May 2025

Gout and bunions can both cause pain in the big toe, but they differ in onset, causes, and appearance. Gout is a form of arthritis that comes on suddenly, often overnight, causing intense pain, redness, and swelling, usually in the big toe. It is caused by a buildup of uric acid crystals in the joint, often linked to diet, alcohol, or genetics. Bunions develop gradually. They appear as a bony bump on the side of the big toe joint and result from structural issues, wearing tight shoes, or inherited foot shapes. A bunion may ache and swell as the top of the big toe turns inward over time. A podiatrist can diagnose each condition through exams, imaging, and testing. For gout, they may prescribe medication and offer dietary guidance. For bunions, treatment ranges from padding, orthotics, and anti-inflammatory meds to surgery, in severe cases. If you have this type of toe pain, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our doctors from Texas. Our doctors 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 Port Neches, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot shapes, which  vary from person to person, can influence comfort, posture, and shoe fit. The Egyptian foot has a long big toe with toes slanting down in length, often leading to bunion development from tight footwear. The Greek foot features a second toe longer than the big toe, which may cause pressure and pain in closed shoes or during activity. The square foot, where the toes are nearly the same length, can lead to difficulty finding well-fitting shoes and may cause rubbing and calluses. One of the rarest shapes is the Simian foot, where toes are tightly bunched, increasing discomfort and balance issues. If you have an unusual foot shape that is causing pain or difficulty in completing daily activities, it is suggested that you consult a podiatrist who can guide you on wearing the correct type of shoe and offer relief tips for existing discomfort.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our doctors from Texas. Our doctors 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 office located in Port Neches, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wearing the correct shoe size is essential for maintaining foot health and preventing a range of painful conditions. Shoes that are too tight or too loose can lead to serious problems over time. Wearing ill-fitting footwear may contribute to peripheral neuropathy by adding pressure to nerves, especially in individuals with existing health concerns. Corns can form as the skin thickens to protect against friction, while hammertoe may develop when the toes are forced into unnatural positions. Ingrown toenails are another common result, often caused by shoes that squeeze the toes together. Each of these issues can interfere with walking, cause discomfort, and increase the risk of infection. Selecting properly fitted shoes supports comfort, alignment, and long-term foot function. Regular sizing checks are also important as feet can change over time. If you have foot pain from wearing incorrectly sized shoes, it is suggested that you contact a podiatrist who can treat various foot conditions, and provide further guidance on how to buy shoes that fit properly.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact one of our doctors from Texas. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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

Sever's disease, known as calcaneal apophysitis, is a common source of heel pain in growing children. Conservative management typically consists of reducing high-impact activities, easing pain and inflammation, and performing gentle stretches to relax tight calf muscles. Rest and wearing supportive footwear are beneficial in alleviating pressure on the heel. Other treatment methods may include the use of custom orthotics to improve foot alignment, or, in persistent cases, immobilization with casts to allow the heel to heal. Overall, treatment is individualized based on the child, the severity of symptoms, and daily activity demands. If your child displays worsening heel pain or discomfort, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our doctors from Texas. Our doctors 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 Port Neches, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.