Gout is a form of inflammatory arthritis that often affects the feet and can cause sudden, intense pain. Although the big toe is the most common location, gout may also develop in the midfoot, ankle, or several joints at the same time. The condition occurs when crystals form inside a joint, triggering inflammation and severe discomfort. A gout flare may begin without warning and make standing or walking very difficult. Because symptoms can resemble other foot conditions, an accurate diagnosis is important before treatment begins. Identifying gout early can help prevent repeated flare-ups, reduce joint damage, and support better long-term foot health. Prompt evaluation is especially important when pain is severe or symptoms continue to return.

Symptoms of gout in the feet often appear quickly and may become severe within hours. Many people experience intense joint pain, swelling, or redness in the affected area. Others notice warmth around the joint or tenderness that makes even light pressure uncomfortable. During a flare, walking and wearing shoes may become difficult because movement increases discomfort. Although the big toe is commonly involved, gout can also affect the heel, ankle, or other joints in the foot. Repeated flare-ups may eventually damage the joints and reduce mobility if the condition is not properly managed. A professional evaluation can determine whether gout is the cause of your symptoms and help distinguish it from other sources of foot pain.

A podiatrist plays an important role in diagnosing and managing gout that affects the feet and ankles. During an examination, the podiatrist reviews your symptoms, evaluates the affected joints, and may recommend additional testing to confirm the diagnosis. Treatment focuses on relieving pain, protecting joint function, and reducing the impact gout has on everyday activities. Ongoing podiatry care can also help monitor changes in the feet and identify complications before they become more serious. If you are experiencing sudden foot pain, swelling, or redness that may be a sign of gout, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Afshin Javaherian, DPM from Dr. Java Foot & Ankle Clinic. 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 Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pediatric flat feet refer to a condition where the arch of the foot is not fully formed or appears to collapse when standing. This is a normal stage in early development, as infants and toddlers naturally have flat feet. The arch begins to develop between the ages of three and six as the foot structure matures. By adolescence, typically around age 14, the arch reaches full development in most individuals.

Symptoms of flat feet in children are often mild, but can become more noticeable as activity levels increase. Some children experience foot fatigue, arch discomfort, or ankle instability. Signs may include inward tilting of the ankles, uneven walking patterns, or complaints of leg or foot pain after exercise. While many children remain symptom free, others may develop issues that affect mobility and comfort.

The causes of flat feet are often related to genetics and biomechanics. Children with a family history of flat feet are more likely to develop the condition. Flexible joints, ligament laxity, and muscle imbalances can also influence arch formation. Additional risk factors include excess body weight and prolonged standing on hard surfaces without proper footwear support.

Walking barefoot can support natural muscle strengthening during early childhood, especially on safe and soft surfaces. It allows the foot to move freely and develop strength. However, proper shoes are important for protection and support during daily activities. Early awareness of symptoms can help prevent long term complications. If your older child has flat feet, it is suggested that you consult a podiatrist for expert advice on shoe guidance and management tips tailored to your child’s needs.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Afshin Javaherian, DPM from Dr. Java Foot & Ankle Clinic. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions, please feel free to contact our office located in Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swelling of the feet happens when extra fluid collects in the tissues, causing the feet to look or feel larger than usual. It may affect one foot or both and can occur suddenly or develop gradually. Swollen feet are sometimes linked to an injury, standing for long periods, or pregnancy. Swelling also may signal a more serious health problem that needs prompt medical attention. Other symptoms include pain, stiffness, and redness. Warmth or difficulty wearing shoes comfortably are other factors. The swollen skin may be tight or shiny, causing reduced flexibility in the feet and ankles. Because swelling has many possible causes, it should not be ignored. A professional evaluation can help determine what is causing the problem and whether additional medical care is needed.

A podiatrist can examine your feet and ankles to identify the source of the swelling. This may include checking the joints, soft tissues, nerves, and circulation for signs of injury or disease. If needed, a podiatrist may recommend imaging studies or work with your primary healthcare provider to help identify the underlying cause. Treatment depends on the diagnosis and may include reducing inflammation, improving circulation, or addressing injuries and other foot conditions. The goal is to reduce pain, improve foot function, and protect long-term foot health. Early care may also help prevent swelling from affecting your balance, mobility, or ability to stay active.

Professional foot care is an important part of treating swollen feet and preventing further problems. A podiatrist can monitor your symptoms, recommend appropriate treatment, and help you return to normal activities as safely as possible. Prompt evaluation may also identify conditions that require additional medical attention before they become more serious. Whether swelling develops after an injury or without a clear cause, early diagnosis can lead to improved comfort and healthier movement for many patients. If you have swollen feet, it is suggested that you consult a podiatrist for an evaluation.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Afshin Javaherian, DPM of Dr. Java Foot & Ankle Clinic. 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 contact our office located in Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Stress fractures are small cracks in a bone that develop from repeated stress rather than a single injury. They are common in the feet because the foot bones absorb pressure with every step. Running, jumping, and other high-impact activities can place repeated force on the same area of bone. When the bone breaks down faster than the body can repair it, a stress fracture can occur. People who suddenly increase exercise levels are at greater risk. Wearing shoes that lack adequate support can also contribute to these injuries. Common symptoms include pain, swelling, and tenderness that become worse with activity and improve with rest.

A podiatrist will examine the foot and ask about recent activities and symptoms. X-rays are often used first, although small stress fractures are not always visible. More detailed imaging, such as an MRI, can help identify tiny cracks in the bone. Once a stress fracture is confirmed, treatment focuses on protecting the injured area while the bone heals. This usually means limiting activities that place pressure on the foot. A walking boot, brace, or crutches can help reduce stress on the injured bone.

Healing a stress fracture requires patience because bone repair takes several weeks. Returning to sports or exercise too soon can delay healing and increase the risk of another fracture. A podiatrist can monitor recovery and determine when it is safe to resume normal activities. Treatment also includes identifying the cause of the injury. This can involve evaluating footwear, activity levels, and foot structure. Addressing these factors helps reduce the chance of future stress fractures. If you believe you have a sustained foot stress fracture, it is suggested that you make an appointment with a podiatrist for an exam and diagnosis.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Afshin Javaherian, DPM from Dr. Java Foot & Ankle Clinic. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions please contact our office located in Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.