January 2024

Gout, once associated with excess and opulence, is making a modern resurgence, affecting nearly 4 percent of adults in the US. Gout, a painful inflammatory arthritis, can be found in both men and women, although men are three times more likely to develop it. Caused by the crystallization of uric acid within joints, gout can be both debilitating and chronic. Uric acid, a byproduct of cellular processes, accumulates when the body produces too much or doesn't excrete enough. Gout attacks occur when uric acid levels become excessively high, forming crystals that trigger inflammation and intense pain. The initial gout attack typically targets one joint, often the big toe, with subsequent attacks potentially affecting various joints simultaneously. Joints in the foot, ankle, knee, and even fingers may be affected. During an attack, the affected joint becomes red, swollen, and extremely tender. Even the slightest pressure can induce severe pain. Gout attacks tend to occur suddenly, with nighttime flares being more common. The effect on daily life during a gout attack is significant. While there is no cure for gout, medications and self-management strategies may help to alleviate symptoms and prevent future flares. For help in managing gout, it is suggested that you consult a podiatrist.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Kirk Sherris from Liberty Bay Foot & Ankle. 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 Poulsbo, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Podiatrists play a vital role in preventing falls among the elderly population in various ways. A couple of important ways they can help is by assessing footwear and prescribing custom foot orthotics. Wearing proper footwear can significantly improve balance and gait, offering better stability and reducing the risk of falls. Since many older adults wear improperly fitting shoes, a podiatrist can recommend appropriate footwear, including shoes with good traction suited to various conditions, and modifying existing shoes for a better fit. Custom foot orthotics are designed to support the feet and enhance feedback to the brain, which improves balance. They can accommodate different foot shapes and deformities, making each step more comfortable and stable, thus reducing the risk of falls. If you are elderly and want to ensure that you are doing all you can to prevent falling, it is suggested that you make an appointment with a podiatrist who can evaluate your situation and provide the help you are seeking.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

The metatarsophalangeal, or MTP, a joint that connects the first metatarsal to the big toe's phalanx, is vital for walking. A stiff big toe, medically known as hallux rigidus, can hinder daily activities. If conservative treatments fail, surgery becomes an option. Cheilectomy involves removing bone spurs and bony material from the MTP joint to enhance toe movement. Recovery includes wearing specialized shoes and potentially physical therapy. For severe cases, joint fusion, or arthrodesis, eliminates joint surfaces and fuses bones with wires or plates. Although toe flexibility is lost, joint fusion effectively alleviates most big toe pain, allowing a return to athletic activities post-healing. For moderate to severe hallux rigidus in less active individuals, arthroplasty or joint replacement may be considered. Arthroplasty removes bone and aligns the joint with a pin. Joint replacement substitutes the joint with an artificial one. Long-term outcomes of joint replacement require further research for informed decision-making, comparing it to fusion. For help in understanding these surgical options, it is suggested that you schedule an appointment with a podiatrist who can determine what the best approach is for you. Treatment will be based on severity, pain levels, and activity. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Poulsbo, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Poor foot circulation refers to a condition where blood flow to the feet is compromised, leading to various types of discomfort and health issues. These often arise from underlying conditions, like peripheral artery disease, diabetes, or vascular disorders, which hinder the efficient transport of oxygen and nutrients to the feet. Cold feet, numbness, and tingling sensations are common indicators of inadequate blood circulation. Implementing effective physical interventions is paramount in managing this condition. Regular exercise, such as walking or gentle stretches, promotes blood flow and strengthens the muscles that assist in circulation. Elevating the legs when sitting or lying down helps to reduce swelling and encourages blood flow. Proper hydration and maintaining a healthy weight also contribute significantly to overall circulatory health. If you have poor circulation and notice symptoms in your feet, it is strongly suggested that you consult a podiatrist who can guide you toward effective treatment methods.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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 Poulsbo, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever's disease, a common but often misunderstood condition, is not truly a disease, but rather a growth-related heel pain that affects active children and adolescents. This condition, also known as calcaneal apophysitis, occurs when the growth plate at the back of the heel becomes inflamed due to repetitive stress and tension. Children between the ages of 8 and 15 are most susceptible to Sever's disease, as this is typically when their bones are rapidly growing. This growth spurt places extra stress on the heel's growth plate, especially in active children who participate in sports or activities that involve running and jumping. The hallmark symptom of Sever's disease is heel pain, often exacerbated by physical activity. This pain can be particularly bothersome during or after exercise. Understanding Sever's disease is essential for parents and young athletes, as it enables early recognition and appropriate management. If your active child has heel pain, it is suggested that you consult a podiatrist who can effectively diagnose and treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Kirk Sherris from Liberty Bay Foot & Ankle. 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 Poulsbo, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.