Gout is a form of arthritis resulting in severe pain that can happen suddenly, along with swelling, and tenderness in joints, and often starts with the big toe. This condition occurs when urate crystals accumulate in the joints due to high levels of uric acid in the blood. The pain typically peaks within a few hours and can be accompanied by warmth and redness around the affected joint. Gout attacks can occur suddenly, often waking individuals from sleep with intense discomfort. Recurrent gout episodes can lead to joint damage and deformities, if left untreated. Besides the big toe, gout can affect other joints such as ankles, knees, elbows, wrists, and fingers. Managing gout involves lifestyle changes like reducing purine-rich foods and alcohol consumption, along with medications to lower uric acid levels and prevent future attacks. If you have excruciating pain in your big toe, it is strongly suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Michael D. Garvin from Florida. 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 Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle replacement surgery, or ankle arthroplasty, is a surgical option for those with severe ankle joint damage, often resulting from osteoarthritis, rheumatoid arthritis, or significant fractures. This procedure involves replacing the damaged bones in the ankle joint with prosthetics, to restore function and reduce pain. Ankle replacement surgery includes making an incision to access the joint, repositioning blood vessels, nerves, and tendons, and then removing and reshaping the damaged bones to fit the artificial joint. Full recovery may take as long as six months. It begins by keeping the leg elevated and possibly remaining in the hospital for up to a week, as the healing process begins. Though the prognosis is generally positive, with many ankle replacements lasting over a decade, potential risks can include infection, blood clots, nerve damage, and prosthetic failure. If you have severe ankle problems, it is suggested that you schedule an appointment with a podiatrist to find out if ankle replacement is an option for you.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Dr. Michael D. Garvin from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

If you have any questions, please feel free to contact our offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Incorporating targeted stretches and strengthening routines into your running regimen is a good way to maintain foot health and prevent injuries. Toe stretches involve gently pulling your toes back to stretch the muscles and ligaments along the sole of your foot and toes, promoting flexibility and reducing the risk of strains or cramps during runs. Plantar fascia stretching entails leaning forward to stretch the arch of your foot, to alleviate tension in the plantar fascia, which is a common source of heel pain in runners. Ankle alphabet exercises promote mobility and range of motion in the ankle joint by tracing the alphabet with your toes, helping to reduce the risk of ankle sprains or strains. The marble pickup exercise enhances the intrinsic muscles of the foot, improving their strength and coordination to prevent common running injuries such as metatarsalgia or Morton's neuroma. Incorporating these and other exercises into your routine strengthens your feet, reduces the risk of running-related injuries, and allows you to enjoy your runs with confidence and longevity. If you are experiencing persistent discomfort or have concerns about your foot health, it is suggested that you schedule an appointment with a podiatrist.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. Michael D. Garvin of Florida. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

If you have any questions, please feel free to contact our offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A sign a plantar fibroma has developed is a noticeable lump in the arch of the foot. If it becomes painful or uncomfortable, surgery may be considered. In plantar fibroma excision surgery, managing postoperative healing is critical. Closed incision negative pressure therapy, or CINPT, and surgical drain placement are two techniques used for this purpose. CINPT involves applying a sealed dressing connected to a vacuum pump, which continuously removes fluid and reduces edema, promoting faster healing and minimizing infection risk. This method maintains a sterile environment and can improve wound outcomes. On the other hand, surgical drain placement involves inserting a tube into the surgical site to remove fluid buildup. While effective in preventing hematoma or seroma formation, it requires careful monitoring and regular emptying. Drains can sometimes increase the risk of infection and discomfort. Choosing between CINPT and surgical drains depends on the specific needs of the patient and the podiatric surgeon’s preference, with CINPT often providing a more advanced and less invasive option for optimal healing. If you have a plantar fibroma that is causing you pain and discomfort, it is suggested that you consult a podiatrist who can determine which type of surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Michael D. Garvin of Florida. 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 offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Choosing the right hiking shoes is important for both comfort and safety on the trail. When picking your hiking footwear, focus on protection, comfort, and weight. Your shoes should protect your feet from cuts and environmental damage and prevent blisters even after long hikes. Lightweight shoes help to conserve energy, making each step easier. While high-cuff boots are thought to offer ankle support, they often don't make a significant difference and may increase the risk of ankle rolls. Experts suggest performing strengthening exercises as an effective way to improve ankle stability. Breathable shoes  allow your feet to dry quickly, which reduces the chance of blisters. Waterproof shoes can become heavy and waterlogged, making your hike more strenuous. Don’t overlook the importance of good socks. Seamless, cushioned wool socks are ideal, providing both durability and quick drying. Hiking shoes combine the best aspects of boots and trail runners, offering a balance of protection, comfort, and durability. They tend to last longer and provide the necessary support while being lighter and more flexible than traditional boots. If you experience foot pain after hiking, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Dr. Michael D. Garvin from Florida. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

If you have any questions, please feel free to contact our offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.