
Diagnosing Gout

Gout is a form of arthritis characterized by sudden, severe pain, redness, and swelling, often in the big toe. It occurs when uric acid builds up in the blood, forming sharp crystals in the joints. Uric acid is a waste product that typically dissolves in the blood and is excreted through urine, but when levels are too high, it can accumulate and cause painful flare-ups. Gout can be triggered by consuming foods high in purines, such as red meat, shellfish, and alcohol, which increase uric acid levels. Risk factors include genetics, obesity, diabetes, high blood pressure, and certain medications. Diagnosis is typically made through a physical exam, blood tests to measure uric acid levels, and joint fluid analysis. If you have painful gout in your feet, it is suggested that you schedule an appointment with a podiatrist for guidance on how to find relief.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Naim G. Shaheed, DPM from Ankle and Foot Centers of Georgia. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
If you have any questions please feel free to contact one of our offices located in Lithonia/Stonecrest and Emory/Midtown, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Gout
Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.
Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.
People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.
Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.
Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.
To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.
Gait and Balance Disorders in Seniors

Gait and balance disorders are prevalent among the elderly, often leading to increased fall risk and decreased mobility. Falling can seriously impact the feet, and may cause pain, discomfort and difficulty in completing daily activities. These disorders can arise from various causes, including muscle weakness, joint stiffness, neurological conditions, and medications. Symptoms typically involve unsteady walking, difficulty maintaining balance, and frequent falls. Diagnosing these issues often involves the Timed Up and Go Test, where a person is timed as they rise from a chair, walk a short distance, and return to the chair. This test helps evaluate the individual's mobility, balance, and risk of falling. If you or someone you know has fallen without an obvious cause, it is suggested that you schedule an appointment with a podiatrist who can treat various foot conditions and determine the cause of falling.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Naim G. Shaheed, DPM from Ankle and Foot Centers of Georgia. Our doctor will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
- Enrolling in strength and balance exercise program to increase balance and strength
- Periodically having your sight and hearing checked
- Discuss any medications you have with a doctor to see if it increases the risk of falling
- Clearing the house of falling hazards and installing devices like grab bars and railings
- Utilizing a walker or cane
- Wearing shoes that provide good support and cushioning
- Talking to family members about falling and increasing awareness
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.
If you have any questions, please feel free to contact one of our offices located in Lithonia/Stonecrest and Emory/Midtown, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Falls Prevention
Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds. In light of these striking statistics, one can see the importance of taking steps to prevent falls.
Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.
Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.
Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.
Why Live with Pain and Numbness in Your Feet?
Ankle Fracture Diagnosis and Treatment

Tibia and fibula fractures are breaks in the two bones of the lower leg. The tibia, or shinbone, is the larger, weight-bearing bone, while the fibula is the thinner bone running alongside it. These fractures commonly occur due to trauma, such as falls, car accidents, or sports injuries. Symptoms include severe pain, swelling, bruising, inability to bear weight, and in some cases, visible deformity. Complications can include nerve or blood vessel damage, delayed healing, and infection if the fracture is open. Diagnosis typically involves a physical exam and imaging tests like X-rays or CT scans to assess the extent of the injury. Treatment varies depending on the severity, but may include casting or splinting for less severe fractures, while surgery with plates, screws, or rods may be necessary for more complex breaks. If you have sustained an ankle fracture, it is suggested that you visit a podiatrist as quickly as possible.
Broken ankles need immediate treatment. If you are seeking treatment, contact Naim G. Shaheed, DPM from Ankle and Foot Centers of Georgia. Our doctor can provide the care you need to keep you pain-free and on your feet.
Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.
When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.
Symptoms of a Fractured Ankle
- Excessive pain when the area is touched or when any pressure is placed on the ankle
- Swelling around the area
- Bruising of the area
- Area appears to be deformed
If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.
If you have any questions, please feel free to contact one of our offices located in Lithonia/Stonecrest and Emory/Midtown, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
All About Broken Ankle
Broken ankles or “ankle fractures” are injuries that occur when the bones that make up the ankle joint are broken. Ankle injuries are some of the most common bone and joint injuries. The ankle joint is made up of three bones that join. The tibia is the main bone, and it makes up the inside of the anklebone. The fibula is a smaller bone, and it makes up the outside of the anklebone. A membrane called the joint capsule is lined with a layer called the synovium, which covers the entire joint. The synovium produces synovial fluid which allows for the joint surfaces to move.
An ankle becomes broken when the joint is stressed beyond the strength of its limits. When an ankle is fractured, ligaments may also tear at the same time. Fractures often occur to the ankle rolling or twisting in an unusual way. At times, a fracture may even be caused by an extreme force applied to the joint.
Symptoms of a broken ankle include pain, swelling, bruising, discoloration, numbness, and an inability to move the toes. If you have a broken ankle, you may also hear something tear or snap when you initially suffered the injury. If you have pain from a broken ankle, beware that the pain will not always come from the exact area of the fracture; you may also experience pain from associated foot fractures. The swelling you may experience can suggest that soft tissue damage may have occurred due to the injury.
There are differences between an ankle fracture and an ankle sprain. The difference is that a fracture or break in the bone is required to classify an injury as a broken ankle. An ankle sprain occurs when there is a tear or disruption of ligaments in the ankle. In some cases, the prognosis of an ankle sprain may be worse than that of a fracture.
X-rays are the most common way to diagnose a broken ankle. X-rays show if the ankle is broken and where exactly the fracture is located. It will also show how many pieces of broken bone there are. A second method of testing to see if an ankle is broken is a stress test. To do this, the doctor will put pressure on the ankle and perform a stress test to determine if the fracture requires surgery. Other methods for diagnosis include CT scans and MRI scans.
If you are suffering from a broken ankle, consult with your podiatrist immediately to receive a proper diagnosis and treatment.
What Leads to Heel Pain?

Heel pain can stem from various causes, leading to significant discomfort and disruption in daily activities. One of the most prevalent causes is plantar fasciitis, where inflammation of the tissue connecting your heel to your toes leads to sharp pain. Other possible culprits include heel spurs, which are bony growths that develop on the heel bone, and Achilles tendinitis, an inflammation of the tendon connecting your calf muscles to your heel. Complications from untreated heel pain include an altered gait, which might lead to additional strain on other joints and muscles, potentially causing further issues. Proper diagnosis is key to addressing the root cause of heel pain and preventing ongoing problems. If you are experiencing persistent heel pain, it is suggested you make an appointment with a podiatrist who can provide a comprehensive evaluation and recommend an effective treatment plan to relieve your symptoms.
Many people suffer from bouts of heel pain. For more information, contact Naim G. Shaheed, DPM of Ankle and Foot Centers of Georgia. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact one of our offices located in Lithonia/Stonecrest and Emory/Midtown, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Heel Pain
Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.
One condition is plantar fasciitis. Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.
There are various options your podiatrist may suggest for heel pain. Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.
Preventing heel pain is possible. If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.
Ingrown Toenails 101

An ingrown toenail occurs when the edge of a toenail grows into the surrounding skin, leading to pain, redness, and swelling. It commonly affects the big toe and can be caused by improper nail trimming, tight footwear, or genetic predisposition. Symptoms include sharp, throbbing pain, increased sensitivity, and, in more severe cases, infection with pus or drainage. Initial treatments for an ingrown toenail involve soaking the foot in warm, soapy water to reduce inflammation and pain. Mild pain relievers and antibiotic ointments can manage discomfort and prevent infection. Avoid cutting the nail yourself as improper trimming can worsen the condition. If symptoms persist or worsen, professional treatment from a podiatrist may be necessary. For a comprehensive evaluation and effective management of an ingrown toenail, it's suggested you make an appointment with a podiatrist.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Naim G. Shaheed, DPM of Ankle and Foot Centers of Georgia. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact one of our offices located in Lithonia/Stonecrest and Emory/Midtown, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.