Items filtered by date: December 2024
How Gout Causes Intense Big Toe Pain

Gout is a form of arthritis that often causes intense pain, particularly in the big toe. It occurs when uric acid builds up in the body, forming crystals that deposit in the joints. The big toe is commonly affected because it has a lower temperature than other joints, which makes it more susceptible to these crystals. When a gout attack happens, the area becomes swollen, red, and extremely painful. The pain can be so severe that even the slightest touch to the toe feels unbearable. Gout attacks are often triggered by factors such as consuming foods rich in purines, alcohol, or dehydration. Managing gout involves reducing uric acid levels through diet, medication, and lifestyle changes. If you have had one or more gout attacks, it is strongly suggested that you are under the care of a podiatrist who can help you manage this painful condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Lauryn Smith-Winton, DPM from S.W. Podiatry Group. 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 Waldorf, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Symptoms and Diagnosis of Toenail Fungus

Toenail fungus, also known as onychomycosis, is a fungal infection that affects the nails, typically starting at the tip and spreading deeper into the nail. The primary cause is exposure to fungi, which thrive in warm, moist environments such as public showers or pools. Toenail fungus is more common in individuals with weakened immune systems, poor circulation, or those who wear tight, non-breathable shoes. Symptoms include thickened nails, discoloration, crumbling edges, and sometimes a foul odor. The nail may become detached from the nail bed in severe cases. Diagnosis is usually made through a physical examination, and a sample of the infected nail may be taken for laboratory testing, such as a fungal culture or nail biopsy, to confirm the presence of the fungus. If you have symptoms of toenail fungus, it is suggested that you promptly schedule an appointment with a podiatrist who can accurately diagnose and treat this condition, which may include prescribed medication.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Lauryn Smith-Winton, DPM of S.W. Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
If you have any questions, please feel free to contact our office located in Waldorf, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Heel Pain in the Morning?
The Benefits of Laser Therapy for Fungal Nails

Laser therapy is an increasingly popular treatment for fungal nail infections, offering a non-invasive and effective solution. This therapy uses focused light to penetrate the nail and target the fungal infection beneath the surface. The heat from the laser helps to destroy the fungus without damaging the surrounding tissue. One of the main benefits of laser therapy is its ability to treat fungal nails without the need for oral medication, which may have side effects. The treatment is quick, with minimal discomfort and little to no downtime. Many patients experience noticeable improvement after just one or two sessions, and the risk of recurrence is significantly reduced. Laser therapy promotes healthier nail growth by allowing the body’s natural healing process to take place more efficiently. Overall, it is a safe and convenient option for those seeking relief from persistent fungal nail infections. Toenail fungus can be unsightly. If you have developed this condition, it is suggested that you consult a podiatrist who can determine if this type of laser therapy is right for you.
Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Lauryn Smith-Winton, DPM from S.W. Podiatry Group. Our doctor will assess your condition and provide you with quality treatment for fungal nails.
What Are Toenail Fungal Infections?
Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.
Symptoms of Toenail Fungal Infections Include:
- Nail thickening
- Brittleness of the nail
- Discoloration of the nail
Diagnosis for Fungal Nails
Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.
What Is Laser Treatment?
Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.
If you have any questions, please feel free to contact our office located in Waldorf, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Understanding Morton's Neuroma

Morton’s neuroma is a painful condition that affects the ball of the foot, typically between the third and fourth toes. It occurs when the nerve becomes thickened or irritated, often due to pressure or compression. The main symptom is a sharp, burning pain in the ball of the foot, which may radiate to the toes. People with Morton’s neuroma may also experience tingling, numbness, or a feeling of a lump in their shoe. The primary causes of Morton’s neuroma include wearing tight or high-heeled shoes, abnormal foot mechanics like flat feet or high arches, or running and sports activities that put repeated pressure on the forefoot. Treatment options include conservative measures, such as switching to supportive footwear, using custom orthotics, and getting corticosteroid injections, as well as more advanced treatments like surgery. A podiatrist can diagnose Morton’s neuroma and recommend the best treatment to relieve pain and prevent recurrence. If you suspect Morton’s neuroma, it is suggested that you schedule an appointment with a podiatrist for expert care and guidance.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Lauryn Smith-Winton, DPM of S.W. Podiatry Group. Our doctor will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
- Ill-fitting high heels or shoes that add pressure to the toe or foot
- Jogging, running or any sport that involves constant impact to the foot
- Flat feet, bunions, and any other foot deformities
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact our office located in Waldorf, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What Causes Swollen Feet and Ankles?

Swelling in the feet and ankles can be a sign of chronic venous insufficiency, or CVI, or heart failure, both of which affect circulation and fluid balance. CVI occurs when the veins in the legs cannot efficiently return blood to the heart, causing blood to pool, resulting in swelling, varicose veins, and pain. Heart failure, on the other hand, leads to fluid buildup throughout the body, including the feet, due to the heart's inability to pump blood effectively. Common symptoms of both conditions include swelling, heaviness, and discomfort in the feet and ankles, often worsened by prolonged standing or inactivity. Treatment for CVI may involve compression stockings, lifestyle changes, and medications, while heart failure may require managing underlying cardiovascular health. A podiatrist can play a critical role in managing foot symptoms associated with these conditions by recommending proper footwear, compression therapy, and providing guidance on exercises to improve circulation. If you experience persistent foot swelling, it is suggested that you schedule an appointment with a podiatrist for a thorough evaluation and personalized care plan.
Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Lauryn Smith-Winton, DPM of S.W. Podiatry Group. 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 Waldorf, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.