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The painful Gout: The big toe and its pain 3/5

The Gout

NYCPodiatra

Gout is the most painful thing anyone can feel on the big toe.


Gout most commonly affects the first metatarsal joint. A horrible and recurring pain in the big toe is that which occurs from gout. Gout is caused by the accumulation of uric acid and the deposition of uric acid crystals inside the joint. The severe pain is caused by crystals that are like little needles causing you to remember what you ate the night before with each step. Often, the gout is so severe it looks like an infection.


The diagnosis

It is essential for treatment. An X-ray of the foot is used to indicate the presence of such fastidious pain, the X-Ray will show erosions in the joint.


The treatment

The good news is that the treatment is easy, it consists of a regimen of pills during the acute attack, in rare cases an injection in the conjuncture and if it is a chronic problem the patient is treated with a pill of daily maintenance.

Prevention

To prevent gout it is important to maintain a proper diet low in fatty foods and alcohol. Red meat and fruits with a high content of citric acid should be avoided.


Rolando Meléndez, DPM in Corona and Jackson Heights, NY will help you with your foot and ankle problem.

It is gratifying to be able to help restore a person’s quality of life

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Sesamoiditis

Sesamoiditis

There are two bones under “The Ball of the Foot”, these are called the Sesamoides. One is the tibial sesamoid and the other the fibular sesamoid. These tendons are within the flexor tendons of the big toe.


These two bones serve as pulleys for the tendons of the foot’s propulsion. Sesamoids are important to the large toe area, as they absorb the weight bearing pressure and reduce friction in the metatarsal head.


When these bones become irritated they cause great pain. These bones are irritated after an accident, a finger twist or the constant use of unsupported shoes in the area. The pain is located in the lower part of the big toe.


Conservative Treatment

  •  Stop the activity that causes the pain.
  • Take anti-inflammatories to relieve pain.
  • Apply wrapped ice with a towel in the area
  • Wear soft-soled shoes with a low heel.
  •  Use masking tape to keep your big toe down
  •  Steroid injection
  • Using a CAM boot

Surgical treatment if conservative treatment does not work

 Any condition of the chronic sesamoid bone that does not respond to conservative treatment may require surgery.

  •  Removal of part or all of one of the sesamoid bones. When a single sesamoid is removed, the other sesamoid bone may still provide a fulcrum point for the toe flexors.

  •  Scraping the sesamoid if the patient has a callus under a hypertrophic sesamoid

Rolando Meléndez, DPM in Corona and Jackson Heights, NY will help you with your foot and ankle problem.

It is gratifying to be able to help restore a person’s quality of life

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Bunion confort Shoes

Sears has introduced a new line of of shoes that provide comfort to patients with bunion deformities.  The Goldtone accents bring distinctive style to the women’s Marlene ballet flat from Usaflex.  Padded lining and a plush cushioned footbed deliver endless comfort to this chic flat.

Dr Rolando M Melendez, DPM in Corona and Jackson Heights, NY offers the equipment and experience to diagnose and treat many foot and ankle conditions. Because we want you to keep doing all the fun things you like to do without having pain in your feet!

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Paris Hilton’s bunionettes

 

Bunionettes, sometimes referred to as tailor’s bunions, are a deformity of the fifth metatarsophalangeal (MTP) joint that is analogous to a bunion (hallux valgus) deformity of the great toe. This is a very common problem that podiatrists see every day. This problem is also suffered by the famous actress Paris Hilton. A bunionette is characterized by prominence of the lateral aspect of the fifth metatarsal head and a hammertoe of the small toe.

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Symptoms associated with a bunionette are irritation when wearing tight, narrow, pointed-toe shoes. Usually patients report pain and problems finding comfortable shoes. In the majority of the cases the symtoms and deformity get progressively worse, and in the end stages of this deformity a painful overlying hard corn is frequently present.

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There are many treatment options for this annoying symptoms.The curative treatment for this condition requires a simple surgical correction of the bunionette deformity that is performed in an outpatient setting. Surgical treatment will reverse the deformity creating a straighter foot.

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Conservative treatments will relieve the pressure and pain but will not reverse or stop the progression of the deformity. Conservative treatments include proper shoes with a soft upper and a roomy toe box. A custom made insert with a metatarsal pad also can help shift pressure off the fifth metatarsal head. Pads can be applied to the lateral aspect of the toe box to float the painful fifth metatarsal head. This orthotic device rotates the forefoot slightly, which decreases direct pressure over the bunionette prominence.

Dr Rolando M Melendez, DPM in Jackson Heights, NY, Jamaica, NY and Hampton Bays, NY offers the equipment and experience to diagnose and treat many foot and ankle conditions. Because we want you to keep doing all the fun things you like to do without having pain in your feet!

Make your appointment

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Shaq foot surgery

 

In 2002, Shaquille O’Neal was suffering from great toe arthritis. In September 2002, Shaq received a 1st MPJ fusion. The goal of this surgery was to immobilize the joint to prevent pain and keep the basketball player functional.

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The procedure took only 45 minutes, and it was performed on an outpatient basis. A six-week rehabilitation program had O’Neal ready to play ball a week before the regular season began. The typical patient who receives this procedure can return to work in 3 weeks.

Rolando Melendez, DPM in Jackson Heights, NY, Jamaica NY and Hampton Bays NY can help you with your toe pain or any joint pain in your feet. Because we want you to keep doing all the fun things you like to do without having pain in your feet!

Make your appointment

stilettos

Salsa dancing shoes

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Salsa dancing gives your muscles, joints, and bones a really good workout. It can help delay osteoporosis and arthritis.

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Salsa dancing shoes should be stylish (of course), lightweight, comfortable, flexible, made of real suede and/or leather, and extra cushioning in the sole.

The foot should have more freedom of movement while keeping the heel “locked” in place.

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Leather/suede soles to give enough amount of slip-and-grip while allowing your foot to pivot freely. Avoid rubber-soled shoes.

The dance shoe size should be the same as your street shoe size. If your foot is narrow, you should go down 1/2 a size. If your foot is wider you should go up 1/2 a size.

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Gentlemen typically wear suede or leather shoes with a low heel. For Latin Ballroom the heel should be slightly higher.

For ladies, an open toe heel or strappy sandal is best for the Latin and Salsa dancing. This allows greater movement of the toes, while giving balance and creating a clean leg line.

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Traditional Ankle Strap provides the least amount of foot security. X-Strap (around arch) are great for newer dancers, this strap style anchors your foot to the arch of the shoe, avoiding ankle twisting and providing an ideal amount of support and stability.

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Heel sizes can be as low as 0.5″ or as high as 4″. The most common heel sizes are between 2″-3″. Higher heels give more shape to the leg. For beginners, it is recommended to start with a 2.5″ heel height.

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The skinny stiletto heel cause more pressure to the ball of the foot and less balance. Cuban heels are the lowest and thickest heels and distribute weight over more of the foot. The flare heel has a skinny center with a slightly flares out out the bottom, providing a bit more stability over the stiletto heel.

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Source: stepintosalsa.com

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Rolando Melendez, DPM in Jackson Heights, NY has the experience and knowledge to keep you dancing. Because we want you to keep doing all the fun things you like to do without having pain in your feet!