Gout is a form of inflammatory arthritis caused by a buildup of uric acid crystals within a joint, most commonly affecting the foot and big toe. Gout pain often worsens at night because body temperature drops, fluid shifts, and movement decreases, allowing crystals to irritate the joint more intensely. Symptoms include sudden severe pain, swelling, redness, warmth, and stiffness that can make even light touch uncomfortable. Risk factors include genetics, diet, dehydration, obesity, kidney issues, and certain medications. Causes involve excess uric acid production or reduced elimination from the body. A podiatrist can help by diagnosing gout, managing flare-ups, reducing joint inflammation, and advising on footwear and lifestyle changes to protect the feet. Ongoing care can help prevent joint damage and future attacks. If you have sudden nighttime foot pain or swelling, it is suggested that you consult a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Mark Isenberg, DPM from Center for Podiatric Excellence. 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 Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swollen feet can signal circulation problems, fluid buildup, or underlying inflammation caused by diabetes. The feet may look puffy, shiny, or discolored, and the skin may feel tight or tender when pressed. Symptoms include aching, heaviness, reduced mobility, or warmth in the affected areas. Causes often relate to poor blood flow, nerve damage, infection, or prolonged standing. Because swelling can make it difficult to notice cuts, blisters, or pressure points, the risk of complications increases without proper care. A podiatrist can begin with a thorough examination to assess circulation, nerve function, and skin integrity while identifying what may be triggering the swelling. Treatment may include compression guidance, footwear recommendations, wound care if needed, and strategies to improve daily foot protection. Ongoing monitoring is essential for preventing ulcers and maintaining overall foot health. Because early attention is vital for long term safety, it is suggested that you are under the care of a podiatrist who can help you to manage this serious condition. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Mark Isenberg, DPM from Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Toenail and toe pain while hiking is a common problem that can turn an enjoyable outdoor adventure into a painful experience. Causes often include wearing shoes that are too tight or too loose, friction from improper socks, and repetitive impact on uneven terrain. To prevent these issues, it is important to wear properly sized hiking shoes, gradually break them in before long treks, and choose socks with cushioning and reinforcement in key areas. These steps help reduce pressure on the toes, prevent blisters, and protect the toenails from trauma. A podiatrist can evaluate your foot structure, recommend appropriate footwear, and provide treatment for any persistent pain or nail injuries. If you have toe or toenail pain that is preventing you from enjoying your hiking experience, it is suggested that you consult a podiatrist for appropriate treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, contact Mark Isenberg, DPM of Center for Podiatric Excellence. 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 Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Swollen ankles and feet are a common issue that can result from a variety of causes. Prolonged standing or sitting can lead to fluid buildup in the lower extremities, while high salt intake can increase water retention. Pregnancy often contributes to swelling due to hormonal changes and increased pressure on blood vessels, and obesity places extra stress on the feet and ankles, worsening fluid accumulation. Symptoms may include puffiness, tightness, discomfort, and difficulty walking or wearing shoes comfortably. A podiatrist can evaluate the underlying cause, recommend strategies to reduce swelling, provide supportive footwear options, and offer therapies to improve circulation and foot health. If you have persistent swelling in your feet or ankles, it is  suggested that you schedule a visit with a podiatrist who can provide effective relief tips. 

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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