May 2020
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231 E. Main Street
Lansdale, PA 19446
(215) 362-2220
Fax: (215) 362-5307
May 2020
Tuesday, 26 May 2020 00:00

What Is Gout?

The arthritic condition that is referred to as gout is known to cause severe pain and discomfort. It often impacts the joints in the big toe, and can be accompanied by redness and swelling. Many patients describe the pain as feeling like sharp pins between the joints, and this is caused by crystals that develop as a result of excess uric acid levels in the blood. This condition may also arise from eating foods that have high purine levels. These can include red meat, shellfish, and drinks that have large amounts of sugar. Additional reasons that can contribute to the onset of gout can consist of genetic factors, and medical conditions such as kidney stones. If you are afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can properly treat this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Rick L. Simon from Lansdale, Pennsylvania. 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 Lansdale, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Gout
Tuesday, 26 May 2020 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

Monday, 25 May 2020 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Monday, 18 May 2020 00:00

Do You Have Flat Feet?

Flat feet occur when the arches in your foot have not fully developed, and the entire sole of your foot touches the floor when standing up.  Flat feet can be caused by a variety of different things that include obesity, aging, or the simple lack of development during childhood. While this condition is very common, most people do not experience any symptoms. However, if you begin experiencing random foot pains, you should check with your doctor to see if you have flat feet. If you do have flat feet that cause you pain, a podiatrist can provide a variety of solutions that may include physical therapy, exercises and custom orthotics. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Rick L. Simon from Lansdale, Pennsylvania. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Read more about What is Flexible Flat Foot?
Monday, 18 May 2020 00:00

What is Flexible Flat Foot?

Flatfoot is classified as having the entire sole of the foot in contact or near contact to the ground while standing. The disorder is also known as fallen arches, because those affected have no arch in their feet. Flexible flatfoot and rigid flatfoot are the two types of flatfoot.

A person has flexible flatfoot if when sitting or standing on their toes, they have an arch that disappears when they stand with the entire foot on the ground. Flexible flatfoot may also be called “pediatric flatfoot” because the condition first appears in childhood. It is common among infants because the arch does not develop until the age of 5 or 6 years. Rigid flatfoot is not as common in children as it is with adults. This type of flatfoot is developed due to the weakening of tibialis posterior muscle tendon, a major supporting structure of the foot arch. Development of this deformity is progressive and shows early signs of pain and swelling that begins at the inside arch of the foot and moves to the outside of the foot below the ankle. More severe cases can possibly lead to arthritis of the foot and ankle joints.

Although most cases of flatfoot involve people born with the condition, some less common causes are obesity, diabetes, pregnancy, and osteoporosis. In some cases, flatfoot may come with no symptoms at all and does not require any type of treatment. With other cases though, symptoms may include pain in the shin, knee, hips and lower back. If a person with flatfeet experiences such symptoms, a health care provider may suggest using orthotic devices or arch supports, which may reduce the pain. Wearing supportive shoes can also prove more comfortable with flatfeet and staying away from shoes with little support such as sandals. Other methods to relieve pain also include stretching the Achilles tendon properly and using proper form when doing any physical activity. In addition, losing weight can reduce the stress on your feet and reduce the pain.

Monday, 11 May 2020 00:00

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.

The shoes that are most likely to cause hammertoe are high heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.

There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.

Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.

To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. Your doctor may even order an x-ray to evaluate the bones and joints of your feet and toes.

If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.

Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of medications you are taking and important personal information about your medical history.

Monday, 11 May 2020 00:00

What Causes a Hammertoe?

When the joints of the toes are affected, it's likely that one may develop a hammertoe. Hammertoes are often recognized by their hammer-like appearance, as this condition causes the affected toe to bend downward. The second, third, fourth, and fifth toes are most commonly affected by this condition. It’s possible for a person to develop what is referred to as a flexible hammertoe. This means that even though a hammertoe is present, the toe can still be moved at the joint. Rigid hammertoes, on the other hand, do not allow for such movement. Hammertoes can develop for a variety of reasons. Common causes may include injury to the affected toe, improperly fitted footwear, and arthritis. In order to treat this condition, it's recommended that you seek the care of your podiatrist.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Rick L. Simon of Lansdale, Pennsylvania. Our doctor 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 office located in Lansdale, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Hammertoe
Monday, 04 May 2020 00:00

PRP Injections in the Feet

Platelets are cells in the blood that help form clots to stop bleeding. PRP (Platelet-rich plasma) utilizes an individual’s own concentrated platelets, which has many growth factors. These growth factors are used to heal injuries and relieve symptoms. At times, PRP may eliminate the need for other medications or surgery. Many famous athletes such as Tiger Woods and Rafael Nadal have used PRP injections and experienced success.

PRP can be created in approximately 25-30 minutes. The process starts with drawing a small amount of blood from the patient, and then placing it into a centrifuge. A centrifuge is a machine that spins the blood at a high speed to separate the red blood cells from the concentrated platelets. The concentrated platelet rich plasma is the PRP that is used in the treatment process.

This regenerative treatment can treat many different types of ailments. Chronic tendon injuries, acute ligament and muscle injuries, and fractures may be treated with PRP. PRP works by being injected into the injured area. If someone has Achilles tendonitis, the PRP will be mixed with an anesthetic and this combination can be injected directly into the inflamed tissue. The pain may be more severe after the first week or two, and it may take several weeks for the patient to experience improvement.

In some cases, PRP may be used along with surgery to improve healing. For example, if someone with a torn heel cord requires surgery, the healing process may be expedited by treating the injured area with PRP during surgery. However, this must be done in a specific way in which the PRP is stitched into the torn tissues.

Prior to using PRP injections, you should weigh the pros and cons to decide whether this treatment is right for you. Some of the benefits are that areas of the body that have limited blood supply, such as the feet, will receive a boost in oxygen and nutrients. Another benefit is that the injections will prevent further tissue degeneration. However, there are many drawbacks to using PRP. One of the cons is that it may take several weeks for you to feel its beneficial effects. Another downside is that many insurance companies do not cover the treatment because it is experimental. The approximate cost of PRP may range from $250-$800 depending on how many injections are necessary.

There is a procedure that is referred to as platelet-rich plasma injections, which is commonly known as PRP injections. It may be an effective method of treatment for chronic foot pain. Additionally, it may help to heal foot conditions such as plantar fasciitis and Achilles tendon injuries. It is administered by extracting the patient’s blood, followed by separating the platelets by using a centrifuge machine. This machine is able to spin the blood at an accelerated speed. Growth factors are released, which can promote healing of the affected tissues, tendons, and cartilage. If you are experiencing foot or ankle pain, and would like additional information about the benefits of PRP injections, it is strongly advised that you consult with a podiatrist.

If you are suffering from a foot condition, contact Dr. Rick L. Simon of Lansdale, Pennsylvania. Our doctor will assist you with all of your podiatric concerns.

What Is PRP?

Platelet Rich Plasma, or PRP, is blood taken from a patient and spun in a centrifuge, concentrating the amount of platelets. The plasma is then re-injected into the site of injury or damage, assisting the body in repairing damage to muscles, tendons, ligaments, and tissue. PRP helps the body speed up its healing process.

Uses of PRP

Injuries affecting the foot sometimes don’t heal properly because of poor blood circulation. The healing time slows down, and recovery time is affected by poor blood supply. PRP injections will speed up recovery and resolve this issue.

Treatment

PRP is the first regenerative treatment for damaged muscles, tendons, and ligaments. No surgery needed. It is only applied with an insertion of a needle.

Ultrasound – An ultrasound is needed for proper placement of the platelets.

Injection – When the first injection is received, the patient will return to the doctor in about 2 to 3 weeks and monitor the recovery process.

Recovery time – Some people respond to treatments differently. Therefore, depending on your condition, the doctor will make any remaining decisions on how many more injections are needed, or if any additional ones are even required.

Benefits

One may be able to avoid major surgery, and recovery time will be cut down. PRP injections also avoid creating scar tissue and damage to the area. Risks are also very low using PRP as a treatment. There is no risk of rejection, contracting a disease from using another person’s blood, or infection.

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

Read more about PRP Injections in the Feet