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Gout, a form of inflammatory arthritis, develops when there is an excess buildup of uric acid in the body, leading to the formation of needle-like crystals in the joints. The primary cause of gout lies in the body's inability to metabolize uric acid efficiently, resulting in its accumulation. Dietary factors, such as consuming purine-rich foods like organ meats and certain seafood contribute to elevated uric acid levels. Additionally, genetic predispositions and underlying health conditions, such as kidney dysfunction, may increase the risk of gout. Diagnosis involves a comprehensive examination by podiatrists, considering symptoms like sudden, intense joint pain, swelling, and redness. Blood tests may be conducted to measure uric acid levels, and imaging studies such as X-rays or ultrasound can aid in visualizing joint damage. If you have been afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can help you to successfully manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our doctors from New England Foot & Ankle . 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 offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet, a condition where the arches of the feet touch or nearly touch the ground, can be a source of discomfort and may affect daily activities. Understanding the causes and symptoms is vital for those grappling with this common foot ailment. Often, flat feet are hereditary, with genetic factors contributing to the lack of arch development. Tendon or ligament issues, arising from injury or overuse, can also lead to flat feet. Rheumatoid arthritis or conditions impacting the nervous system may alter foot structure, causing the arches to collapse. Symptoms include pain or discomfort along the inner side of the ankle, swelling on the bottom of the feet, and difficulty in standing on tiptoes. Recognizing these signs prompts individuals to seek appropriate interventions, such as wearing supportive footwear or orthotic devices. If you have flat feet, it is suggested that you consult a podiatrist who can guide you toward effective relief options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our doctors from New England Foot & Ankle . Our doctors 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 offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fasciitis is prevalent in manufacturing environments, with several factors influencing its occurrence. These can include forefoot pronation during physical examination, high metatarsal pressure in gait assessments, and prolonged standing on hard surfaces. The rotation of footwear during the workweek appears to reduce the likelihood of developing plantar fasciitis. Using shoe orthoses with medial longitudinal arch and metatarsal pads can serve as a preventive or treatment approach. Implementing workstations that reduce the time spent walking or standing on hard surfaces, such as offering cushioning mats or alternating sitting and standing postures, may help lower the risk of plantar fasciitis. If you work in manufacturing and have developed heel pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis, treatment, and additional preventative advice.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our doctors from New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The ankle, which is the junction of the tibia, fibula, and talus bones, is susceptible to fractures that stem from the pounding associated with activities such as running and jumping. Symptoms of an ankle fracture are often similar to those of severe sprains. Individuals may report immediate, intense pain spanning from the foot to the knee, as well as localized swelling, bruising, tenderness, and difficulty in bearing weight. Walking can become painful or impossible. Distinguishing ankle fractures from severe sprains can be complicated. For that reason, diagnostic imaging tests are needed. X-rays, encompassing anteroposterior, lateral, and mortise views play a pivotal role in the diagnostic process. It is also essential to look for secondary fractures, as the presence of one may indicate the possibility of others. In cases requiring a deeper understanding, CT and MRI scans may prove invaluable, particularly for detecting talar fractures and assessing ligament injuries. Early recognition of ankle fracture symptoms and timely medical intervention help to safeguard both immediate and long-term ankle joint health. If you have severely injured your ankle, it is suggested that you schedule an emergency appointment with a podiatrist for a thorough evaluation and precise diagnosis before treatment can begin.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our doctors from New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Poor circulation in the feet can manifest in various ways, serving as a silent signal of underlying health issues. One may notice a persistent tingling sensation or numbness, indicating compromised blood flow to the extremities. Swelling and discoloration, particularly a bluish or pale tint, are common signs as well. The skin might feel unusually cool to the touch, betraying a lack of proper blood circulation. Fatigue and weakness in the legs can also be attributed to reduced blood flow, impacting the muscles. Cramping and aching sensations may accompany these symptoms, often exacerbated during physical activity. Slow healing wounds and ulcers on the feet are red flags, as compromised circulation hampers the body's ability to repair itself. It is essential to pay attention to these subtleties, as they may signify an underlying vascular issue, emphasizing the importance of seeking timely medical evaluation from a podiatrist. If you have symptoms of poor circulation in your feet, it is suggested that you contact a podiatrist who can help you to manage this condition.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact one of our doctors of New England Foot & Ankle . Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Heel spurs, bony outgrowths at the bottom of the heel bone, can be a source of persistent foot discomfort. Formed due to calcium deposits, heel spurs often accompany conditions like plantar fasciitis. The pain associated with heel spurs typically arises during weight-bearing activities, especially after rest periods. While rest and proper footwear are important components of managing heel spurs, specific exercises can provide relief. Stretching exercises, such as calf stretches and towel curls, may help to alleviate tension in the Achilles tendon and plantar fascia. Rolling a frozen water bottle under the foot can reduce inflammation. Strengthening exercises, like toe-tapping and marble pickups, enhance foot and ankle muscles, promoting better support. A podiatrist treats heel spurs. If you have developed this condition, it is suggested that you visit this type of doctor who can help you with appropriate treatment and guide you toward additional stretches. 

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact one of our doctors from New England Foot & Ankle . Our doctors will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the latest in diagnostic and treatment technology to meet your needs.

Cracked heels, a common foot condition, often result from dry and thickened skin surrounding the heel edge. While they may primarily affect appearance, they can lead to discomfort or pain and even severe issues, if left untreated. Cracked heels are often caused by dry skin, obesity, wearing poorly fitting shoes, or standing for extended periods of time. Certain conditions and risk factors may increase susceptibility. Women are more susceptible to this condition. Managing cracked heels involves actions that can include moisturizing, wearing 100 percent cotton socks, and gently rubbing thickened skin with a pumice stone. Medical treatments may be necessary for severe cases, including dead skin removal and antibiotic treatment for infections. If you have cracked heels and the condition is associated with a medical condition, or if they are persistent and severe, it is suggested that you schedule an appointment with a podiatrist for more professional guidance.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact one of our doctors from New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Onychomycosis is a fungal infection of the toenails. Successful treatment remains challenging, and the condition can have a significant impact on individuals. Effective management often requires months of treatment, and recurrence is common, affecting over half of successfully treated patients. Various factors contribute to the high recurrence rates. Patients with a genetic predisposition or belonging to susceptible populations, such as the elderly or diabetic people, are more likely to experience recurrence. Physical trauma can trigger recurrence in older people. Recurrence is also more common in children and may result from strong predisposing factors. Extending treatment durations beyond 48 weeks may offer better outcomes, allowing nails to grow out and eliminating nonviable fungal elements. If you have recurring toenail fungus, it is strongly suggested that you schedule an appointment with a podiatrist who can provide treatment and alleviate recurrence.

For more information about treatment, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.