Tophi are firm, swollen deposits that form under the skin when uric acid crystals collect around joints, most commonly in the feet, ankles, or toes. These growths develop over time in people with long-standing gout, a condition in which uric acid builds up in the blood and forms sharp crystals in the joints. The most common locations for tophi are the big toe joint, the heel, and the Achilles tendon. Factors that contribute to tophi buildup include persistent high uric acid levels, delayed treatment, and repeated gout attacks. In the early stages of gout, tophi are not usually present. However, if gout progresses over many years without proper care, these deposits may develop and begin to interfere with joint movement, causing pain and stiffness. In some cases, surgery may be needed to remove large tophi that restrict mobility or damage surrounding tissue. If you have symptoms of tophi buildup associated with gout, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Grobowski Foot & Ankle. our doctors 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 one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle dislocations are typically the result of high-impact trauma such as falls, car accidents, or sports injuries. Ankle dislocations occur when the bones forming the ankle joint are forcefully shifted out of position, often alongside fractures. The direction of the dislocation depends on the foot's position during the injury. Posterior dislocations, the most common type, happen when the foot is pointed downward and twisted. Anterior dislocations occur with upward-pointed toes and forward pressure, while lateral and superior dislocations usually involve a twisting motion or an upward force, such as landing hard on the feet. Symptoms include intense pain, swelling, bruising, deformity, and difficulty walking. Damage to nerves and blood vessels can cause numbness or tingling in the foot. A podiatrist can assess the injury using imaging such as X-rays or CT scans, realign the joint, and determine if surgery is needed to repair damaged structures. If you are experiencing ankle pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and appropriate treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our podiatrists from Grobowski Foot & Ankle. our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions, please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot blisters are a common issue for runners and are typically caused by friction that occurs when skin rubs against socks or shoes. Wearing running shoes that are too small or poorly fitted increases pressure and creates hot spots that lead to blister formation. Moisture from sweat softens the skin, making it more vulnerable to irritation. Certain foot conditions such as bunions, flat feet, or high arches can also change the way pressure is distributed, increasing the risk of blisters. To prevent them, runners should wear moisture-wicking socks, choose shoes that fit well, and consider using protective padding. A podiatrist can assess foot structure, identify problem areas, and provide personalized recommendations or custom orthotics to reduce friction and improve comfort during running. If you frequently develop foot blisters while running, it is suggested that you contact this type of doctor for safe treatment and additional prevention tips.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact one of our podiatrists of Grobowski Foot & Ankle. our doctors can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

If you have any questions, please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Proper foot care is essential for elderly people to maintain mobility, comfort, and overall health. A daily examination helps detect cuts, sores, or infections early, especially for those with diabetes or circulation issues. Washing the feet with warm water and drying them thoroughly prevents fungal and bacterial infections. Keeping nails trimmed and smooth reduces the risk of ingrown toenails and discomfort. Wearing well-fitted, supportive shoes helps prevent falls and relieves pressure on sensitive areas. Promoting healthy blood flow through regular movement and foot elevation is also important. A podiatrist can assist with routine care, identify potential problems early, and provide treatments that support foot function. If you are elderly, it is suggested that you consult a podiatrist who can treat various foot conditions and guide you on additional foot care tips.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Grobowski Foot & Ankle. our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.