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Why Do I Have Nighttime Pain In My Feet?

There are several conditions that cause foot pain that worsens in the evening or interrupts sleep. Fibromyalgia is a chronic condition causing musculoskeletal pain, burning, tenderness, and tightness which often occurs in the feet. These symptoms can be worse in the evening due to decreased levels of cortisol. Tarsal tunnel syndrome is a condition where the tibial nerve in your ankle becomes compressed, causing pain, numbness, tingling, or a pins and needles sensation in your feet that may flare up at night. Bony bunions that get irritated rubbing against shoes during the day are often sore at night and throb. Peripheral neuropathy (damage to nerves outside of the central nervous system) can cause painful sensations such as tingling, burning or sharp pains, which tend to intensify due to cooler nighttime temperatures. If you are experiencing any type of nighttime pain or discomfort in your feet or ankles, it is suggested that you get your condition diagnosed and treated by a podiatrist.

 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. George Yarnell from Pennsylvania. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

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When Gout Flares up in the Big Toe Joint

If your big toe joint suddenly gets hot, red, swollen, and very painful, you could be having a gout flare. Gout is an arthritic condition that develops when excessive amounts of uric acid in the body cluster and crystallize on joints—most commonly the big toe joint. Symptoms from a gout flare can last for days or weeks and then completely disappear until the next flare occurs. You may be more at risk of developing gout if you have a family history of it, or if you are male, obese, drink alcohol, eat a lot of purine-rich red meat and seafood, or have certain health conditions like diabetes, kidney issues, hypertension, congestive heart failure, diabetes and more. If you believe you may have gout, it's a good idea to make an appointment with a podiatrist who can diagnose your condition through an exam and various tests, and help relieve your pain. In severe cases, where large deposits of gout form and normal pain relief methods do not provide relief (or there is joint dysfunction), surgery may be necessary.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. George Yarnell from Pennsylvania. 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 Lansdowne, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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The Five Phases of Walking

A normal stride, or way of walking, includes five distinct phases: Heel-Strike, Support, Toe-Off, Leg Lift, and Swing. In the Heel-Strike phase, the leading foot makes contact with the ground heel first. The rest of the foot then follows suit in the Support phase, contacting the ground while forcing pass through the leg. In the Toe-Off phase, the foot prepares to leave the ground starting with the heel and ending with the toes. Once the foot is off the ground, the lower leg works to raise it during this Leg Lift phase to prepare for the final phase: the Swing phase. In this phase, the raised leg moves in a forward motion, propelling the body forward. There are various foot conditions that can alter this normal pattern of walking, as well as neurological conditions, skeletal deformities, medical conditions, obesity, arthritis, sensory or motor deficiencies, peripheral arterial disease, and more. If you believe your gait is being compromised in some way, make an appointment with a podiatrist who can perform a biomechanical gait analysis and discuss ways to help correct any abnormalities.

If you have any concerns about your feet, contact Dr. George Yarnell from Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Read more about The Importance of Biomechanics in Podiatry

Why Should I Visit a Podiatrist?

It is very common and beneficial for families to see a doctor for annual checkups on a regular basis, and by extension, it may be a good idea to schedule regular visits with a podiatrist to check on your foot health. Podiatrists are doctors who specialize in the care of your lower limbs and feet. Among the conditions they treat are ingrown toenails, heel and arch pain, skin problems, balance issues, foot and ankle sprains, and fungal infections. It is particularly important to see a podiatrist on a regular basis if you have arthritis or diabetes, which can result in serious foot problems, such as foot ulcers, poor circulation, or neuropathy. A podiatrist can also help with structural foot conditions, such as bunions, hammertoes, and flat feet, and can make custom orthotics for you to help with heel pain, such as plantar fasciitis, and other painful conditions, like Morton’s neuroma. When you experience any new or chronic foot ailments, it is suggested that you visit a podiatrist as soon as possible.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Dr. George Yarnell from Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

  • Physical therapy
  • Drugs
  • Orthotic inserts or soles
  • Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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

Read more about What is a Podiatrist?

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

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