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July 2018

Hammertoe may often be the result of a muscle imbalance in the toes. It is typically a painful and uncomfortable foot condition and is generally caused by wearing poorly fitting shoes or an inherited trait. If high heels are frequently worn, the toes may be crammed into an area that may be too small for the toes to move about in. When this happens, the toes may be forced into a flexed position for long periods of a time. If this condition is not treated promptly, they may permanently remain in a bent position, which may require surgery to repair. Additionally, a toe that has been stubbed or broken may be a cause of hammertoe. Other foot conditions such as corns and calluses may develop on top of the toes as a result of hammertoe. If you feel you have hammertoe, it is strongly suggested to speak to a podiatrist who can suggest proper techniques for a successful treatment.

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of Jill Einhorn, DPM and James Einhorn, DPM. Our doctors 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 offices located in Brooklyn and Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What Are Hammertoes?
Thursday, 05 July 2018 00:00

Before you start dancing...

 

Gout is caused by an excess of uric acid that typically collects in the joints of the big toe. This commonly causes severe pain as a result of the inflammation around the big toe and surrounding areas. The majority of people who are afflicted with gout have a condition that is referred to as under-excretors, which is the inability to eliminate excess uric crystals from the urine. People who may be affected with this are diabetics and patients who may be obese or have heart disease. When certain types of foods are ingested, gout attacks may be more likely to occur. These may include shellfish, red meat or excessive alcohol. In severe and frequent gout attacks, small crystals may form in the kidneys, which may gradually increase in size to become kidney stones. If you have pain in your big toe and it appears to be red and tender, you may be experiencing a gout attack. It’s suggested to consult with a podiatrist as quickly as possible to discuss the best treatment options for you.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Jill Einhorn, DPM and James Einhorn, DPM. 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 offices located in Brooklyn and Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Everything You Need to Know About Gout
Monday, 02 July 2018 00:00

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

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