Diabetic peripheral neuropathy is a condition caused by prolonged high blood sugar levels that damage the nerves, especially those in the feet, toes, and ankles. Many people first notice numbness, tingling, or burning sensations, which can become more intense at night. Some patients may feel sudden, sharp pains or an electric shock-like sensation in their feet. As diabetic peripheral neuropathy progresses, loss of balance and coordination may also occur due to weakened ankle muscles and decreased sensation. This can lead to an unstable gait that increases the risk of falls. Changes in foot structure, such as hammertoes, may develop as nerve damage affects muscle function. One significant concern is the inability to feel cuts, blisters, or pressure points, which can result in unnoticed wounds that may become infected. A podiatrist can evaluate nerve function, provide foot care strategies, and recommend treatment to help prevent complications like foot ulcers and deformities. If your feet and toes feel numb, it is suggested that you schedule an appointment with a podiatrist to find out if peripheral neuropathy is causing the problem.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

Gout is a type of arthritis caused by a buildup of uric acid crystals in the joints, often affecting the big toe. It is more common in men and people with high levels of uric acid in their blood, which can result from poor diet, obesity, or certain medical conditions like kidney disease. Gout attacks are sudden and intense, often described as sharp, throbbing pain that can feel like the affected joint is on fire. The area becomes swollen, red, and tender to the touch, making it difficult to move the foot or walk. These flare-ups can last for days or weeks if not treated. To manage gout, lifestyle changes such as reducing alcohol and eating purine-rich foods like red meat are key. Anti-inflammatory medications and uric acid-lowering drugs can help relieve pain and prevent future attacks. A podiatrist can provide customized care, offer medication management, and suggest foot-friendly changes to alleviate pressure on the affected joint. If you are experiencing gout symptoms, it is suggested that you schedule an appointment with a podiatrist for effective treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Sarah Urton, DPM from Kitsilano Foot and 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 Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Finding the right boots can help manage plantar fasciitis by providing necessary support and cushioning to reduce strain on the plantar fascia. Boots that support the arch, offer firm midsoles, and include adequate heel cushioning can help alleviate foot discomfort. A stiff sole helps distribute weight more evenly, reducing excessive pressure on the heel and arch. High-quality boots should not be overly flexible, as too much bending can worsen discomfort. A deep heel cup can also provide better stability for the foot and ankle, promoting proper alignment. People with plantar fasciitis should avoid boots with completely flat insoles, as these can increase strain on the plantar fascia, the band of tissue that runs along the sole of the foot. If additional support is needed, a podiatrist can assess your foot structure and gait to recommend proper footwear or custom orthotics. In severe cases, other treatment options may be considered, including medication or surgery for long-term relief. If you have foot problems related to plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Sarah Urton, DPM  from Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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