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 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
Risk Factors
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.
A bunion is a bony bump that forms at the base of the big toe, where it angles toward the second toe. This condition occurs when the bones in the front of the foot shift out of alignment, causing the big toe to lean inward. Over time, the misalignment leads to the formation of a prominent bump on the joint. Symptoms of bunions include pain, swelling, redness, and the development of calluses or corns where the toes rub against the shoe. The pain can worsen with prolonged standing or walking. Common causes of bunions include genetics, wearing tight or ill-fitting shoes, and excessive pressure on the feet. Conditions like arthritis or flat feet can also contribute to the development of bunions. While bunions may be managed with conservative treatments, surgery may be needed for severe cases to restore normal foot function and alleviate pain. If you have symptoms of a bunion, it is suggested that you consult a podiatrist who can guide you toward treatment methods that are right for you.
If you are suffering from bunions, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
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.
Plantar fibromas are benign growths of fibrous tissue that develop within the plantar fascia, the thick band of tissue running along the sole of the foot. These firm nodules are often found in the arch and may cause discomfort, especially when walking or standing. The exact cause is unknown, but plantar fibromas may develop due to genetic predisposition, minor injuries, or repetitive stress on the foot. People with a family history or those with certain medical conditions, such as diabetes or liver disease, are more likely to experience them. Diagnosis involves a physical examination by a podiatrist, who may confirm the presence of fibromas with imaging tests like an ultrasound or MRI scans. Treatment options include custom orthotic inserts, corticosteroid injections, targeted exercises, and in severe cases, surgical removal. If you have symptoms of plantar fibroma, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.
Plantar Fibroma
A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.
What Causes a Plantar Fibroma?
While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.
What Are the Symptoms of a Plantar Fibroma?
There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.
Treatment and Prevention
A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:
Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.
If you have any questions please feel free to contact our office located in York, ME . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.
An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, causing pain, swelling, and sometimes infection. This condition often affects the big toe and can lead to discomfort, or even difficulty walking. Common symptoms include redness, tenderness, and drainage if the area becomes infected. Older adults are more likely to develop ingrown toenails due to changes in nail growth, reduced circulation, or difficulty trimming nails properly. Additionally, conditions like arthritis or poor mobility can make it harder to manage foot care. Treatment for ingrown toenails often involves soaking the foot, wearing loose shoes, and gently lifting the nail to relieve pressure. In more severe cases, a podiatrist may need to trim or remove part of the nail and, if needed, prescribe antibiotics for infection. If you have an ingrown toenail, especially as you age, it is suggested that you schedule an appointment with a podiatrist for proper care and relief.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
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.
Athlete's foot is a common fungal infection that primarily affects the skin between the toes and the soles of the feet. It is characterized by symptoms such as intense itching, burning sensations, and redness. The skin may become dry, flaky, or cracked, and blisters can form in more severe cases. This condition thrives in warm, moist environments, making public showers and swimming pools common sources of infection. To relieve symptoms, it is vital to keep the feet clean and dry, as moisture can cause the problem. For persistent infections, consulting a podiatrist for stronger medications may be necessary. Practicing good foot hygiene and wearing breathable footwear can help prevent future outbreaks. If you have developed this uncomfortable condition, it is suggested that you promptly consult a podiatrist who can effectively treat athlete’s foot, often with prescribed medication.
Athlete’s Foot
Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Dr. Richard DiMario from Maine. Our doctor will assess your condition and provide you with quality treatment.
What Is Athlete’s Foot?
Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.
Prevention
The most effective ways to prevent athlete’s foot include:
Symptoms
Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:
Diagnosis and Treatment
Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.
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.
Runner's toe, medically known as subungual hematoma, is a common condition among athletes, particularly runners. It occurs when the toenail becomes dislodged or damaged due to repetitive trauma, often resulting in bruising beneath the nail. This injury is typically caused by wearing ill-fitting shoes, excessive pressure during physical activity, or even running downhill. To prevent runner's toe, it is essential to wear properly fitted footwear that allows enough space for the toes to move without restriction. Keeping toenails trimmed and avoiding running on steep inclines can also minimize risk. Additionally, incorporating rest days into training schedules can help reduce stress on the toes. If you enjoy running and have developed runner’s toe, it is suggested that you consult a podiatrist who can effectively treat this condition.
Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Richard DiMario of Maine. 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:
When to See a Podiatrist
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 York, ME . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Plantar fasciitis is a common foot condition characterized by pain in the heel and bottom of the foot, often worsening with first steps in the morning or after long periods of sitting. The primary cause is inflammation of the plantar fascia, a thick band of tissue connecting the heel to the toes. Factors such as excessive running, obesity, and wearing unsupportive footwear can contribute to its development. Symptoms typically include sharp pain that may subside with activity but can return after rest. Relief methods include stretching exercises and orthotic inserts, to reduce inflammation. It is also beneficial to rest and avoid activities that can worsen the pain. Plantar fasciitis can cause severe pain and discomfort and may cause difficulty in completing daily activities. If you have this condition, it is suggested that you consult a podiatrist who can effectively treat this problem.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best 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.
If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!
Overpronation occurs when the arches of the feet roll inward excessively while walking or running. This condition, also known as flat feet or pes planus, can lead to improper alignment and increased pressure on the lower body. People with overpronation may experience pain in the feet, ankles, knees, or hips, especially during high-impact activities. Common causes of overpronation include a naturally flexible arch, obesity, injury, or certain medical conditions that affect the foot's structure. Left untreated, overpronation can increase the risk of stress fractures, shin splints, and tendonitis. A podiatrist can evaluate your gait and recommend a variety of treatments. Included are custom orthotics, choosing more supportive footwear, or recommending specific exercises to strengthen the foot muscles and improve alignment. These solutions can help reduce discomfort and prevent further injury. If you have problems with overpronation, it is suggested that you schedule an appointment with a podiatrist for an exam and diagnosis.
If you have any concerns about your feet, contact Dr. Richard DiMario from Maine. 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
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 York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Richard DiMario, DPM - Default