Gout is a form of inflammatory arthritis caused by uric acid crystals collecting inside a joint. It commonly targets the big toe, where an attack can cause sudden, intense pain. Gout attacks can begin at night, when cooler temperatures may encourage crystal formation in the extremities. Symptoms often develop quickly and can make walking or wearing shoes uncomfortable.

Gout develops when uric acid levels become too high and crystals form within a joint. Risk factors include family history, obesity, and diets high in purine-rich foods. Certain medications and alcohol use can raise uric acid levels. The big toe is especially vulnerable because it is one of the coolest joints in the body. Temperature changes can encourage uric acid crystals to collect there, triggering painful inflammation.

A bunion can affect the big toe, but it is different from gout. A bunion is a structural deformity where the big toe moves toward the other toes while the joint becomes prominent. Gout usually causes sudden attacks rather than a slowly developing bump. A podiatrist examines the foot and reviews your symptoms and health history. Blood tests or joint fluid testing may help confirm gout. Treatment may include medications, footwear changes, and strategies that reduce pressure during an attack.

Getting the correct diagnosis matters because gout and bunions require different treatment approaches. A podiatrist can help manage a gout attack and identify factors that may contribute to repeated episodes. Seek podiatric care when big toe pain appears suddenly or keeps returning, especially at night. If you have symptoms of gout, it is suggested that you are under the care of a podiatrist who can help you to manage this often debilitating condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Josef Elouze, DPM from Elite 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.

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 (Holiday City) Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever’s disease causes heel pain in growing children, especially those who run or jump in sports. Despite its name, it is not an illness or disease. It is irritation and swelling at the growth plate in the heel bone. A growth plate is developing tissue where a child’s bone grows. During a growth spurt, the heel bone can grow faster than nearby muscles and tendons. The Achilles tendon then pulls tightly against the growth plate. Repeated activity can make the area sore. The problem usually develops between ages nine and 14, and does not cause lasting damage after the growth plate matures.

A child with Sever’s disease can feel pain or tenderness in one or both heels. The heel can also become swollen, red, or stiff after waking. Some children limp or walk on their toes to avoid pressure. A podiatrist asks about the child’s sports, growth, and symptoms. The podiatrist also examines the foot and gently presses the sides of the heel. X-rays do not show Sever’s disease, but the podiatrist can order them to rule out a fracture or another cause of pain.

Treatment aims to reduce strain on the growth plate and help the heel recover. A podiatrist can recommend changes to activities based on the child’s pain. This foot doctor can also check whether the child’s shoes fit correctly and provide enough cushioning and support. Heel cups or custom shoe inserts can reduce pressure and improve foot position. For severe pain, the podiatrist can prescribe a walking boot or a short cast to limit heel movement. Children should return to sports only when activity no longer causes pain. Sever’s disease usually clears as the heel finishes growing. If your active child complains of heel pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and offer relief tips for Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Josef Elouze, DPM from Elite Podiatry. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in (Holiday City) Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pickleball combines quick starts, sudden stops, and sharp changes in direction on a hard court. These movements place heavy stress on the feet and ankles. An ankle sprain can occur when the joint rolls and stretches or tears its supporting ligaments. Other injuries related to pickleball include plantar fasciitis, Achilles tendon tears, and stress fractures. Plantar fasciitis causes pain where the thick band beneath the foot becomes irritated. Repeated impact can also lead to heel pain or pain in the ball of the foot. Poor balance, fatigue, and shoes that lack proper support can raise the risk of injury.

Symptoms vary with the injured area and damage. An ankle sprain can cause pain, swelling, and bruising. Achilles tendon trouble can produce stiffness above the heel and pain when pushing off. A stress fracture can cause focused pain that grows worse with activity, while plantar fasciitis usually creates sharp heel pain after rest. Sudden inability to bear weight, a visible change in shape, or a popping sound requires prompt attention. Continuing to play through pain can worsen an injury and change the way a player moves. This can strain the opposite foot and legs.

A podiatrist can examine the painful area, test joint movement, and evaluate foot mechanics. X-rays can reveal broken bones or changes in joint alignment. Other imaging can help identify damage to tendons, ligaments, or soft tissue. Treatment depends on the diagnosis and the demands placed on the foot. A podiatrist can provide immobilization, bracing, or custom orthotics to protect the injured area and improve support. The podiatrist can also recommend court shoes with proper cushioning and side-to-side stability. For serious injuries, the treatment plan can include surgery. Evaluation guides a safe return to pickleball. If you have sustained a foot or ankle injury from playing pickleball, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Josef Elouze, DPM from Elite Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions please contact our office located in (Holiday City) Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A broken toe can cause significant pain and make standing or walking difficult. Toe fractures usually result from direct trauma, such as  kicking a hard object or dropping something heavy on the foot. Bruising and swelling can develop soon after the injury. Pain can become worse when pressure is placed on the affected toe. Although many broken toes do not require surgery, proper evaluation is important. The location of the fracture and the position of the broken bone can affect treatment and recovery.

Most toe fractures heal within six to eight weeks, although recovery varies between patients. A broken big toe can require additional support because it plays an important role in balance and walking. Some fractures are treated with buddy strapping, which means securing the injured toe to the neighboring toe for support. Sturdy shoes with a stiff sole and wide toe box can also protect the injured area. Persistent pain, numbness, or changes in circulation can signal a problem that requires prompt evaluation.

A podiatrist can examine an injured toe and determine whether a fracture has occurred. X-rays can show the location and severity of the break and help guide treatment. A podiatrist can provide appropriate support for the toe and recommend protective shoes or a special walking boot for certain fractures. Treatment also focuses on maintaining proper alignment while the bone heals. A podiatrist can also monitor healing and determine when it is safe to return to work, sports, or other demanding activities. Continued pain or difficulty walking after the expected healing period should be evaluated. If you have broken your toe, a it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Josef Elouze, DPM from Elite Podiatry. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions please feel free to contact our office located in (Holiday City) Toms River, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.