November 2024

While often associated with men, gout can affect women too, especially after menopause. Gout is a form of arthritis caused by high levels of uric acid in the blood, leading to painful crystals forming in the joints, particularly in the big toe. Estrogen, which helps regulate uric acid, declines post-menopause, increasing women’s risk of gout. Other factors like high blood pressure, obesity, and a diet rich in purines, found in red meat, shellfish, and alcohol, can also raise uric acid levels. Gout attacks come on suddenly, causing intense pain, redness, and swelling in the affected joint. Managing gout involves drinking plenty of water, avoiding purine-rich foods, and maintaining a healthy weight. If you have gout flare-ups, it is suggested that you visit a podiatrist who may prescribe medications to lower uric acid or relieve pain.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Kellvan Cheng, DPM from Elite Foot & Ankle. 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 Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bunions are bony bumps that form on the joint at the base of the big toe, often causing pain, swelling, and stiffness. While bunions are primarily structural issues, targeted exercises can help manage discomfort, improve flexibility, and slow progression. Toe stretches, big-toe circles, and towel scrunches are effective for maintaining joint mobility. Resistance exercises with a band around the big toe can also strengthen the surrounding muscles, helping stabilize the foot. However, if pain from a bunion persists or limits your daily activities, it is suggested that you visit a podiatrist for a comprehensive treatment plan, which may include custom orthotics, footwear advice, and in severe cases, surgical options.

If you are suffering from bunions, contact Kellvan Cheng, DPM of Elite Foot & Ankle. 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 our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet, or fallen arches, occur when the arches of the feet flatten out, causing the soles to touch the ground while standing. This condition can be genetic, develop with age, or result from injury, obesity, or certain medical conditions. Flat feet are common, affecting both children and adults, but many individuals experience no symptoms. When symptoms do occur, they can include aching feet, particularly in the arch and heel, and sometimes pain in the legs, hips, or lower back due to misalignment. Such pain can impact life quality. For those individuals with pain, wearing supportive shoes, custom orthotics, and specific stretches to strengthen the foot and ankle muscles may help. In severe cases, a podiatrist may recommend targeted exercises or even surgery to correct alignment issues and alleviate persistent discomfort. If you have discomfort from flat feet, it is suggested that you visit a podiatrist for an examination and treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Acute and chronic sports injuries are common among athletes and active individuals. Acute injuries occur suddenly during physical activity, often due to falls, collisions, or improper technique. Common examples include sprains, fractures, and muscle strains. Symptoms typically involve immediate pain, swelling, and an inability to use the affected area. In contrast, chronic injuries develop gradually over time, often due to repetitive stress on muscles and joints. Conditions such as tendinitis, bursitis, and stress fractures are common. Symptoms may include persistent pain, stiffness, and swelling that worsen with activity. Treatment for acute injuries usually includes rest and elevation. Chronic injuries often require a more comprehensive approach, including targeted exercises, activity modification, and sometimes medications or injections. If you are experiencing persistent pain or difficulty due to a sports injury, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and effective treatment tailored to your needs.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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