AllGout is a type of arthritis that affects millions of Americans. It is the most common crystal-induced arthropathy. It is now estimated that 4% of the US population now suffers from gout. Gout cases increase each year with the increase in national obesity, high cholesterol, diabetes and heart disease. Symptoms: Our bodies normally make a chemical called uric acid. When too much of this chemical is produced it can lead to build of crystals in certain joints. The typical symptoms of gout are red, hot, swollen joints in the big toe, ankle, wrist, finger and knee. Attacks can begin quickly after an acute or a repeated use injury, ingestion of liquids or food that has high levels of purines. Tophi is a collection of urate crystals in soft tissue, which presents like a white creamy discharge that can sometimes be seen in joints of patients with gout. Diagnosis: Gout is typically seen as a red, hot swollen joint upon physical examination. The big toe joint is the most common place to see gout in the foot. Diagnosis can also be made with an X-ray, where arthritic changes can be seen at the joint. Lesions on an X-ray can sometimes resemble a “rat bite” type appearance. Blood work can be done to see serum uric acid levels, which typically should be less than 6 mg/dL. Tophi expressed from the joint can also be examined under a microscope which will show a very specific negatively birefringent urate crystals. Treatment: Gout is usually treated acutely and chronically. The acute attack can be treated with oral medications, cortisone injections and/or immobilization of the affected joint using a rigid shoe. Depending on the severity of the attack, long term medication may also be needed to keep reduced uric acid levels. Prevention: Sometimes gout attacks cannot be prevented, such as instances with acute trauma. However majority of gout cases can be prevented with proper diet and exercises. Reducing food consumption with high level of purines such as red meats and certain seafood and reducing ingestion of excessive alcohol reduces the risk of gout attacks and prevents uric acid buildup. References: “Gout and Pseudogout.” Practice Essentials, Background, Pathophysiology, 12 Apr. 2019, emedicine.medscape.com/article/329958-overview. “Gout and Pseudogout Workup: Approach Considerations, Synovial Fluid Analysis, Serum Uric Acid.” Gout and Pseudogout Workup: Approach Considerations, Synovial Fluid Analysis, Serum Uric Acid, 12 Apr. 2019, emedicine.medscape.com/article/329958-workup#c12. “Gout Diet.” DietDiet.com, 30 Mar. 2016, www.dietdiet.com/gout-diet/ Dr. Alvin Bannerjee works in our Washington, DC (19th street) office for your convenience. The information on this site is provided for your assistance only; this site does not provide podiatric advice. You should never diagnose or treat yourself for a podiatric condition based on the information provided herein, and the information is not provided for that purpose. Likewise, you should never determine that treatment is unnecessary based on this information. The information contained herein is not a substitute for podiatric care provided by a licensed podiatric professional. The information provided herein is not podiatric, medical or professional advice. This site does not create a doctor-patient relationship. Dr. Alvin Bannerjee and Foot & Ankle Specialists of the Mid-Atlantic, LLC expressly disclaims all warranties of any kind, whether express or implied, related to any products offered for sale on this web site. Dr. Alvin Bannerjee and Foot & Ankle Specialists of the Mid-Atlantic, LLC further expressly disclaims any product warranties of effectiveness or fitness for any particular purpose or use. You are solely responsible for your use of, or reliance on, any products offered for sale herein, and any consequences arising out of such use or reliance. In no event will Dr. Alvin Bannerjee and Foot & Ankle Specialists of the Mid-Atlantic, LLC be liable for any damages resulting from use of or reliance on any such products, whether based on warranty, contract, tort or any other legal theory. This website, and the information contained herein, is provided to you as a service for use at your sole risk. Dr. Howard Osterman from our Silver Spring, MD (Fenton) and Washington, DC (1775 K Street) offices shares why he volunteers for the Project Homeless Connect with the United Way. As part of the kindness initiative, Dr. Osterman and his offices have supplied free podiatry services for the United Way National Capitol Area's project Homeless Connect for the past seven years. Dr. Osterman and his team love being able to give back to the community and see people getting the support they need.
Foot and Ankle Specialists of the Mid-Atlantic, LLC (“FASMA”) Silver Spring, MD podiatrist Priya Parthasarathy, DPM, was featured in the New York Times Article "Why Runners Shouldn’t Wear Flip-Flops". Dr. Parthasarathy talks about runners wearing flip-flops, running, and plantar fasciitis. Check out the full article by clicking here!
TOENAIL HAPPINESS IS EASY
Let’s talk toenails. Not necessarily pretty, not necessarily functional, but they are a bonafide body part that deserves respect. Even more than respect, toenails deserve happiness!
They deserve to look good, and feel good! Here’s the great news - podiatrists, everyday, help toenails be their best… YAY!!!
YOUR toenails can be their best, too.
And it’s usually quite easy!
Basic home care, and periodic professional guidance, can get your toes a starring role at the next neighborhood pool party :-)
Fungus toenails? Ingrown toenails? No problem! Podiatrists treat these everyday. We can eliminate the guess-work by taking a nail culture to determine the most appropriate treatment options. There are many topical medicines and in some severe cases, oral medicines to erase unsightly and often times, painful thick fungal nails. In fact, many of our offices, not only here in North Carolina but also in Virginia and Maryland, have laser treatments for toenails. Some of our offices also have medical grade pedicure salons.
Skin and soft tissue infections can also develop around these ingrown nails. Podiatrists in our offices can perform procedures to resolve and prevent serious problems. If you are diabetic or have poor circulation, these problems can lead to serious consequences so it is important not to delay and get checked.
fungus laser treatment.
Dr Woelffer enjoying a full-service Medical Pedicure at
Raleigh Foot and Ankle Center.