Chronic gout occurs when uric acid crystals continue to build up in joints, causing pain and inflammation that do not fully resolve between flares. Symptoms include persistent joint pain, swelling, redness, stiffness, and limited movement, most often in the big toe. The joint may look enlarged, shiny, or misshapen, and firm lumps called tophi may develop under the skin. It often feels deeply sore, throbbing, or tender, even with light pressure or walking. Causes include long-term high uric acid levels, genetics, kidney disease, and diet factors. A podiatrist can help from the start by evaluating symptoms, reviewing medical history, examining joint changes, and coordinating imaging or lab testing for diagnosis. Treatment may include pressure relief, joint protection, flare management, and collaboration with other providers on long-term uric acid control. Early podiatric care supports mobility, reduces complications, and improves comfort. If you are dealing with ongoing pain from gout, it is suggested that you make an appointment with a podiatrist

Gout is a painful condition that can be treated. 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 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 Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swelling in the feet is a common concern for people living with diabetes because circulation, fluid balance, and nerve function can all be affected. Treatment focuses on identifying the cause of the swelling and easing pressure on the tissues. Elevation, wearing supportive footwear, and gentle movement often help improve fluid return, while managing blood sugar can reduce inflammation that contributes to fullness in the feet. Some individuals benefit from compression garments designed specifically for diabetic use, and others may need evaluation for circulation problems or early signs of infection. A podiatrist can assess the skin, nails, and blood flow, recommend safe ways to reduce swelling, and identify any underlying issues that may require more focused care. If your swelling worsens, becomes painful, or makes walking difficult, it is suggested that you see a podiatrist for effective relief tips.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Are you tired of hiding your toes in the sand? Are your toenails beginning to discolor, thicken, or crumble? This could be the beginning of toenail fungus. Fungi are nearly everywhere, and they particularly love dark, moist, and warm places, like inside your shoes. Healthy feet depend on healthy hygiene, so it’s important to keep your toes clean and dry. Cut your toenails straight across with a sanitized nail clipper. Wear breathable, properly fitted shoes and socks. Your toenails should never be touching your shoes. It also helps to alternate your shoes. If your feet sweat and your shoes are damp, it's time to go to the next pair while the other pair dries. Avoid going barefoot in public places, especially in locker rooms, showers, and pools. If you have tried at-home remedies to clear your toenail fungus and it keeps returning, it may be time to follow up with your local podiatrist.

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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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.

Sesamoiditis affects the small sesamoid bones located beneath the big toe joint near the ball of the foot. It occurs when these bones become inflamed, often due to repetitive pressure or overuse, making it a common concern for runners and athletes who place repeated stress on the forefoot. Symptoms include pain under the big toe, swelling, tenderness when walking or running, and difficulty bearing weight on the affected foot. Causes can include high-impact activities, wearing improper footwear, flat feet, or increased training intensity. A podiatrist can evaluate the foot, provide custom orthotics, recommend activity modifications, and implement therapies such as padding, taping, or targeted exercises to reduce stress on the sesamoid bones. If you have pain in this part of your foot, it is suggested you consult a podiatrist who can accurately diagnose and treat what may be going on. 

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of APEX Foot & Ankle Center. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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.