May 2024

Gout, often termed the disease of kings, is a form of inflammatory arthritis caused by the accumulation of uric acid crystals in the joints, leading to intense pain and swelling. Contrary to popular belief, gout can affect anyone, regardless of social status or dietary habits. The condition typically manifests in sudden, severe attacks, commonly affecting the big toe. Factors contributing to gout include genetics, a diet rich in purines that are found in red meat, seafood, and alcohol, obesity, and certain medical conditions like hypertension or kidney disease. Despite its historical association with indulgence, gout is a legitimate medical concern that requires proper management and treatment. Without intervention, recurrent gout attacks can lead to joint damage and chronic pain, significantly impacting one's quality of life. If you have severe pain in your big toe and surrounding areas, it is strongly suggested that you seek advice from a podiatrist who can help you find relief and management methods.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Mark Spier from Maryland. 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 Columbia and Reisterstown, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bunionettes, also known as tailor's bunions, are bony bumps that develop on the outside of the foot, near the base of the pinky toe. Understanding the definition and underlying causes of these foot deformities is vital for effective management and prevention. Essentially, a bunionette forms when the bone at the base of the fifth toe protrudes outward, often accompanied by the misalignment of the toe joint. This condition is primarily attributed to structural imbalances in the foot, including inherited foot shapes, abnormal foot mechanics, or wearing narrow shoes that compress the toes. Over time, pressure and friction on the affected area can exacerbate the deformity, leading to pain, inflammation, and difficulty wearing certain footwear. While bunions and bunionettes share similar characteristics, they affect different areas of the foot. Bunionettes typically develop on the outer edge of the foot, whereas bunions occur at the base of the big toe. If you have developed a bunion or bunionette, it is suggested that you visit a podiatrist who can determine what the best course of treatment is for you.

If you are suffering from bunions, contact Dr. Mark Spier of Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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