May 2025

Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints, leading to sudden and severe pain, swelling, and redness. The big toe is often affected, and may be so painful that even the weight of a bed sheet can be unbearable. Acute gout refers to the sudden onset of intense symptoms, usually affecting one joint, most commonly the big toe. These episodes may last several days before subsiding. Chronic gout develops when uric acid levels remain elevated over time, leading to frequent flare-ups, joint damage, and the formation of hard deposits called tophi. Kidney disease is closely connected to gout because the kidneys are responsible for filtering uric acid from the blood. When kidney function declines, uric acid can accumulate, increasing the risk of gout. Similarly, chronic gout may contribute to kidney damage over time, creating a cycle that worsens both conditions. If you have symptoms of gout, it is strongly suggested that you include a podiatrist on your care team who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Alex Kim, DPM from AVID Foot & Ankle Center. 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 Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

An ankle fracture is a break in one or more bones that form the ankle joint. The ankle consists of the tibia, fibula, and talus. These bones come together to form a stable joint that allows the foot to move up, down, and side to side. Ligaments surrounding the joint help maintain its stability. An ankle fracture can range from a small crack to a complete break that may shift the bones out of place. Common causes include sudden twisting movements, falls, sports injuries, or car accidents. The injury may cause swelling, bruising, pain, and difficulty bearing weight. If you believe you have fractured your ankle, it is strongly suggested that you contact a podiatrist who can accurately diagnose and treat broken ankles.

Broken ankles need immediate treatment. If you are seeking treatment, contact Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

Many people with plantar fasciitis say their heel pain is worse when they first get out of bed. This is because the band of tissue along the bottom of the foot tightens during rest. When you take those first steps in the morning, the tissue stretches quickly, causing sharp pain in the heel. The discomfort may improve after walking for a while but often returns after sitting or standing for too long. Plantar fasciitis is common in people who are on their feet a lot, wear unsupportive shoes or have tight calf muscles. Gentle morning stretches, supportive footwear and avoiding walking barefoot may help. Custom orthotics or targeted exercises can also reduce pain, over time. If you continue to feel pain in your heel when you wake up, it is suggested you see a podiatrist for appropriate relief options.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

Flat feet, also known as pes planus or fallen arches, occur when the arch of your foot collapses, remaining flat while standing or walking. This can cause discomfort, particularly after long periods of time on the feet. Flexible flatfoot is common in children and often persists into adulthood without symptoms. However, when pain develops, a podiatrist may recommend orthotic shoe inserts to support the arch and reduce strain. Rigid flatfoot, by contrast, is more serious and often linked to structural abnormalities. Rigid flatfoot can cause significant foot pain, poor balance, and limited mobility. For children with certain congenital deformities or teenagers with fused foot bones, surgery may be required to restore alignment and function. Adults who develop flat feet after trauma or from unknown causes may benefit from a combination of custom orthotics and surgery to correct dislocations or relieve pressure on the joints. A podiatrist can evaluate the severity of your flatfoot in order to recommend an appropriate solution. If flat feet are causing your foot pain, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Alex Kim, DPM from AVID Foot & Ankle Center. 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 Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.