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Gout is a form of arthritis that causes sudden, intense joint pain that can make even light pressure difficult to tolerate. It develops when tiny crystals made of uric acid collect inside a joint and trigger inflammation. Gout most often affects the base of the big toe, but it also affects the midfoot, ankle, or other joints in the foot. Uric acid is a substance that the kidneys usually remove from the body. When too much uric acid builds up, crystals form and irritate the joint. An attack usually begins without warning. The affected joint becomes swollen, red, warm, and extremely painful. As the swelling improves, the skin around the joint sometimes begins to peel.

Several factors increase the risk of developing gout. The kidneys play an important role because they remove uric acid from the bloodstream. When they do not remove enough, uric acid levels rise and crystals develop. Risk factors include being overweight, drinking large amounts of alcohol, and eating excessive amounts of foods high in purines. Purines are natural substances that break down into uric acid. Certain medicines also raise uric acid levels. After one attack, many patients experience additional flare-ups. These attacks become more frequent and affect more than one joint. Repeated inflammation can damage joints and make walking more difficult.

A podiatrist can diagnose gout by reviewing your symptoms, examining the affected foot, and ordering imaging studies or laboratory testing when appropriate. Early diagnosis helps distinguish gout from infections, fractures, or other forms of arthritis. Treatment focuses on reducing pain, controlling inflammation, and protecting the affected joint. A podiatrist also monitors changes in the foot and recommends better foot support to reduce stress on painful joints. Prompt care improves mobility and reduces the risk of lasting joint problems. If you have symptoms of gout, it is suggested that you promptly schedule an appointment with a podiatrist for effective relief and treatment solutions.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Richard DiMario from Maine. 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 York, ME . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot problems caused by wearing high heels are a frequent concern, especially among people who wear them daily for work or social settings. High heels shift body weight forward, placing excessive pressure on the forefoot and toes. This unnatural position can lead to structural changes over time. Common conditions linked to high heel use include hammertoe and neuromas, both of which develop from repeated stress and compression. The altered foot position can also affect posture and disrupt natural walking patterns.

Symptoms often begin with mild discomfort, but can progress to more serious issues. Individuals may notice pain in the ball of the foot, swelling, redness, and burning sensations. Numbness may develop due to nerve irritation, especially in cases of neuroma. Hammertoe can cause visible bending of the toe joints, leading to friction and irritation in shoes. High heels also limit the power and motion of the ankle joint, reducing flexibility and increasing strain on surrounding muscles and tendons.

Risk factors include frequent use of wearing narrow or high-heeled shoes, prolonged standing, and poor foot support. Individuals with certain foot structures, such as high arches or imbalanced gait, may be more prone to developing complications. The instability created by elevated heels can increase the risk of falls and ankle injuries. Over time, these factors contribute to long term damage and discomfort if not addressed early.

Preventing foot problems begins with choosing supportive footwear and limiting the duration of high heel use. Stretching exercises and proper foot care can help maintain flexibility and reduce strain. Alternating shoe types and ensuring a proper fit can also improve comfort and alignment. If you have persistent foot or ankle pain from wearing high heels, it is suggested that you consult a podiatrist for effective relief tips and guidance on choosing more appropriate footwear.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

An ankle fracture is a break in one or more of the bones that form the ankle joint, including the tibia, fibula, and talus. These injuries range from simple fractures to more complex patterns such as bimalleolar and trimalleolar fractures, which involve multiple parts of the ankle. Bimalleolar fractures affect both the inner and outer ankle bones, while trimalleolar fractures include the back portion of the tibia as well. These injuries often disrupt joint stability and require careful evaluation to restore proper alignment and function.

Symptoms of an ankle fracture typically include immediate pain, swelling, and difficulty bearing weight. The ankle may appear visibly deformed in more severe cases, and movement can be extremely limited. Tenderness around the joint and a feeling of instability are also common. In some cases, patients may hear or feel a snapping sensation at the time of injury. These symptoms can overlap with severe sprains, making proper diagnosis essential for effective treatment.

Ankle fractures are most often caused by trauma, including falls, sports injuries, or twisting movements that force the joint beyond its normal range. High impact activities and accidents can lead to more complex fracture patterns. Risk factors include participation in sports, poor balance, weak bone density, and wearing improper footwear. Older adults and individuals with osteoporosis are at higher risk due to decreased bone strength, which increases susceptibility to fractures even with minor trauma.

Treatment depends on the type and severity of the fracture, and may include immobilization, casting, or surgical intervention to stabilize the bones. Early care helps prevent long term complications such as joint stiffness or arthritis. If you have a broken ankle, it is suggested that you consult a podiatrist to explore appropriate treatment options.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dr. Richard DiMario from Maine. 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 York, ME . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Peripheral artery disease, or PAD, develops when the arteries that carry oxygen-rich blood become narrowed by fatty deposits called plaque. As blood flow decreases, the feet and legs receive less oxygen and fewer nutrients. This can cause pain, slow healing, and changes in skin health. Smoking is a leading risk factor, although diabetes, increasing age, and high cholesterol may also contribute. Symptoms include cramping in the calves while walking, numbness, or feet that look pale or slightly bluish. Small cuts or sores can heal very slowly because healthy circulation is limited. Since these symptoms can resemble other foot problems, a careful evaluation by a podiatrist is important to identify the true cause.

A podiatrist plays an important role in recognizing signs of PAD before serious complications develop. The examination includes checking the skin, nails, temperature, and pulses in the feet. It also includes asking questions about pain while walking and changes in activity. Diagnostic testing can measure blood flow and help determine whether narrowed arteries are affecting the feet. Early diagnosis helps protect foot health and lowers the risk of severe tissue damage. In advanced cases, poor circulation can increase the chance of infection, open wounds, or loss of tissue. A podiatrist can coordinate care with other healthcare providers when circulation problems require additional evaluation.

Regular foot examinations are especially important for people with PAD because reduced blood flow makes even minor foot problems more difficult to heal. A podiatrist can monitor changes in circulation, treat foot wounds, and reduce pressure on affected areas. These measures can help prevent complications that threaten mobility. Professional podiatric care also helps identify warning signs before they become more serious. Prompt attention to pain, skin changes, or slow-healing sores can protect the feet and support better long-term health. If you have symptoms of peripheral artery disease that affect your feet, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Richard DiMario from Maine. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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