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May 2025
Tuesday, 27 May 2025 00:00
Gout
Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.
Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.
People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.
Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.
Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.
To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.
Tuesday, 27 May 2025 00:00
Gout and Its Link to Kidney Disease
Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints, leading to sudden and severe pain, swelling, and redness. The big toe is often affected, and may be so painful that even the weight of a bed sheet can be unbearable. Acute gout refers to the sudden onset of intense symptoms, usually affecting one joint, most commonly the big toe. These episodes may last several days before subsiding. Chronic gout develops when uric acid levels remain elevated over time, leading to frequent flare-ups, joint damage, and the formation of hard deposits called tophi. Kidney disease is closely connected to gout because the kidneys are responsible for filtering uric acid from the blood. When kidney function declines, uric acid can accumulate, increasing the risk of gout. Similarly, chronic gout may contribute to kidney damage over time, creating a cycle that worsens both conditions. If you have symptoms of gout, it is strongly suggested that you include a podiatrist on your care team who can help you to manage this painful condition.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Chukwuma Ukata, DPM from Advanced Carolina Foot and Ankle Center. 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 Garner, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Tuesday, 20 May 2025 00:00
Rare Foot Conditions
A podiatrist will be able to address a variety of rare foot conditions, particularly the ones that affect children. The most common are Kohler’s disease, Maffucci syndrome, and Freiberg’s disease. They can be properly diagnosed by having an X-ray taken, but in more serious cases an MRI may be needed. Kohler’s disease generally affects younger boys and bone deterioration may result from an interruption of blood supply. Children who have Kohler’s disease may find relief when the affected foot is rested, and a special boot is worn. Benign growths in the long bones of a child’s foot may lead to the development of bone lesions, and this is known as Maffucci syndrome. People who have this condition find mild relief when custom-made orthotics are worn. Freiberg’s disease targets the ball of the foot and can typically affect pre-teen and teenage girls. The metatarsal bone becomes deteriorated and flattened, and common symptoms include swelling and stiffness. A cast is often necessary to wear with this disease as it can help to reduce existing pain. Erythromelalgia is a rare foot condition, and its cause is unknown. Symptoms of this disease can include intense burning pain and the feet may appear red or feel warm. Relief may be found when the affected foot is immersed in ice water. It can also be beneficial to elevate the foot frequently. If your child complains of foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rare foot conditions.
Tuesday, 20 May 2025 00:00
What Is Charcot-Marie-Tooth Disease?
Charcot-Marie-Tooth disease is a rare inherited disorder that affects the peripheral nerves, which are responsible for controlling muscles and relaying sensory information. This condition gradually damages the nerves, often leading to muscle weakness and decreased sensation in the feet and lower legs. People with Charcot-Marie-Tooth may develop high arches, curled toes, and an abnormal gait due to the weakening of foot and leg muscles. Over time, the condition can result in balance issues, foot deformities, and difficulty walking. Symptoms often begin in childhood or early adulthood and typically progress slowly. While there is no cure, treatment options like custom orthotics and supportive footwear can help manage discomfort and improve mobility for those living with this lifelong condition. If you have this condition, it is suggested that you are under the care of a podiatrist who can help you to manage Charcot-Marie-Tooth disease.
Some foot conditions may require additional professional care. If you have any concerns, contact Chukwuma Ukata, DPM of Advanced Carolina Foot and Ankle Center. 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 Garner, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Tuesday, 13 May 2025 00:00
Foot Surgery
In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.
The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.
While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.
Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries.
Tuesday, 13 May 2025 00:00
Surgical Options for Treating Flat Feet
Foot surgery for flat feet may be recommended when conservative treatments do not relieve pain or restore function. One common procedure, termed medial displacement calcaneal osteotomy, involves shifting the heel bone inward to improve foot alignment and support the arch. Lateral column lengthening is another technique that adds bone to the outer side of the foot, helping to restore proper structure and reduce flattening. The flexor digitorum longus transfer uses a nearby tendon to support the arch by reinforcing the weakened or damaged posterior tibial tendon. Each of these surgical methods aims to correct deformity, improve stability, and reduce pain. Recovery typically involves rest, rehabilitation, and a gradual return to activity. A podiatrist can determine the best approach based on the severity and cause of flat feet. If you have flat feet and are experiencing chronic discomfort, it is suggested that you contact a podiatrist who can help you determine if surgery is right for you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Chukwuma Ukata, DPM of Advanced Carolina Foot and Ankle 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 Garner, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Sunday, 11 May 2025 00:00
Wounds That Don't Heal Need to Be Checked
Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.
Tuesday, 06 May 2025 00:00
Treating Toenail Fungus
Fungal infection of the toenail, or onychomycosis, typically appears as a gradual change in a toenail’s texture and color that involves brittleness and darkening. The fungal infection itself occurs beneath the surface of the nail. Aside from discoloration, other symptoms include the collection of debris beneath the nail plate, white marks on the nail plate, and a foul odor emanating from the nail. If ignored, the infection can spread into other nails and the skin; in severe cases, it can hinder one’s ability to work or walk.
The toenails are particularly vulnerable to contracting infection in moist environments where people are likely to be walking barefoot, such as around swimming pools, public showers, and locker rooms. Fungal infection may also be more likely to occur in nail beds that have been injured, and sufferers of chronic diseases such as diabetes, circulatory problems, or immunodeficiency conditions are particularly prone to developing fungal nails.
Fungal nails can be primarily prevented by practicing proper hygiene and regularly examining the feet and toes. Carefully washing the feet with soap and water and thoroughly drying the feet afterwards are essential. Other tips include wearing shower shoes in public areas, changing shoes and socks daily, keeping toenails clipped at a short length, wearing breathable shoes that fit properly, wearing moisture-wicking socks, and disinfecting home pedicure tools and instruments used to cut nails.
Fungal nail treatment may vary between patients and the severity of the condition. Your podiatrist may suggest a daily routine of cleansing that spans over a period of time to ease mild infections. Over-the-counter or prescription antifungal agents may also be prescribed, including topical and/or oral medications. Debridement, or the removal of diseased nail matter and debris, may also be performed. In more severe cases, surgical treatment may be needed. In some instances, the temporary removal of the fungal nail allows for the direct application of a topical antifungal to the nail bed. In other cases, a chronically painful fungal nail that has not responded to other treatments may be permanently removed; this allows the infection to be cured and avoids the growth of a deformed nail.
Tuesday, 06 May 2025 00:00
Treating Toenail Fungus With Creams and Devices
Fungal infections of the toenails can cause thickening, discoloration, and crumbling of the nail. While oral medications are sometimes used, many cases can be managed with topical or device-based treatments. Antifungal creams, gels, or medicated nail lacquers are applied directly to the nail and surrounding skin. These treatments work best when used consistently and in the early stages of infection. In addition to topical solutions, device-based options like laser therapy are becoming more common. Lasers target the fungus beneath the nail without damaging surrounding tissue, and are typically done in a podiatrist’s office. Another approach involves mechanical thinning or filing of the nail to help treatments penetrate deeper. Results can take several months, as toenails grow slowly. If you have a stubborn or worsening toenail infection, it is suggested that you see a podiatrist for a diagnosis and treatment that is right for you.
For more information about treatment, contact Chukwuma Ukata, DPM of Advanced Carolina Foot and Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please feel free to contact our office located in Garner, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
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