Gout, a form of arthritis notorious for its agonizing pain, stems from the accumulation of uric acid crystals in the joints. While predominantly striking the big toe due to its anatomical distance from the heart, gout can also affect other joints throughout the body. Managing gout often involves navigating dietary choices, particularly purine-rich foods. Organ meats and certain cuts of meat, as well as acidic fare, can worsen symptoms. Lentils, beans, and some plant-based proteins also contain purines, though their impact on gout development remains debated. While gout cannot be cured, its frequency and severity can be managed through a combination of medication and changes to the types of foods you eat. By understanding the intricate interplay between diet and gout, individuals can proactively manage this debilitating condition, enhancing their quality of life and minimizing its disruptive effects. For additional help in reducing the effects of gout, it is suggested that you consult a podiatrist who is trained to treat and manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. 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 Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pregnancy often brings with it a range of physical changes, including the potential for foot pain. To navigate this discomfort, adopting tailored strategies becomes paramount. Elevated hormone levels and the added weight of the growing uterus can contribute to foot swelling and pain. Choosing comfortable, supportive footwear with ample space for expanding feet is essential. Regular elevation of the feet, especially after prolonged periods of standing or walking, helps alleviate swelling. Engaging in gentle foot exercises and stretches can enhance flexibility and reduce tension. Adequate hydration is essential in maintaining fluid balance and preventing excessive swelling. If foot pain persists, consulting a podiatrist ensures a comprehensive assessment and personalized recommendations. The feet can undergo numerous changes during pregnancy, and it is suggested that you consult a podiatrist who can guide you toward relief methods.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal coalition, which affects approximately one in every 100 people, emerges during adolescence, causing pain and stiffness in the foot. The issue arises when certain tarsal bones fuse or abnormally connect. This leads to a rigid and inflexible region that includes the talus, calcaneus, cuboid, navicular, and cuneiform bones of the foot. The most common types are calcaneonavicular and talocalcaneal coalition, where bridges form between the calcaneus and navicular bones, or between the calcaneus and talus. Three categories of tarsal coalition are osseus coalition, which involves bony growth, cartilaginous coalition which affects cartilage growth, and fibrous coalition which consists of fibrous tissue growth. Causes of tarsal coalition include genetic abnormalities and foot trauma, such as fractures or sprains, which can disrupt connective tissue development. This may lead to abnormal growth and fusion. Infections that weaken foot structures may cause inflammation, further disrupting normal tissue development. Arthritis, especially certain types and associated medications, increase the risk of abnormal growth and fusion in the foot. Understanding the types and causes is important for early diagnosis and tailored treatment plans. For those experiencing persistent foot pain or suspecting tarsal coalition, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and effective management. 

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

Plantar fasciitis is a common and often painful condition that affects the sole of the foot, particularly the heel area. It occurs when the plantar fascia, a thick band of tissue that runs along the bottom of the foot, becomes inflamed or irritated. The primary symptom of plantar fasciitis is intense heel pain, typically described as a stabbing sensation, especially during the first steps in the morning or after prolonged periods of rest. This condition is commonly associated with factors like excessive standing, walking, running, or wearing shoes with inadequate arch support. Treatment for plantar fasciitis often begins with conservative measures, such as rest and stretching exercises to alleviate inflammation and improve flexibility. Wearing supportive footwear and orthotic inserts can provide relief by reducing strain on the plantar fascia. In cases where conservative methods fail to provide relief, more advanced treatments such as corticosteroid injections, shockwave therapy, or night splints may be recommended. Surgery is considered a last resort for severe cases. If you have persistent heel pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment that is right for you.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Peripheral artery disease, also known as PAD, can manifest with a range of symptoms. Roughly half of individuals with PAD experience typical symptoms. Others may have atypical or no symptoms at all. Regardless of the presence or absence of symptoms, individuals with PAD face an increased risk of cardiovascular disease. Left untreated, PAD can lead to serious complications, such as ulcers and infections. Common signs of PAD are intermittent pain, aching, heaviness, or cramping in the legs during activities such as walking or climbing stairs. This discomfort typically subsides with rest and is often felt in the calf but can also occur in the buttocks, thigh, or foot. Additionally, PAD may lead to changes in toenails and leg hair growth, with one foot possibly feeling colder than the other. The affected leg or foot may appear pale, discolored, or even blue. Some individuals may experience leg weakness or numbness, making walking more challenging, and report sensations like pins and needles. In severe cases, blockage of blood flow can result in pain even at rest. Advanced PAD can cause sores or wounds on the toes, feet, or legs, which may heal slowly or not at all and are prone to infections. These symptoms emphasize the importance of scheduling an appointment with a podiatrist for early detection and prompt treatment to manage PAD effectively and reduce the risk of complications.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A foot fracture, also known as a broken foot, refers to the break or crack in one or more of the bones within the foot. These fractures can result from various incidents, such as traumatic injuries, repetitive stress, or weakened bone structure. Diagnosing a foot fracture often involves a combination of physical examination and diagnostic imaging. The podiatrist will assess the injured area, looking for signs like pain, tenderness, swelling, deformity, and impaired range of motion. X-rays are the most common imaging tool used to confirm the diagnosis, allowing podiatrists to determine the type and location of the fracture accurately. Understanding the definition and diagnosis of a foot fracture is crucial for proper treatment and recovery. Whether it is a stress fracture from overuse or a traumatic injury, early diagnosis and appropriate management are essential for optimal healing and the restoration of normal foot function. If you have broken your foot, it is suggested that you consult a podiatrist who can provide one of several treatment options that are right for you.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Diabetic foot ulcers can lead to serious problems like amputations, infections, and a lower quality of life. These wounds take a long time to heal and can come back even after they seem better. Podiatrists often use a treatment called debridement to help. Several different debridement methods are employed to address these wounds effectively. Sharp surgical debridement involves the precise use of surgical instruments, such as scalpels, to skillfully remove dead or damaged tissue from the wound. Autolytic debridement harnesses the body's natural healing processes. It involves maintaining a moist wound environment using appropriate dressings. The body's own enzymes work to break down and liquefy dead tissue over time. Enzymatic debridement uses specialized ointments or gels containing enzymes applied to the wound. These enzymes actively break down necrotic tissue, aiding in its removal. Enzymatic debridement products are available by prescription. Other types of debridement exist. If you have a diabetic foot ulcer that needs extra care, it is strongly suggested that you make an appointment with a podiatrist to discuss debridement as a healing treatment and the precise type that would be best for your individual needs.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

In the elderly, purple, black, or blue discoloration of the feet can signify underlying health issues that warrant attention. These hues may indicate poor blood circulation, potentially linked to conditions such as peripheral artery disease. Reduced blood flow can lead to tissue damage, causing the skin to take on these distinctive colors. Moreover, elderly individuals are prone to bruising, and black or blue discoloration might result from minor injuries due to thinning skin and weakened blood vessels. Another potential cause is venous insufficiency, where compromised vein function hinders proper blood return to the heart. This can result in pooling of blood in the lower extremities, manifesting as discoloration. In some cases, these symptoms may point to more serious conditions like deep vein thrombosis. It is vital for caregivers and healthcare providers to monitor such changes, promptly addressing any concerns to ensure the elderly receive appropriate medical attention and intervention for their overall well-being. If you notice these colors on the feet of elderly people you are caring for, it is strongly suggested that you consult a podiatrist who can accurately diagnose and offer effective treatment options.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

An ankle sprain is a common injury, characterized by the stretching or tearing of ligaments connecting the bones in the ankle joint. The severity of ankle sprains is often classified into three grades, each delineating the extent of ligament damage. In Grade I sprains, ligaments stretch but experience minimal tearing, causing mild pain and swelling. Grade II sprains involve partial ligament tears, resulting in moderate pain, swelling, and difficulty bearing weight on the affected ankle. The most severe, Grade III sprains, signify complete ligament tears, leading to significant pain, swelling, and instability, often rendering the affected ankle incapable of bearing weight. Recognizing the distinct grades is essential for accurate diagnosis and appropriate treatment. Understanding the gradation of ankle sprains empowers individuals to address these injuries effectively and facilitate a smoother recovery process. If you have sprained your ankle, it is suggested that you visit a podiatrist who can offer the treatment that is right for you.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.