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Tuesday, 21 November 2023 00:00

How Gout Affects Older Women

Gout, which is typically associated with men, can also affect women. Characterized by sudden, intense joint pain, swelling, and stiffness, this inflammatory condition primarily targets the feet and ankles in women. Symptoms of gout include redness, warmth, and limited mobility. Several factors contribute to gout in older women, including obesity, high blood pressure, and menopause, which heightens the risk. Menopausal hormonal changes disrupt uric acid balance, rendering women more susceptible to gout flares. Medication such as diuretics, commonly prescribed for high blood pressure, also may elevate uric acid levels, further affecting women. Postmenopausal women face an increased risk due to hormonal shifts. As estrogen declines during menopause, the risk of gout rises. Recognizing this connection is important for monitoring signs of gout in older women. Effective gout management in women includes implementing dietary modifications to reduce purine rich foods, in addition to weight maintenance and proper hydration. A podiatrist may prescribe certain medications that can help control uric acid levels. Gout's impact on women, particularly those who are postmenopausal, calls for some level of proactive measures. For more information about how to manage gout, it is suggested that you make an appointment with a podiatrist. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Janet Leicht from New Jersey. 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 Berkeley Heights, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 21 November 2023 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.

Wednesday, 15 November 2023 00:00

Common Causes of Blisters on the Feet

Your feet support your entire body weight and endure constant friction from the size and fit of your footwear. Over time, this stress can lead to the formation of fluid-filled sacs beneath the skin, resulting in painful foot blisters. Foot blisters are often caused by shoes that are either too loose or too tight. They can rub against your skin, causing friction that leads to blister formation. The irritation from an ill-fitting shoe can create a blister in no time, particularly if you're on your feet for an extended period. Engaging in strenuous activities like athletics, running, or hiking can subject your feet to excessive stress and friction. These repetitive movements and the impact of your feet against hard surfaces can create the perfect conditions for blisters to form. In addition, diabetics, especially those experiencing neuropathy, are more at risk of developing recurring sores that resemble burn blisters on the top of the feet. Preventing foot blisters often comes down to choosing appropriate footwear, maintaining good foot hygiene, and avoiding excessive friction. If you have problems with blisters on the feet, it is suggested that you make an appointment with a podiatrist.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dr. Janet Leicht of New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

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Wednesday, 15 November 2023 00:00

Blisters

Blisters are small pockets of fluid that occur on the top layers of the skin for several reasons. Friction, burns, and diseases are all known causes of blisters.  Smaller blisters are known as vesicles, while larger blisters are referred to as bulla. The fluid inside the bubble can be blood, pus, or serum; which is a clear liquid that protects the skin. In most cases, blisters are not a major health issue, but they can be an indicator of a more serious condition.  

Causes of blisters vary. Blisters are commonly caused by wearing poorly fitted shoes that rub against the foot. However, there are many other causes besides from friction; including burns, sunburn, insect bites, frostbite, poison ivy/oak, chemical exposure, impetigo, eczema, viral infections, and more.

Most blisters heal by themselves and do not require immediate medical care. If you have a blister, do not pop it since this may cause infection; it is advised to put a bandage over the blister to protect it. If the blister is large, causes pain, or if you have a fever, it is recommended that you see a doctor who can provide proper care. Blisters are easy to diagnose, and if considered prudent by the doctor, can easily be drained of fluid with a sterile needle as well.

To prevent blisters on the feet, wear shoes that fit properly and don’t cause rubbing. Socks can help prevent friction and it is recommended that you wear them if you are wearing shoes. Hand blisters can be avoided by wearing gloves during activities that cause friction against the hand. If you have a blister that pops, do not remove the dead skin, wash the area, apply antibiotic ointment, and cover with a bandage. It is okay in most cases to not seek immediate medical care for a blister if it was just caused by friction. However, if the blister causes pain or does not go away, it is suggested that you see a doctor for a diagnosis.

Tuesday, 14 November 2023 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Tuesday, 07 November 2023 00:00

Types of Toe Fractures

Toe fractures can cause significant discomfort and restrict your ability to carry out everyday activities, including wearing shoes and walking comfortably. There are various types of toe fractures, each requiring different levels of medical intervention. One type is the non-displaced fracture, where the toe's shape and position remain unchanged. On the other hand, there is the crush fracture, which occurs when extreme pressure crushes the bone. This injury can often be observed among weightlifters who accidentally drop heavy dumbbells on their toes. Crush fractures can be particularly perilous, especially if they result in damage to the skin, as this increases the risk of concurrent skin and bone infections. Another category is the displaced fracture, where the fracture alters the toe's position or shape. In such cases, medical attention is typically needed to realign and stabilize the bone. The type of toe fracture will determine the appropriate course of action. If you have broken a toe, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment for realignment and prevention of complications.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Dr. Janet Leicht from New Jersey. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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

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Tuesday, 07 November 2023 00:00

What to Know About a Broken Toe

Trauma to the foot, especially the toes, can occur in many ways. Banging them, stubbing them, or dropping something on them are a few different ways this trauma can occur. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break or fracture. Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, or when there is an open, bleeding wound present on the toe.

Generally, a minor toe break will heal without long-term complications. However, it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe and immediately get a splint or cast to prevent any more additional movement of the toe bones. You can also immobilize your toe by placing a small cotton ball between the injured toe and the toe beside it. Then, tape the two toes together with medical tape. Swelling can be alleviated by placing an ice pack on the broken toe directly as well as elevating your feet above your head.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery, especially when the big toe has been broken. Due to its position and the pressure the big toe endures with daily activity, future complications can occur if it is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications. Prescription pain killers may be necessary for severe toe fractures.

The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. You should immediately speak with your podiatrist if you think you have broken your toe due to trauma. They will be able to diagnose the injury and recommend the appropriate treatment options. 

Tuesday, 31 October 2023 00:00

A Deeper Look at Adult Heel Fissures

Heel fissures, also known as cracked heels, are a prevalent foot issue among adults, and they can be both painful and unsightly. These fissures appear as dry, flaky skin, and are often accompanied by deep, painful cracks on the heels. Several factors contribute to the development of heel fissures. One of the primary culprits is dry skin, typically caused by environmental conditions, such as low humidity or excessive heat, which can lead to the loss of natural skin moisture. Walking barefoot, particularly on hard surfaces, can also increase the risk of developing heel fissures. Additionally, underlying health conditions, like diabetes or thyroid disorders, can affect skin health, making individuals more susceptible to these conditions. If heel fissures become severe, it is suggested that you consult a podiatrist to rule out underlying health issues, in addition to receiving appropriate treatment options. 

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Dr. Janet Leicht from New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

  • Invest in a good foot cream
  • Try Using Petroleum Jelly
  • Ease up on Soaps
  • Drink Plenty of Water

Ways to Prevent Cracked Heels

  • Moisturize After Showering
  • Skip a Shower
  • Keep Shower Water Lukewarm
  • Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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

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Tuesday, 31 October 2023 00:00

Solutions for Cracked Heels

Cracked heels can make life very frustrating and embarrassing when displaying the bare feet. Aside from being unpleasing to the eye, they can also tear stockings and socks and wear out shoes at a faster rate. When severe, cracked heels may cause pain or infection.

Cracked heels are a problem for those who are athletic, those who may walk a lot, and those who have especially dry skin. Those who use medication that dry the skin, those who swim often, wearing certain types of shoes, and those who are diabetic may have trouble with cracked heels. Seniors whose skin produces less oil may also have trouble with cracked feet. There is no one way to develop cracked feet, and there is no cure.

Today, the market consists of numerous products that have a variety of ingredients to promote healing. Some of these are over-the-counter. Others are prescribed by a doctor, especially for those who have chronic dry feet and heels.

Some doctors recommend wearing socks at night for those with rough skin. This helps further healing, and helps creams stay on longer and better absorb into the skin.

One way to alleviate dryness that causes cracked heels is by using moisturizers both day and night. Another way is to make sure the skin is clean and dry at all times. Using a pumice stone to buff away dead skin before putting on moisturizer can also help. Cracked heels will not respond to the cream unless the outer layer of skin is first removed through exfoliation. After exfoliation, lotion or ointment will be absorbed by the skin more easily.

Foods that produce healing and balance can also help the skin from within. Everything that is put into the body can either help it or hurt it. Taking supplements of omega-3 fatty acids and zinc can also be very beneficial.

Nevertheless, not all products are guaranteed to help treat cracked feet. Seeing a professional is best if other treatments options were unsuccessful. A podiatrist should be able to give the best advice to help with this problem.

Tuesday, 24 October 2023 00:00

Causes of Foot Stress Fractures

Foot stress fractures, though they can happen to anyone, often have identifiable causes and risk factors. One of the leading causes of stress fractures is a sudden increase in activity. This increase can encompass frequency, duration, or intensity. It is particularly common among athletes pushing their boundaries, like marathon runners who ramp up their mileage too quickly. Changing the surface upon which you exercise is another factor to consider. Transitioning from a soft, forgiving surface like an indoor track or turf to a harsh, unforgiving one like a concrete sidewalk can place undue stress on the bones of your feet. Improper technique is a hidden enemy, as it can stem from other foot conditions, like blisters or bunions. When people adjust their gait to avoid pain or discomfort, they may inadvertently place extra stress on certain bones in the foot. Footwear matters more than you might think. Ill-fitting, flimsy, stiff, or worn-out shoes can contribute significantly to the development of stress fractures. It's not just athletes who need to be aware because even non-athletes can experience these injuries after walking extensively on uneven terrain, common during vacations. For more information on dealing with foot stress fractures, it is suggested that you make an appointment with a podiatrist. 

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Janet Leicht from New Jersey. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

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