September 2024
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 John Killough, DPM from Regional Foot Center. 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 offices located in Charleston and Effingham, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Facts About Ingrown Toenails

Ingrown toenails are an often painful condition where the edge of a toenail grows into the surrounding skin, typically affecting the big toe. This can lead to redness, swelling, and tenderness, with the potential for infection, if left untreated. The most frequent cause of ingrown toenails is improper nail trimming, particularly cutting nails too short or rounding the edges, which encourages the nail to grow into the skin. Wearing tight or poorly fitting shoes can also contribute by putting excessive pressure on the toes. While anyone can develop an ingrown toenail, they are more prevalent among teenagers, athletes, and those with naturally curved or large nails. If there are signs of infection, medical treatment from a podiatrist is important. This medically trained foot doctor can provide expert treatment to relieve pain and fight off infections. If you have a painful ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact John Killough, DPM of Regional Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
If you have any questions please feel free to contact our offices located in Charleston and Effingham, IL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Ankle Disorders in Seniors

As people age, the risk of developing ankle disorders increases due to factors like decreased muscle strength, reduced balance, and the natural wear and tear on joints. Some of the most common ankle disorders in the elderly include arthritis, tendonitis, and ankle sprains. Arthritis, particularly osteoarthritis, is prevalent among seniors. It occurs when the cartilage in the ankle joint wears down, leading to pain, stiffness, and reduced mobility. Rheumatoid arthritis, an autoimmune condition, can also affect the ankles, causing inflammation and discomfort. Tendonitis, the inflammation of the tendons, often affects the Achilles tendon in older adults. This condition results from overuse or sudden increases in physical activity and can cause significant pain and swelling. Ankle sprains, while common at any age, are particularly concerning for the elderly due to the increased risk of falls. Weakened ligaments and poor balance make seniors more susceptible to these injuries, highlighting the importance of supportive footwear and regular exercise for optimal ankle strength and flexibility. If you are a senior and have ankle pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with John Killough, DPM from Regional Foot Center. 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 offices located in Charleston and Effingham, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Stretches Can Promote Foot Health

Maintaining foot health is important, especially considering how much pressure your feet endure daily. Incorporating regular stretches into your routine can significantly enhance strength, flexibility, and overall comfort, reducing the likelihood of injuries. Simple stretches like toe flexes and Achilles tendon stretches can improve muscle control, increase flexibility, and support the intricate structures of the feet. For example, toe stretches help in preventing issues such as bunions and hammer toes, while Achilles stretches target the tendon to alleviate tension and prevent strain. These exercises are beneficial for anyone, from athletes aiming to prevent injuries to individuals seeking relief from daily foot discomfort. However, it is essential to ensure that these stretches are performed correctly to avoid potential harm. A podiatrist can provide personalized guidance, ensuring that you are using the right techniques tailored to your specific needs. If you have foot pain and would like to find out more about appropriate foot stretches, it is suggested that you schedule an appointment with a podiatrist.
Why Stretching Is Important for Your Feet
Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with John Killough, DPM from Regional Foot Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Stretching the Feet
Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.
- Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
- Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
- Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
- Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.
It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.
If you have any questions, please feel free to contact our offices located in Charleston and Effingham, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.