Gout is a form of arthritis marked by sudden, intense joint pain, often starting with the big toe. This condition occurs due to the accumulation of uric acid crystals in the joint, causing inflammation. Symptoms typically include severe, throbbing pain that may begin unexpectedly, often at night. The affected joint becomes swollen, red, and warm to the touch, and even light pressure from clothing or bedding can be excruciating. Warning signs of an impending gout attack include persistent joint discomfort, frequent episodes of pain, or swelling without a clear cause. If you have any of the above symptoms, it is suggested that you consult a podiatrist who can help to manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Michele Kraft, DPM from Toes on the Go. 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 Carmel, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Preventing an ankle sprain is important to keep you active and reduce the risk of long recovery periods. An ankle sprain occurs when the ligaments, which are strong bands of tissue connecting bones in your ankle, are overstretched or torn. This often happens when the foot twists or rolls unexpectedly. Risk factors for ankle sprains can include participating in sports, wearing poorly fitting footwear, walking on uneven surfaces, and having a previous history of sprains. Strengthening the muscles surrounding your ankle is a good way to prevent injuries, such as sprains. Exercises like heel raises can build up the muscles in your calves, providing better support for your ankles. Stretching these muscles regularly, particularly those in the lower part of the calf, enhances flexibility and reduces the risk of overstretching the ligaments. A podiatrist can offer personalized advice on exercises and other preventive measures. If you have incurred an ankle sprain, it is suggested that you schedule an appointment with a podiatrist for treatment ooptions.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Michele Kraft, DPM from Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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

Plantar fasciitis, a common cause of heel pain, results from inflammation of the plantar fascia, the thick band of tissue connecting the heel bone to the toes. This condition often causes stabbing pain, especially in the morning. Standard treatments include rest, targeted exercises, and nonsteroidal anti-inflammatory drugs. Custom-made orthotics, however, provide an extremely effective solution by offering tailored support and cushioning. Unlike over-the-counter inserts, these orthotics are specifically designed to fit the unique contours of an individual's feet, alleviating pressure on the plantar fascia. By distributing weight more evenly and correcting abnormal foot mechanics, custom orthotics can significantly reduce pain and inflammation. In some cases, they are as effective as corticosteroid injections in reducing thickness and swelling, providing long-term relief and preventing recurrence. If you have persistent discomfort from plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist to discuss whether custom-made orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact Michele Kraft, DPM from Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Finding the right shoes for your child can be a real challenge, especially with their feet constantly growing and changing. To ensure a proper fit, start by checking for wiggle room at the front of the shoe. Aim for about half an inch between the tip of your child’s longest toe and the end of the shoe to allow for comfortable toe movement. Next, focus on the width by examining the widest part of the foot, making sure there’s no bulging or squeezing of the pinky toe, which indicates the shoe is too narrow. Finally, assess the heel fit by sliding your finger between the back of the shoe around your child’s heel. If you can fit more than one or two fingers, the shoe may be too wide. Properly fitting shoes are important for your child’s comfort and foot health. For more information about how to find the right shoes for your child, it is suggested you make an appointment with a podiatrist.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Michele Kraft, DPM of Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

A broken toe might seem like a minor injury, but it can lead to significant complications if not properly treated. Untreated fractures can result in persistent pain, deformities, reduced mobility, and long-term difficulties in walking. Fractures that affect the big toe can lead to deformities and a restricted range of motion. Toe fractures that involve joint cartilage can cause traumatic osteoarthritis and further joint deformities. Surgery, although sometimes necessary, carries risks such as nerve damage and infection. Seeing a podiatrist promptly after a toe injury ensures that the fracture is correctly diagnosed and appropriately managed. A podiatrist can provide such treatment as casting or buddy taping, to keep the injured toe straight and immobilized while healing. Treatment for a broken toe typically involves a cast or tape to keep the toe straight and promote healing. Depending on the toe and the severity of the injury, it may take up to eight weeks for the fracture to heal. If you have broken a toe, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

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 Michele Kraft, DPM from Toes on the Go. 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 Carmel, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.