Chronic tophaceous gout is an advanced form of gout that develops when uric acid builds up in the body. The result is hard deposits, called tophi, that form around joints and soft tissues. Uric acid is a natural waste product, but high levels can lead to crystal formation that triggers inflammation, causing swelling, warmth, and severe pain. Over time, these deposits may grow and cause joint damage, stiffness, and reduced movement. They can also press on nearby nerves and affect walking. A podiatrist can diagnose chronic tophaceous gout through imaging or fluid testing, which identifies uric acid crystals. Treatment options include medication to lower uric acid levels and reduce inflammation, as well as care to protect the joints and prevent further damage. In severe cases, surgery may be needed to remove large tophi. If you are experiencing severe pain from gout, it is suggested that you make an appointment with a podiatrist for treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Paul Hutchison, DPM from Hutchison 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 Memphis, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flip-flops are popular because they are easy to wear and come in a variety of styles, but they often provide little support or protection for the feet. Wearing them for long distances, while engaging in sporting activities, or while driving can increase the risk of injury. Without proper arch support and stability, the feet may strain, leading to discomfort and fatigue. Flip-flops can also cause blisters due to friction and increase the chance of sprained ankles from lack of balance. Risk factors include prolonged use, uneven surfaces, and pre-existing foot conditions. A podiatrist can assess your foot structure, recommend supportive footwear, and treat any resulting injuries. If you discover your feet hurt after wearing flip-flops, it is suggested that you consult a podiatrist who can offer relief tips and guide you toward more appropriate footwear.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Paul Hutchison, DPM from Hutchison Foot Clinic. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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

Wounds on the feet can develop for many reasons. Diabetes, poor circulation, nerve damage, pressure points, in addition to wearing ill-fitting shoes, surgery, and trauma can all break the skin and slow healing. Treatment often includes wound cleaning, infection control, specialized dressings, and sometimes antibiotics or advanced therapies. Offloading is just as important as these treatments. Offloading means reducing pressure on the wounded area so new tissue can form. This may involve a surgical shoe, removable boot, cast, custom insert, or temporary padding. When pressure continues, wounds reopen or fail to heal, even with good care. Proper offloading allows blood flow to improve and inflammation to settle. It also helps prevent deeper infection and further breakdown. Following offloading instructions at home is essential. Walking barefoot or skipping use of devices can reverse progress. Early care often improves outcomes. If you have sustained any kind of foot wound, it is suggested that you see a podiatrist for proper treatment and care.

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 Paul Hutchison, DPM from Hutchison Foot Clinic. Our doctor 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 contact our office located in Memphis, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Rheumatoid arthritis, or RA, is a chronic autoimmune inflammatory joint condition in which the immune system mistakenly attacks healthy joint tissues. When this disorder affects the feet, it can lead to progressive inflammation that damages joints, ligaments, and surrounding structures. Symptoms include persistent pain, swelling, stiffness, and tenderness within the forefoot and toes. Over time, visible changes in appearance may occur as bone damage develops and toes begin curling or shifting from their natural position. These structural changes may alter foot shape and may affect shoe size or comfort when walking. Risk factors include genetic susceptibility and autoimmune disease patterns. A podiatrist can monitor joint health, reduce pressure on affected areas, and recommend supportive care. If you have symptoms of RA in your feet, it is suggested that you consult a podiatrist who can help you to manage this condition.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Paul Hutchison, DPM of Hutchison Foot Clinic. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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