Gout is a painful form of arthritis that develops when too much uric acid builds up in the body. Uric acid is a natural waste product that usually leaves the body through the kidneys. When levels become too high, tiny crystals can collect inside a joint and trigger sudden pain, swelling, and redness. The joint at the base of the big toe is affected most often, although gout can also involve the ankle. A flare-up can begin without warning and cause pain that disturbs sleep or limits normal daily activities. Without proper treatment, repeated attacks can damage the affected joint and reduce comfort while walking.

Several factors increase the risk of gout. These include a family history of the condition, excess body weight, and certain medical conditions. A diet that is high in purines also raises uric acid levels. Purines are natural substances found in foods like anchovies, bacon, and sardines. Beer and other alcoholic drinks can also increase the chance of painful gout flares. A podiatrist can examine the affected foot, review your medical history, and order imaging or laboratory testing when appropriate. Gout symptoms can resemble those of an infection or another type of arthritis. For that reason, identifying the true cause allows treatment to begin promptly.

Treatment focuses on reducing inflammation, protecting the affected joint, and lowering the chance of future attacks. A podiatrist can recommend a treatment plan and work with other healthcare providers when additional medical management is needed. Regular follow-up visits help monitor joint health and evaluate your progress. Patients also benefit from guidance about healthy eating patterns, weight management, and limiting foods and drinks that increase uric acid levels. These steps can reduce the frequency of gout attacks and help protect the joints from lasting damage. If you have symptoms of gout, it is suggested that you schedule an appointment with a podiatrist for effective relief tips and help in managing this chronic condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Bangor Podiatry. 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 Bangor, Gilbert, and Bethlehem, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swelling in the feet can make daily activities uncomfortable and may signal an underlying problem that needs medical attention. Swelling usually develops when excess fluid collects in the soft tissues of the feet and ankles. Some people notice mild puffiness at the end of the day, while others experience significant enlargement that affects comfort and mobility. Swelling can occur in one foot or both feet. It sometimes develops after an injury, but it can also be linked to health conditions that affect circulation and fluid balance. When swelling is persistent, painful, or unexplained, a thorough evaluation is important.

Several factors can contribute to swollen feet and ankles. Foot and ankle injuries frequently cause swelling because damaged tissues trigger inflammation and fluid accumulation. Arthritis, gout, and infections can also produce redness, pain, and swelling. Problems involving circulation may cause fluid to collect in the lower legs and feet. Certain medications are associated with swelling as well. Pregnancy can increase fluid retention and place additional pressure on the lower extremities. Standing or sitting for long periods of time can also contribute to swelling. When only one foot is affected, a local issue like an injury is often responsible. Swelling in both feet sometimes suggests a condition affecting the body more broadly.

A podiatrist can evaluate swelling by reviewing symptoms, performing a physical examination, and ordering diagnostic tests. These tests can include X-rays, imaging studies, or laboratory testing to identify the source of the problem. Treatment focuses on addressing the underlying cause rather than simply reducing the visible swelling. Care can include managing injuries, treating infections, and addressing joint conditions. In certain situations, surgery is recommended when structural damage contributes to ongoing symptoms. Some causes of swelling become more serious when left untreated. If you have unexplained swelling in the feet and ankles, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and appropriate treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Bangor Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact our offices located in Bangor, Gilbert, and Bethlehem, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A broken ankle is a serious injury that requires prompt medical attention. An ankle fracture occurs when one or more bones that form the ankle joint crack or break. This injury can happen after a fall, a sports accident, or a sudden twisting movement. Symptoms include severe pain, swelling, and bruising. Many people find it difficult or impossible to put weight on the injured foot. In some cases, the ankle appears misshapen or out of position. A podiatrist can examine the injury and order X-rays to determine the location and severity of the fracture. Early diagnosis is important because proper treatment helps the bones heal in the correct position and lowers the risk of long-term problems.

Treatment depends on the type of fracture and how far the bones have moved. Minor fractures may be treated with a supportive walking boot or a cast. These devices help keep the ankle stable while the bone heals. More serious fractures sometimes require the bones to be carefully moved back into place. This procedure restores normal alignment of the joint. Some patients need surgery to secure the broken bones with metal plates or screws. A podiatrist monitors healing through follow-up visits and imaging studies. Regular evaluations help ensure the ankle remains stable and is healing as expected.

Recovery from a broken ankle takes patience and close medical supervision. Many ankle fractures heal within several weeks, although healing times vary depending on the injury. As recovery progresses, a podiatrist may recommend specific exercises to improve movement and strength. Follow-up care also helps identify problems, such as stiffness, swelling, or delayed healing. Prompt treatment gives patients the best chance of returning to normal activities safely. If you believe you have broken your ankle, it is suggested that you make an emergency appointment with a podiatrist for diagnosis and appropriate treatment.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Bangor Podiatry. 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 Bangor, Gilbert, and Bethlehem, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

If you feel a burning pain in the ankle, and numbness or tingling on the sole of the foot, you may have a condition known as tarsal tunnel syndrome. It occurs when the leg’s tibial nerve, which allows you to feel and move the foot, is compressed. Tarsal tunnel syndrome usually affects only one foot, and discomfort tends to be worse at night. It may be caused by osteoarthritis, scar tissue buildup from an ankle injury, rheumatoid arthritis, or diabetes. The area of the foot where the tibial nerve enters the back of the ankle, called the tarsal tunnel, is normally narrow. But if the nerve is compressed, it may activate the syndrome. Pressure on the nerve may be caused by swelling from an injury, a bone spur, flat feet, a high arch, or systemic diseases. Treatment can include orthotics, non-steroidal anti-inflammatory injections, and in severe cases, surgery. For more information about tarsal tunnel syndrome, please consult a podiatrist who can evaluate your condition and prescribe the proper treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Bangor Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our offices located in Bangor, Gilbert, and Bethlehem, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.