Gout is a type of inflammatory arthritis that can cause sudden and intense joint pain. It often affects the big toe, although it may also develop in other toes, the ankle, or the knee. Gout develops when uric acid builds up and forms needle-like crystals inside a joint. Uric acid is produced when the body breaks down substances called purines. When the kidneys do not remove enough uric acid, these crystals may collect and trigger inflammation. A gout attack often begins suddenly, frequently at night, and can cause severe pain and swelling.

Gout attacks may occur only once or return periodically. Without proper treatment, repeated attacks can affect more joints, last longer, and become more severe. Some people eventually develop hard deposits of uric acid crystals, called tophi, around joints or in other tissues. Several factors can increase the likelihood of gout, including family history, certain chronic health problems, and some medications. Because gout symptoms can resemble other forms of arthritis, an accurate diagnosis is important. Medical evaluation may include a physical examination, blood testing, or analysis of fluid taken from the affected joint.

When gout affects the feet, a podiatrist can evaluate painful joints and determine how symptoms are affecting walking and mobility. A podiatrist can also help distinguish gout-related foot pain from other problems that may cause similar symptoms. Treatment depends on the frequency and severity of gout attacks. Medical care may include medications that reduce inflammation during a flare or lower uric acid to help prevent future complications. Managing gout can help protect joints and preserve normal movement. Early diagnosis and appropriate treatment may reduce the risk of long-term joint damage and recurring pain. If sudden pain, swelling, or tenderness develops in the big toe or another foot joint, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Kent DiNucci, DPM from Ankle and Foot Clinic . 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 our office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Poor foot circulation occurs when blood flow to the feet is reduced, limiting the delivery of oxygen and essential nutrients to surrounding tissues. This condition is commonly linked to peripheral vascular disease, a disorder that affects the blood vessels and restricts normal circulation. When blood flow is impaired, the feet may not function optimally and become more susceptible to injury, infection, and delayed healing. Recognizing early warning signs is crucial for maintaining long-term foot health and preventing serious complications.

Common symptoms of poor circulation include persistent coldness in the feet, numbness, and a tingling or “pins and needles” sensation. Some individuals may also experience intermittent pain or cramping, particularly during walking or physical activity. Reduced oxygen supply to the muscles can lead to fatigue, making movement more difficult over time. In addition, the skin on the feet may appear pale, bluish, or discolored, and even minor wounds may take longer than usual to heal. Without proper attention, these symptoms can gradually worsen and impact daily activities.

Several causes and risk factors contribute to poor foot circulation. Peripheral vascular disease is a leading cause and is often associated with narrowed or blocked arteries. Diabetes can further complicate circulation by damaging both blood vessels and nerves. Infections may also impair blood flow due to inflammation in affected tissues. Other contributing factors include smoking, high blood pressure, high cholesterol, and a sedentary lifestyle. Identifying and addressing these risks is essential for effective prevention and management.

Maintaining healthy circulation is vital for mobility, comfort, and overall foot function. Early intervention, combined with lifestyle changes and proper medical care, can significantly improve blood flow and tissue health. If you have symptoms of poor foot circulation, it is suggested that you consult a podiatrist to explore effective relief and management solutions.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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 our office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet, also known as fallen arches, occur when the arch of the foot collapses and the entire sole makes contact with the ground. This condition can appear from childhood or develop due to various factors. Flat foot surgery is a procedure designed to correct this issue by reconstructing the structure of the foot and creating a supportive arch. The goal is to improve alignment, reduce pain, and restore proper function. Understanding the condition and surgical options can help individuals make informed decisions about their care.

Symptoms of flat feet may include foot pain, swelling along the inside of the ankle, and difficulty standing or walking for extended periods of time. Some individuals experience fatigue in the feet or legs due to improper weight distribution. Causes of flat feet can include genetics, trauma, or medical conditions like diabetes that affect nerve function and tissue health. The lack of arch support can place strain on muscles and ligaments, leading to discomfort and reduced mobility. These symptoms may worsen without proper treatment.

Flat foot surgery is typically recommended when conservative treatments do not provide relief. The procedure involves reconstructing the foot to create a stable and supportive arch. This may include repairing tendons, repositioning bones, or using implants to support the structure. The exact approach depends on the severity of the condition and the underlying cause. Risk factors for this type of foot surgery include poor overall health, smoking, and conditions that affect healing, such as diabetes.

Recovery from flat foot surgery requires time, rest, and guided rehabilitation to restore strength and flexibility. Supportive footwear and follow-up care are essential for long-term success. Addressing flat feet can improve comfort, mobility, and overall quality of life. If you have flat feet and are considering surgery, it is suggested that you consult a podiatrist who can determine if this type of foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Outer foot pain from running is a common issue that many runners experience at some point in their training. This type of pain refers to discomfort along the lateral side of the foot, which is the area that absorbs impact during repetitive motion. Runners often dread this condition because it can interfere with performance and daily movement. Symptoms may include sharp or aching pain, tenderness, and swelling,. Difficulty bearing weight on the affected foot may also occur. The discomfort can develop gradually or appear suddenly after an intense run, making it important to recognize early warning signs.

Several conditions can contribute to outer foot pain. An ankle sprain occurs when ligaments are stretched or torn, often due to uneven surfaces or sudden twists. Blisters are small fluid-filled pockets caused by friction between the foot and footwear, leading to irritation and pain. Bunions are bony bumps that form at the base of the big toe, altering foot mechanics and increasing lateral pressure. Flat feet, a condition where the arch collapses, can lead to improper weight distribution and strain on the outer foot. Additionally, Morton’s neuroma is a thickening of nerve tissue between the toes, causing burning pain and tingling that may radiate outward.

Risk factors for outer foot pain include overuse, poor running form, and wearing inadequate footwear. Sudden increases in mileage are often a factor. Symptoms vary depending on the cause but often include localized pain, swelling, redness, and reduced mobility. Ignoring these symptoms may lead to more severe injuries, so early attention is essential for recovery and prevention.

To reduce the risk of outer foot pain, runners should choose supportive footwear, maintain proper running technique, and gradually increase training intensity. Stretching and strengthening exercises can improve foot stability and alignment. If you have foot pain on the outside of your feet from running, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.