Gout is a form of inflammatory arthritis that typically affects the joints in the feet, especially the big toe. It is caused by a buildup of uric acid in the blood, which forms sharp crystals in the joints. Gout can result from genetics, diet, especially foods high in purines like red meat and seafood, obesity, or certain medical conditions. Symptoms often appear suddenly and may include intense joint pain, redness, swelling, and warmth, especially at night. Many describe the pain as sharp, throbbing, or crushing, making walking or even the touch of a bedsheet unbearable. A podiatrist can diagnose gout through examination and imaging, and may recommend lifestyle changes, medications to lower uric acid levels, or anti-inflammatory treatments. In some cases, custom orthotics or joint care strategies may also help relieve pressure and prevent future flare-ups. If you have painful gout, it is suggested that you schedule an appointment with a podiatrist.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Jeffrey L. Bober, DPM from Maryland. 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 Glen Burnie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Hammertoe is a foot deformity in which one or more of the smaller toes bend abnormally at the middle joint, creating a curled or hammer-like appearance. This condition often develops gradually and can become rigid over time if not treated. Common causes include an imbalance in the muscles or tendons that control toe movement, often triggered by wearing tight or ill-fitting shoes that crowd the toes. Repeated pressure and friction can worsen the deformity. Risk factors include having a longer second toe, certain inherited foot structures, or conditions such as arthritis and diabetes. Wearing high heels or shoes with narrow toe boxes may also increase the likelihood of developing hammertoe. If you have signs of hammertoe, it is suggested that you are under the care of a podiatrist who can offer effective relief and treatment methods.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Jeffrey L. Bober, DPM from Maryland. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our office located in Glen Burnie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

An ankle sprain occurs when one or more ligaments in the ankle are stretched or torn, usually as a result of twisting or rolling the foot in an unnatural direction. Symptoms of a sprained ankle include pain, swelling, bruising, tenderness, and a limited ability to place weight on the affected foot. Discoloration and stiffness may also develop. Ankle sprains can happen during sports activities, walking on an uneven surface, or simply from wearing shoes that do not offer proper support. In more severe ankle sprains, tendons, cartilage, or nearby blood vessels may also be affected. A podiatrist can assess the sprain through a physical examination and imaging tests, such as an X-ray or MRI, to rule out fractures and identify the extent of the ligament damage. Depending on the severity, a podiatrist may recommend immobilizing the joint with a brace or boot. In some cases, surgery may be needed to restore joint stability and function. If you have sprained an ankle, it is suggested that you make an appointment with a podiatrist for treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Jeffrey L. Bober, DPM from Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact our office located in Glen Burnie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cuboid syndrome is a condition that occurs when the cuboid bone in the foot becomes misaligned or partially dislocated, often due to overuse or injury. The cuboid is a small bone located on the outer side of the foot, near the middle, and plays a key role in foot stability and movement. Pain from cuboid syndrome is typically felt along the outer edge of the foot and may extend into the arch or toward the toes. The discomfort can be sharp or aching and often worsens with walking, running, or standing for long periods. Causes may include repetitive strain, wearing improper footwear, or sudden twisting motions. If you have pain in this part of your foot, it is suggested that you contact a podiatrist who can accurately diagnose and treat cuboid syndrome.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Jeffrey L. Bober, DPM from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our office located in Glen Burnie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pronation and supination describe how the feet move during walking or running. Pronation occurs when the foot rolls inward, placing more weight on the inside edge, often flattening the arch. Supination is the opposite, with the foot rolling outward and weight shifting to the outer edge. Both are natural motions, but when either is excessive, it can lead to imbalance and discomfort. Overpronation may result in pain in the arch, heel, or ankle, while too much supination can strain the outer foot and cause heel pain or calluses. The uneven wear on shoe soles can often reveal if a person’s gait leans inward or outward. Factors such as high arches, leg length differences, past injuries, or prolonged standing on hard surfaces can contribute to these gait patterns. A podiatrist can assess the alignment of your foot and ankle, examine the extent of pronation or supination, and recommend orthotics or footwear changes to reduce strain and prevent further injury. If you have gait issues that are causing foot pain, it is suggested that you schedule an appointment with a podiatrist for an exam, possible gait analysis, and treatment options.

If you have any concerns about your feet, contact Jeffrey L. Bober, DPM from Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our office located in Glen Burnie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.