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By Foot First Podiatry Center
February 14, 2018
Category: Foot Conditions
Tags: Gout   hallux rigidus  

Gout is an inflammation of the joints that frequently strikes the big toe joint, and for anyone who has ever suffered from gout, you know that even the pressure of a bed sheet gliding gently over your big toe can be extremely painful. Gout flares can come and go and are usually precipitated by just a momentary change in diet that tips the blood uric acid levels into the danger zone, and the excess acid crystallizes in your joints causing severe pain and swelling.

Some of the risk factors for excess uric acid building up in your blood include:

●      Alcoholic beverages, particularly those that are grain-based like beer and whiskey

●      High fat and high purine foods such as red meats, deli meat, shrimp, and lobster

●      Excess stress

●      Certain medications that may contribute to acid build-up

Sometimes several hours before a gout attack occurs, you will feel an itchy, burning or tingling sensation in the area. Other attacks have no warning and happen in the middle of the night after a heavy meal or heavy drinking. Sometimes you won’t know what the cause is.

How to treat a gout flare-up

Minimizing the length of the outbreak and dealing with the pain can be accomplished with the following tips:

●      Take off your shoes - Your shoes and socks should be immediately removed to eliminate additional pain from rubbing.

●      Rest the foot - Limit your activity, and try not to walk around during a flare-up. Lie down and elevate the joint on a pillow.

●      Ice and ibuprofen - Apply ice for 20 minutes, several times a day, and take ibuprofen or other anti-inflammatory medication to reduce swelling.

●      Avoid alcoholic beverages - Continuing to consume alcohol during a gout attack will only serve to lengthen the time it takes to recover. Drink plenty of healthy fluids.

●      Don’t consume high purine foods - Purines in food have been linked to excess uric acid production, so avoid consuming them.

●      It will end! - A flare-up of gout will usually subside in a few days so if your big toe pain persists, you may have a condition called hallux rigidus, or a stiff big toe that requires different treatment from your podiatrist.

If you are experiencing pain in your big toe that won’t go away, schedule an appointment at the Foot First Podiatry Center in New Albany, IN. Our highly qualified podiatrist Dr. Zahid Ladha is dedicated to providing the best diagnostic care and medical treatment for you and your feet. Contact us at (812) 945-9221 and schedule an appointment today!

By Foot First Podiatry Center
February 08, 2018
Category: Heel pain

Severe heel pain first thing in the morning after stepping out of bed is a horrible way to begin your day, and it may be the first sign of a serious injury to your foot.

Two of the most common causes of heel pain after sleeping are plantar fasciitis and injuries from overuse:

  • Plantar fasciitis—This is one of the most common causes of early morning heel pain that usually tends to decrease as you begin moving your feet. Plantar fasciitis is caused by inflammation and stretching of the wide ligament that runs along the bottom of your foot.

Treatment for plantar fasciitis consists of the following:

  1. Avoid wearing high heels and flip flops
  2. Use the RICE method (Rest, Ice, Compression, Elevation) to relieve pain and swelling
  3. Stop any high impact activity, such as running or jumping
  4. Wear shoes with proper arch support to help avoid overstretching of the plantar fascia
  5. Stretch out your calf muscles several times a day
  6. If you notice no improvement after a few days, see your podiatrist
  • Overuse injuries—Your heel absorbs the impact when you walk, run or exercise, and it is highly susceptible to injury due to just the stress of daily living. The continuous pressure of being on your feet all day, especially if you are carrying extra weight, can greatly contribute to heel pain.

Treatment for overuse injuries includes:

  1. Ice to decrease swelling
  2. Check your shoes for proper cushioning in the heel
  3. Try lower impact activities, such as biking or swimming
  4. For pain lasting more than a few days or a couple of weeks see your foot doctor

Some other causes of early morning heel pain include Achilles tendonitis and arthritis. If you are suffering from pain in your heel, it’s best to have an evaluation by a foot doctor for proper diagnosis and suggestions for treatment, so be sure to schedule an appointment with the Foot First Podiatry Center in New Albany, IN. Our highly qualified podiatrist Dr. Zahid Ladha is dedicated to providing the best diagnostic care and medical treatment for you and your feet. Contact us at (812) 945-9221 and schedule an appointment today!

 

 

By Foot First Podiatry Center
January 31, 2018

For a variety of reasons, toenail fungal infections can be very difficult to eradicate. The inside of your shoes is the perfect growing habitat for fungi, where the warm, moist, and dark conditions help them thrive. Having reduced blood flow to your feet from systemic diseases such as peripheral artery disease and diabetes can also make toenail fungus become entrenched requiring more aggressive measures to effectively treat.

If you notice that a toenail fungal infection never seems to totally resolve, here are some issues to consider during your investigation:

What causes recurring fungal nail Infections?

  • Incomplete treatment—Over the counter remedies may not fully eradicate the fungi and symptoms may abate for some time and then slowly return. The infection resides underneath the nail and it can be extremely difficult to completely eradicate. Talk to your podiatrist about more advanced treatments.
  • Being exposed to the fungus—Be certain to decontaminate all of your footwear, and be sure to keep any shared bathroom and shower areas clean and fungi free to avoid picking up the microbes at home.
  • Lowered immune response—Certain medications may weaken your chances of fighting off an infection. Patients with diabetes are more susceptible to getting repeat fungal nail infections due to immune system dysfunction.

Preventing recurring toenail infections

 The following suggestions will help to keep a nail fungus infection from happening again:

  • Antifungal spray may be used on your socks, feet, and footwear.
  • Be careful to change your shoes every day so they have a chance to air out.
  • Wear protective footwear such as shower shoes or sandals in locker rooms and shower facilities.
  • Consult with your foot care specialist about more aggressive treatments including laser nail therapy and oral or topical antifungal medications. In severe cases, the nail may need to be removed surgically to treat the underlying infection.

If you are concerned that you may have a fungal nail infection, schedule an appointment with the Foot First Podiatry Center in New Albany, IN. Our highly qualified podiatrist Dr. Zahid Ladha is dedicated to providing the best diagnostic care and medical treatment for you and your feet. Contact us at (812) 945-9221 and schedule an appointment today!

 

By Foot First Podiatry Center
January 24, 2018
Tags: Fracture  

The bones in the foot tend to get broken more frequently than other bones, with some estimates indicating that more than 15% of all broken bones occur in the foot or ankle. In many foot injuries, there is usually a relationship between the location of a fracture or break and how the injury occurred. Some examples include a broken heel that is often the result of landing badly after a jump, and toes that fracture after kicking something hard.

A fracture in the foot or ankle often happens without warning, and when you are not expecting it to happen. Stress fractures, on the other hand, can take time to develop, and frequently occur in athletes, gymnasts, and dancers due to all the repeated stress that their bodies endure.

The symptoms of a broken foot will usually include the following:

  • Intense pain—The onset of immediate, severe pain and a sudden inability to put weight on your foot
  • Swelling and bruising—Blueness, numbness, tenderness, and severe swelling may be evident.
  • Deformities—A protruding bone, with cuts and bleeding
  • Shoe removal problems—Can’t get your shoe on or off easily due to pain and swelling

While the symptoms of something small like a broken toe may not be extremely painful, a broken heel bone can be very painful and put you on the sidelines immediately. If you are experiencing severe pain that makes it difficult or impossible to walk, you should see a foot care professional immediately and have the injury evaluated with an x-ray or other diagnostic scans to determine the extent of the damage.

Before making an appointment with your foot doctor, you should do everything possible to decrease pain and swelling and also to immobilize the foot with a splint if necessary. Keep the foot elevated and stabilized, and apply ice to reduce pain and swelling. Ibuprofen or other over the counter pain reliever can be taken to reduce inflammation and discomfort.

If you are concerned about a possible broken bone, or other foot or ankle problem, schedule an appointment with the Foot First Podiatry Center in New Albany, IN. Our highly qualified podiatrist Zahid Ladha, D.P.M. is dedicated to providing the best diagnostic care and medical treatment for you and your feet. Contact us at (812) 945-9221 and schedule an appointment today!

 

By Foot First Podiatry Center
January 16, 2018
Tags: Injury   Achilles tendon  

The Achilles tendon is by far the largest tendon in your body. You will recognize it as the very thick, cord-like tendon that connects the muscles in the back of your calf to your heel bone. Overstretching your Achilles tendon frequently occurs while one is participating in high-stress sports such as lacrosse, tennis, basketball, and soccer. Stretching the tendon past normal range can cause it to tear or even completely break, which is often accompanied with a cringe-inducing snap, and the maddening inability to walk normally. With the severe pain and swelling you are experiencing around your heel, it can be hard to concentrate on anything else.

A severe injury to your Achilles tendon will usually have the following symptoms:

●      A loud popping sound of the tendon breaking or tearing that foretells the pain to follow

●      Inability to walk normally or bend your foot properly

●      Intense pain and swelling in your heel area

●      Difficulty standing on your toes

Should you experience the onset of these sudden symptoms, it is important to seek the care of a foot care professional right away to avoid creating more damage and to get on the best path to healing your heel injury. Conservative measures involving the RICE method of rest, icing, compression, and elevation will provide relief for a minor injury to the tendon. For major injuries, or if the tendon is actually torn, it will be necessary to reattach it to the heel using a surgical procedure.

If you are concerned about an Achilles tendon injury, or other foot or ankle problem, schedule an appointment with the Foot First Podiatry Center in New Albany, IN. Our highly qualified podiatrist Dr. Zahid Ladha is dedicated to providing the best diagnostic care and individualized medical treatment for you and your feet. Contact us at (812) 945-9221 and schedule an appointment today!





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