Blog

Gout is a form of arthritis caused by a buildup of uric acid crystals in the joints, leading to intense pain and inflammation. The big toe is often the first joint affected by gout due to its cooler temperature compared to other parts of the body. Uric acid tends to crystallize more easily in cooler areas, making the big toe, particularly the joint known as the first metatarsophalangeal joint, a prime target. Additionally, the big toe bears significant weight and stress while walking, which can further exacerbate the condition. When uric acid levels become elevated, the crystals accumulate in the joint, triggering inflammation and severe pain. Although gout can affect other joints over time, the big toe remains the most common initial site of attack. If you have gout, it is suggested that you are under the care of a podiatrist who can accurately diagnose and treat this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our doctors from Kitsap Foot & Ankle Clinic. 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 one of our offices located in Bremerton and Port Orchard, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Complex injuries of the foot and ankle involve multiple fractures, dislocations, or significant damage to soft tissues, such as ligaments, tendons, or nerves. These injuries are considered complex due to their intricate anatomy, weight-bearing function, and the challenge of restoring mobility, stability, and alignment. Polytrauma, where multiple injuries are affecting different areas of the body, can complicate foot and ankle injuries further, as they may be overlooked initially while treating life-threatening conditions. Such scenarios often occur in car accidents, falls, or severe sports injuries, where the foot and ankle are subject to extreme forces. Addressing complex injuries requires prompt medical attention from specialists such as podiatrists. Advanced imaging like CT or MRI scans may be necessary to fully assess the damage. Treatment typically involves surgery, targeted exercises, and long-term care to optimize recovery and restore function. If you have sustained any foot or ankle injury, it is strongly suggested that you seek care from a podiatrist.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our doctors from Kitsap Foot & Ankle Clinic. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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

Wearing shoes that do not fit correctly can lead to a variety of foot problems. Ill-fitting shoes can cause blisters, corns, calluses, bunions, and even more severe conditions like plantar fasciitis or nerve damage. Shoes that are too tight can compress the toes, while shoes that are too loose may cause the feet to slide around, leading to friction and discomfort. To avoid these issues, it is essential to measure your feet accurately to find the right shoe size. One of the best ways to do this is by using a Brannock device, a tool designed to measure both the length and width of the foot. By placing your foot on the device, you can obtain an accurate reading of your foot size, ensuring a more comfortable and supportive fit. Properly fitting shoes can improve overall foot health and help prevent long-term damage or pain. If you have foot pain from wearing shoes that do not fit correctly, it is suggested that you contact a podiatrist who can offer relief tips, and provide additional guidance on choosing shoes that fit properly.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of one of our doctors from Kitsap Foot & Ankle Clinic. Our doctors will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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

As individuals age, several changes occur in the feet that can lead to discomfort and mobility issues. One common change is dry skin, which becomes more prominent as the skin loses moisture and elasticity with age. This can lead to cracking and irritation. Another effect is the shortening of the Achilles tendon, which can cause tightness in the back of the ankle and difficulty walking or climbing stairs. Aging can also contribute to the development of flat feet, as the arches may collapse over time, leading to pain and instability. Hammertoe, a condition where the toes become bent at an abnormal angle, often develops due to muscle imbalances and changes in foot structure. Additionally, toenails may become thicker, more brittle, or discolored as blood circulation decreases and overall foot health declines. If you are elderly and have developed any of the above symptoms, it is suggested that you consult a podiatrist who can treat various foot conditions, and offer you an effective foot care routine.

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 doctors from Kitsap Foot & Ankle Clinic. 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 one of our offices located in Bremerton and Port Orchard, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.