin. This typically occurs at either the nail borders or the sides of the nail. As a result, pain, redness, swelling, and warmth may occur in the toe. If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.
Ingrown toenails have multiple reasons for developing. In many instances, the condition is a result of genetics and is inherited. The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over. An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running. Wearing shoes that are too tight or too short can also cause ingrown toenails.
Treatment for an ingrown toenail varies between patients and the severity of the condition. In most cases, it is best to see your podiatrist for thorough and proper treatment. After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present. Surgical removal of either a portion of the nail or the entire nail may also be considered. In some cases, complete removal or destruction of the nail root may be required. Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.
Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes. When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short. Shoes should not be too short or tight in the toe box.
Trail running is an exhilarating activity that invites people of all preferences and ideologies to explore nature's paths. And with the right pair of shoes, anyone can conquer the trails with confidence. Before purchasing trail running shoes, there are two vital considerations to keep in mind. These can include your foot type and the terrain you will be tackling. First, understanding your foot type is essential for finding the perfect fit. Consider factors like the stiffness or pliability of the shoe, whether you need a neutral or stable base, and if you require a wide or narrow fit. Additionally, think about the heel to toe drop that suits your running style best. Equally important is selecting shoes tailored to the terrain you will be traversing. Such factors include trails with uneven surfaces, smoother paths with gentle inclines, water crossings, or dryer routes. If you have experienced foot, toe, or ankle pain as the result of trail running, you may benefit from a gait analysis and thorough examination of your feet and shoes. It is suggested that you schedule an appointment with a podiatrist for further guidance.
You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Roy Rothman, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.
Tips for Finding the Right Running Shoe
If you have any questions please feel free to contact our our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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