September Articles 2015
Everything You Need to Know About Gout
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the metatarsal phalangeal joint on the big toe; though it has been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers and the children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, again noted as being particularly painful, is the leftover uric acid crystallizing in the blood stream and travel to the space between joints where they rub causing agonizing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Tertiary side effects may include fatigue and fever though reports of these effects are very rare. Some patients have reported that, as the temperature drops (when you sleep for instance) the pain may intensify.
Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms, however there are defined tests that can be performed. A blood test to detect elevated levels of uric acid is often used as well as the use of an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms; non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation, however, diet, lifestyle changes, and preventative drugs are necessary to fully combat the most severe cases.
Those that lead a sedentary lifestyle are at a higher risk for gout. Any amount of exercise decreases probability of repeat encounters with the condition. Also, staying away from, or reducing drastically, consumption of red meat, sea food, and fructose-sweetened drinks reduces the likelihood of chronic gout as well.
As for diet, beyond what has already been mentioned, ingesting Vitamin C, coffee, and particular dairy products help on the preventative maintenance side of healthy living. While new drugs are out on the market that inhibit the body’s production of uric acid-producing enzymes, reducing or eliminating as much as possible your overall levels of uric acid will ensure you lead a gout-free life.
Blisters on the Feet
Blisters are a common ailment of people who wear shoes that are either too tight or rubbed up against their feet in the wrong way while wearing them. In order to better understand how they are formed and what treatment should be used for them, you have to start with the basics of what a blister actually is.
A blister on the foot, or any other part of the body for that matter, is a small pocket that is filled with fluid. It usually forms on the upper layer of the skin because these layers are loose enough to allow a blister to form. The most common fluid in a blister is just a clear, watery like fluid that should not cause any concern. However, blisters can fill up with blood if they are deep enough and even pus if they have become infected with bacteria.
Blisters almost always form on the feet due to shoes rubbing up against the foot, where the friction causes blisters. These can occur after you have walked for a long period of time for example, or when your shoes simply do not fit you properly. They also form faster and easier if your feet are moist, so keeping them dry and clean is a preventative step you can take to avoid getting blisters.
Preventing infection should be the number one concern when treating blisters, as well as alleviating the pain they can cause. Using a band aid to cover up the blister will help it heal and prevent bacteria from entering it. New skin will form under the blister and eventually cause it to pop, or you can take a pin and try to pop it yourself.
If the blister is filled with pus or blood, seeking treatment from a doctor is ideal. Antibiotics might need to be taken in order to completely eliminate the bacteria inside the blister, and that needs to be prescribed by a doctor.
However, one of the best ways to treat blisters is to prevent them all together. Keeping your feet dry and making sure that your shoes fit properly are just two of the steps you can take to prevent blisters. Shoes that are too tight or shoes that are too loose and allow your feet to slide in them will cause blisters. Applying a band aid to an area you think might get a blister before one pops up is another way you can prevent them.
If noninvasive or less invasive procedures have failed you when it comes to problems with your feet, you may need to start thinking about getting foot surgery. There are many reasons why a person may need surgery on their feet, which include but are not limited to, problems with arthritis that have caused severe bone issues within your feet, deformities of the foot such as bone spurs and bunions, congenital malformations such as club foot and flat feet, and reconstruction to attend to injuries caused by accidents. Anyone of any age, race, or gender can undergo foot surgery if they feel the need to correct these problems and there are no limiting factors keeping people from getting their feet properly treated.
Depending on what needs to be done, there are many different types of surgeries to correct any issues you might have. For example, a bunionectomy is a procedure that will eliminate any growths on your feet, such as bunions, and have them removed via the surgery. If nerve pain and damage is what you are suffering from, then you may need to undergo procedures that will target the tissues that surround the painful nerve and potentially have them removed. If your bones need to be fused together or realigned, then surgical fusion of your feet is another option you might consider.
As mentioned before, many times when these issues are first discovered, other noninvasive or less invasive procedures are carrier out first before any surgery takes place. However, if all else fails, then surgery is the best option for you.
There are some obvious benefits to having surgery done on your feet. The first being that you will now be relieved of any pain in the foot or surrounding area, which means you can get back to doing activities you previously were unable to do. The second is that once you have completed your surgery, the problem will more often than not eliminate any recurring issues or pain.
Foot surgery techniques continue to advance yearly as better and more technologies become available for you. For example, endoscopic surgery is just one of the many advancements that have been made in the field of podiatric surgery. Many procedures are now able to take a less invasive route by using very small incisions and smaller, more refined instruments. On top of this, recovery time for surgeries has been significantly shortened leading to an overall positive advancement for all podiatric surgeries.
All About Plantar Warts
Plantar warts are warts that are only found on the feet, hence the term “plantar”, which means “relating to the foot.” They are caused by the human papillomavirus, or HPV, and occur when this virus gets into open wounds on the feet. The warts themselves are hard bumps on the foot and easily recognizable, mostly found on the heels or ball of the foot. For the most part, plantar warts are non-malignant, but they can cause some pain, discomfort, and are often unsightly, so removing them is often the first step taken.
Plantar warts can cause some pain while standing, sometimes felt as tenderness on the sole of your foot. Unless the wart has grown into the foot behind a callus, you will be able to see the fleshy wart. Because plantar warts are not cancerous or dangerous, a podiatrist should only be consulted if there is an excess amount of pain associated with having them, if they are affecting your walking, or if they continually come back. However, anyone who suffers from diabetes or a compromised immune system disease should seek out care immediately.
Podiatrists are easily able to diagnose plantar warts. They usually scrape off a tiny bit of the rough skin in order to make tiny blood clots visible and show the inside of these warts. However, a biopsy can be done if the doctor is not able to diagnose them from simply looking at them. Although plantar warts usually do not require an excessive amount of treatment, there are ways to go about removing them. A common method is to freeze them off using liquid nitrogen, removing them using an electrical tool or burning them off via laser treatment. For a less invasive treatment option, topical creams can be used through a doctor’s prescription, which may help given enough time and patience.
If you prefer to use home remedies an apple cider vinegar soak is believed to help remove the wart. This treatment takes time. Soak your infected foot in the vinegar for 20 minutes before using a pumice stone to remove any loose skin from the wart. Keep the wart covered for protection in between daily treatments.
The best way to avoid developing plantar warts is to avoid walking barefoot in public places, especially when you have open sores or cuts on your feet. It is also important to avoid direct contact with any other warts you might have or warts other people might have, as they are highly contagious.