Gout is a form of arthritis caused by the buildup of uric acid crystals in the joints, most often affecting the big toe. It has long been called the disease of kings, due to its association with rich foods and indulgence. A gout attack can bring sudden, intense pain, swelling, and redness, making it difficult to walk or wear shoes. To help manage gout, it is best to avoid foods high in purines such as red meat, shellfish, and alcohol while choosing more fruits, vegetables, whole grains, and low fat dairy. A podiatrist can provide treatment for pain relief and guidance for prevention. If you are experiencing gout symptoms, it is suggested that you are under the care of a podiatrist who can help you with effective management and prevention tips. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Paula F. Angelini, DPM from Board Certified Foot Care. 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 offices located in Attleboro, Foxborough, Southborough, and Sudbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Chronic ankle instability is a condition where the ankle frequently gives way, especially during physical activity or walking on uneven surfaces. It often develops from recurrent ankle sprains, multiple ligament injuries, or even a first-time ankle sprain at a young age that did not heal properly. Symptoms may include persistent swelling, pain, and a feeling of weakness or looseness in the ankle. A podiatrist can help by assessing joint stability, taking radiographic images, prescribing strengthening exercises, fitting supportive orthotics, and providing treatments to improve balance and prevent future injuries. If chronic ankle instability is limiting your mobility or causing repeated sprains, it is suggested that you consult a podiatrist who can help you to manage this condition.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Paula F. Angelini, DPM from Board Certified Foot Care. Our doctor 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 tendinitis
• Achilles tendon rupture
• Stress fractures
• 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 offices located in Attleboro, Foxborough, Southborough, and Sudbury, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, causing pain, swelling, and sometimes infection. It most commonly affects the big toe and can result from improper nail trimming, wearing tight footwear, genetics, or injury. Symptoms include redness, tenderness, and drainage. Risk factors include curved nails, poor foot hygiene, and repetitive pressure on the toes. If left untreated, the condition can worsen and lead to serious complications. A podiatrist can safely remove the ingrown portion of the nail, relieve pain, and provide guidance to prevent recurrence. If you notice signs of an ingrown toenail, it is suggested that you promptly schedule a visit with a podiatrist who can effectively treat this condition, which may include minor surgery. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Paula F. Angelini, DPM of Board Certified Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions, please feel free to contact our offices located in Attleboro, Foxborough, Southborough, and Sudbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.