Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Choosing the right pair of shoes is essential for children. This is due to the fact that children’s feet are still developing, so shoes that aren’t of good quality or fit can potentially create foot problems. When shopping for shoes for your children, make sure they fit properly and that they are durable as well. Rubber soles are recommended to provide good grip and prevent falls. Ensure that the toe-box provides enough wiggle room for their toes and that shoes are made of breathable materials like leather or mesh. Shoes should be stiff where the sole thickens, but flexible where the toes are. It may be tempting to buy shoes that are bigger so that their feet will grow into them, but this could lead to tripping and potential injury. Every child is different, so taking your child to get properly fitted is always recommended.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Harry I. Zirna of Lockport Foot Care, PLLC. Dr. Zirna can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Women’s feet have increased two sizes since the 1970s, and yet their shoe sizes haven’t. Women who have larger feet are, unfortunately, left out and have few options. Some girls have resorted to wearing boys’ shoes, which are not properly fitted for women; this can lead to an increase risk of falling and other issues. Several experts blame this on overseas production and it not being cost-effective to make bigger shoes. Bigger shoes cost more to make; however, they are accounting for larger percentages in the footwear market. A few experts recommend buying from German companies, who have kept up with foot size increases. It is important that not only women, but also men, wear properly fitted shoes. Shoes that are too small can lead to issues like plantar fasciitis, corns, hammertoes, and a number of ailments that cause foot pain.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

If you have any questions, please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Many people will develop either a corn or callus on their foot at some point in their lives; but what are they? Corns and calluses are areas where the skin has thickened due to constant friction on the area. Corns are smaller and harder than calluses and usually develop on the toes. Calluses, meanwhile, are not usually painful compared to corns and usually occur on the bottom of the foot. Typically, either will go away if the source of friction is taken away. There are some at-home treatments that may help; however, you should consult a podiatrist first to see if they will be effective and appropriate for you. Soaking your feet can soften corns and calluses, as can moisturizers. Over-the-counter pads can help remove both but require caution in their use, as some pads contain salicylic acid—which should be avoided. Finally, one of the most important ways to prevent corns and calluses is to wear fitted and comfortable shoes that prevent friction against the area.

If you have any concerns regarding your feet and ankles, contact Dr. Harry I. Zirna of Lockport Foot Care, PLLC. Dr. Zirna will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

• Well-fitting socks
• Comfortable shoes that are not tight around your foot
• Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Dr. Zirna to determine the best treatment option for your case of corns.

If you have any questions please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

While the relationship between diabetes and the feet may not seem important to most people, it is of utmost concern. Diabetics generally suffer from poor blood circulation and neuropathy, or nerve loss. Due to the loss of sensation associated with neuropathy, diabetics may not realize when they have a foot ulcer. The wound may also become infected due to the poor blood circulation and improper healing. Amputations are not uncommon because of diabetes, and awareness of this issue is vital to those who have the condition. Diabetics should inspect their feet daily for wounds, splinters, or any abnormalities. If you have diabetes, avoid going barefoot and wear well-cushioned footwear that provides optimal foot support and wiggle room for the toes. Finally, it is highly recommended to see a podiatrist for a foot examination at least once a year.

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 Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna 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 Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

As if things can’t get worse for the Texas A&M Aggies after losing to the UCLA Bruins, starting quarterback Nick Starkel was injured during the third quarter. He suffered a broken ankle and was replaced by freshman Kellen Mond. The injury may help partially explain how the Aggies lost the game when they had a 34-point lead over UCLA in the third quarter. Starkel will miss a good portion of the season—if not the whole season—after he undergoes surgery.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Harry I. Zirna of Lockport Foot Care, PLLC. Dr. Zirna 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
• Plantar Fasciosis
• 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 offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Choosing the right running shoes for you can mean the difference between comfort and potential injury. Not all running shoes are built the same. They vary not just in foot size and style but also in the surfaces they were designed for. If you run on trails, a trail running shoe is a better choice than a running shoe designed for roads or the track. The shoe should have enough space so your feet aren’t cramped but should still be snug. Knowing whether your foot rolls in too much (overpronation), rolls out too much (underpronation), or stays where it is (neutral) when you step can also determine what shoe is right for you. However it is advised to not worry too much about foot roll. The most important part is comfort. You should be able to wear the shoes for long periods without feeling pain or discomfort.

If you are a runner, wearing the right running shoe is essential. For more information, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A word of advice to college students and gym goers: if you’re going to use a public shower, make sure to use shower shoes. Fungi and viruses can be present in public showers. Both can cause conditions like athlete’s foot, toenail fungus, and plantar warts. Athlete’s foot is a fungal infection of the foot; symptoms include itchiness, redness, and rough skin. The fungus can also spread and cause yellow or brownish toenails. Plantar warts are caused by human papillomavirus (HPV) and affect the bottoms of the feet. Thankfully, all of these conditions can be cured by a podiatrist.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

If you have any questions please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

People develop plantar warts by coming in contact with human papillomavirus (HPV). The virus tends to enter the body through small cuts, wounds, or weak areas on the bottom of the feet. Once the virus comes in contact with the skin, a wart begins to form. To avoid developing one of these warts, wear shower shoes if you are going to take a shower in a public area. You should also be cautious about being barefoot around public pools. Furthermore, covering up your cuts and wounds will help prevent the virus from coming in contact with your feet. By covering your wounds with antiseptic and bandages, you will significantly decrease your chances of developing plantar warts.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

You should always make sure you are wearing proper footwear for whichever activity you are about to engage in. Hiker Marci Hansen recalls her experience going hiking with a friend: “I would step on a wet root and it was not even a thing, and she would really slip and fall.” She explains that the difference between her friend and herself is that she came prepared with the right shoes required to go hiking. The cause of her friend’s injuries was the fact that she wore shoes that were not made to endure the wet and uneven surfaces. If you are planning on going hiking, tread is one of the most important things you should look for when shoe shopping. Shoes that are sturdy enough to go hiking will help protect you from injuries that can easily be avoided.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Dr. Harry I. Zirna of Lockport Foot Care, PLLC. Dr. Zirna will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

If you have any questions please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.