March 2020

Severe pain and discomfort in the big toe and surrounding areas may be indicative of a condition that is known as gout. This is an ailment that may appear suddenly, also known as a gout attack. The pain may be so debilitating that it can be difficult to walk. It occurs as a result of excess uric acid in the bloodstream, which may come from specific causes. These may include genetic factors, and eating foods that have elevated purine levels which can consist of shellfish, red meat, or drinks that have unusually high sugar levels. Research has indicated that this form of arthritis generally affects more men than women, and may be common in patients who are overweight. It may be helpful to obtain a proper diagnosis, which can be achieved by having a blood test performed. This can be beneficial in determining existing uric acid levels. Some patients may use braces or canes to relieve excess pressure that falls on the joints. If you feel you may have gout, it is strongly advised that you schedule a consultation with a podiatrist who can help you to manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Coastal Foot & Ankle Wellness Center, LLC. 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 one of our offices located in St. Augustine, and Palatka, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Athlete’s foot is considered to be a fungal infection that is typically present in between the toes, but may spread to other parts of the body if left untreated. Most cases of athlete’s foot may be treated with the use of over-the-counter sprays or creams. However, some patients have found that they develop this condition more than once, and continuously have tried to get rid of athlete’s foot, but it continues to come back. To help avoid getting athlete’s foot, it’s suggested that you are using the appropriate footwear in public places, such as swimming pools, locker rooms, and communal showers. If you find that you are taking the proper precautionary measures, and are still getting athlete’s foot, please consult with a podiatrist who can help treat your condition, as well as give you professional tips on how to avoid it’s development in the future.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact one of our podiatrists from Coastal Foot & Ankle Wellness Center, LLC.  Our doctors will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

• Hydrate your feet by using lotion
• Exfoliate
• Buff off nails
• Use of anti-fungal products
• Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

If you have any questions please feel free to contact one of our offices located in St. Augustine, and Palatka, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

If you feel a tingling, burning, or numbing sensation in your feet, you may be experiencing symptoms related to a foot condition known as tarsal tunnel syndrome. With this condition, pain is typically felt in the sole, heel, and arch areas of the foot. Some patients who have had this condition also say they experienced a sensation that feels like pins and needles in the feet. Tarsal tunnel syndrome may develop when the posterior tibial nerve becomes compressed or pinched. Other reasons for its development may include osteoarthritis, rheumatoid arthritis, and diabetes. To help alleviate pain, it may be beneficial to perform light stretches that focus on strengthening the calf muscles. For more advice on how to treat this ailment, it’s suggested that you speak with a podiatrist for a proper diagnosis and professional care.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Coastal Foot & Ankle Wellness Center, LLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact one of our offices located in St. Augustine, and Palatka, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Research has indicated that wearing the right type of running shoes for your preferred style of running can provide the necessary stability for the overall body. It is helpful to decide which type of running will be practiced. People who enjoy running on roads or tracks typically choose a shoe that is made of lightweight and flexible materials, in addition to having smooth soles. Trail-running shoes are constructed with cleats on the outside of the sole, as this helps to maintain a stronger grip on uneven surfaces. When purchasing running shoes, it is suggested that the top of the shoe is similar to the shape of your foot. This can reduce excessive friction, and may help to prevent blisters from forming. If you are interested in purchasing running shoes, it is advised that you speak with a podiatrist who can help you to make the correct choice.

If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Coastal Foot & Ankle Wellness Center, LLC. Our doctors 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 one of our offices located in St. Augustine, and Palatka, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Stress fractures are defined as a small break in one or more bones in the feet. They can occur as a result of frequently running for extended periods of time, or from participating in jumping activities. Additionally, they may happen if there is a change in the style of jogging you’re used to, or a change in the running surface. A common symptom that is associated with stress fractures can include pain during physical activity. This pain may also return after resting. Typically, effective treatment generally means the activity must be ceased that caused the fracture, and a boot or cast may be recommended for the healing process. If you have pain in your foot and think you may have a stress fracture, it is strongly advised that you speak to a podiatrist who can help you to manage this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Coastal Foot & Ankle Wellness Center, LLC. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions, please feel free to contact one of our offices located in St. Augustine, and Palatka, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.