Pain in the big toe can be a sign of gout, a type of arthritis caused by the buildup of uric acid crystals within the joint. When this acid accumulates faster than the body can eliminate it, sharp crystals form around the base of the big toe, known as the metatarsophalangeal, or MTP, joint. A gout flare-up often appears suddenly, producing intense pain, swelling, redness, and warmth in the MTP joint. It can become so tender that even light contact from a bedsheet feels painful. Repeated episodes can damage joint tissues and lead to visible lumps called tophi, which form beneath the skin near the toe or ankle. A podiatrist can examine your foot, order imaging tests or joint fluid analysis, and recommend a treatment plan to reduce pain and protect long-term joint health. If you have flare-ups of big toe pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Footcare Now. 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 Elmhurst Jackson Heights, Astoria, Rego Park, and Forest Hills, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

High heels place significant stress on the feet by altering natural posture and shifting weight onto the forefoot. This increased pressure on the metatarsal heads often leads to pain across the ball of the foot and strain in the toes. The elevated heel forces the ankle into a pointed position, which shortens the Achilles tendon over time and increases tension along the calf and heel. Wearing high heels also affects the arch of the foot, sometimes leading to flattening or instability, which can contribute to midfoot discomfort. Prolonged use makes balance more difficult and raises the risk of falls or ankle sprains due to the narrowed base of support. Chronic wear has also been linked to bunions, hammertoes, and nerve irritation between the toes. A podiatrist can evaluate these issues, recommend strategies to reduce long-term damage, and provide the appropriate treatment. If you have foot pain after wearing high heels, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate 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 Footcare Now. 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 Elmhurst Jackson Heights, Astoria, Rego Park, and Forest Hills, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus often begins quietly, with nails that lose their shine and become thick, brittle, or yellowed. As the infection progresses, the nail may separate from the bed, crumble, or develop an uneven surface that makes shoes uncomfortable. If ignored, the infection can damage the nail completely and spread to nearby nails or skin. In some cases, the skin beside the nail becomes sore, swollen, or filled with fluid due to a bacterial infection. Because these changes rarely improve without medical attention, prompt evaluation is important. A podiatrist can determine the cause, remove infected tissue, and prescribe targeted antifungal or antibacterial treatments to restore healthy growth. Addressing nail problems early prevents more serious complications. If your toenails look discolored, thickened, or painful, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and professional care.

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 Footcare Now. 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 Elmhurst Jackson Heights, Astoria, Rego Park, and Forest Hills, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Numbness in the feet can range from temporary and harmless to a sign of a more serious condition. Numb feet often result from pressure on nerves, such as sitting with the legs crossed or wearing shoes that lack adequate support, which can temporarily disrupt nerve signals. More persistent numbness may be linked to peripheral neuropathy, a condition that develops when nerves in the feet are damaged, leading to tingling, burning, or loss of feeling. Reduced blood flow is another common cause of numb feet, as conditions like peripheral artery disease may limit oxygen supply to the nerves and tissues of the feet. In some cases, spinal problems, such as a herniated disc, can also interfere with nerve pathways to the feet, causing sensory changes. A podiatrist can evaluate the cause of foot numbness, provide treatment to protect foot health, and help prevent complications. If you are experiencing frequent foot numbness, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate  treatment.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Footcare Now. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Elmhurst Jackson Heights, Astoria, Rego Park, and Forest Hills, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.