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Watchung (908) 769-5337
Marlboro (732) 303-0993

July 2021

Uric acid is a byproduct of the process your body goes through as it breaks down purines, chemical compounds that naturally occur in your body as well as in certain foods such as red meat, seafood and alcoholic beverages. Normally, most uric acid is reabsorbed back into the body, or expelled through the kidneys. When your body produces too much uric acid (or has difficulty flushing it), hard, crystal-like deposits build up in and around the joints. This is known as gout. While this painful condition may manifest in any joint of the body, it most commonly occurs in the metatarsophalangeal joint of the big toe. These sharp urate crystals can cause severe flare-ups of pain, swelling, tenderness and heat in the affected joint. Symptoms tend to develop quickly and occur more often at night. They can come back and increase in frequency if the underlying condition is not treated properly. Contact a podiatrist for an exam, and to discuss possible treatments for this painful arthritic condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Ronald Sheppard from Warren-Watchung Podiatry Center. 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 one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Gout
Monday, 26 July 2021 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tuesday, 20 July 2021 00:00

Understanding a “Lisfranc Injury"

What is known as the Lisfranc joint complex is made up of the five metatarsal bones, as well as the tendons and ligaments which connect the midfoot to the forefoot. A “Lisfranc Injury” occurs when these ligaments or tendons become sprained or the metatarsal bones fracture. A Lisfranc injury can result from trauma from a direct force or a quick rotation in the midfoot area. Because of this, athletes such as baseball or football players are at the highest risk for developing this injury. A majority of Lisfranc injuries do require surgery to realign the joints and allow the bones to heal correctly. Recovery from this surgery usually takes around 6 months. Because of the extent of the injury, athletes who have injured their foot should consult with a podiatrist to ensure a proper diagnosis and treatment.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Ronald Sheppard of Warren-Watchung Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please feel free to contact one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sports Related Foot And Ankle Injuries
Tuesday, 13 July 2021 00:00

The Painful Symptoms of Cuboid Syndrome

Cuboid syndrome, the dislocation of the cuboid bone in the middle of the foot, is an injury that affects approximately 4% of athletes. This condition typically causes pain on the outside edge of the foot, on the same side as the pinky toe. The pain may be dull or sharp, but often gets worse when the foot is bearing weight or when lifting the heel and pushing off the ground with the toes. Walking may be particularly difficult. The foot may also be swollen, sensitive, or have a reduced range of motion. Sometimes, pain may be felt in the ankle as well. If you are experiencing the symptoms of cuboid syndrome don’t hesitate to schedule an appointment with a podiatrist near you.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Ronald Sheppard from Warren-Watchung Podiatry Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

 

Read more about All About Cuboid Syndrome
Tuesday, 06 July 2021 00:00

Am I at Risk for Toenail Fungus?

Onychomycosis is a contagious fungal infection of the toenails. Infected nails may appear discolored, thickened, brittle, and crumbly. Onychomycosis often affects the big and little toenails, but can affect any nail. Certain people are more at risk of contracting a fungal toenail infection than others. Since the fungus responsible for toenail infections thrives in warm and moist environments, those who live in hot, humid climates, sweat excessively, wear shoes and socks with poor ventilation, experience prolonged exposure to water, or frequent areas like public swimming pools and locker rooms, are more likely to incur an infection. People who are older or have underlying health conditions, such as diabetes or psoriasis, are also at an increased risk. Having certain pre-existing foot problems, including athlete’s foot, a fungal skin infection of the feet, or a previous toenail injury can also make you more susceptible to a fungal nail infection. If you suspect that you may have onychomycosis, please seek the care of a podiatrist.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Ronald Sheppard of Warren-Watchung Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

 

Read more about How to Treat Your Toenail Fungus
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