When Surgery Is Needed for Gout

When gout in the feet becomes painful, surgery can be necessary to protect joint function. Repeated flares can lead to chronic tophaceous gout, a stage where tophi develop. Tophi are deposits made of uric acid crystals that collect around toes and joints, placing pressure on skin, nerves, and bone. Gout surgery is considered when tophi leak, become infected, cause severe pain, or interfere with walking or wearing shoes with inadequate support. Procedures include removing tophi or crystals to reduce pressure, or fusing small foot joints to control pain and instability. A podiatrist evaluates imaging, circulation, and nerve involvement to determine if surgery is appropriate and to plan care focused on long-term foot health. If you are experiencing chronic gout symptoms, it is suggested that you make an appointment with a podiatrist for a diagnosis and options for advanced treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Comprehensive Footcare Clinic - Hawaii. 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 our office located in Honolulu, HI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Diabetic Amyotrophy and Its Effects on the Body

Diabetic amyotrophy is a rare nerve and muscle condition linked to diabetes that mainly affects the hips, thighs, and legs. Unlike diabetic neuropathy, it involves sudden nerve inflammation and rapid muscle weakness rather than a slow loss of feeling in the feet. Symptoms often include severe pain, increasing weakness, and areas of numbness, along with unexpected stomach pain and noticeable weight loss. As the condition progresses, some individuals may develop foot drop, which is difficulty lifting the front of the foot while walking. Foot drop can disrupt gait, reduce balance, and increase the risk of tripping or falling. Recovery can be gradual and usually requires coordinated medical care. A podiatrist can help by monitoring lower limb strength, evaluating walking patterns, improving foot and ankle stability, and recommending supportive footwear or bracing. If you have diabetes and experience sudden foot weakness, pain, or mobility changes, it is suggested that you consult a podiatrist who can help you to manage this condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Comprehensive Footcare Clinic - Hawaii. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

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We Can Treat Your Foot or Ankle Pain

Foot or ankle pain can negatively affect your day-to-day life and can occur due to several different conditions. Pain can also be an indicator of a more serious underlying condition, which is why you should seek professional help as soon as you notice any abnormalities in your feet.

Pain in the Front of the Ankle

Pain in the front of the ankle can develop when bone spurs or inflamed soft tissue create pressure where the tibia and talus bones meet. This leads to a pinching feeling as the ankle bends upward while walking or climbing. Such pressure often increases after repeated sprains, frequent forward-leaning movements, or long-term strain from activities like soccer or dancing. People may notice discomfort when walking uphill, rising from a squat, or moving the ankle toward the shin. An X-ray can show bony growths that limit motion, while an MRI scan can reveal swelling or scarring in the front of the joint. A podiatrist can evaluate ankle alignment, review imaging, provide shoe inserts for added support, and discuss surgery when needed to remove spurs and improve mobility. If you have pain in the front of your ankle, it is suggested that you schedule an appointment with a podiatrist for a full exam and options for treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from Comprehensive Footcare Clinic - Hawaii. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Honolulu, HI . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Reasons to Have Ingrown Toenail Removal Surgery

Ingrown toenail removal surgery is a simple procedure performed when the edge of a toenail grows into the surrounding skin and causes pain, swelling, or infection. It is needed when home care no longer helps, or when the condition keeps returning. During the procedure the podiatrist removes the offending nail edge and may treat the nail root to prevent it from growing back into the skin. Recovery is usually smooth with gentle wound care, clean dressings, and keeping pressure off the toe while it heals. A podiatrist guides every step to ensure comfort and prevent future problems. If you are struggling with persistent toenail pain or see signs of an infection, it is strongly suggested that you consult a podiatrist who can discuss the benefits of ingrown toenail surgery with you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Comprehensive Footcare Clinic - Hawaii. Our doctors 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 Honolulu, HI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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