Tophaceous gout is a severe form of arthritis that develops in people with chronic, untreated gout. Growths, known as tophi,  develop when uric acid crystals form masses around affected joints and soft tissues. These growths are often visible under the skin and can cause pain, swelling, and deformity in the feet, particularly around the toes and ankles. Over time, tophi can damage joints, reduce mobility, and even lead to disability. Tophaceous gout is caused by high levels of uric acid in the blood, which forms sharp crystals that trigger inflammation. Risk factors include a family history of gout, excessive alcohol consumption, obesity, and medical conditions like diabetes or high blood pressure. While medications to lower uric acid levels are effective in managing the condition, surgery may be required for large, painful tophi. If you have symptoms of tophaceous gout, it is suggested that you schedule an appointment with a podiatrist for ongoing management and treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Franklin Harry, DPM from Best Foot Forward. 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 offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Fungal infections of the toenails often begin subtly, with slight color changes or surface irregularities, but can progress to thick, brittle, and uncomfortable nails. Because the infection develops beneath the nail plate, it can be challenging to clear without targeted intervention. A podiatrist may suggest medicated creams, prescription tablets, or procedures to reduce nail thickness so treatment can reach the source more effectively. In persistent cases, advanced methods such as laser therapy may be used to disrupt fungal growth. Maintaining clean, dry feet and choosing footwear that allows airflow are important steps in lowering the risk of recurrence. Addressing the problem early improves the chance of restoring healthy nails and preventing further spread. If you observe ongoing changes in your toenails or suspect an infection, it is suggested you arrange an appointment with a podiatrist who can provide appropriate treatment.

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 Franklin Harry, DPM of Best Foot Forward. 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 contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A broken foot can result from trauma such as falls, car accidents, or sports injuries. Stress fractures may also develop from repetitive activity or overuse. Symptoms include immediate pain, swelling, bruising, difficulty walking, and, in some cases, visible deformity. The area may look swollen or misshapen and feel tender or throbbing, especially while bearing weight. A podiatrist can diagnose a fracture through a physical exam, and imaging like X-rays. Treatment depends on the type and severity of the break. Minor fractures may only require immobilization with a boot or cast. More serious breaks might need realignment or surgery, along with screws or plates. Healing time ranges from six to 12 weeks, depending on the location and severity of the break, as well as individual health factors. If you think you may have broken your foot, it is suggested that you make an immediate appointment with a podiatrist who can accurately diagnose and treat a foot fracture.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Franklin Harry, DPM from Best Foot Forward. 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 offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bunionette, also termed a tailor’s bunion, is a bony prominence that develops at the base of the little toe where the fifth metatarsal meets the toe. This condition can lead to pain, especially if the area becomes inflamed from pressure or rubbing inside a shoe. As the bunionette forms, it often causes the little toe to shift inward toward the fourth toe, making the foot appear wider and increasing discomfort while wearing regular footwear. Some people may have a genetic tendency for this deformity, while others develop it due to structural traits in the feet, such as how the toes or metatarsal bones align. Wearing narrow shoes with a pointy toe may worsen the issue, especially in women. In some cases, bunionettes may develop after certain foot surgeries or as a result of joint inflammation. Complications include painful corns between the fourth and fifth toes, joint pain, or arthritis. If you have a bunion on your pinky toe, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

If you are suffering from bunion pain, contact Franklin Harry, DPM of Best Foot Forward. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.