Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Podiatrists play an important role in helping people with diabetes maintain healthy feet. A podiatrist can perform vascular testing to determine if you have reduced blood flow to your feet and can diagnose peripheral neuropathy, a common cause of lower limb weakness, numbness, and pain. A common symptom of diabetes are ulcers on the feet. A podiatrist can provide care for ulcers and prevent new ones from developing. As people with diabetes face an increased risk of limb amputation, it is important to see a podiatrist for monitoring, routine care, and prevention. If you have diabetes and experience pain or other symptoms in your legs and feet, don’t hesitate to consult a podiatrist.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Dr. Joshua David Scoll from Pennsylvania. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

If you have any questions, please feel free to contact one of our offices located in Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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When it comes to shopping for shoes with your child, there are a number of ways you can help ensure a comfortable fit. As far as choosing the correct shoe size, it is best that you are measuring your child’s feet frequently. You also want to make sure the shoes you are buying are beneficial to your child in particular. For example, if your child’s feet need arch support, it would be best to focus on shoes with that particular feature. With all shoes, it is important to pick ones that are breathable, durable, and flexible. Since children’s feet tend to get sweaty, finding a breathable material can encourage circulation for your child’s feet. Since the feet do swell, it is best to shop for shoes at the end of the day, that way your child’s feet are at their largest, and you can avoid picking footwear that is to tight for them. For more help on how to best purchase footwear for your child, please consult with a podiatrist.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Dr. Joshua David Scoll from Pennsylvania. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

  • Select a shoe that is shaped like your foot
  • Don’t buy shoes that fit too tight, expecting them to stretch to fit
  • Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
  • Walk in the shoes to make sure they fit and feel right
  • Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

If you have any questions, please feel free to contact one of our offices located in Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Monday, 06 July 2020 00:00

Eating Properly While Pursuing Running

Many runners understand the importance of listening to the body, especially in the case of trying to prevent an injury as a result of overuse. Runners who are new to this sport can become injured from running excess miles in the beginning. Additionally, injuries can happen from running at accelerated speeds. It is helpful to drink plenty of water during the day, get an adequate amount of rest, and eat foods that are rich in nutrients. People who enjoy the sport of running often alternate going for a run with cardiovascular exercises, which can include cycling and swimming. If you would like more information about how to prevent running injuries, and how they can impact the feet, please consult with a podiatrist.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Dr. Joshua David Scoll of Pennsylvania. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

If you have any questions please feel free to contact one of our offices located in Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Prevent Running Injuries
Monday, 29 June 2020 00:00

Where Is the Tarsal Tunnel Located?

There is a part of the foot that is between the Achilles tendon and the inside of the ankle, which is referred to as the tarsal tunnel. Its function is to facilitate movement in the foot and ankle, in addition to helping to provide feeling to the sole of the foot. The medical condition that is known as tarsal tunnel syndrome occurs when the tarsal tunnel becomes compressed. This can happen as a result of repetitive stress, or possibly from an injury. Some of the symptoms patients may feel can include pain and discomfort in the heel and arch area, a numbing sensation, and the foot may feel weak. Mild relief may be found when the activity that caused the injury ceases temporarily, in addition to performing specific stretching techniques. If you have developed tarsal tunnel syndrome, it is suggested that you seek professional advice from a podiatrist who can help you to manage this condition.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Joshua David Scoll of Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact one of our offices located in Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Friday, 26 June 2020 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Many people choose to wear flip flops when the weather is warmer. Flip flops are easily worn, and are available in many styles and colors. However, despite their ease and popularity, wearing them frequently may wreak havoc on the feet. Patients can experience heel pain as a result of limited arch support. Additionally, the feet may become fatigued as the toes grasp to the shoes to keep them on the foot. There is typically a lack of cushioning in the heel area of the shoe, and cracked heels may develop as the skin becomes dry. It is beneficial to alternate wearing flip flops with a sandal that has a strap in the back, as this is generally helpful in providing the necessary support as daily activities are completed. It is suggested that you consult with a podiatrist who can discuss in depth how flip flops can affect the feet.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Dr. Joshua David Scoll from Pennsylvania. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

  • Ankle problems
  • Hip problems
  • Lower back problems
  • Pain in the balls of the feet
  • Problems with foot arches
  • Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

  • Sprained ankles
  • Blisters
  • Infections
  • Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

If you have any questions please feel free to contact one of our offices located in Philadelphia and Bensalem, PA .  We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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A common cause of ingrown toenails is wearing shoes that do not fit correctly. This condition can develop as a result of wearing certain types of shoes that do not have adequate room for the toes to move freely in. An ingrown toenail is defined as a nail that grows into the outer edges of the skin, and can generally cause pain and discomfort. Additional symptoms can include redness, swelling, and pus that may drain from an infected toenail. Moderate relief can be found when the impacted foot is soaked in warm water, which typically helps to soften the skin. It is beneficial to protect the nail by placing a bandage over it as daily activities are completed. If you notice signs of an ingrown toenail, please consult with a podiatrist who can offer correct treatment methods.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Joshua David Scoll of Pennsylvania. 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 one of our offices located in Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ingrown Toenail Care

Many people who stand and walk for the majority of the day for work may experience tired and aching feet. The feet are considered to be the foundation of the body, and people can generally feel tired when foot pain is present. Conditions that can occur as a result of standing for extended periods of time can include blisters and corns. It is also possible to develop the painful ailment that is known as plantar fasciitis. Relief may be found when shoes that are worn fit properly, in addition to soaking the feet at the end of the work day. Research has shown it is beneficial to perform gentle foot stretches throughout the day, and it may help to wear custom made orthotics. If you would like additional information about how to alleviate foot pain, please consult with a podiatrist for professional care.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Joshua David Scoll from Pennsylvania. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact one of our offices located in Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 01 June 2020 00:00

The Definition of Orthotics

Orthotics are defined as insoles that are made specifically to fit your foot. They are helpful in providing support that is needed to correct certain foot and ankle conditions. Some of these can include bunions, flat feet, plantar fasciitis, and heel spurs. Wearing orthotics and performing foot stretches may eliminate the need for surgery, and it is advised to wear the correct type of insole designed to fit your foot. These can range from rigid to flexible, and the foot can begin to properly heal when the right style orthotic is determined. Orthotics can help to heal a variety of foot and ankle ailments, and it is suggested that you confer with a podiatrist who can determine if they are the right choice for you.

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Joshua David Scoll from Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact one of our offices located in Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ankle Foot Orthotics for Athletes
Wednesday, 27 May 2020 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Pain in one or more areas of the feet is a common condition many people contend with. Foot pain can come from breaking your foot or toe, or from medical conditions that can include gout, plantar fasciitis, bunions, and blisters. Patients who are overweight can have foot pain as a result of the added weight the feet have to endure. Diabetic patients are susceptible to ulcers developing on the feet, and this may cause mild to severe pain. Foot pain that develops gradually can come from wearing shoes that do not fit correctly. Conditions that may develop from this can include bunions, hammertoes, and ingrown toenails. If you are experiencing any type of foot pain, it is strongly suggested that you are under the care of a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Joshua David Scoll from Pennsylvania. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact one of our offices located in Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Monday, 18 May 2020 00:00

Are Bunions Hereditary?

The place on the foot where bunions develop is the bottom of the big toe. Common symptoms that are present in larger bunions can consist of pain and swelling on and around the affected area, and skin that has become calloused on top of the bunion. Additionally, it may be difficult to wear shoes that are normally worn, and larger shoes may have to be purchased so the feet can feel comfortable. Patients who have developed bunions may have prior medical conditions that can include arthritis, cerebral  palsy, in addition to genetics playing a significant role in developing a bunion. Mild relief may be found when custom-made orthotics are worn, and it may help to wear a protective pad over the bunion. If you have a bunion, and would like additional information about effective treatment options, please consult with a podiatrist.

If you are suffering from bunions, contact Dr. Joshua David Scoll of Pennsylvania. 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?

Doctors 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 doctor.

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 one of our offices located in Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions

Swollen feet is a condition many pregnant women battle with. This is a common foot ailment that can be a result of the growing baby, and thickened blood that can put pressure on the pelvis and feet. Additionally, specific hormones may cause the veins to become relaxed, and this may change the speed blood is moved throughout the body. It can be helpful to perform gentle foot stretches during the course of the day, which may alleviate a portion of the swelling. Research has indicated that staying hydrated by drinking plenty of water is important in reducing fluid that is stored in the tissues. This can also be achieved by eating healthy foods that can include asparagus, celery, watermelon, and other foods that can increase elimination of water. If you would like more information about how to reduce swelling in your feet, especially while you are pregnant, please speak with a podiatrist.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Joshua David Scoll from Pennsylvania. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact one of our offices located in Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Pregnancy and Foot Health
Monday, 04 May 2020 00:00

How Do Gout Attacks Occur?

Patients who experience gout are aware of the debilitating pain and discomfort this condition may cause. It affects the joints in the big toe, and is considered to be a form of arthritis. Gout can be caused for a variety of reasons. These can include genetic factors, eating foods that have elevated purine levels, or it may come from specific medical conditions. It occurs as a result of high uric acid levels in the blood. Patients have described the sensation of gout as crystals that form between the joints, and can cause severe pain and discomfort. There are methods that can be implemented which can possibly prevent future gout attacks. These can include losing excess weight, and avoiding foods consisting of red meat and seafood. Additionally, it is recommended that alcohol consumption is limited. If you are getting frequent gout attacks, it is suggested that you consult with a podiatrist as quickly as possible who can help you to manage and prevent this condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Joshua David Scoll from Pennsylvania. 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 Philadelphia and Bensalem, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Everything You Need to Know About Gout
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