Tuesday, 09 May 2023 00:00

Reasons for Gout Attacks

There is a small percentage of people worldwide who are affected by the foot condition that is known as gout. It is a form of arthritis and can cause debilitating pain and discomfort. Gout occurs due to excess uric acid in the blood. The excess uric acid may be caused by eating foods with large amounts of purines. These can consist of shellfish, red meat, and sugary drinks. Gout may also occur from genetic reasons, and it may be more prevalent among men who are over 40 years old. The abundance of uric acid converts to crystals that lodge in the joints of the big toe, and in addition to the pain, there may be swelling and redness. The range of motion in the toe may be temporarily reduced, and the pain may radiate to the other joints. Gout attacks may be prevented when healthy foods are eaten, including vegetables, whole grain foods, and dairy products that are low in fat. If you suffer from gout, it is strongly 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 Philip Hahn, DPM from Advanced Foot & Ankle Center. 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 Texarkana, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 09 May 2023 00:00

Gout

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. 

Having the right running shoe is paramount to reducing the chances of pain and injury. However, knowing how to find the shoe that best serves a runner’s needs can be confusing. Here are a few tips for simplifying the decision. The first consideration is knowing the type of running you will be doing and how often you will be doing it. Second, identify the terrain or environment you will be running in. For instance, trail shoes will have more grip and tread on the soles, while road shoes have flatter soles. Third, consider any previous running injuries you may have encountered and see a podiatrist who can examine your gait. Running shoes offer different types of cushioning, support, and stability based on the biomechanics of your feet. A podiatrist, who is a medically trained foot doctor, is a good source of information for anyone interested in finding the running shoe that will best serve your needs and protect your feet. If you are serious about running, it is suggested that you make an appointment with a podiatrist for an evaluation. 

If you are a runner, wearing the right running shoe is essential. For more information, contact Philip Hahn, DPM from Advanced Foot & Ankle Center. 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

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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

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Running may seem like a simple to do. However, running is actually a complex movement that puts stress on the ligaments, bones, and joints of the body.  Selecting the correct running shoe is important for increasing performance and avoiding risk of injury.  Running shoes should be selected based on your foot type.  Considerations such as trail versus road shoes are important. Your foot type dictates the degree of cushioning, stability and motion control you require.  The most accurate way to learn your foot type is to visit a local shop that specializes in running shoes.  Professionals can measure your arch type, stride and gait and help you with your shoe needs.

The design of running shoes is created around the idea of pronation.  Pronation is the natural rolling movement of your ankle from the outside to inside when your foot strikes the ground.  If you run properly you strike the ground on the outside of your heel and roll in the direction of your big toe before pushing off once more.  Pronation is beneficial because it assists the lower half of your body in absorbing shock and storing energy.  Those considered neutral runners pronate correctly and do not need running shoes that help correct their form.  Neutral runners can choose from a wide variety of shoes, including barefoot or minimal types.  However, those who have arch problems or who adopt an incorrect form while running may experience too much or too little pronation. They may require running shoes that offer additional support.

Those who overpronate experience an over-abundance of ankle rolling.  Even while standing, those who severely overpronate display ankles that are angled inward.  It is not uncommon for them to have flat feet or curved legs.  The tendency to overpronate may cause many injuries.  Areas that tend to become injured are the knees, ankles, and Achilles tendon.  If you find that you have a tendency to overpronate, you should look at shoes that provide extra stability and motion-control.  Motion-control shoes are straight and firm. Shoes of this type do not curve at the tip.  The restricted flexibility along the middle of the shoe prohibits the foot from rolling too far inward as your foot strikes the ground.

A less common problem is underpronation.  Underpronation, also called supination, is when the feet are unable to roll inward during landing.  Those who underpronate have feet that lack flexibility and high arches.  This prevents any kind of shock absorption, even though it does place less rotational stress on ankles and knees.  This added force can cause fractures, ligament tears, and muscle strains because the legs are trying to compensate for the impact.  Those who underpronate need shoes with more cushioning and flexibility.  If you have a tendency to underpronate, selecting stability or motion-control shoes may cause you more problems by continuing to prevent pronation.

Sunday, 30 April 2023 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 25 April 2023 00:00

Why Are the Feet Ticklish?

Many individuals may wonder why their feet are often so ticklish and sensitive. The answer is slightly complicated. Essentially, the feet have a significantly high amount of nerve endings. In fact, there are approximately 8,000 nerve endings throughout the feet. Importantly, in each of these nerve endings are receptors for touch and other sensations. The distance between the nerve ending and the outside of the skin is sometimes very small. Therefore, the feet can often be more ticklish than other parts of the body. Interestingly, the degree to which one is ticklish can often vary from person to person. It is important to note that the ticklish sensation itself is thought to be a kind of involuntary response to stimuli. If you want to learn more about what makes the feet ticklish, it is suggested that you contact a podiatrist for additional information and treatment options.

If you have any concerns about your feet, contact Philip Hahn, DPM from Advanced Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

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Tuesday, 25 April 2023 00:00

Biomechanics in Podiatry

Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.

Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.

At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.

Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates.  They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.

Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.

Tuesday, 18 April 2023 00:00

Ankle Pain Without Injury

One can have ankle pain even if they have not injured their ankle. This can occur from some underlying health conditions, such as autoimmune diseases or arthritis, and from unrelated foot ailments. Osteoarthritis, the most common form of arthritis, is when the cartilage between two bones erodes over time. Without cartilage in the ankle, the bones rub together and there can be pain and stiffness. Other types of arthritis, including rheumatoid arthritis, reactive arthritis, and gout are other conditions that can cause inflammation and leave the ankle feeling tender as well. Lupus and scleroderma are examples of autoimmune diseases that can have the same side effects. Of course, other foot and ankle ailments, like fallen arches and Achilles tendonitis can also cause ankle pain. Treatment depends on the root cause of the ankle pain. If you have such pain and there is no obvious reason for it, it is suggested that you see a podiatrist for a correct diagnosis and care regime.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Philip Hahn, DPM from Advanced Foot & Ankle Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

 

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Tuesday, 18 April 2023 00:00

Ankle Pain

Pain experienced in the ankle can be caused by a multitude of conditions. While the most common cause is an ankle sprain, other possible problems can include arthritis, gout, ankle instability, an ankle fracture, nerve compression, or tendinitis. In more serious cases, ankle pain can be a sign of improper alignment of the foot or an infection.

Ankle pain can often be accompanied by symptoms such as redness, swelling, stiffness, and warmth in the affected area. Pain can be described differently depending on the condition: short, stabbing pain and a dull ache are some examples. If such symptoms are persistent and do not improve after time, be sure to schedule an appointment with your local podiatrist.

Depending on the condition causing your ankle pain, different treatments may be prescribed by your podiatrist. For ankle sprains, the first step in treatment involves rest, ice, elevation, and compression. Be sure to avoid placing pressure on the ankle, use an ice pack several times a day, and use a compression bandage and elevation to reduce swelling. Other, more serious conditions may require the assistance of certain drugs and medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, or even cortisone injections. 

Depending on the severity of your ankle pain and the condition behind it, recovery from ankle pain may take some time.

Consult with your foot and ankle doctor to best determine the cause of your ankle pain and the appropriate treatment.

Tuesday, 11 April 2023 00:00

Foot Care Tips for Seniors

Healthy feet allow seniors to stay independent longer. Foot care is essential to reaching this goal and keeping senior feet comfortable and healthy. Since the feet take one through a lifetime of mobility, it stands to reason that aging feet need extra attention. Over time, feet become flatter and wider. The fatty padding on the foot naturally wears down, and the bones and joints are exposed to more wear and tear. Simple foot problems, like blisters, can interfere with mobility and balance in older adults. More serious foot conditions, like ingrown toenails, sprains, or fractures, can increase the risk of falling and result in various health conditions. Simple foot care tips to help keep feet as healthy as possible include washing, drying, and moisturizing the feet daily, trimming nails straight across, and examining the feet for abnormalities, such as sores. Wearing properly fitted shoes that are sturdy and low-heeled is recommended. If you are an older person or taking care of one, it is suggested that you include a podiatrist among the doctors you visit to monitor any problems brewing and continue caring for the feet.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Philip Hahn, DPM from Advanced Foot & Ankle Center. 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 office located in Texarkana, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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