Gout is a painful form of arthritis that commonly affects the big toe, although it can impact the ankles and other joints as well. It occurs when uric acid builds up in the blood, forming sharp crystals that deposit in the joints. Common causes include a diet high in purines found in red meat, seafood, and alcohol, obesity, dehydration, and certain medications. Symptoms of gout include sudden, intense pain, swelling, and redness, often making the affected joint feel hot and tender. The pain can be excruciating, often starting at night and making movement or even the touch of a blanket unbearable. A podiatrist can help by diagnosing the condition, managing flare-ups with medications, and offering strategies for long-term relief. Treatment options include medication to lower uric acid levels, anti-inflammatory drugs, and lifestyle changes, such as a diet low in purines, staying hydrated, and maintaining a healthy weight. Custom orthotics may also relieve pressure during flare-ups. If you have this painful condition, it is suggested that you are under the care of a podiatrist.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Steven Ginex, DPM from Palm Desert Podiatry. 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 office located in Palm Desert, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis occurs when the thick band of tissue along the bottom of the foot, known as the plantar fascia, becomes irritated from repetitive stress. Plantar fasciitis commonly causes sharp heel pain, especially with the first steps after waking or standing up after a period of rest. Many patients describe the pain as stabbing, burning, or a persistent ache beneath the heel or along the arch. Swelling and redness may occur around the heel or arch, even if not always visible, and the area often feels tender to the touch. Stiffness in the feet, particularly in the morning, can make movement uncomfortable until the tissue warms up. People may also report discomfort in the foot arch or increased tightness by the end of the day due to prolonged standing, walking, or climbing stairs. In some cases, pain can extend into the Achilles tendon due to altered foot mechanics. A podiatrist can assess the severity of plantar fasciitis and recommend orthotic devices, imaging, medication, or surgery, when necessary. If you have heel pain that may be caused by plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Steven Ginex, DPM from Palm Desert Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

Toe pain can signal an underlying issue with how blood flows to and from the lower extremities. Because the toes are farthest from the heart, they are often affected first when circulation becomes compromised. Signs of poor circulation include coldness, color changes such as pale, bluish, or reddish tones, or swelling that worsens throughout the day. Some people notice numbness, tingling, or even pain during walking that subsides with rest, which can indicate restricted blood flow. Discoloration or thickened toenails, especially when accompanied by slow healing of minor cuts or sores, may also suggest poor circulation. People with diabetes are especially vulnerable, as nerve damage and vascular disease can reduce blood supply and increase the risk of infections or tissue damage. A podiatrist can conduct a thorough examination and order diagnostic testing to determine the cause. Treatment may involve medication, circulation assessments, or surgery, in more severe cases. If you are experiencing toe pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Steven Ginex, DPM of Palm Desert Podiatry. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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

Sever’s disease is a common cause of heel pain in growing children, especially those who are physically active. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress during periods of rapid bone development. The condition often affects children involved in running or jumping activities, as the heel bone grows faster than the surrounding muscles and tendons can stretch. Symptoms include heel pain during or after activity, tenderness, and difficulty walking or running. Pain may worsen with pressure on the back of the heel. Risk factors include participation in sports, poor footwear, tight calf muscles, and a recent growth spurt. If your active child has heel pain, it may be Sever’s disease, and it is suggested that you consult a podiatrist who can accurately diagnose and offer relief tips for this condition.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Steven Ginex, DPM from Palm Desert Podiatry. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Palm Desert, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

As people age, changes in foot structure and walking style can lead to common toe problems. Seniors with flat feet, or pes planus, may be more likely to develop hammertoes and overlapping toes due to the way pressure is distributed when walking. In contrast, high arches, called cavus foot posture, do not appear to be linked to these specific concerns. Older adults who have a pronated foot function, meaning their feet roll inward while walking, may face a higher risk of developing bunions and overlapping toes. Those with supinated feet, which roll outward, may be less likely to develop bunions and big toe stiffness. Since foot posture often changes with age, it is important for seniors to have their foot health checked regularly. Early recognition of abnormal patterns can help reduce discomfort and prevent future complications. If you are a senior experiencing foot or toe problems, it is suggested that you see a podiatrist for a proper diagnosis and treatment.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Steven Ginex, DPM from Palm Desert Podiatry. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our office located in Palm Desert, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.