Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints. It commonly affects the feet because these joints are under constant stress and are more prone to crystal accumulation, especially in the big toe. Symptoms often include sudden severe pain, swelling, redness, warmth, and stiffness that may limit walking and daily activities. Gout can be influenced by lifestyle and medical factors such as being overweight, high cholesterol, high blood pressure, and kidney disease. Relief often includes lifestyle adjustments like improved diet choices, hydration, and weight management to reduce flare ups. A podiatrist can evaluate foot involvement, relieve pain, protect joint function, and recommend footwear or orthotics to reduce stress. If you have symptoms of gout, it is strongly suggested that you schedule an appointment with a podiatrist who can help you to manage this painful condition. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. 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 Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Choosing the right shoes is essential for retail workers who spend much of the day standing and walking. Proper fit is the most important factor, as shoes that are too tight or too loose can lead to pain, blisters, and fatigue. Trying shoes on at the end of the day can help ensure they accommodate natural foot swelling. Arch support is also critical, as it helps distribute pressure evenly and reduces strain on the feet, ankles, and lower legs. Cushioned soles and supportive materials can improve comfort throughout long shifts. A podiatrist can assess foot structure, identify problem areas, and recommend appropriate footwear or custom orthotics to enhance support and reduce discomfort. If you have foot pain at work, it is suggested that you consult a podiatrist for personalized guidance and expert care.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Dry, red, shiny patches on a child’s feet can look alarming, but several conditions may cause this appearance. One common source is juvenile plantar dermatosis, a condition that creates smooth, reddish areas on the forefoot due to friction, sweat, and tight footwear. Eczema can also create irritated, dry patches that become shiny when the skin is inflamed. Some children react to detergents, shoe materials, or dyes, leading to contact dermatitis that appears as bright, irritated skin. Although less frequent in younger children, fungal infections may cause peeling, redness, and discomfort. Psoriasis can occasionally involve the feet as well, creating distinct shiny plaques. Rarely, certain illnesses that cause redness and swelling of the feet may be involved. A podiatrist can identify the cause, guide treatment, and recommend ways to protect the skin. If your child’s symptoms continue or worsen, it is suggested that you see a podiatrist for an accurate diagnosis and effective treatment solutions.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

A partial tear of the long peroneal tendon is a challenging injury, especially for athletes who rely on speed, balance, and rapid direction changes. This type of damage often develops after a significant ankle sprain, when the tendon is overstretched or strained during an abrupt twist. Evaluation begins with a careful physical exam to identify tenderness, swelling, and weakness along the outer side of the ankle. Imaging plays an important role as well. X-rays help rule out fractures, while MRI offers a detailed view of the soft tissues, confirming the extent of the tendon injury. Treatment focuses on reducing inflammation, protecting the tendon, and restoring stability. Bracing, activity modification, and targeted rehabilitation strengthen the surrounding muscles and support healing. In some cases, advanced therapies may be recommended for optimal recovery. It is suggested that you see a podiatrist promptly if you suspect a tendon injury.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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