September 2022

The pain from the foot condition known as gout is often worse during the night. Patients are often awakened by swollen joints in the big toe that can become red and inflamed. This extremely painful ailment, a type of arthritis, can cause an inability to walk, and crawling up the steps is not uncommon in severe cases. Gout can happen as a result of genetic reasons, or from eating foods that have high levels of purines. Foods in this category include shellfish, red meat, and drinks that are made with large amounts of sugar. These types of foods produce excess uric acid, which forms into crystals that can lodge in the joints of the big toe. There are methods that can be implemented that may help to diminish some of the pain of gout. Among them are drinking plenty of water, frequently elevating the affected foot, and eliminating the foods that can cause this condition. Gout can be recurring, so it is strongly suggested that you are under the care of a podiatrist who can help you to manage this ailment and provide you with proper relief tactics.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Pete O’Donald, DPM from Texas. 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 Nederland, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Excessive fluid in the feet can cause extreme swelling. This is an uncomfortable feeling, and is known as edema. Some of the symptoms that can accompany swollen feet include bruising, numbness, and the feet may feel stiff. When the feet become swollen, it may be indicative of existing medical conditions, which include arthritis. Additionally, it may happen as a result of an ankle sprain or fracture, and this typically happens immediately. The feet may become swollen from an insect bite, and this is considered to be an allergic reaction. Some people notice their feet can become swollen from standing for extended periods of time throughout the day, and can be very common among pregnant women. The warmer temperatures may cause the feet to become swollen, and it is suggested that sodium intake is reduced. If your feet are swollen, please schedule an appointment with a podiatrist who can effectively determine what the cause is, and offer correct treatment options. 

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Pete O’Donald, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our office located in Nederland, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Big toe arthritis is a form of osteoarthritis, and it causes the joints of the big toe to become inflamed. This usually affects the first metatarsophalangeal, or MTP joint. This condition can cause pain, numbness, and difficulty in walking. Risk factors can include being older, female, obese, and having muscle weakness or joint injuries. This affliction is often diagnosed with an X-ray to see the amount of space between the joints. Less spacing leads to more severe arthritis. The extent of pain, stiffness, and movement of the big toe are also used to gauge the severity of this condition. While one can try physical therapy, rigid orthotics, and cortisone injections to relieve pain, the most effective long-term treatment for this condition is surgery. Surgical treatments for big toe arthritis include a cheilectomy, which involves removing a portion of the bone within the big toe, or fusing the bones in the big toe, which is referred to as arthrodesis. If you suffer from big toe arthritis and have tried other remedies with little or no relief, please consult with a podiatrist to see if you are a candidate for one of these surgeries.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Pete O’Donald, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

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

Flat feet is a condition that usually affects children. The condition occurs when an individual lacks an arch in their feet, and their entire foot can rest completely against the ground. For example, newborn babies or even toddlers will frequently not exhibit any arch, simply because their arches have not yet developed and matured. Despite the prevalence of flat feet in young children, adults can also be afflicted with this condition. For instance, flat foot is common for individuals who are obese. This is because the added weight that obese people put on their feet when standing can push their natural arches down to the floor. Additionally, women who are pregnant may experience flat feet because during a pregnancy, the body produces a substance known as elastin, which effectively loosens tissues and skin. Also, those living with rheumatoid arthritis may experience flat feet at some point in their lives. If you believe that you might have flat feet or are at risk of developing flat feet, you can consult a podiatrist because this condition tends to get worse as one ages. Do not take any chances–see a podiatrist today for more information about flat feet.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Pete O’Donald, DPM from Texas. 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

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

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 Nederland, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.