Chronic tophaceous gout is an advanced form of gout that develops when uric acid builds up in the body. The result is hard deposits, called tophi, that form around joints and soft tissues. Uric acid is a natural waste product, but high levels can lead to crystal formation that triggers inflammation, causing swelling, warmth, and severe pain. Over time, these deposits may grow and cause joint damage, stiffness, and reduced movement. They can also press on nearby nerves and affect walking. A podiatrist can diagnose chronic tophaceous gout through imaging or fluid testing, which identifies uric acid crystals. Treatment options include medication to lower uric acid levels and reduce inflammation, as well as care to protect the joints and prevent further damage. In severe cases, surgery may be needed to remove large tophi. If you are experiencing severe pain from gout, it is suggested that you make an appointment with a podiatrist for treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Florida Ankle & Foot Institute. 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 our offices located in Tavernier, Marathon, and Key West, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pain in the ball of the foot, also known as metatarsalgia, causes discomfort beneath the toes where weight is concentrated while walking. The pain may feel sharp, burning, or like stepping on a small object, and it often worsens with activity or prolonged standing. Some patients notice swelling, callus formation, or increased sensitivity in the area. Causes include high-impact activities, improper footwear, high heels, foot shape, or conditions such as nerve irritation or stress on the metatarsal bones. The area may look normal or slightly inflamed but often feels tender to pressure. A podiatrist can assess foot structure, gait, and pressure points to determine the source of pain and may use imaging if needed. Treatment typically includes supportive footwear, cushioning, custom orthotics, and targeted exercises to relieve pressure. If you have pain in the ball of your foot, it is suggested that you make an appointment with a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Florida Ankle & Foot Institute. Our doctors 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 offices located in Tavernier, Marathon, and Key West, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

High heeled shoes can significantly affect the natural structure and function of the feet. As the heel height increases, more body weight shifts forward, placing greater pressure on the toes and the ball of the foot. This increased forefoot pressure may lead to discomfort, and may contribute to the development of foot deformities, over time. Conditions such as bunions, hammertoes, and nerve irritation may occur when the toes are forced into a narrow shoe space. Continued stress on the arch and heel may also contribute to plantar fasciitis, a painful inflammation of the connective tissue along the bottom of the foot. A podiatrist can evaluate foot alignment and provide supportive care. If you enjoy wearing high heels and have developed foot pain, it is suggested that you consult a podiatrist who can treat various foot and ankle conditions, and guide you toward more desirable shoes to wear.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact one of our podiatrists from Florida Ankle & Foot Institute. Our doctors can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

Morton’s neuroma is a painful condition caused by irritation and thickening of a nerve that runs between the toes, most often between the third and fourth toes. The problem develops when repeated pressure or stress compresses the nerve as it passes between the metatarsal bones. Patients commonly describe a burning or sharp pain in the ball of the foot that may radiate into the toes. Some people feel tingling, numbness, or the sensation of stepping on a small pebble inside the shoe. Symptoms may worsen when wearing tight shoes or high heels and often improve when the shoe is removed. Over time the discomfort can become more frequent during walking or standing. A podiatrist can diagnose Morton’s neuroma through a physical examination and by evaluating where the pain occurs when pressure is applied. Treatment may include shoe modifications, metatarsal padding, custom orthotics, and targeted exercises to reduce pressure on the nerve. If you think you may have Morton’s neuroma, it is suggested that you make an appointment with a podiatrist.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of Florida Ankle & Foot Institute. Our doctors 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 offices located in Tavernier, Marathon, and Key West, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.