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Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Gout and the Big Toe

Gout is a form of inflammatory arthritis that frequently affects the foot, most commonly the big toe joint. It may also involve the midfoot, ankle, or other joints. Gout develops when uric acid accumulates in the bloodstream and forms sharp crystals within a joint. These crystals irritate surrounding tissues and trigger sudden, intense inflammation. Symptoms often begin quickly, sometimes during the night, and include severe pain, redness, warmth, and noticeable swelling. The affected joint may become extremely tender, and even light pressure from bedding or footwear can cause significant discomfort. Many people describe the pain as sharp, throbbing, and difficult to ignore.

Gout occurs when the body either produces too much uric acid or is unable to eliminate it effectively through the kidneys. Diet can contribute to this imbalance, particularly with foods high in purines like red meat, shellfish, and organ meats. In contrast, a balanced diet that includes low-fat dairy products, fresh fruits, vegetables, and whole grains may help support overall health. Additional risk factors include family history, obesity, dehydration, and certain medications. Underlying conditions like kidney disease or metabolic disorders may also be factors. Without appropriate care, gout attacks may become more frequent, last longer, and begin to affect multiple joints. This can potentially lead to long-term joint damage.

A podiatrist plays an important role in diagnosing and managing gout. Through an exam, imaging, and laboratory testing, they can confirm the condition and rule out other causes of joint pain. Treatment may include medications to reduce inflammation, relieve pain, and help regulate uric acid levels. A podiatrist can also provide ongoing monitoring of joints and further guidance to prevent future flare-ups and protect mobility. If you are experiencing symptoms of gout, it is strongly suggested that you consult a podiatrist for a proper evaluation and personalized care.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Foot & Ankle Doctors, Inc. . our doctors 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 offices located in Beverly Hills, Encino, Los Angeles, Los Alamitos, Pasadena, and Rolling Hills Estates CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Falls Prevention

Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds. In light of these striking statistics, one can see the importance of taking steps to prevent falls.

Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.

Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.  

Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.

Proper Cane Use Can Prevent Falling

Proper cane use can help prevent falls by improving balance and reducing strain on the feet and ankles. Using a cane the right way gives the body extra support while walking. The cane should be held on the side opposite the weaker or injured leg. This allows the stronger side to carry more weight and keeps each step steady. The cane and the weaker leg should move forward at the same time. On stairs, the stronger leg leads when going up, and the weaker leg leads when going down. Poor technique can increase the risk of falls and joint strain. A podiatrist can evaluate walking patterns, check foot alignment, and ensure the cane is the correct height. Treatment includes gait training, supportive devices, and custom orthotics to improve stability. If you need an assistive device to help you walk, it is suggested that you schedule an appointment with a podiatrist for expert guidance.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Foot & Ankle Doctors, Inc. . our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our offices located in Beverly Hills, Encino, Los Angeles, Los Alamitos, Pasadena, and Rolling Hills Estates CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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