Items filtered by date: April 2023

Tuesday, 25 April 2023 00:00

Gout in the Foot

Gout is a type of inflammatory arthritis caused by the formation of uric acid crystals that settle in joints. High blood urate levels, or hyperuricemia, lead to crystal formation, and this can produce severe pain, stiffness, and swelling, often along the base of the big toe. One often has attacks of gout that can last from 12 hours to two weeks. If not tended to, gout can cause damage to joints, tendons, and other soft tissue that is irreversible. Hyperuricemia can also lead to kidney stones. Many people who suffer from gout have lifestyles, such as being overweight or eating or drinking items with high levels of purines or excess sugar or alcohol, that make them more vulnerable to gout. Those with some diseases, like anemia, psoriasis, and renal disease can also be more apt to get gout. Similarly, people taking certain medications can be more likely to get gout. Men are twice as likely to get gout than women. The chance of getting this ailment increases with age. If you have gout and you are experiencing pain in your big toe, it is suggested that you visit a podiatrist for an examination, treatment, and prevention techniques.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Rouder from S.I. Podiatry. 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.


  • 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 Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 18 April 2023 00:00

Seniors and Bone Fractures

Seniors can be prone to bone fractures because their bones are older, more brittle, and crack easily. Also, people in this age group are more likely to have other health-related conditions, like osteoporosis, that lead to weakened bones or foot ailments caused by diabetes, putting them at further risk of falls and broken bones. Fractures to feet and ankles are also common. These fractures should be treated promptly because seniors may also have a compromised ability to heal. Participating in regular exercise and getting adequate amounts of vitamin D and calcium can help prevent bone fractures in this age group. More specific treatments depend on the location and severity of the bone breaks. If you are a senior or care for one, it is suggested that you consult with a podiatrist who can help with fall prevention techniques as well as treat fractures that may occur in your feet and ankles.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dr. Rouder from S.I. Podiatry. 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 Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Causes, Symptoms, and Treatment for a Broken Foot
Tuesday, 11 April 2023 00:00

Causes of Peripheral Neuropathy

It is easy to recognize the symptoms of peripheral neuropathy, a condition that results from damage to the nerves in the body’s extremities. Burning, stabbing, and sometimes tingling pain in the feet are common, along with numbness and weakness. This is the result of the brain sending incorrect messages to the feet and toes. Peripheral neuropathy can be caused by diabetes, as the result of prolonged high blood sugar levels. Other causes include side effects of certain medications, hereditary factors, and autoimmune or kidney disease. It can also be a side effect of an underlying condition, such as obesity, alcohol abuse, and high blood pressure. In addition, a deficiency of vitamin B12 has been linked to developing peripheral neuropathy. While this condition is rarely cured, it can be managed to help reduce the symptoms. For more information about peripheral neuropathy that affects the feet and toes, it is suggested that you consult a podiatrist. 


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 Dr. Rouder from S.I. Podiatry. 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.


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 Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Neuropathy
Thursday, 06 April 2023 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

A condition known as Raynaud’s phenomenon is a circulatory problem that causes the blood vessels in the extremities to narrow and restrict blood flow. This can cause the toes to become cold and even turn blue. There are two types of Raynaud’s phenomenon, primary and secondary. Primary has no known cause, but secondary may occur in conjunction with another underlying condition, such as lupus or rheumatoid arthritis. This type is far more serious and can lead to the formation of skin ulcers that may become gangrenous if ignored. Women are more at risk for Raynaud’s phenomenon, and it usually occurs in people in their 30s or younger. Emotional stress and smoking also can trigger attacks. When an attack occurs, the toes become exceedingly cold and may change color, which can evolve into burning and tingling when the toes finally get warmer. If you are having increasing problems with coldness and discoloration in the toes, it is suggested that you meet with a podiatrist who can properly diagnose your condition and offer treatment options.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Rouder of S.I. Podiatry. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.


Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

  • Muscle pain, stiffness, or weakness   
  • Numbness or cramping in the legs 
  • Skin discoloration
  • Slower nail & hair growth
  • Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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

Read more about Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet

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