Got Gout?????

Thanksgiving dinner, holiday office parties, are right around the corner. Tis the season to beware of the dreaded gout!

Clevelanders are more likely to eat and drink alcohol in excess during the upcoming holiday season. Next, thing you know your knee, ankle, or big toe starts throbbing in the middle of the night. The bed sheets touching the top of your foot feels like a hot prod. You get out of bed and your foot is red, hot, swollen and you can't place any weight on it. Got gout?

Gout attacks are extremely painful. They are caused when uric acid accumulates in the tissues or a joint and crystallizes. This most commonly occurs in the big toe joint because the big toe is the coolest part of the body and uric acid is sensitive to temperature changes.

Foods that are high in purines contribute to uric acid build-up. These foods include shellfish (shrimp, crab, etc.), organ meats (kidney, liver, etc.), red meat, red wine and beer.

Gout can be treated with medications, diet changes, increasing consumption of appropriate fluids, and immobilizing the foot. In some cases surgery is required to remove the uric acid crystals and repair the joint. For more information on gout, please contact our office at 440-946-5858. Happy Holidays!

Healthy Feet Make the Best Dancing Feet

Don’t ignore foot pain on the dance floor at your upcoming holiday parties.

Being ‘light on your feet’ when dancing is not entirely true; dancing the night away can take a toll on feet and ankles. Both professional and amateur dancers can suffer foot injuries that can stop the show.

The most common types of dance-related foot and ankle problems are overuse injuries, which occur due to the repetitive movements in dance. Over 50 percent of dance injuries occur in the foot and ankle. The severity of the damage is determined by a patient’s age, strength and flexibility and the type of shoes worn when dancing.

Other common types of injuries related to dancing can include:

■ Stress fractures (hairline breaks in the bone) from repeated jumping and landing
■ Foot neuromas (thickening/irritation of the nerves in the ball of the foot) resulting from repetitive pivoting
■ Shin splints (pain and swelling in the front of the lower legs) which can be aggravated by recurring activities
■ Tendonitis (inflammation of the tendons in the foot) from over exertion
■ Corns, calluses or blisters—all painful skin irritations resulting from repeated rubbing of the skin on the feet.

With dancing being repetitively hard on the lower extremities, how can dancers of any level protect their feet and ankles? The best defense to injury is prevention. Dancers should wear appropriate shoes to properly support their feet and ankles as well as perform dance moves with their individual skill levels in mind.

When an injury does occur, prompt medical attention by a foot and ankle surgeon can make all the difference in a proper rehabilitation. Most dance injuries can be treated with conservative care as long as they are addressed early and not ignored. Many people dispel foot pain if they can walk on the foot, but it is important to remember it is possible to walk on a seriously injured foot. Plus, common injuries, if left untreated, may require surgical intervention to ensure proper healing.

If you are suffering from foot or ankle pain, please call our office at 440-946-5858 for an assessment.