Gout is a type of arthritis that causes sudden, severe attacks of pain, redness, and tenderness in joints, often affecting the feet. It occurs when urate crystals accumulate in the joints, causing inflammation and intense pain. These crystals form when there are high levels of uric acid in the blood. The body produces uric acid when it breaks down purines, substances found naturally in the body, and certain foods. Gout can affect anyone, but it is more common in men, postmenopausal women, and individuals with kidney disease or a family history of gout. In the feet, gout typically impacts the big toe, but it can also affect other parts like the ankles and heels. The pain can be excruciating, described as a burning or stabbing sensation, often waking individuals from sleep. Swelling, redness, and warmth in the affected area are common symptoms. To manage gout, lifestyle changes such as diet modification, weight loss, and avoiding alcohol are recommended. Medications to reduce uric acid levels and inflammation may also be prescribed. If you experience severe foot pain due to gout, it is suggested that you schedule an appointment with a podiatrist for targeted treatment and management strategies.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

Ensuring accurate shoe fitting in older adults is essential for comfort and mobility. The Brannock device, a traditional tool used for decades, measures foot length and width manually. While it is reliable for basic measurements, it does not capture the full complexity of foot shape. In contrast, three-dimensional, or 3D, foot scanning technology offers a more comprehensive analysis. This advanced method creates a detailed digital model of the foot, accounting for variations in arch height, toe shape, and other nuances. Older adults, who often experience changes in foot structure due to aging, can benefit significantly from the precision of 3-D scanning. This technology provides tailored recommendations, enhancing both comfort and support. Although the Brannock device remains a valuable tool, the detailed insights from 3-D foot scanning represent a significant advancement in ensuring the best fit for older individuals. If you are wearing shoes that do not fit properly and have developed a foot condition, it is suggested that you visit a podiatrist who can help you with relief options and guide you on the best way to determine your shoe size.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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

Flat feet, a condition where the arches of the feet touch the ground when you stand, can lead to overpronation. Overpronation occurs when the ankles roll excessively inward with each step during walking or running. This can cause additional strain on the ankles, knees, and hips. Overpronation can also increase the risk of injuries and discomfort due to improper alignment and distribution of body weight. People with flat feet may experience fatigue in their feet and legs, and suffer from pain in the heel or arch area. To help manage symptoms of flat feet and any issues resulting from overpronation, a podiatrist, or foot doctor, may recommend orthotic devices. These are insoles that fit into shoes to provide support for the arches, correct the pronation, and enhance overall foot function. Proper footwear that offers stability and support is also important to effectively manage overpronation. Regular check-ups with a podiatrist can ensure that individuals with flat feet receive the necessary support and guidance to prevent any issues. If you have flat feet, or suspect overpronation when walking, it is suggested you make an appointment with a podiatrist for a full exam and possible gait analysis. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. 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 Cary, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flip-flops are loved for their convenience and casual style, and may seem like the perfect footwear choice for warm weather. However, wearing flip-flops regularly can pose significant risks to your foot health. One major issue is the lack of support they provide, leading to improper weight distribution and strain on the arches and heels of your feet. This lack of support can contribute to conditions like plantar fasciitis and arch pain. Additionally, the thin sole and minimal straps offer little protection against sharp objects or uneven surfaces, increasing the risk of injuries like cuts, bruises, and sprains. Constantly gripping the toes to keep flip-flops in place can also lead to muscle fatigue and toe deformities over time. Furthermore, flip-flops offer little or no shock absorption, which can lead to impact-related injuries like stress fractures. While they may be tempting for casual outings, it is important to prioritize footwear that offers proper support. If you have developed one of several foot conditions from wearing flip-flops, it is suggested that you consult a podiatrist who offer effectively treatment options.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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

Turf toe is a sports-related injury commonly associated with athletes who play on artificial turf. It is a sprain that occurs when the big toe joint is bent upwards at a significant angle. Turf toe injuries are frequent in sports that involve rapid starts, stops, and pivots, such as football, soccer, or basketball. Additionally, the hard surface of artificial turf increases the likelihood of turf toe, compared to natural grass, because it gives less cushioning for sudden movements. Symptoms of turf toe include pain, swelling, and limited joint movement at the base of the big toe. Rest and elevation are important for mild injuries, whereas severe cases may require immobilization of the toe with taping, stiff-soled footwear, or even a walking boot. Athletes benefit from wearing appropriate footwear that offers sufficient support to minimize the risk of turf toe and other similar injuries. If you suspect a turf toe injury, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment options. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Cary, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.