Tuesday, 06 July 2021 00:00

Foods, High Purine Levels, Uric Acid, and Gout

Excess uric acid in the body may cause a painful medical condition known as gout. It is considered to be a form of arthritis and can cause some patients to have debilitating pain. The big toe is generally affected by large amounts of uric acid which can cause crystals to form and lodge in the joints of the toes. Gout attacks often occur at night and can last for hours and even as long as a week. There are various foods that contain high levels of purines, which the body can not process naturally. These types of foods include shellfish, excess alcohol, organ meats, and drinks that are made with large amounts of sugar. Patients who are obese or who have existing kidney conditions may not filter foods correctly, and this can result in high uric acid levels. If you are afflicted with gout it is strongly suggested that you consult with a podiatrist who can determine what the best course of treatment is for you.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. 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 one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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.

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Tuesday, 29 June 2021 00:00

Everyday Foot Care Made Simple

Many people often underestimate the role their feet have in their everyday lives. They are considered to be the foundation of the body and can be taken for granted until there are foot complications. There are methods that can be implemented which can make the feet feel at their best and help make daily activities easier to accomplish. These can include washing the feet daily, followed by applying a good moisturizer on them. Additionally, it may help the skin on the feet when a pumice stone is frequently used, and this is often useful in removing existing dead skin. Sweaty feet may benefit from using an antifungal powder or spray daily, and this may be conducive in controlling athlete's foot. Additionally, ingrown toenails may be prevented when the toenails are trimmed correctly. Podiatrists are aware of proven methods that can help with everyday foot care, and it is suggested that you confer with this type of doctor for the correct information.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

If you have any questions please feel free to contact one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Every Day Foot Care

Our feet are important in our everyday lives. The problem is that we tend to neglect them. When this becomes a habit, it can cause significant trouble. Ignoring foot problems can mean pain, limited mobility, and expensive doctor's visits. On the other hand, if feet are cared for and looked after regularly, they will perform without pain or complication.

Routine hygiene is the most basic way to care for the feet. Wash and dry them thoroughly daily. Remember to get between the toes and keep the toenails trimmed and short. If the feet feel dry or there are signs of dryness or cracking, use a moisturizer designed for the feet.

When using moisturizer on the feet, try to avoid applying between the toes. If cream or lotion sits too long, they can cause fungal and bacterial growth. When moisturizer is used between the toes, it can also cause the skin to soften too much.

Shoes are also an important aspect of foot care. When one is picking out shoes, make sure they are the correct size. Shoes need to be snug, but not too tight. On the other hand, if shoes are too loose they can cause foot problems as well. It is highly recommended that shopping for new shoes be done later in the day. The reason for this is that the feet will have settled and swelled to their full size by then. To keep your feet at their most healthy, avoid wearing high heels or flip flops too often. Instead, choose shoes that are good for your feet. Good shoes pad the soles of your feet and support the arches and ankles.

Socks should also be worn daily with closed-toe shoes. They may feel hot during the summer months, but they absorb sweat and moisture off the feet. Without socks, the build-up of sweat in a closed-toe shoe can cause fungal problems and athlete's foot.

The best thing to remember in every day foot care is that shoes do make a difference. If you spend a lot of time on your feet, make sure that your shoes show no signs of wear. Shoes should offer ample support for the arches and the overall foot. Additionally, try to make foot cleaning and maintenance a daily habit. If you keep these things in mind, your feet will stay healthy and safe.

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Tuesday, 22 June 2021 00:00

What Should I Do About My Ingrown Toenail?

An ingrown toenail occurs when the edge of the nail grows into the surrounding skin rather than over it. This can make the surrounding skin red, tender, swollen, and painful. The nails on the big toes are frequently affected. If you notice an ingrown toenail on your foot, soaking the foot in warm, soapy water for 10 to 20 minutes three times per day and pushing the skin away from the nail bed may help within one or two weeks. Applying a corticosteroid cream to the area can reduce inflammation. Taking action to prevent future ingrown toenails is also important. You should always trim the toenails straight across and not too short using nail clippers. You should also avoid wearing tight or narrow shoes that crowd the toes. If home treatment does not improve your ingrown toenail, or if symptoms worsen, please seek the care of a podiatrist.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. 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

Bacterial infections
Improper nail cutting such as cutting it too short or not straight across
Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
Ill-fitting shoes that bunch the toes too close together
Genetic predisposition

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.

Ingrown Toenail Care

An ingrown toenail is a nail that has curved downward and grows into the skin. This typically occurs at 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. Milder cases that don’t involve infection or other medical conditions can benefit from soaking the feet in room-temperature water and gently massaging the side of the nail. In most cases, however, 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.

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Tuesday, 15 June 2021 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

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Tuesday, 15 June 2021 00:00

Characteristics and Causes of Flat Feet

Flat feet are common, affecting approximately 30% of the population. The term flat foot is used to describe a foot structure in which there is no visible arch in the center sole of the foot while bearing weight. In other words, the entire sole of the foot touches the ground when standing. People with flat feet may also notice that their heels point outward from the ankle and that their feet may be floppy. There are two main reasons why someone might have flat feet. One is due to the inner part of the foot, known as the medial column, having too much motion. This causes the arch of the foot to collapse over time. The other reason is because of tight calf muscles, which set off a cascade of biomechanical issues that ultimately lead to the arch collapsing. If you have flat feet and notice symptoms such as pain and discomfort, please seek the care of a podiatrist.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. 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.

Flatfoot

Flatfoot is a foot disorder that is not as straightforward as many people believe. Various types of flatfoot exist, each with their own varying deformities and symptoms. The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot. Other signs of flatfoot include:

“Toe drift,” or the pointing outward of the toes and the front part of the foot
The tilting outward of the heel and the tilting inward of the ankle
The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
Hammertoes
Bunions

One of the most common types of flatfoot is flexible flatfoot. This variation usually starts in childhood and progresses as one ages into adulthood. Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing. When not standing, the arch returns. Symptoms of flexible flatfoot include:

Pain located in the heel, arch, ankle, or along the outside of the foot
Overpronation, or an ankle that rolls in
Shin splint, or pain along the shin bone
General foot aches or fatigue
Pain located in the lower back, hip, or knee

Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit. X-rays may be taken to define the severity and help determine the treatment option best for your condition. Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices. If nonsurgical methods prove ineffective, surgery may be considered. Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.

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Tuesday, 08 June 2021 00:00

Caring for Aging Feet

As the feet age, they begin to experience more wear and tear. The joints in the feet become stressed, and the skin becomes thinner and less elastic. Signs of aging feet include aches and pains, development of bunions, circulatory issues and the toes beginning to curl up. Because foot issues can be debilitating, older patients should take care of their feet. Common things that can be done to help reduce the effects of aging include exercise, general foot care (proper toenail trimming, checking for problems to detect them early, and moisturizing the feet), and wearing properly fitting shoes. Another key to help with aging feet is having an annual check with a podiatrist. Visiting a podiatrist can help find issues such as diabetes or poor circulation, and podiatrists can help treat common foot problems like bunions, ingrown toenails, and cracked heels.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. 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.