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Gout is a form of arthritis caused by the buildup of uric acid crystals in the joints, commonly affecting the big toe. It occurs when the body produces too much uric acid or fails to eliminate it efficiently. Risk factors include diet, obesity, genetics, and certain medical conditions. Symptoms usually begin suddenly with intense pain, swelling, redness, and warmth in the affected joint. The area may be extremely tender, making walking or wearing shoes difficult during flare-ups. A podiatrist can diagnose gout through a physical exam, patient history, and tests such as joint fluid analysis or blood tests to measure uric acid levels. Treatment involves managing pain and inflammation with medications, lifestyle changes, and sometimes dietary adjustments to prevent future attacks. If you have this painful condition, it is suggested that you schedule an appointment with a podiatrist for an evaluation and appropriate treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. 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 Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A foot fracture refers to a break in one or more of the bones in the foot, often caused by trauma, overuse, or falls. Symptoms include pain, swelling, bruising, and difficulty bearing weight. Common causes are sports injuries, accidents, or repetitive stress, especially in individuals with weakened bones. Risk factors include osteoporosis, high-impact activities, and wearing improper footwear. A podiatrist plays a key role in diagnosing foot fractures through physical examination and imaging, then guiding treatment with rest, immobilization, or possible surgical intervention. Prompt care helps prevent long-term complications and supports proper healing. If you suspect a foot fracture, it is suggested that you see a podiatrist for an accurate diagnosis and a personalized treatment plan to restore mobility and comfort.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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

Nerve damage in the feet, particularly involving the nerves between the toes, may lead to pain in the ball of the foot, also termed metatarsalgia. This type of nerve damage may result in a neuroma, which is a benign thickening of nerve tissue, commonly found between the third and fourth toes. Tight or poorly fitted shoes, reduced fat padding in the foot, and structural foot issues may place excessive pressure on these nerves. Symptoms of neuropathy include a mild ache or tingling in the toes, often becoming more intense with certain footwear. As the condition progresses, a patient may feel persistent burning pain or the sensation of having a pebble inside the shoe.  A podiatrist may recommend footwear changes, orthotic devices, or injections. If conservative methods fail, surgery may be required to remove the affected nerve. If you have foot problems related to nerve damage in the feet, it is suggested that you schedule an appointment with a podiatrist.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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