Gout and rheumatoid arthritis, also known as RA, are two distinct medical conditions that can affect joints in the feet and ankles, and they can be differentiated based on various factors. Gout is caused by the accumulation of uric acid crystals in the joints, usually due to an overproduction or under-excretion of uric acid. In contrast, RA is an autoimmune disease where the body's immune system mistakenly attacks its own joints, leading to inflammation. The symptoms of gout and RA also vary. Gout typically presents with sudden and intense pain in one joint, often the big toe, along with redness and swelling. RA, on the other hand, typically affects multiple joints symmetrically and causes chronic pain, morning stiffness, and joint deformities over time. Laboratory tests can help distinguish between the two conditions. Elevated levels of uric acid in the blood or the presence of uric acid crystals in joint fluid are indicative of gout. RA is characterized by the presence of specific auto-antibodies, like rheumatoid factor and anti-cyclic citrullinated peptide antibodies. If you have pain in your foot or ankle joints, it is suggested that you schedule an appointment with a podiatrist for proper testing and a diagnosis so that the right treatment can be administered.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Queen Mbanuzue, DPM from In Step Podiatry Center. Our doctor 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 office located in Lanham, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Mobility aids play an important role in falls prevention, especially for elderly individuals who may be at risk of having balance issues. Walking aids, such as canes or wheeled walkers, offer valuable support and enhance stability. Determining the appropriate mobility aid for a patient can be done through simple assessments. One effective test involves offering a hand for support while the patient walks. If they benefit from this assistance, it may indicate that a cane would be suitable. Alternatively, if they prefer using two hands or rely on a grocery cart while shopping, a wheeled walker may be a better choice. If you or someone you care for is at an increased risk for falling it is suggested that you contact a podiatrist to discuss how mobility aids can help.

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 Queen Mbanuzue, DPM from In Step Podiatry Center. Our doctor 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 office located in Lanham, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pregnancy, with its myriad changes, often brings about discomfort, and foot pain is a common concern for many expectant mothers. Fortunately, several strategies can help alleviate this discomfort. Opting for comfortable, supportive footwear is vital, as the body undergoes weight changes that can impact foot structure. Regularly elevating the feet, especially after extended periods of standing, can help to reduce swelling and promote better circulation. Gentle stretching exercises, such as ankle circles and toe flexes, can offer relief and maintain flexibility. Adequate hydration is essential to prevent water retention, a common contributor to foot swelling. Cold compresses or foot massages may provide soothing relief while maintaining a healthy weight. Engaging in low-impact exercises, like swimming, can alleviate pressure on the feet. Regular prenatal checkups ensure any underlying conditions that contribute to foot pain are addressed promptly. If you are experiencing foot pain during your pregnancy, it is suggested that you confer with a podiatrist who can offer you effective relief techniques.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Queen Mbanuzue, DPM from In Step Podiatry Center. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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

It is a common misconception that heel spurs are the primary cause of heel pain. In reality, heel spurs, which are bony projections on the heel bone, are often found by having an X-ray taken, and cause pain in only 5 percent of individuals with them. The majority of heel pain is generally due to plantar fasciitis, an inflammation of the plantar fascia tissue which stretches from the heel to the toes. While many individuals with plantar fasciitis also have heel spurs, the pain is typically from the damaged plantar fascia, not the spurs themselves. Heel spur syndrome and plantar fasciitis share similar risk factors, like athletic stress, obesity, calf tightness, high arches, and possibly osteoarthritis. Both conditions often respond to non-surgical treatments, including rest, footwear changes, and stretching. If these do not work, injections or plantar fasciotomy surgery might be recommended, though the heel spur is typically not removed during surgery. If you have heel pain, it is strongly suggested that you make an appointment with a podiatrist for a proper diagnosis and correct treatment methods.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Queen Mbanuzue, DPM from In Step Podiatry Center. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

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

Hammertoe is a prevalent and often uncomfortable foot deformity that affects the toes, typically the second, third, or fourth toes. The condition gets its name from the toe's appearance, as the affected toe tends to bend or contract at the middle joint, resembling a hammer. Hammertoes can result from various causes, including wearing poorly fitting footwear that squeezes the toes and forces them into an unnatural position. High heels, in particular, are known culprits. Hammertoe can also be caused by an imbalance in the muscles, tendons, or ligaments that control the toe's movement, leading to an abnormal bend. Some individuals may have a genetic predisposition to the condition. Arthritis, injury, or nerve damage can also contribute to the development of hammertoes. The deformity can lead to discomfort, corns, calluses, or open sores due to friction with shoes. Early intervention is essential, and conservative treatments may be successful. In severe cases, surgery may be necessary to straighten the affected toe. If you have developed hammertoe, it is suggested that you visit a podiatrist who can determine its severity, followed by choosing the best course of treatment for you.

Hammertoes can be a painful condition to live with. For more information, contact Queen Mbanuzue, DPM of In Step Podiatry Center. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

Heel pain can come from many different things. The area of the heel that is painful can give clues about the cause. The most frequent cause of heel pain is plantar fasciitis, which is characterized by sharp pain on the bottom of the heel when standing after sitting or lying down. Heel pain can also come from a crack in the heel bone, if one has been more active or walked on hard ground. Pain at the back of the heel can arise from problems with the Achilles tendon, or, if the tendon at another spot is hurting, that is where the pain will be. A bony bump on the heel that causes swelling or pain can also cause back of heel pain. If the inside part of the foot hurts after standing for a long time, it may indicate a nerve is being compressed. Additionally, if the outside part of the foot hurts or feels wobbly, especially when active or on rough ground, it could be sinus tarsi syndrome. If you have any kind of heel pain, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment plan.

Many people suffer from bouts of heel pain. For more information, contact Queen Mbanuzue, DPM of In Step Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

The ankle is a complex joint consisting of the subtalar joint, tibiotalar joint, and distal tibiofibular joint. It relies on ligaments to prevent excessive movement and ensure stability. When these ligaments become compromised, ankle surgery may be an option. In such cases, anatomical reconstruction is the preferred approach for repairing damaged ankle ligaments. This procedure aims to restore torn or stretched ligaments and can use either the patient's own tissue or a cadaver tendon, depending on the ligament's condition. During anatomical reconstruction, an ankle surgeon may also tighten the fibrous tissue band to improve ankle alignment and prevent future injuries. In contrast, peroneal substitution ligament reconstruction involves replacing the damaged ligament with another tendon harvested from the patient's ankle. While a viable option, it is generally considered less effective than anatomical reconstruction. Recovery times for both procedures are roughly six weeks, but it may be much longer before you can safely resume sports activities. The choice of surgery should be made in consultation with a podiatrist who is a qualified foot and ankle surgeon. This foot doctor will tailor the surgery to your specific needs and follow with thorough post-operative care and rehabilitation. If you have severely injured your ankle, it is suggested that you make an appointment with a podiatrist as quickly as possible.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Queen Mbanuzue, DPM of In Step Podiatry Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Nerve pain in the feet, commonly known as neuralgia, often results from irritation of the nerves between the toe bones, leading to nerve enlargement and neuroma formation. This discomfort can be attributed to various factors, including wearing ill-fitting shoes, diminished fat padding around the nerves, poor foot posture, and structural abnormalities. Women are more susceptible to neuromas. Diagnosis relies on clinical evaluation and patient symptom description since imaging techniques such as X-rays, MRIs, and ultrasonography are used mainly to exclude other conditions. Treatment options include corticosteroid injections into the affected area to reduce inflammation and pain. In some instances, cryotherapy, which involves the application of extreme cold, can help numb the nerves and reduce discomfort. Wearing custom orthotic devices may provide added support and evenly distribute the weight across the foot, reducing nerve irritation and improving the patient's quality of life. For effective treatment options for nerve pain in the feet, it is suggested that you make an appointment with a podiatrist.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Queen Mbanuzue, DPM from In Step Podiatry Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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