December 2024

Gout is a form of arthritis that results in sudden, severe pain, swelling, and redness, often affecting the big toe. It is more common in men, particularly those over the age of 40, although it can affect women, especially after menopause. Gout occurs when excess uric acid builds up in the bloodstream, forming sharp crystals that accumulate in the joints. This typically happens due to dietary factors, such as consuming high-purine foods like red meat, shellfish, and alcohol. Additionally, obesity, dehydration, or certain medical conditions like high blood pressure or diabetes can significantly contribte to developing gout. During a gout attack, the affected joint becomes intensely painful, swollen, and inflamed. While medication can help control symptoms, recurring gout attacks can lead to joint damage over time. A podiatrist can help manage gout by providing treatments like anti-inflammatory medications, dietary guidelines, and customized footwear to reduce joint stress. They can also assist in preventing future flare-ups. If you are experiencing gout symptoms, it is suggested that you schedule an appointment with a podiatrist.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Thomas Madden from Advanced Foot Care Center. 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 Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle-foot orthoses, or AFOs, are versatile devices designed to enhance mobility, provide stability, and correct alignment for individuals with lower limb challenges. They extend from below the knee to the foot, providing targeted support for conditions such as arthritis, muscle weakness, or joint instability. They come in three primary types, which are flexible, rigid, and jointed. Flexible AFOs are crafted from soft, pliable materials that support movement while offering compression and mild stabilization. These are ideal for conditions like foot drop or minor gait abnormalities, allowing users to maintain natural mobility. Rigid AFOs, constructed from firm materials like plastic or carbon fiber, immobilize the ankle and foot to ensure maximum support and alignment. They are commonly prescribed for severe conditions such as post-stroke recovery or significant ankle instability. Jointed AFOs include hinges that allow controlled movement, balancing support with functional mobility. These are especially beneficial for rehabilitation, helping users regain strength and range of motion while maintaining safety and stability during the healing process. If you have foot and ankle challenges, it is suggested that you schedule an appointment with a podiatrist to discuss whether an ankle-foot orthotic is right for you.

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Limb salvage surgery is a medical procedure aimed at preserving a limb that may otherwise require amputation due to severe injury, infection, or complications from conditions such as diabetes. In diabetic limb salvage, the primary goal is to prevent amputation by addressing issues like diabetic foot ulcers, infections, and poor circulation that are common among individuals with diabetes. The procedure typically involves cleaning and debriding infected tissue, improving blood flow through vascular surgery, and sometimes reconstructing damaged bone or soft tissue. In some cases, the surgeon may use skin grafts or other techniques to promote healing. By preserving the limb, limb salvage surgery allows for better functionality and quality of life. Early intervention and ongoing care are essential for a successful outcome, as untreated diabetic complications can lead to more severe consequences. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you manage this condition and discuss the limb salvage procedure with you.

Diabetic Limb Salvage

Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Diabetic Limb Salvage?

Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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

Rucking is an activity that involves walking or hiking while carrying a weighted backpack, often over long distances and challenging terrain. Originally a military training exercise, it has become a popular fitness activity that combines cardio and strength training. The repetitive stress from carrying heavy loads over varying terrain can lead to a variety of issues, including blisters, calluses, or foot pain. Selecting appropriate footwear is vital for reducing these risks. Look for durable, supportive shoes with good arch support, cushioning, and traction suitable for the terrain and weather. Properly fitted shoes that allow toe movement and accommodate your foot shape are essential. Additionally, keeping feet clean and dry during rucking is key to avoiding blisters and fungal infections. If discomfort persists, a podiatrist can assess your feet and recommend custom orthotics for added support. If you experience unusual or chronic foot pain after rucking, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

An ankle fracture affects more than just physical mobility. It can have psychological and social impacts too. Physically, an ankle fracture often requires immobilization, leading to muscle weakness, joint stiffness, and challenges with weight-bearing even after healing. Recovery may take months, with targeted exercises needed to regain strength. Psychologically, the prolonged healing process and limited independence may lead to frustration, anxiety, and even depression, especially for active individuals. Fear of re-injury can also affect confidence. Socially, disrupted routines and limited participation in work or hobbies may cause feelings of isolation. If you have sustained an ankle fracture, it is suggested that you schedule an appointment with a podiatrist as quickly as possible. This foot and ankle expert can guide you, focusing on both physical and emotional support, to make recovery smoother and help you regain a balanced, active lifestyle post-injury.

Broken ankles need immediate treatment. If you are seeking treatment, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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