Gout is a painful form of arthritis that develops when too much uric acid builds up in the body. Uric acid is a natural waste product that usually leaves the body through the kidneys. When levels become too high, tiny crystals can collect inside a joint and trigger sudden pain, swelling, and redness. The joint at the base of the big toe is affected most often, although gout can also involve the ankle. A flare-up can begin without warning and cause pain that disturbs sleep or limits normal daily activities. Without proper treatment, repeated attacks can damage the affected joint and reduce comfort while walking.

Several factors increase the risk of gout. These include a family history of the condition, excess body weight, and certain medical conditions. A diet that is high in purines also raises uric acid levels. Purines are natural substances found in foods like anchovies, bacon, and sardines. Beer and other alcoholic drinks can also increase the chance of painful gout flares. A podiatrist can examine the affected foot, review your medical history, and order imaging or laboratory testing when appropriate. Gout symptoms can resemble those of an infection or another type of arthritis. For that reason, identifying the true cause allows treatment to begin promptly.

Treatment focuses on reducing inflammation, protecting the affected joint, and lowering the chance of future attacks. A podiatrist can recommend a treatment plan and work with other healthcare providers when additional medical management is needed. Regular follow-up visits help monitor joint health and evaluate your progress. Patients also benefit from guidance about healthy eating patterns, weight management, and limiting foods and drinks that increase uric acid levels. These steps can reduce the frequency of gout attacks and help protect the joints from lasting damage. If you have symptoms of gout, it is suggested that you schedule an appointment with a podiatrist for effective relief tips and help in managing this chronic condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from The Foot Center. 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 Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tarsal tunnel syndrome develops when the posterior tibial nerve becomes compressed near the inner ankle. It is similar to carpal tunnel syndrome in the wrist.  The affected nerve plays a key role in sensation and movement within the foot. When pressure builds inside the tarsal tunnel, it disrupts normal nerve function and leads to discomfort. The condition may develop gradually, making it easy to overlook in its early stages. Understanding how it feels and what contributes to it can help individuals seek care at the right time.

Many people with this condition report a burning or tingling sensation that travels along the inside of the ankle into the arch of the foot. Some describe sharp pain that worsens with activity and improves with rest. Others may feel numbness or a pins-and-needles sensation that becomes more noticeable at night. The discomfort can vary in intensity, but it often interferes with walking, standing, or exercise. Over time, the symptoms may become more persistent and difficult to ignore.

The causes of tarsal tunnel syndrome are often related to pressure or structural changes in the foot. Flat feet are a common factor because they alter foot mechanics and increase strain on the nerve. Swelling from injuries, tendon inflammation, or joint conditions can also narrow the tunnel space. Risk factors include obesity, repetitive stress, prolonged standing, and wearing poorly fitting shoes. Certain medical conditions, including diabetes and arthritis, may further increase the likelihood of nerve compression.

Managing this condition requires a clear understanding of its cause and severity. Early treatment may include rest, wearing supportive footwear, and custom orthotics to reduce pressure. In more advanced cases, medical intervention may be necessary to prevent long-term nerve damage. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of The Foot Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Golf places repeated stress on the feet and ankles because each swing requires twisting, pivoting, and shifting body weight. A long round means steps on grass, hills, and uneven ground. These movements can lead to heel pain, ball-of-foot pain, or soreness under the big toe joint. Heel pain can feel sharp with the first steps in the morning. Pain in the ball of the foot can feel like burning or aching beneath the toes. Pain under the big toe can make it hard to push off during the golf swing or while walking.

Golf can also irritate the back of the heel, the toes, and the side of the ankle. Pain behind the heel can come from strain on the strong tendon that connects the calf to the heel. This pain can worsen when walking uphill or standing for long periods. Some golfers feel sharp pain, tingling, or numbness between the toes when pressure irritates a nerve. Existing bunions can also become more painful from the sideways force of the swing. An ankle sprain can occur when the foot slips, rolls, or twists on uneven ground.

A podiatrist can examine the foot and ankle to find the cause of pain. X-rays and other imaging can help show whether a bone, joint, or soft tissue is injured. Treatment options include supportive shoes, custom orthotics, and bracing to reduce pressure on painful areas. A walking boot can help protect against serious injuries while healing takes place. Anti-inflammatory care can reduce swelling and soreness. A podiatrist can recommend stretching and strengthening exercises to improve balance and foot control. Early treatment can help golfers return to the course with less pain. If you have foot pain after playing golf, it is suggested that you make an appointment with a podiatrist for an exam and treatment options.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with one of our podiatrists from The Foot Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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