Uric acid is a by-product of the body breaking down purines—which are present in chemical compounds in the body as well as in certain foods we consume. Most uric acid is excreted, but when too much of it remains (hyperuricemia), it can crystalize on joints. One of the most painful arthritic conditions is known as gout. Some believe lower temperatures in the toes makes a more conducive environment for crystals to form, and so the big toe is often where gout occurs. Gout flare-ups can typically last for days or weeks before going into remission. During a flare-up, you may experience severe pain and swelling, along with heat and redness at the site. Gout with no single cause is known as primary gout. Secondary gout is due to kidney disease or medications affecting the kidney’s ability to expel urate. A podiatrist may make a diagnosis of gout after an examination, blood tests, imaging tests, and fluid aspiration from the affected joint.

Gout is a foot condition that requires certain treatment and care. 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 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 Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot ulcers are red, crater-like wounds—often bordered by callused skin—that typically occur on the soles and sides of the feet. They sometimes can form on the tips or tops of the toes as well. Foot ulcers can range from shallow, surface lesions to wounds deep enough to expose tendons, ligaments, and even bones. Foot ulcers can be a common occurrence in people with diabetes, and the associated condition of peripheral neuropathy and peripheral artery disease— making them difficult to feel, detect, and heal. Other circulation disorders such as atherosclerosis and Raynaud's phenomenon increase the risk of foot ulcers developing. People with these conditions should examine their feet daily and get professional wound care if they spot something irregular. A podiatrist can provide proper treatment for a foot ulcer to help avoid infection. If you believe you may have a foot ulcer, seek the care of a podiatrist.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Mark Isenberg, DPM from Center for Podiatric Excellence. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

If you have rheumatoid arthritis, you may be experiencing joint pain and stiffness in your feet. Gentle exercises can help reduce foot pain for people dealing with this condition. One simple exercise that you can try is rolling a stress ball with your foot so that the ball is underneath the front part of your heel. This helps stretch the plantar fascia, a ligament that runs along the bottom of your foot and supports your arches. You can do this exercise while sitting or standing. To learn more about how to take care of your feet with a diagnosis of rheumatoid arthritis, and to learn more about helpful exercises you can practice, please consult with a podiatrist. 

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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 and ankle needs.

Ankle sprains are one of the most common sports injuries. They can occur when the ligaments that connect the bones and stabilize the ankle joint become overstretched or partially/fully torn. In a Grade I sprain, ligaments are stretched, while in Grade II & III sprains, ligaments are partially or fully torn, respectively. Grade II & III sprains are usually more painful and typically require more extensive treatment than a Grade I sprain. Symptoms of an ankle sprain vary depending on the severity, and may include pain, swelling, and the inability to put any or all weight on the affected ankle. More severe sprains may make it difficult or even impossible to walk, and there may be some bruising due to broken blood vessels under the skin. Since improperly healed sprains can lead to chronic ankle instability and additional sprains, it is suggested that you contact a podiatrist right away to receive proper treatment.

Ankle sprains are common but need immediate attention. If you need your feet checked, 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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 and ankle needs.

Preparing your feet for a hike can help you to prevent an injury and make your excursion more relaxing and enjoyable. Start with a pair of comfortable hiking boots or shoes that provide plenty of room in the toe box and ensure that the feet don’t slip out of the shoes at the heel or arch area. It is also important to gradually break the boots in before going on a long hike. Choose moisture-wicking socks, or even toe-socks that separate the toes—preventing them from rubbing together and possibly even helping to distribute your weight more evenly. Bring an extra pair of socks to switch out if your feet get too sweaty or wet during the hike. Before you hit the trail, do some gentle stretching in your bare feet such as rolling your arches on a tennis ball, stretching out your toes, circling your ankles slowly, and stretching your calves. If you have spots on your feet that are prone to blistering, apply some tape, moleskin, or a bandage to the area, and pack extra supplies to apply to any hotspots you start feeling on the trail. For advice on choosing shoes or getting custom orthotics that are best for your specific feet on or off the trail, please consult with a podiatrist today.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any 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.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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 and ankle needs.