Items filtered by date: December 2024

Nighttime gout flares often cause intense pain, swelling, and redness in the feet, and can severely disrupt sleep. Gout is a form of arthritis caused by a buildup of uric acid in the joints, and it frequently affects the big toe due to its susceptibility to stress and lower temperatures. Nighttime gout attacks may be linked to factors such as dehydration, reduced body temperature, and lower cortisol levels during sleep. These painful episodes can make it difficult for patients to find relief without medical help. A podiatrist can assess symptoms, confirm a diagnosis, and recommend strategies to reduce the frequency and severity of gout flares. These may include lifestyle modifications such as changes in diet, preventative techniques like weight loss, and treatments to alleviate pain and inflammation in the affected joints. Proper management not only helps to protect the health of your feet and ankles but also improves sleep patterns. If you have nighttime flare-ups of gout, it is suggested that you schedule an appointment with a podiatrist for guidance in managing this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Richard Galperin, DPM from Texas. 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 Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus, also known as onychomycosis, is a fungal infection that affects the nails, typically starting at the tip and spreading deeper into the nail. The primary cause is exposure to fungi, which thrive in warm, moist environments such as public showers or pools. Toenail fungus is more common in individuals with weakened immune systems, poor circulation, or those who wear tight, non-breathable shoes. Symptoms include thickened nails, discoloration, crumbling edges, and sometimes a foul odor. The nail may become detached from the nail bed in severe cases. Diagnosis is usually made through a physical examination, and a sample of the infected nail may be taken for laboratory testing, such as a fungal culture or nail biopsy, to confirm the presence of the fungus. If you have symptoms of toenail fungus, it is suggested that you promptly schedule an appointment with a podiatrist who can accurately diagnose and treat this condition, which may include prescribed medication.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Richard Galperin, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

Arthritis in the feet often starts with subtle symptoms like pain, swelling, and stiffness, which can worsen over time. Early signs include discomfort in the toes, arch, or heels, especially after prolonged activity or in the morning. Swelling may occur around the joints, and you might notice difficulty moving the toes or walking without limping. Arthritis in the feet is commonly caused by wear and tear or autoimmune conditions like rheumatoid arthritis. Risk factors include age, family history, injury, or being overweight. Over time, untreated arthritis can lead to joint damage and deformities, such as bunions or hammertoes. Treatments for foot arthritis typically include rest, medication for pain and inflammation, and custom orthotics to improve foot alignment. In some cases, targeted exercises or surgical options may be necessary. If you are noticing pain or swelling in your feet, it is suggested that you make an appointment with a podiatrist who can help manage symptoms and prevent further joint damage.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Richard Galperin, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

Hallux rigidus, a form of arthritis affecting the big toe joint, causes stiffness, pain, and limited range of motion, especially during activities like walking or climbing stairs. Over time, this condition can make daily movement difficult, as bending the toe becomes increasingly restricted. Before considering surgical options, many find that custom orthotics provide effective relief. Orthotics can offload pressure from the affected joint, promoting a more natural gait and reducing inflammation caused by repetitive stress. Specifically, rigid or semi-rigid orthotics can help limit toe movement, alleviating pain while supporting overall foot alignment. By redistributing weight away from the big toe, custom orthotics can significantly improve comfort and mobility, enabling people to manage symptoms and delay, or even avoid the need for surgery. If you suffer from pain in your big toe joint, it is suggested that you visit a podiatrist for a proper diagnosis and to discuss whether custom orthotics can provide relief.

Discover relief from persistent foot pain with custom orthotics and shoe inserts. If you’re battling heel pain, these personalized solutions offer targeted support, addressing the root causes of discomfort. Customized to your unique biomechanics, these inserts provide stability, alleviating both heel and foot pain. Say goodbye to the agony of every step and hello to a life free from constant foot pain. Invest in your well-being with custom orthotics or shoe inserts ensuring your feet receive the care they deserve. Step confidently, step comfortably – because a pain-free journey begins with the right support. 

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

Diabetic foot complications are common due to nerve damage, or neuropathy, and poor circulation, which make the feet vulnerable to injuries that may go unnoticed. Even small cuts or blisters can develop into serious ulcers, as high blood sugar levels delay wound healing and increase infection risk. For people with diabetes, regular foot checks are essential to catch injuries early. Wound care is a critical part of managing diabetic foot complications. It involves cleaning, debriding, or removing dead tissue, and protecting wounds to prevent infection and promote healing. In severe cases, advanced treatments like specialized dressings, antibiotics, and even hyperbaric oxygen therapy may be required. By addressing wounds promptly and properly, wound care reduces the risk of severe infections and amputations, making it a vital component in the comprehensive management of diabetic foot health. If you have diabetic-related foot problems, it is strongly suggested that you schedule regular appointments with a podiatrist for routine exams and expert care.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Richard Galperin, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

Blisters on the feet occur when fluid accumulates between layers of skin, often as a response to friction or pressure. Repeated rubbing from poorly fitting shoes or intense activity can irritate the skin, leading to the formation of these protective fluid-filled sacs. Blisters on the feet may also arise from burns, extreme cold, or medical conditions like eczema or diabetic neuropathy. Depending on the cause, blisters can be painfu, making walking difficult. It is not recommended to pop blisters yourself as this may lead to infection, which may require medical attention. A podiatrist can safely assess and treat foot blisters, especially those that are recurring or linked to underlying health issues. This foot doctor can drain the blister under sterile conditions, recommend footwear modifications, and address infections as needed. Professional care also reduces the risk of complications, such as worsening pain or more serious infections. If you have a problematic foot blister, it is suggested that you schedule an appointment with a podiatrist for safe treatment.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Richard Galperin, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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