Gout and the Big Toe

Different toes from the big toe to the small pinky toe can all be impacted by various afflictions of the feet. Gout is one such foot condition that can impact the toes of the feet. In particular, gout can have a specific impact on the big toe. Gout is a specific kind of arthritis that is very common. It is an inflammatory condition that can affect the joints of the toes. When gout impacts the big toe an individual can experience severe, intense pains in the big toe joint. Swelling on the outside of the big toe is also common, as well as noticeable discoloration. Since the big toe plays such an important role in helping individuals walk, gout in the big toe can make motion very difficult. If you are prone to gout attacks and have developed this kind of arthritis in the big toe, it might also be common to experience some kind of swelling. If you are concerned about developing gout in the big toe, contact a podiatrist today for more information. 


 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Wendy L. Grossman, DPM from New Jersey. 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 Bloomfield, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Active Children and Foot Pain

The chances may increase for a foot injury to occur in children who participate in sports activities. These types of injuries can involve the ligaments, bones, and tendons. Fractures and sprains also fall into this category. There are two classifications of foot injuries that can develop, consisting of acute or chronic. Acute injuries consist of contusions, or bruises, fractures, and sprains. Chronic injuries can include stress fractures and tendonitis, and generally happen gradually from overuse. Parents may see symptoms in their children in the form of limping or difficulty walking. At this point, a proper diagnosis is necessary to have, which can determine what type of injury it is. Many times an X-ray or MRI is performed, and this can precede what type of treatment is needed for a complete recovery. If your child has foot pain, it is strongly urged that you seek the counsel of a podiatrist who can guide you toward helping your child find relief.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Wendy L. Grossman, DPM of New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

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Understanding Charcot Foot

Charcot foot is a condition that affects the bones, joints, and soft tissues of the feet and ankles. It is caused mainly by nerve damage to the feet, usually as the result of peripheral neuropathy. Charcot foot is common to many diabetics because sustained high blood sugar levels cause both nerve and blood vessel damage in the feet. Because the feeling in the feet is lost, injuries to the bones in the feet are common. As the bones weaken, the joints can collapse, resulting in changes to the shape of the feet. The arch of the foot may collapse, causing the bottom of the foot to become rounded, which is known as rocker bottom foot. In addition, the toes may begin to curl under the feet and the ankle joints may become unstable. Charcot foot can be difficult to diagnose, as it can be masked by inflammation, swelling, and redness. But these symptoms may not be felt because of numbness. It is important to get treatment for Charcot foot early. If you believe you may have this condition, please consult a podiatrist as soon as possible.

Some foot conditions may require additional professional care. If you have any concerns, contact Wendy L. Grossman, DPM of New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

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Dealing With Hammertoe

Hammertoe is a deformity that is usually found in the second toe. It is caused by an imbalance of the muscles, tendons, and ligaments that work together to make the toe straight. The result is that the middle joint of the toe raises up to form a peak, while the tip of the toe curls under. The type of shoes you wear, foot structure, and genetics all can contribute to the formation of a hammertoe. Women who wear high heels with pointy toes and children who wear shoes that are too short for their feet are more at risk of developing a hammertoe. Some people are simply born that way. Pain from a hammertoe occurs when the raised joint rubs against the inside of the top of the shoe. A corn or callus can develop, which may affect the gait and can increase pain in other parts of the foot and the body.  A podiatrist can give you options for treating a hammertoe. Devices called hammertoe regulators can be custom fitted to help straighten the toe. Gentle exercises, such as picking up a towel with your toes can stretch and straighten the small muscles of the feet. In severe cases, surgery can be performed to permanently straighten the toe. For details on treatment options, please consult a podiatrist. 

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Wendy L. Grossman, DPM from New Jersey. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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

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Joint Replacement for Arthritis of the Big Toe

The base of the big toe is a common site for degenerative changes in the foot. Wear and tear and loss of elasticity in the cartilage cushioning the joint of the big toe can cause pain, swelling, and stiffness in the area. With the big toe moving up each time a step is taken, walking can be uncomfortable. Bone spurs can develop on the joint aggravating the pain already felt when walking with big toe arthritis. A bump, like a bunion or a callus, can also develop on the top of the foot with this affliction. When rest, medication, and exercise stop working, surgical options are considered. One such option is toe joint replacement. This is usually done among older sufferers with advanced arthritis. With toe joint replacement, an artificial joint made from ceramic, plastic, or metal, is surgically implanted after removing damaged parts of bones and cartilage in the big toe. This can be done under general or regional anesthesia and usually takes less than one hour. If you have advanced arthritis in your big toe and other less invasive treatments have not provided you enough relief to live life comfortably, talk to a podiatrist to see if you might be a good candidate for joint replacement surgery.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Wendy L. Grossman, DPM from New Jersey. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

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

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