Gout is a form of arthritis characterized by sudden, intense pain and inflammation in the joints, most commonly affecting the big toe. It occurs when uric acid, a waste product from the breakdown of purines in food, builds up in the blood and forms sharp crystals in the joints. There are several causes of gout, including genetics, obesity, excessive alcohol consumption, and a diet high in purine-rich foods such as red meat and seafood. Certain medical conditions like high blood pressure, diabetes, and kidney disease can also increase the risk. When uric acid crystals accumulate in the joints, they trigger an inflammatory response, leading to swelling, redness, and severe pain. Over time, repeated gout attacks can damage the affected joints, causing long-term issues such as joint deformity and reduced mobility. If you have had one or more gout attacks, it is suggested that you consult a podiatrist who can help you to manage this uncomfortable condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from APEX Foot & Ankle Center. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions, please feel free to contact our offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Preventing falls in the shower is essential to protect your feet and ankles from injury. Start by ensuring the shower floor is slip-resistant. Use non-slip mats or adhesive strips to improve traction. Installing grab bars inside and outside the shower provides extra stability, especially when entering or exiting. A sturdy shower chair can be helpful for those with balance concerns or limited mobility. Use a handheld showerhead to reduce movement and maintain control while washing. Keep soap and toiletries within easy reach to avoid overextending or bending awkwardly. Good lighting in the bathroom also helps prevent missteps. Regularly inspect the shower area for hazards, such as loose tiles or leaking water. Wearing shower-safe, non-slip footwear adds another layer of safety. If you experience a fall or suspect a foot or ankle injury, it is suggested that you promptly see a podiatrist for evaluation and care.

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 one of our podiatrists from APEX Foot & Ankle Center. Our doctors 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 offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Circulation problems in the feet occur when blood flow to the feet, toes, or ankles is restricted due to narrowed arteries. Poor circulation is often the result of atherosclerosis, where plaque builds up in the blood vessels. A result of poor circulation is peripheral arterial disease, or PAD. Patients with PAD may experience symptoms like numbness, tingling, burning sensations, or cramping in the feet or lower legs during activity. Additional signs include cool, pale skin, hair loss on the feet, slow-healing sores, and a diminished pulse. People with diabetes, high cholesterol, high blood pressure, or a history of smoking are at increased risk of developing PAD. A podiatrist can assess your circulation issues through non-invasive tests, such as the ankle-brachial index, or ABI, or a Doppler ultrasound to determine blood flow and identify any blockages. Timely diagnosis and treatment by a podiatrist can help reduce symptoms and prevent complications, like non-healing foot wounds or infections. If you have circulation problems in the feet, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact one of our podiatrists of APEX Foot & Ankle Center. Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness 
• Numbness or cramping in the legs
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

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 offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wearing worn-out running shoes can lead to foot, toe, and ankle problems as a result of inadequate support and cushioning. Over time, the foam and tread in running shoes degrades, reducing their ability to absorb shock and stabilize the foot. This can increase pressure on the arches, contribute to overpronation or underpronation, and lead to conditions like arch pain or Achilles tendon discomfort. Signs of wear include new foot pain, flattened midsoles, or uneven tread patterns. For runners with flat feet or for those who overpronate, worn out shoes can aggravate these structural issues, increasing the risk of foot and other injuries. Experts suggest that active runners replace their shoes every 300 to 500 miles, or approximately every six months. A podiatrist can assess a runner’s foot alignment, gait, and running habits to help them choose appropriate footwear and reduce injury risks. If you are experiencing foot pain after running, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact one of our podiatrists of APEX Foot & Ankle Center. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

If you have any questions, please feel free to contact our offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus is a common condition that causes thickened, discolored, and brittle nails. It typically begins as a white or yellow spot under the tip of the nail and can spread, making the nail appear distorted. The main cause of toenail fungus is fungi that thrive in warm, moist environments like sweaty socks, damp shoes, or public areas such as swimming pools or showers. Sharing personal items, like nail clippers or towels, can also increase the risk of infection. Treatment for toenail fungus often includes antifungal medications, either topical or oral, to clear the infection. In some cases, a podiatrist may recommend laser treatment or, in severe instances, partial removal of the affected nail. Because toenail fungus can be persistent and difficult to treat on your own, visiting a podiatrist ensures proper diagnosis and effective treatment. If you are dealing with toenail fungus, it is suggested that you make an appointment with a podiatrist.

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 one of our podiatrists of APEX Foot & Ankle Center. Our doctors 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 Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Stress fractures are a common injury among first-time marathoners, often caused by the repetitive impact of running long distances. These small cracks in the bones, typically found in the feet or lower legs, occur when the body is not given enough time to recover between runs. First-time marathoners are particularly susceptible due to a sudden increase in training intensity or from wearing inadequate footwear. Repetitive striking of the ground with each step, combined with poor running form or weak muscles, can lead to these microfractures. The primary cause of stress fractures is overuse, but factors like improper shoes, running on hard surfaces, or inadequate nutrition can contribute. Symptoms include localized pain, swelling, and tenderness that worsens with activity. Early intervention is key to preventing further injury. A podiatrist can diagnose the fractures, provide a treatment plan, and offer advice on proper footwear, running techniques, and rehabilitation exercises to prevent future issues. If you are a first-time marathoner experiencing pain, it is suggested that you schedule an appointment with a podiatrist.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from APEX Foot & Ankle Center. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please contact our offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle sprains are a common injury among basketball players due to the high-intensity movements such as quick direction changes, jumping, and landing. These actions put significant stress on the ankle ligaments, increasing the risk of spraining the ankle. Weak or imbalanced muscles surrounding the ankle joint and poor conditioning can make players more vulnerable. To prevent ankle sprains, strengthening exercises like the single leg calf raise help improve stability and strengthen the calves, which support the ankle. Single leg ladder drills can enhance coordination, agility, and ankle stability, helping players react quickly and safely during movements. The plate raise exercise targets the muscles of the lower legs and feet, enhancing balance and joint support. If you have endured an ankle injury while playing basketball, it is suggested that you contact a podiatrist who can treat various foot and ankle injuries, and guide you on additional injury prevention tips.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with one of our podiatrists from APEX Foot & Ankle Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions please contact our offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

High heels may look stylish, but they can take a toll on women’s feet and ankles. Wearing them shifts body weight forward, putting extra pressure on the toes and ball of the foot. This can lead to problems like bunions, ankle sprains from twisting, and even joint issues over time like osteoarthritis. High heels can also affect how the feet and ankles move, altering one's walking pattern, posture, and balance. These changes may extend to the knees and hips, causing pain and stiffness. Long-term wear increases the risk of musculoskeletal pain and balance issues, especially in uneven or slippery conditions. Limiting heel height, choosing supportive designs, and giving your feet regular breaks can help. If you experience ongoing pain or foot problems from wearing high heels, it is suggested that you consult a podiatrist for expert advice and treatment.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact one of our podiatrists from APEX Foot & Ankle Center. Our doctors 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 offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Capsulitis of the foot is an inflammation of the ligament-like capsule surrounding a joint, most commonly affecting the second toe at the ball of the foot. It occurs when excessive pressure or stress causes irritation, often due to improper footwear, abnormal foot mechanics, or activities that involve repetitive forefoot impact. People with high arches, flat feet, or a second toe longer than the big toe are more prone to developing capsulitis. Symptoms include pain under the ball of the foot, swelling, and a sensation of walking on a marble. The second toe may also appear elevated or shift out of alignment. Early treatment is important and includes wearing supportive footwear and avoiding high-impact activities. Surgery is rarely needed to correct the issue. If you have symptoms of capsulitis, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from APEX Foot & Ankle Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.