
Gout
Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.
Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.
People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.
Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.
Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.
To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.
Obesity and Foot Pain
Obesity significantly impacts foot health, often leading to chronic foot pain due to the excessive weight exerting pressure on the feet. This added strain can result in conditions like plantar fasciitis, where the thick band of tissue running across the bottom of the foot becomes inflamed, causing intense heel pain. Additionally, the excess weight can contribute to flat feet, where the arches collapse, leading to further discomfort and instability. To manage foot pain associated with obesity, weight reduction through a balanced diet and regular exercise is important. Low-impact activities like swimming or cycling can help shed pounds without placing additional stress on the feet. Supportive footwear that provides adequate arch support and cushioning is also essential. If you carry excess weight and have persistent foot pain, it is suggested that you seek advice from a podiatrist. This medical professional can offer custom orthotics, recommend specific exercises to strengthen foot muscles, and provide guidance on managing foot health, ultimately enhancing mobility and quality of life.
The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned about your feet, contact Ramin Nadjafi, DPM from Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.
Obesity and Your Feet
People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.
Problems & Complications Stemming from Obesity
- When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
- Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
- Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.
If you have any questions, please feel free to contact our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Obesity and the Feet
Obesity is a common problem in American society. Approximately one third of the U.S. population is obese. Obesity is defined as a body mass index greater than 30. Obesity has the power to affect different aspects of the body, and one of the most common problems it causes is foot pain. There have been many studies that found a connection between an increased BMI and foot problems. A simple activity such as walking up a flight of stairs can increase pressure on the ankle by four to six times.
Being overweight causes the body to compensate for the extra weight by changing the way it moves. Consequently, people who struggle with obesity commonly have arch problems in their feet. Obesity causes the arch to break by stretching the ligaments and tendons that hold the bones in the foot together. When the arch lowers, the foot may eventually fall flat. Collapsed foot arches fail to provide adequate shock absorption which eventually leads to foot pain. Other conditions that may be caused by flat feet are pronation, plantar fasciitis, weak ankles, and shin splints.
Foot problems that are caused by obesity may be treated by wearing proper footwear. Proper shoes will allow your feet to have better circulation around the arch and ankle. Additionally, those with obesity often discover that typical heel pain remedies are not effective for them. They will find that their plantar fascia is easily injured, and it is often inflamed. The best way to treat this problem is to implement lifestyle changes. A few good ways to improve your diet are to reduce calories, fill up on fruits and veggies, and to limit sugars.
Custom foot orthotics can prevent foot problems if you’re carrying excess weight or are trying to lose weight. The purpose of orthotics is to provide shock absorption to decrease the amount of stress on the joints to prevent arthritis.
Painful Ingrown Toenails

Ingrown toenails occur when the edge of a toenail grows into the surrounding skin, instead of growing over it, causing pain, tenderness, redness, and swelling. This often occurs on the big toe. Preventing ingrown toenails involves cutting nails straight across and avoiding trimming them too short. Wearing proper-fitting shoes and socks can also reduce pressure on toes. Ingrown toenails can be very painful. If you suffer from persistent or infected ingrown toenails, it's suggested that you seek professional care from a podiatrist. They can safely trim or remove the ingrown portion of the nail, prescribe antibiotics if needed, and offer advice on preventing future occurrences. Prompt treatment from a podiatrist can prevent complications, such as infection or the need for more extensive procedures.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Ramin Nadjafi, DPM of Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ingrown Toenails
Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.
An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.
Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.
People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.
Reasons to See a Podiatrist
Visiting a podiatrist can significantly enhance your foot health and overall mobility. Podiatrists specialize in diagnosing, treating, preventing, and rehabilitating lower limb issues. This can include general foot conditions like bunions, calluses, and fungal infections, as well as more complex problems associated with diabetes and arthritis. If you have persistent foot pain, a podiatrist can provide effective relief through treatment and exercises tailored to your specific needs. Athletes, dancers, and runners benefit from a podiatrist’s expertise in managing sports injuries, such as sprains and fractures. Custom orthotics are another vital service provided by podiatrists. These specially designed shoe inserts can correct biomechanical issues, alleviate pain, and enhance walking or running performance. Podiatrists also offer essential footwear advice, helping individuals select the right shoes to support and improve their gait. Additionally, they perform minor surgeries for skin and nail concerns, such as ingrown nails and warts. By addressing foot problems early, podiatrists help prevent further complications, enhancing your quality of life and mobility. If you are suffering from foot, toe, or ankle pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.
If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact Ramin Nadjafi, DPM from Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.
What Do Podiatrists Do?
On a daily basis, a podiatrist may perform the following activities:
- Diagnose foot ailments such as ulcers, tumors, fractures, etc.
- Use innovative methods to treat conditions
- Use corrective orthotics, casts, and strappings to correct deformities
- Correct walking patterns and balance
- Provide individual consultations to patients
It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.
If you have any questions please feel free to contact our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What is a Podiatrist?
A podiatrist is a Doctor of Podiatric Medicine who treats the foot, ankle, and related structures of the leg. If you are having any pain, injuries, or abnormalities in these areas, it is best that you seek help from a podiatrist.
Podiatrists complete four years of training in a podiatric medical school. Their training is like that of other physicians, and they may go on to complete a fellowship training after a residency training. Some podiatrists are board certified meaning they have advanced training, clinical experience, and have taken an exam to prove their skills. Certifying boards for podiatry are the American Board of Foot and Ankle Surgery and the American Board of Podiatric Medicine. Podiatrists may work in private practices, hospitals, clinics, or they may even become professors at colleges of podiatric medicine.
While in college, those who want to be podiatrists often take biology, chemistry, and physics classes in preparation for podiatry school. In podiatry school, students study how the bones, nerves, and muscles work together to help you move around. Additionally, they study injuries and how to properly diagnose and treat them. Admittance into podiatric medical school requires the completion of 90 semester hours of undergraduate study with a good grade point average, and acceptable scores on the MCAT (Medical College Admission Test)
Podiatrists treat many different conditions such as: aching feet, ankle pain, bunions, corns, hammertoes, fungus, ingrown toenails, plantar fasciitis, sprains and more. Common forms of treatment for these conditions are physical therapy, drugs, or surgery. Podiatrists may also recommend corrective shoe inserts, custom-made shoes, plaster casts, and strappings to correct deformities.
Even if you are someone whose feet are in generally good condition, you should still visit a podiatrist to have your feet properly exfoliated and maintained, or to make sure you are looking after your feet properly.
Get Professional Care for a Broken Foot or Ankle
Tips for Finding Shoes That Fit Properly

Surprisingly, about 70 percent of people wear shoes that don’t fit well, leading to discomfort and potential long-term issues affecting the feet and ankles, as well as other body parts. To ensure a proper fit, start by measuring your feet, as sizes can vary between brands and your feet change over time. Shop in the afternoon when your feet are slightly swollen, ensuring a fit that accommodates daily activity. Look for shoes with adequate support and structure, avoiding overly soft footwear that lacks stability. Check for a thumb’s width of space at the toe and consider the shape of the shoe to avoid cramped toes. Heels higher than 1.5 inches can worsen foot problems. For those on carpets or with mobility issues, lightweight polyurethane soles are a better option than heavy rubber. Breathable materials and appropriate socks are also important to prevent moisture buildup and subsequent issues, like corns or blisters. Special features can accommodate specific conditions like diabetes, bunions, or hammertoe. For personalized advice and to address any foot-related concerns, it is suggested that you make an appointment with a podiatrist.
Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Ramin Nadjafi, DPM from Advanced Podiatry Group. Our doctor will treat your foot and ankle needs.
Proper Shoe Fitting
A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:
- Be sure the shoes fit correctly right away
- Ensure the ball of your foot fits comfortably in the widest portion of the shoes
- Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
- Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity
Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.
If you have any questions please feel free to contact our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How to Get a Proper Shoe Fit
Many people suffer from foot problems because their shoes are poorly fitted. When shopping for a new pair of shoes, fashion usually triumphs over comfortability. A pair of well fitted shoes is essential in preventing foot problems and potential injuries.
Poorly fitted shoes can cause foot issues such as plantar fasciitis, bunions, hammertoes, ingrown toenails, and foot pain. Shoes such as high heels and sandals may cause problems for your feet. These shoes put the foot in an unnatural position for long periods and fail to provide good foot support. It is recommended to not wear either one for an extended period.
When you are trying on shoes, make sure they have enough space for your toes to move around. Shoes shouldn’t be cramped but also shouldn’t have too much room that your foot moves around in them. A snug shoe is a good choice. They should also provide good arch support and cushioning. Athletic shoes tend to offer both good support and cushioning. A degree of flexibility is necessary so they aren’t too stiff or too unsupportive.
If you can wear your shoes for a long period of time without experiencing any discomfort, this is a sign that your shoes fit properly. Do not be too dismayed if the shoe isn’t a perfect fit at first; many shoes take a few days to weeks to properly break in. However don’t expect an uncomfortable shoe to become fitted to your foot.
For those with foot conditions such as flat feet or pronation, orthotics may be helpful or even necessary to prevent foot pain. Orthotics are inserts that are placed in the shoe and provide support and cushioning for the foot. While there are many types of orthotics out there, custom-made orthotics may be necessary depending upon your foot and foot conditions.
Feet change in size over time. It is important to check your foot size over time so that you can make sure you have the perfect fit for your feet. A podiatrist can provide more information on proper shoe fitting and foot orthotics.