Gout is widely known for causing sudden pain in the big toe, but it can also affect the ankle joint. This inflammatory arthritis develops when excess uric acid forms sharp crystals inside the joint lining, triggering intense irritation. An ankle gout attack often begins abruptly, with redness, warmth, swelling, and extreme tenderness, sometimes so sensitive that even light contact is uncomfortable. Stiffness quickly follows, making walking and climbing stairs difficult. Symptoms typically peak within a day and may return in repeated episodes if the condition is not medically managed. Because ankle pain has many possible causes, proper evaluation is important. A podiatrist can review medical history, examine joint motion, order imaging, and perform diagnostic testing to confirm gout. Treatment focuses on reducing inflammation, protecting joint function, and preventing long-term joint damage. If you have ankle pain, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and ongoing treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Lance Greiff, DPM from Great Neck Podiatry. 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 Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis is a common cause of heel pain that occurs when the thick band of tissue along the bottom of the foot becomes inflamed or irritated. It is often caused by overuse, high-impact activity, or wearing improper footwear that places strain on the plantar fascia. Symptoms include sharp or aching pain in the heel, particularly with the first steps in the morning or after sitting for long periods. The foot may look normal, though mild swelling or tenderness can appear along the arch, and it can feel stiff, sore, or sensitive while walking or standing. A podiatrist can help by starting with a thorough examination and sometimes imaging tests to confirm the diagnosis and rule out other conditions. Treatment may include footwear adjustments, custom orthotics, targeted exercises to stretch and strengthen the fascia, and anti-inflammatory care. If you have plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Lance Greiff, DPM from Great Neck Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

Chronic health conditions often show warning signs in the feet. Diabetes can reduce circulation and sensation, increasing the risk of wounds and infection. Arthritis may cause joint stiffness, deformity, and daily pain that alters walking patterns. Autoimmune disorders can lead to inflammation that affects tendons, ligaments, and soft tissue. Heart and kidney disease may contribute to swelling that stresses skin and joints. Additionally, poor nerve function can change balance and increase fall risk. Diagnosis involves reviewing medical history, symptoms, medications, and lifestyle factors. A podiatrist may examine skin integrity, joint movement, circulation, and nerve response. Imaging or lab testing may be used to clarify underlying causes. When chronic illness begins affecting comfort, mobility, or skin health in the feet, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Lance Greiff, DPM from Great Neck Podiatry. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please contact our offices located in Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A tailor’s bunion, also known as a bunionette, develops at the base of the small toe when the 5th metatarsal bone shifts outward. This condition may be caused by inherited foot structure, repetitive pressure, or tight footwear that crowds the toes. Symptoms include aching pain, swelling, and irritation on the outside of the foot, along with signs such as redness, callus formation, and tenderness. The area may look like a small bony bump and can feel sore or burning, especially when wearing narrow shoes or walking for long periods. Over time, discomfort may interfere with daily activities. A podiatrist can help by starting with a careful examination and imaging when needed to confirm the diagnosis and assess bone alignment. Treatment usually begins with footwear changes, padding, and custom orthotics, and may progress to medications, targeted exercises, or corrective procedures when conservative care does not provide relief. If you have a painful tailor’s bunion, it is suggested that you make an appointment with a podiatrist.

If you are suffering from bunions, contact Lance Greiff, DPM of Great Neck Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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