Dallas Metro / North Texas
(214) 710-1028
Blog
Definition and Risk Factors of Gout

Gout, a form of arthritis, causes sudden bouts of intense pain, swelling, and redness, primarily in joints like the big toe. It occurs due to the accumulation of urate crystals in the joints, resulting from high levels of uric acid in the blood. Understanding the risk factors of gout unveils various elements that contribute to its onset. Lifestyle choices, such as a diet rich in purines found in red meat and certain seafood, significantly elevate the risk. Additionally, obesity and excessive alcohol consumption increase the likelihood of developing gout. Genetic predispositions also play a pivotal role, as individuals with a family history of gout are more susceptible. By addressing modifiable factors like diet and lifestyle, individuals can lower the risk of gout and its debilitating consequences. Early detection and treatment are critical in alleviating symptoms and enhancing quality of life for those affected by this painful condition. If you have gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Kellvan Cheng, DPM from Elite Foot & 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 office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Definition and Risk Factors of Sever’s Disease

Sever's disease, also known as calcaneal apophysitis, is a common condition affecting children and adolescents, particularly those engaged in physical activities such as running or jumping. It occurs when the growth plate at the back of the heel bone becomes inflamed due to repetitive stress or tension. The growth plate, known as the calcaneal apophysis, is a vulnerable area where new bone forms as children grow. Common causes of Sever's disease include overuse, rapid growth spurts, and participation in high-impact sports that place excessive strain on the heel bone. Symptoms typically include heel pain, especially during physical activity or when pressing the affected area. Children may also experience swelling and tenderness at the back of the heel. Those participating in sports or activities involving repetitive pounding on hard surfaces are at higher risk of developing Sever's disease. If you notice your active child has heel pain or is limping, it is suggested that you consult a podiatrist who can diagnose and treat Sever’s disease and other foot problems.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Kellvan Cheng, DPM from Elite Foot & 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 office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Athletes and Flat Feet

Athletes often face various challenges in their pursuit of excellence, and flat feet can present an additional hurdle to overcome. Flat feet, or fallen arches, occur when the arch of the foot collapses, causing the entire sole to make contact with the ground. This condition can lead to discomfort, instability, and an increased risk of injury during physical activity. However, many athletes with flat feet have found effective ways to cope and excel in their sports. One important strategy involves wearing supportive footwear with proper arch support and cushioning to help distribute weight evenly and reduce strain on the feet. Additionally, incorporating exercises to strengthen the muscles surrounding the feet and ankles can improve stability and alignment, enhancing overall performance and reducing the risk of injury. Seeking guidance from a podiatrist can also provide valuable insights and personalized recommendations for managing flat feet while pursuing athletic goals. If you have flat feet and participate in sporting activities, it is suggested that you consult a podiatrist who can offer you additional relief strategies.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Kellvan Cheng, DPM from Elite Foot & Ankle. 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 Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Causes and Risk Factors of Achilles Tendon Injuries

Achilles tendon injuries, debilitating and often painful, stem from a variety of causes and risk factors. One primary cause is overuse or repetitive strain, particularly common among athletes engaged in high-impact sports like running or basketball. Sudden increases in training intensity or frequency can also strain the tendon, leading to microtears or inflammation. Additionally, inadequate stretching or warming up before physical activity can increase susceptibility to injury. Foot problems such as flat feet or high arches can further exacerbate the risk of Achilles tendon issues by altering biomechanics and placing uneven stress on the tendon. Tight calf muscles and poor footwear choices, lacking proper support or cushioning, can also contribute to strain on the Achilles tendon. Recognizing these underlying causes and addressing risk factors through proper conditioning, stretching, and footwear selection are essential steps in preventing Achilles tendon injuries and maintaining overall foot health. If you have endured an Achilles tendon injury, it is suggested that you confer with a podiatrist who can successfully treat this condition.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Kellvan Cheng, DPM of Elite Foot & 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 office located in Carrollton, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Blog Archives
- 2025
- 2024
- 2023
- 2022
- 2021
- 2020
- 2019
- 2018
- 2017