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2411 Crofton Lane, Suite 25
Crofton, MD 21114



Posts for category: Arthritis

By Crofton Podiatry
July 10, 2019
Category: Arthritis
Tags: Gout   obesity   uric acid   high blood pressure  

One of the more painful conditions a person can have is a condition called Gout. Gout is the buildup of uric acid in the bloodstream. Uric acid contains knife-like crystals that embed themselves in the soft parts of your joints. Often found in your toes or ankles, gout can also occur in your hands and wrists. The pain can be described as having a throbbing broken bone. Gout makes joints so sensitive that the weight of a bedsheet can cause extreme and excruciating pain.

One of the main causes of gout is the consumption of food rich in uric acid, otherwise known as purine rich foods.

These include:

  • Shellfish – shrimp, lobster, crab
  • Red, uncooked meat
  • Sardines, Anchovies, Mackerel
  • Liver, Kidney – organ meats
  • Beer
  • Nutritional and brewer’s yeast
  • Sweetbread
  • Venison
  • Veal
  • High fructose foods

Risk factors for gout include:

  • Poor diet – consumption of the high purine foods above
  • Obesity – can contribute to the development of gout
  • High blood pressure – meds taken to great HBP can cause gout
  • Certain diuretics – can happen with anti-rejection drugs
  • Genetics – runs in the family
  • Age – men develop gout usually between 30 and 50. Women after menopause
  • Sex – men usually have higher uric acid levels

The best treatment for gout is a healthy diet. Foods such as fruits, complex carbs, vegetables, or a low fat protein which can include lentils. Avoid naturally sweetened fruit juices. Drinking water is also important as it helps flush out the uric acid. Treatments for gout besides a better diet include:

  • Ibuprophen – treats pain and swelling – can damage kidneys if taken excessively
  • Colchicine – good for acute attacks
  • Allopurinol – also known as an oxidase inhibitor - helps reduce uric acid output
  • Medications that help remove uric acid levels – known as a uricosuric

If you believe you have gout or have any other concerns with your feet, make an appointment with our board-certified podiatrist, Dr. Brad Toll. He will assess your feet and find the proper treatments. Call Crofton Podiatry at (410) 721-4505, which provides services to Crofton, Gambrills, Odenton, and Bowie, MD areas. You can also visit our website at www.croftonpodiatry.com.

By Crofton Podiatry
August 15, 2018
Category: Arthritis
Tags: swelling   Gout   shoes   injury  

Gout can be a very debilitating condition to have. It can affect your daily life and require you to make many changes to your lifestyle. This form of arthritis is caused by a buildup of uric acid in your joints. It commonly affects your feet, especially your big toe joint. However, it can also affect other joints like the ankles and knees as well.

Following several painful bouts of gout, you may notice a pattern to when they arise. Participating in some activities or eating certain foods can put you at higher risk of experiencing a gout attack:

  • Eating foods that are high in purines (seafood, alcohols) and other inflammatory foods, such as those with a lot of refined sugar (sugary drinks)
  • Drinking excess alcohol
  • Not drinking enough water (dehydration)
  • Taking certain medications that cause a flare-up as a side effect
  • Being sick (including hospitalization, surgery, kidney disease)
  • Wearing poorly-fitting and unsupportive shoes (shoes that aggravate the affected joints can trigger an attack)
  • Jumping or other high-impact activity, injury (impact or trauma to the affected joint can cause a bout of gout)

You may also learn to recognize the symptoms of an oncoming bout of gout, including but not limited to:

  • Feeling: burning, tingling, pain, stiffness, and/or soreness in the joints
  • Seeing: redness and swelling

Do your best to avoid increasing the risk of a gout attack. However, if you have indulged a bit, you may want to take steps to reduce your chance of a prolonged and painful attack. This is especially the case for those who experience gout without warning, even being woken up by sudden painful gout attacks.

When you feel a bout of gout about to happen, or if you want to reduce the risk of gout attacks, try some of the following:

  • Hydrate! Drink lots and lots of water to assist you in flushing out excess uric acid.
  • Exercise! If symptoms have not fully set in, but you feel an attack coming on, you’ll want to keep moving (walk around) in order to promote circulation. It will help you prevent large uric acid buildup. However, if symptoms have set in and you are in pain, it’s best to rest.
  • Rest! If you’re already in pain, sit and elevate your feet. An excess strain on painful joints will worsen the gout attack.
  • Use ice packs or cold compresses and/or take NSAIDs (non-steroidal anti-inflammatory drugs) to reduce inflammation and pain.

Once you’ve been diagnosed with gout, you should keep up with a healthy lifestyle and diet. Keep up with your medications to reduce your chance of a gout attack. However, if you need additional assistance with foot care for gout, make an appointment at our Crofton, MD office to see our board-certified podiatrist, Dr. Brad Toll. At Crofton Podiatry, we will use the latest treatment options to assess and take care of your foot and ankle care needs. Contact our dedicated team at our Crofton, MD office, which also serves the surrounding areas of Gambrills, Odenton, and Bowie, MD.


By Crofton Podiatry
May 21, 2018
Category: Arthritis
Tags: Gout   Orthotics   arthritis  

If you’ve got arthritis, everyday activities that used to be simple have probably become more difficult. You may have to adjust how you do things with your hands, wrists, hips, knees, ankles, and feet. The joint inflammation can affect how long you can stand, walk, and work because of pain, stiffness, and/or swelling.

Don’t let arthritis keep you down! Keep living your best life by incorporating some of the following changes.

At Home:

  • Mats – Use foam mats wherever you tend to stand for long periods of time, such as in front of kitchen and bathroom sinks, as well as in front of the stove.
  • Rugs or Carpet – Invest in thick rugs or install carpeting in your home to reduce the impact on your feet, ankles, and knees.
  • Indoor Shoes – You may want to buy highly-cushioned shoes to wear indoors, especially if you have hardwood or tile shoes.

At Work:

  • Take breaks often and move your feet and ankles. Sitting or standing for a long time can cause them to become stiff and swollen.
  • Also, it’s best to stay hydrated to help reduce inflammation and increase circulation.

During Leisure Activities:

  • Schedule in breaks whenever you engage in fun activities. From hikes to swimming, and exploring a new city, take a rest so that your foot and ankle joints do not become inflamed (like with gout). If your feet become too swollen or inflamed, you may not be able to participate in any other activities the rest of the day.

For Your Body:

  • You may have to adjust the types of activities that you can perform, but that doesn’t mean you should just stay home and do nothing. Find other fun activities that your body can handle.
  • Continue to exercise and eat nutritiously. Your physical therapist or occupational therapist can help you find exercises to help you stay mobile and prevent joint stiffness. Watch your weight and eat plenty of anti-inflammatory foods.
  • Wear comfortable, cushioned shoes since outside irritation can make your joint inflammation worse. If your feet have become deformed from arthritis, custom orthotics may be necessary.

Make an appointment at our Crofton, MD office to see our board-certified podiatrist, Dr. Brad Toll. At Crofton Podiatry, we will use the latest treatment options to take care of your foot and ankle care needs. Our team is ready to assist you at our Crofton, MD office, which also serves the surrounding Gambrills, Odenton, and Bowie, MD areas.

By Crofton Podiatry
December 29, 2017
Category: Arthritis

You may have heard older loved ones talk about how the weather affects their joints. Days characterized by poor weather seem to make symptoms worse, especially when it’s raining or cold. For those who struggle with arthritis pain, even the day-to-day can be difficult; so when the winter chill rolls in, joint pain management can be more challenging. And of course, the many joints present in the feet and ankles are also prone to feeling more achy, stiff, and/or painful.

We mentioned some ways you can care for your arthritic feet in a previous post, but the following are some additional tips for foot care and pain management in the cold winter weather:

  • Dress warmly. Always wear socks when you go outside – double up if you get cold easily. If your feet get cold easily, even indoors, wear socks or slippers (with non-slip grips on the bottom for smooth floors; smooth bottomed socks and slippers for carpet).
  • Eat nutritiously, including vitamin D supplements, especially if you have osteoarthritis. Less hours of sunlight and winter weather can mean a vitamin D deficiency for many. Also be sure to add plenty of sources of omega-3 fatty acids for joint health.
  • Stay physically active, both inside and outside. Taking brisk walks and doing aerobic exercises (on an exercise mat) are great ways to keep your blood pumping and your feet and ankles engaged.
  • Keep up with physical therapy, if that is part of your arthritis care. It may even be beneficial to start physical therapy during the weather for worse symptoms. Talk to your physician or our podiatrist for more information.
  • Wear safe shoes and be careful with winter activities and sports. Over-the-counter orthotic inserts may help, but you may need custom orthotics to reduce painful symptoms. If you must go outside in the cold or snow, be sure to wear warm shoes that have non-skid outer soles.
  • Stay hydrated to help with circulation. Some studies suggest that dehydration can make you more sensitive to pain!
  • Take warm baths and get foot massages. Warm baths, hot tubs, or warm water swimming pools can be helpful in relieving arthritis pain. Additionally, find relief by pampering your feet with a foot soak and massage.

If the winter weather has got your feet or ankles in pain, consult with our board-certified podiatrist, Dr. Brad Toll at Crofton Podiatry to make sure it isn’t something else causing the pain. Make an appointment by calling (410) 721-4505. Our team is ready to assist you at our Crofton, MD office, which also serves the surrounding areas of Gambrills, Odenton, and Bowie, MD.

By Crofton Podiatry
October 13, 2016
Category: Arthritis
Tags: swelling   joint pain   stiffness  

October 12th has been designated as World Arthritis Day. Since this day is for bringing awareness about how arthritis affects our population, we at Crofton Podiatry would like to share how arthritis can affect your feet in particular. While some folks can develop arthritis earlier in their lives (juvenile arthritis), most Americans are affected after the age of 65. In fact, about 50 percent of Americans over 65 years old suffer from arthritis foot pain.                                                        

Arthritis usually presents with pain, stiffness, and swelling in the joints. Because we are constantly on our feet, it is very likely that arthritis will affect the ankle and big toe joints. After all, each foot has 33 joints that can be affected! Additionally, not only is there pain in the joints, it can also lead to other consequences in the surrounding areas of the feet. Osteoarthritis, Rheumatoid Arthritis, Gout, and Posttraumatic Arthritis (due to injury) are typical forms of arthritis to affect the feet.

Symptoms of Arthritis in the Feet

  • Early morning stiffness.
  • Limitation in motion of joint.
  • Recurring pain or tenderness in any joint.
  • Redness or heat in a joint.
  • Skin changes, including rashes and growths.
  • Swelling in one or more joints (e.g. toes that swell up to look like sausages)
  • Joint cracking or popping sounds when walking.
  • Toenails that separate due to swollen toes.

If you or a family member is experiencing any of these symptoms, it is important that you make an appointment with our board-certified podiatrist, Dr. Brad Toll, as soon as possible. Arthritis in the feet can lead to immobility and severe pain. Early diagnosis and treatment can slow down the affects of the condition.

Relief and Treatment

Dr. Toll may suggest the following means of relief and treatment after meeting with you:

  • Physical Therapy and exercise.

  • NSAIDs and/or steroid injections into the affected area.

  • Orthotics/Supportive shoes.

Our team at the Crofton, MD office is ready to assist you and your family’s needs when caring for your feet and ankles. The best treatment for your specific needs depends on your condition, so make sure you come in to see him today. Call us at (410) 721-4505.

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2411 Crofton Lane, Suite 25
Crofton, MD 21114

Podiatrist - Crofton, Crofton Podiatry, 2411 Crofton Lane, Suite 25, Crofton MD, 21114 (410) 721-4505