What to Do About Gout?

Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints, most commonly affecting the big toe. Uric acid, a waste product in the blood, typically dissolves and exits through urine. However, when the body produces too much or the kidneys fail to eliminate enough, it accumulates, forming sharp crystals that cause intense pain, redness, swelling, and warmth in the affected joint. This can lead to sudden, severe pain known as a gout flare-up. To manage gout, a podiatrist may prescribe anti-inflammatory medications, pain relievers, or drugs that reduce uric acid production. Lifestyle changes, like reducing alcohol intake, and limiting foods high in purines, such as red meat, seafood, and sugary drinks, in addition to staying hydrated, can help prevent flare-ups. For chronic cases, long-term medications may be prescribed to keep uric acid levels in check. If you have gout flare-ups, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Peter Siroka, DPM from Connecticut. 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 Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Acute and Chronic Sports Injuries

Acute and chronic sports injuries are common among athletes and active individuals. Acute injuries occur suddenly during physical activity, often due to falls, collisions, or improper technique. Common examples include sprains, fractures, and muscle strains. Symptoms typically involve immediate pain, swelling, and an inability to use the affected area. In contrast, chronic injuries develop gradually over time, often due to repetitive stress on muscles and joints. Conditions such as tendinitis, bursitis, and stress fractures are common. Symptoms may include persistent pain, stiffness, and swelling that worsen with activity. Treatment for acute injuries usually includes rest and elevation. Chronic injuries often require a more comprehensive approach, including targeted exercises, activity modification, and sometimes medications or injections. If you are experiencing persistent pain or difficulty due to a sports injury, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and effective treatment tailored to your needs.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Peter Siroka, DPM of Connecticut. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please contact our office located in Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Body Pain That Radiates to and From the Feet

Radiating body pain that affects the feet can stem from several underlying conditions, often linked to nerve compression or musculoskeletal issues. Sciatica, for example, occurs when the sciatic nerve, which runs from the lower back down to the legs and feet, is compressed or irritated, causing sharp or burning pain that radiates to the feet. Herniated discs, spinal stenosis, or pinched nerves in the lower back can also trigger foot pain. Additionally, conditions like peripheral neuropathy, often seen in diabetic patients cause tingling, numbness, or burning sensations that start in the feet and may spread upwards. This type of pain can severely impact mobility and daily functioning, and treatment depends on the underlying cause. If you have foot pain without an obvious cause, it is suggested that you visit a podiatrist who can determine the underlying cause and provide appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Peter Siroka, DPM from Connecticut. Our doctor 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 Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Biomechanics of the Ankle

The ankle's movement and stability rely on bones, ligaments, and muscles working together. The main bones involved are the tibia, fibula, and talus. These form the ankle joint, which allows the foot to move up and down. Ligaments, like the deltoid, anterior talofibular, and calcaneofibular ligaments, help keep the ankle stable and control side-to-side movements. When we walk, the ankle flexes upwards when the heel touches the ground and pushes down as we lift the foot off. In cases of severe damage or arthritis, ankle replacement surgery may be needed, where the joint is replaced with artificial parts to restore movement. If you have ankle pain or discomfort, it is suggested that you schedule an appointment with a podiatrist who can diagnose the problem and recommend treatments to help you regain proper walking function and stability.

If you have any concerns about your feet, contact Peter Siroka, DPM from Connecticut. 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 Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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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.

Care for Ingrown Toenails

Ingrown toenails occur when the edge of the toenail grows into the surrounding skin, causing pain, swelling, and sometimes infection. This common condition usually affects the nail on the big toe and can result from improper nail trimming, wearing tight shoes, or injury to the toe. In some cases, a naturally curved nail shape increases the likelihood of developing an ingrown toenail. To prevent or treat ingrown toenails, it is important to trim nails straight across and avoid cutting them too short. Wearing shoes that provide enough room for your toes can also help. If left untreated, ingrown toenails can lead to more serious complications, such as infection, abscess formation, or even the need for surgical removal of part of the nail. If you have an ingrown toenail, it is suggested that you promptly visit a podiatrist who can offer you correct treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Peter Siroka, DPM of Connecticut. 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.

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

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Causes of Heel Pain

Heel pain is a common issue, often caused by various conditions, including plantar fasciitis, Achilles tendinitis, heel spurs, and bursitis. Plantar fasciitis, one of the most frequent causes, results in stabbing pain due to inflammation in the plantar fascia, a thick band of tissue connecting the heel to the toes. Pain is often felt first thing in the morning or after periods of inactivity. Achilles tendinitis occurs from overuse or strain on the Achilles tendon, causing pain at the back of the heel. Heel spurs are calcium deposits that develop over time and can lead to sharp pain with movement. Bursitis is inflammation of the bursa, small fluid-filled sacs that cushion bones, which can cause tenderness and discomfort in the heel. Treatment for heel pain depends on the cause but may include wearing supportive footwear or medical intervention like injections. If you have persistent heel pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Many people suffer from bouts of heel pain. For more information, contact Peter Siroka, DPM of Connecticut. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

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Dietary Guidelines for Gout

Gout is a form of arthritis caused by the buildup of uric acid crystals in the joints, leading to intense pain and inflammation, particularly in the feet. This condition often strikes the big toe, causing redness, swelling, and severe discomfort. To manage gout effectively, it is important to be mindful of dietary choices. Foods high in purines, such as red meat, organ meats, and certain seafood, should be avoided as they can increase uric acid levels. Alcohol and sugary beverages also contribute to the problem. Instead, focus on consuming low-purine foods like fruits, vegetables, whole grains, and low-fat dairy products. Staying hydrated by drinking plenty of water can help prevent uric acid buildup. Gout can cause intense foot pain, and completing daily activities may become difficult. If you have had one or more gout attacks, it is suggested that you are under the care of 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 Peter Siroka, DPM from Connecticut. 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 Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Facts About Morton’s Neuroma

Morton’s neuroma is a painful condition affecting the nerves in the ball of the foot, typically between the third and fourth toes. This condition occurs when the tissue around the nerve thickens due to irritation or pressure, often from wearing tight or high-heeled shoes. Symptoms of Morton's neuroma include sharp pain, burning, or a sensation like stepping on a small stone. Numbness or tingling in the toes can also be experienced. Risk factors include wearing narrow footwear, having foot conditions like flat feet or bunions, or engaging in high-impact sports. A podiatrist can provide custom orthotics, lifestyle modifications, or non-invasive therapies to alleviate discomfort and prevent long-term damage. If left untreated, Morton’s neuroma can lead to chronic pain and permanent nerve damage, like numbness in the toes. If you have pain in the ball of the foot that may be from Morton’s neuroma, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment options.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Peter Siroka, DPM of Connecticut. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

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What Are the Causes of Big Toe Pain?

Big toe pain can be both uncomfortable and disruptive, often stemming from various underlying causes. One common culprit is gout, a form of arthritis caused by a buildup of uric acid crystals in the joint, leading to sudden, severe pain and swelling. Another potential cause is bunions, which occur when the big toe deviates towards the other toes, causing pain and pressure. Other issues include sesamoiditis, inflammation of the small bones under the big toe, and trauma or injury to the toe joint. Complications from untreated big toe pain include difficulties with walking and changes in gait, which may strain other joints and muscles. Accurate diagnosis and appropriate treatment are important to address these issues effectively. If you are experiencing persistent or severe pain in your big toe, it is suggested you make an appointment with a podiatrist for a thorough evaluation and tailored treatment plan.

Toe pain can disrupt your daily activities. If you have any concerns, contact Peter Siroka, DPM of Connecticut. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our office located in Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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