October 2023

Swollen feet, also known as edema, is a common condition that can affect individuals of all ages. This ailment presents as an abnormal accumulation of fluid in the feet and ankles, causing them to appear larger than usual and often accompanied by discomfort. There are numerous reasons why feet may become swollen, ranging from minor to more serious causes. Among the most common triggers are prolonged sitting or standing, particularly in hot weather, which can lead to fluid retention. High salt intake, obesity, and certain medications can exacerbate this effect. Injuries and strains, such as a twisted ankle, may also result in localized swelling. Underlying health conditions, such as heart, kidney, or liver disease, can contribute to generalized edema throughout the body, including the feet. Furthermore, issues like deep vein thrombosis and lymphedema can cause foot swelling. Pregnancy, too, often leads to edema due to hormonal changes and increased blood volume. It is important to differentiate the cause of swollen feet, as some instances can indicate underlying health problems. If you have swollen feet, it is suggested that you confer with a podiatrist who can help you determine the cause and offer effective relief options.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our office located in Kirksville, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Gout is a painful form of inflammatory arthritis that can affect various joints in the body, usually the big toe. When it strikes the ankle, it's referred to as ankle gout. This condition can be identified by sudden and intense pain, swelling, and redness in the affected joint. The root cause of gout in the ankle is a buildup of uric acid. This waste product is produced during the breakdown of purines, which are found in certain foods, like red meat and seafood. Normally, your body transports uric acid to the kidneys for elimination in urine. But if not properly flushed out, excessive uric acid remains in the bloodstream, termed hyperuricemia. Eventually, uric acid crystals can accumulate in certain joints, including the ankle joint, and cause the classic symptoms of pain, swelling, and redness. Gout flares usually peak within 12 to 24 hours of onset and gradually improve over one to two weeks, with or without treatment. Some individuals may experience only one gout flare in their lifetime, while others suffer from recurring flares. In cases of recurring gout flares, symptoms can become more severe and prolonged, potentially leading to joint damage. If you suspect you have ankle gout, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and more advanced treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. 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 Kirksville, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ensuring your shoes fit comfortably is essential for overall foot health and mobility. Various methods can help you accurately measure your foot size to find the perfect size of shoes. The simplest approach is to use a ruler or a Brannock device, a common tool available in shoe stores. Be sure you measure both feet, as they may differ slightly in size. Alternatively, the sock test involves tracing your foot on a piece of paper while wearing socks, and then measuring their length and width. There are also smartphone apps designed to measure foot size using the device's camera. Remember to measure your feet later in the day when they may be slightly swollen, and consider the type of socks you plan to wear with your shoes. Accurate measurements ensure comfortable and well-fitting shoes, possibly reducing the risk of foot-related discomfort and problems. If you would like more specific instructions on how to measure your feet to obtain their proper size, it is suggested that you speak to a podiatrist who can provide you with useful information.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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

Flat feet in children might cause concern, but few cases require immediate attention. Still, it is important to be aware of when to investigate your child’s flat feet to ensure their foot health. First, it’s good to remember that babies are born with flat feet, but their arches usually normalize as the child ages, and bones in the foot form. But if your child experiences foot pain, it's a clear sign that a closer look is needed. Additionally, if you notice differences between their left and right feet, or if their feet appear to be getting flatter as the child grows, it may be time to seek advice from a podiatrist. Flat feet should not hinder a child's gait development or delay them in reaching developmental milestones. If your child experiences unexplained difficulties with walking, running, or participating in sports, it's wise to consult a podiatrist. Lastly, heredity may play a role in your child’s development of flat feet. While flat feet are common in children, it's important to be vigilant and seek professional evaluation when necessary. For more information and an exam, it is suggested that you seek the help of a podiatrist for your child.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

Orthotics are specialized shoe inserts, or insoles, designed to provide support, cushioning, and alignment to the feet. These custom-made devices are prescribed to individuals for various reasons, aiming to address a range of foot-related issues and improve overall foot health. One of the primary reasons to wear orthotics is to alleviate pain and discomfort associated with conditions such as plantar fasciitis, flat feet, or bunions. These devices can help distribute pressure more evenly across the foot, reducing strain and preventing further damage. Orthotics can also improve alignment, correct gait abnormalities, and support the arches. This can be beneficial for individuals with irregular foot structures or those who engage in high impact activities. Additionally, orthotics can aid in injury prevention by promoting proper biomechanics and reducing stress on the feet, knees, hips, and lower back. Orthotics can be a valuable tool for maintaining foot health, preventing injuries, and enhancing overall comfort and mobility. If you would like more information about the benefits of custom orthotics, it is suggested that you schedule an appointment with a podiatrist. 

If you are having discomfort in your feet and would like to try orthotics, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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