April 2021

Purine, a chemical compound, is naturally present in the body and in foods including certain meats and seafood, as well as alcohol. When purine is broken down, uric acid is produced. If the body cannot properly flush uric acid out, it may crystalize in the joints—causing inflammation, pain, stiffness and even deformity in extreme cases. This condition, known as gout, is a form of arthritis which most commonly occurs in the metatarsophalangeal joint connecting the foot with the big toe. Men are more likely to develop gout, as well as people with a family history of gout, or those who are over 50 years old. Other risk factors can include obesity, high blood pressure, abnormal kidney functions, and drug or alcohol abuse. In rare cases, children with certain genetic disorders that cause an excess of uric acid can develop gout. If you are in any of these high-risk groups and are experiencing pain or inflammation in any ankle or foot joint, contact a podiatrist who can examine you and may perform tests to analyze the fluid around the joint to see if uric acid crystals are present.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. 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 one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The Achilles tendon is the band located on the back of the leg and is responsible for connecting the calf to the heel bone. This tendon is responsible for allowing us to rise up on our toes and for us to push off when walking or running. There are 2 main types of injuries that can occur to the Achilles tendon. The first, known as Achilles tendinopathy, occurs when there are tiny tears in the tendon and around it, usually from overuse. The second injury, an Achilles tendon rupture, can cause sudden pain and loss of movement.  This is usually caused by a sudden movement or force that stresses the calf muscle.  Patients who are experiencing pain in their Achilles tendon should consult with a podiatrist because of the potential severity these injuries have. A podiatrist will examine the leg and determine the extent of the injury.  

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Advanced Foot & Ankle Associates, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

The human papillomavirus (HPV) is responsible for the development of plantar warts. They are defined as warts that form on the heel and bottom of the foot. Plantar warts grow inward as a result of the pressure the feet endure from walking and standing for the majority of the day. They can cause severe pain and discomfort, and may affect the way you walk. The virus that causes this uncomfortable foot condition is often found in public swimming pools, locker rooms, and shower room floors. Plantar warts may be prevented when appropriate shoes are worn in these types of areas. Additionally, it is beneficial to refrain from sharing towels, socks, and shoes. If you have developed a plantar wart, it is strongly suggested that you are under the care of a podiatrist who can guide you toward the treatment options that are best for you.

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

We often associate foot pain and disorders of the feet and ankles with athletes or people who spend most of their time working on their feet, but did you know that foot problems are also extremely common in the elderly? Between 71-87% of older adults are affected by foot disorders. This is a serious concern, as foot conditions in the elderly are associated with balance problems, fractures, reduced mobility, an increased risk of falling, and a decrease in overall quality of life. Routine foot care, conducted both at home and by a healthcare professional, is an important part of healthcare for seniors. If you or an older loved one are experiencing any foot problems, please seek the care of a podiatrist. 

If you need your feet checked, contact one of our podiatrists of Advanced Foot & Ankle Associates, PLLC. Our doctors will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

If you have any questions, please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.