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Diagnosing Gout

Gout is a form of arthritis characterized by sudden, severe pain in the joints often beginning in the big toe. An excess of uric acid in the blood leads to the formation of sharp crystals in the joints. Symptoms include intense pain, swelling, redness, and warmth in the affected area, which can occur suddenly, often at night. The joint may also feel tender and stiff. A podiatrist will typically review your medical history and perform a physical examination to diagnose gout. Diagnosis is confirmed through tests like joint fluid analysis, where a sample of fluid from the affected joint is examined for uric acid crystals or blood tests to measure uric acid levels. If you have pain in your big toe, it is suggested that you visit a podiatrist who can diagnose and treat gout.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Steven Spivak, DPM from Mount Holly Family Footcare. 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 office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Symptoms of Heel Spurs

Heel spurs can cause significant discomfort and disrupt your daily routine. A common symptom is a sharp, knife-like pain in the heel when you first stand up in the morning, which can make getting out of bed challenging. Throughout the day, this pain often transforms into a dull ache, while inflammation and swelling at the front of the heel become noticeable. You might also feel heat radiating from the affected area and observe a small, visible bone-like protrusion under the heel. The heel's bottom may be tender to touch, making walking barefoot particularly uncomfortable. If you are experiencing these symptoms, it is important to seek professional help. A podiatrist can provide a precise diagnosis and effective treatment options tailored to your needs. Do not let heel spurs keep you from your daily activities. It is suggested you schedule an appointment with a podiatrist to get back on your feet comfortably.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Care For the Elderly

Elderly foot care is essential for maintaining mobility and preventing complications as people age. Older adults often face issues, such as reduced circulation, weakened muscles, and diminished sensation. These can lead to problems like bunions, hammertoes, and painful calluses. Additionally, diabetes can worsen foot issues, increasing the risk of ulcers, infections, and falls. Proper foot care includes regular inspection for cuts, sores, or changes in skin color, as well as maintaining good hygiene and nail care. Wearing supportive, well-fitting shoes can help prevent pressure sores and provide stability. Regular foot exercises and maintaining a healthy weight can also alleviate discomfort and enhance mobility. To address foot problems effectively and prevent serious complications, it’s suggested you make an appointment with a podiatrist. Their expertise in elderly foot care ensures a comprehensive approach to keeping your feet healthy and functional.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Definition and Signs of a Bunion

Bunions are bony protrusions that develop at the base of the big toe, where the toe meets the foot. This condition occurs when the big toe angles towards the second toe, causing a misalignment. Over time, this misalignment can lead to swelling, pain, and a noticeable bump on the outside of the foot. The skin over the bunion may become red and irritated due to friction from footwear. Bunions can also cause difficulty in finding comfortable shoes and may lead to issues with walking or standing for extended periods. Common reasons that bunions develop include genetics or from wearing shoes that are too tight. If you notice signs of a bunion forming, it is suggested that you consult a podiatrist who can offer you treatment solutions.
If you are suffering from bunion pain, contact Steven Spivak, DPM of Mount Holly Family Footcare. 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 office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar Warts Can Be Treated!
All About Ankle Pain

Ankle pain can stem from various issues affecting the complex structure of the ankle, which includes bones, ligaments, tendons, and muscles. The ankle joint comprises the tibia and fibula bones of the lower leg, which connect to the talus bone in the foot. Ligaments stabilize the joint, while tendons enable movement. Common causes of ankle pain can include sprains, arthritis, and fractures. Sprains occur when ligaments are stretched or torn, often due to twisting injuries. Strains involve overstretching or tearing of tendons or muscles. Arthritis can lead to inflammation and stiffness, while fractures result from trauma or severe impact. To alleviate ankle pain, consider resting the ankle to reduce swelling and discomfort. Mild pain relievers like ibuprofen may also help to provide temporary relief. For persistent or severe pain, it is suggested you contact a podiatrist for professional medical advice, as more advanced treatments may be necessary to address the underlying issue and restore function.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendinitis
- Achilles tendon rupture
- Stress fractures
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Raynaud’s Phenomenon

Raynaud's phenomenon is a condition characterized by episodic constriction of blood vessels, typically in response to cold or stress, leading to reduced blood flow. This condition affects the extremities, including the feet, causing them to turn white or blue, and feel cold and numb. As blood flow returns, they can throb, tingle, or turn red. To manage Raynaud's phenomenon in the feet, it is important to keep them warm and dry by wearing insulated, moisture-wicking socks and appropriate footwear. Stress reduction techniques and avoiding cold exposure can also help prevent episodes. If you experience pain from cold and numb feet, it is suggested that you schedule an appointment with a podiatrist to see if medications are needed.
Some foot conditions may require additional professional care. If you have any concerns, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
Rare Foot Conditions
The majority of foot conditions are common and can be treated by a podiatrist. Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care.
There are many rare foot conditions that can affect children. Some of these can include:
- Freiberg’s disease
- Kohler’s disease
- Maffucci syndrome
Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp.
Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.
Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking.
A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Common Causes of Foot Pain From Playing Golf

Playing golf can lead to various types of foot pain, each with its own causes. Bunions, which are bony protrusions at the base of the big toe, can become aggravated by the pressure and movement associated with golf swings. Plantar fasciitis, marked by heel pain, often results from repetitive strain and excessive walking on hard surfaces. Metatarsalgia, characterized by pain in the ball of the foot, can occur due to the constant shifting of weight during swings. Achilles tendinitis, affecting the tendon at the back of the ankle, may result from overuse and intense activity. Additionally, ankle sprains are also common from sudden twists and uneven terrain. If you enjoy playing golf, and foot pain gets in the way, it is suggested that you consult a podiatrist who can offer effective treatment and injury prevention techniques.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
- Plantar Fasciitis
- Achilles Tendinitis
- Achilles Tendon Rupture
- Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Podiatrists Can Help With Plantar Fasciitis
Plantar fasciitis is a painful condition characterized by inflammation of the plantar fascia, which is the thick band of tissue that runs along the bottom of the foot and connects the heel bone to the toes. This condition typically causes sharp, stabbing pain in the heel, especially during the first steps in the morning or after periods of inactivity. Plantar fasciitis occurs due to excessive strain on the plantar fascia, which can result from overuse, high-impact activities, improper footwear, or anatomical issues like flat feet or high arches. Prolonged standing or weight gain can also contribute to its development. Treatment options for plantar fasciitis include rest, stretching exercises, and mild pain relievers. Custom orthotics can provide additional arch support and alleviate pressure on the plantar fascia. If you have persistent heel pain, it is suggested that you schedule an appointment with a podiatrist who can offer an expert diagnosis, personalized treatment plans, and guidance on preventive measures.
Many people suffer from bouts of heel pain. For more information, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.





