
Gout is a form of inflammatory arthritis that often affects the feet, particularly the big toe joint. It is caused by a buildup of uric acid in the bloodstream, which forms sharp crystals in the joints. This buildup can result from genetics, eating foods high in purines like red meat and seafood, alcohol consumption, or underlying medical conditions such as kidney disease. Symptoms of gout include sudden, intense pain, redness, swelling, and warmth in the affected joint. The pain may come on overnight and feel like a burning or stabbing sensation, making it difficult to walk or even wear shoes. A podiatrist can help manage gout by diagnosing the condition, reviewing your medical history, and possibly ordering blood tests or joint fluid analysis. Treatment includes anti-inflammatory medications, dietary guidance, custom orthotics to relieve joint pressure, and long-term management strategies to prevent future flare-ups. If you are experiencing painful gout, it is suggested that you promptly schedule an appointment with a podiatrist for appropriate treatment.
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.

Poor circulation can cause significant issues for hikers, especially in the feet and ankles where blood flow is already challenged by prolonged standing and walking. Peripheral vascular disease and venous insufficiency can reduce the ability of blood to travel efficiently. This may cause cold feet, numbness, tingling, swelling, and muscle fatigue during or after a hike. These symptoms can make hiking uncomfortable and may increase the risk of injury or delayed healing. Poor circulation also increases vulnerability to cold-related foot problems, as inadequate blood flow prevents proper warmth from reaching the extremities. A podiatrist can evaluate circulation problems in the feet and ankles and recommend appropriate medical treatment to manage symptoms and help improve blood flow. Paying attention to persistent numbness, swelling, or pain is important when hiking. If you are experiencing foot, toe, or ankle problems from hiking, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.
Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Mark Spier of Maryland. Our doctor will treat your foot and ankle needs.
Poor Circulation in the Feet
Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.
Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.
Causes
Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:
- Muscle pain, stiffness, or weakness
- Numbness or cramping in the legs
- Skin discoloration
- Slower nail & hair growth
- Erectile dysfunction
Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.
As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication.
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 and ankle needs.

Falls are a leading concern for elderly individuals and are often linked to underlying health conditions that affect balance and stability. Poor vision from conditions like cataracts or macular degeneration can make it difficult to navigate safely, increasing the risk of tripping or misjudging steps. Diabetes can contribute to falls through nerve damage in the feet, known as peripheral neuropathy, which reduces sensation and affects coordination. Cardiovascular conditions, including irregular heart rhythms or low blood pressure, can cause dizziness or fainting episodes that lead to sudden falls. Other factors such as muscle weakness, joint pain, or medication side effects may also play a role. Falling can seriously impact the feet, possibly causing difficulty in maintaining independence. If you have injured your feet or ankles from falling or want your fall risk assessed, it is suggested that you consult a podiatrist.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Mark Spier from Maryland. Our doctor will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
- Enrolling in strength and balance exercise program to increase balance and strength
- Periodically having your sight and hearing checked
- Discuss any medications you have with a doctor to see if it increases the risk of falling
- Clearing the house of falling hazards and installing devices like grab bars and railings
- Utilizing a walker or cane
- Wearing shoes that provide good support and cushioning
- Talking to family members about falling and increasing awareness
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.
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.