Gout develops when uric acid forms sharp crystals in a joint. Uric acid is a waste product that leaves the body through the kidneys. When too much remains in the blood, crystals can collect and trigger inflammation. An attack typically begins in the big-toe joint, though it can also affect the ankle. Symptoms include intense pain, swelling, and redness. The joint can also feel warm and extremely tender. Even light pressure from a sock or bedsheet can become difficult to tolerate. Repeated attacks can damage nearby bone and threaten the long-term health of the joint.

Gout research has found bone erosions in nearly half of the patients studied. These findings show why recurring attacks deserve careful medical attention. Bone erosions are damaged areas along the surface of a bone near a joint. The damage was more likely to occur among older patients and those who had lived with gout longer. It was also linked to frequent flare-ups. High blood pressure, high blood sugar, and kidney disease were associated with greater risk. Tophi, which are firm deposits of uric acid crystals around joints, were also connected with bone deterioration. 

A podiatrist can examine the painful joint and review the pattern of gout attacks. The evaluation includes checking swelling, skin color, and joint movement. Imaging can reveal crystal deposits or bone damage, while laboratory testing can help support the diagnosis. The podiatrist can develop a treatment plan and coordinate care with the patient’s primary doctor or another specialist. Professional foot care can protect irritated skin and reduce pressure around a tender joint. A podiatrist can also recommend fitted shoes or custom orthotics that improve comfort and support. Regular evaluations help track changes in the joint and identify complications before more damage occurs. Early diagnosis and steady medical management can reduce future attacks and protect joint health. If you have symptoms of gout, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Patrick Bruton, DPM from Big Country foot and Ankle. 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 offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Heel pain in children is often linked to a condition known as Sever’s disease, which is a common cause of discomfort in growing athletes. Sever’s disease, also called calcaneal apophysitis, occurs when the growth plate in the heel becomes inflamed due to repetitive stress. The heel bone grows faster than surrounding muscles and tendons during growth spurts, which can create tension and irritation. This condition is not a disease in the traditional sense, but rather an overuse injury that affects active children between 8 and 14 years old, especially those involved in running and jumping activities.

Symptoms of Sever’s disease typically include heel pain during or after physical activity, tenderness at the back of the heel, and mild swelling. Children may limp, walk on their toes, or complain of stiffness, especially in the morning or after rest. The pain often worsens with certain sports, such as soccer, basketball, or gymnastics. Pressing on the sides of the heel may also cause discomfort, which is a common sign of this condition. Early recognition of symptoms can help prevent further irritation and allow for timely care.

Several risk factors contribute to the development of heel pain related to Sever’s disease. Rapid growth during childhood can place extra stress on the heel. Tight calf muscles, wearing improper footwear, and high levels of physical activity may increase strain on the growth plate. Hard playing surfaces and poor shock absorption can also worsen symptoms. Children who participate in year round sports without adequate rest may face a higher risk of developing this condition.

Managing heel pain in children involves reducing stress on the affected area and supporting proper foot mechanics. Rest, stretching exercises, and wearing supportive footwear can help relieve symptoms and improve comfort. Early care can prevent the condition from interfering with daily activities and sports participation. If your active child has heel pain, it is suggested that you consult a podiatrist for effective relief and management tips.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Patrick Bruton, DPM from Big Country foot and Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot corns are concentrated areas of thickened skin that develop in response to consistent pressure or friction. They most often form on the tops of toes, between toes, or on the outer edges of the foot, such as the pinky toe, where shoes rub repeatedly. These areas are prone to pressure due to their position against footwear or neighboring toes. Corns develop as a protective mechanism, but they can become painful and interfere with normal walking. Their central core can press inward, making even light contact uncomfortable.

Symptoms of foot corns include a firm, raised bump with a hard center and surrounding inflamed skin. The area may feel tender when touched or when pressure is applied during movement. Some corns develop between the toes and remain softer due to moisture, while others become dry and hardened. Individuals may notice redness, irritation, or a sensation of pressure within the affected area. Pain can increase when wearing tight shoes or during extended periods of standing or walking.

Several risk factors contribute to the formation of corns. Wearing ill-fitting shoes is one of the most common causes, particularly styles that crowd the toes or create uneven pressure. Foot deformities such as hammertoes or misaligned joints can increase friction points. Walking barefoot on hard surfaces or wearing shoes without proper cushioning may also elevate risk. Repetitive activities that place stress on the same areas of the foot can lead to the gradual development of corns.

Corns form because of repeated pressure that triggers the skin to thicken in a localized area. This protective response can become problematic when the thickened skin presses into deeper tissues. Managing pressure through wearing proper footwear and foot care is essential for prevention. Corns can be painful, and cause difficulty in completing daily activities. If this applies to you, it is strongly suggested that you consult a podiatrist who can offer effective relief solutions and prevention tips.

If you have any concerns regarding your feet and ankles, contact Patrick Bruton, DPM of Big Country foot and Ankle. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

• Well-fitting socks
• Comfortable shoes that are not tight around your foot
• Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

If you have any questions, please feel free to contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

An Achilles tendon injury affects the strong band of tissue that connects the calf muscles to the heel bone. This tendon plays a key role in walking, running, and jumping by allowing the foot to push off the ground. Injuries can range from mild irritation to partial or complete tears. These injuries often develop due to overuse or sudden stress on the tendon. Understanding the definition and causes of Achilles tendon injuries can help individuals take steps to protect their mobility.

Symptoms of an Achilles tendon injury may include pain along the back of the heel, stiffness, and swelling. Discomfort is often worse during activity or after periods of rest. Some individuals notice a tight feeling in the lower leg or difficulty pushing off while walking. In more severe cases, a sudden sharp pain may occur, sometimes described as a snapping sensation. Reduced strength and limited movement can affect daily activities and athletic performance.

Several risk factors contribute to Achilles tendon injuries. Weak calf muscles and ankle instability can increase strain on the tendon during movement. Changes in playing surface, such as moving from soft to hard ground, may place additional stress on the foot and ankle. Wearing high heels regularly can shorten the tendon over time, making it more vulnerable to injury when switching to flat shoes. Other risk factors include sudden increases in physical activity, improper footwear, and inadequate warm up routines.

Preventing Achilles tendon injuries involves strengthening the calf muscles, improving flexibility, and maintaining proper footwear habits. Gradual increases in activity and attention to surface changes can reduce strain on the tendon. Stretching exercises and supportive shoes can help maintain proper alignment and reduce injury risk. Early recognition of symptoms allows for timely care and better outcomes. If you have an Achilles tendon injury, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Patrick Bruton, DPM of Big Country foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.