Items filtered by date: December 2023

Tuesday, 26 December 2023 00:00

The Definition and Stages of Gout

Gout, a form of arthritis, is characterized by the accumulation of urate crystals in joints, leading to inflammation and intense pain. The onset of gout is marked by sudden and severe joint pain, commonly affecting the big toe. As the condition progresses, these painful episodes may recur, spreading to other joints such as ankles, knees, and wrists. Gout evolves through distinct stages. In the asymptomatic hyperuricemia stage, elevated uric acid levels exist without noticeable symptoms. The acute gouty arthritis stage follows, presenting with sudden and excruciating joint pain. Without proper management, the inter-critical gout stage ensues, marked by symptom-free intervals between painful episodes. In advanced cases, chronic tophaceous gout manifests, characterized by the formation of tophi, which are visible lumps of urate crystals that form in joints and surrounding tissues. Understanding the stages of gout is essential for effective management, emphasizing the importance of lifestyle changes and medical interventions to alleviate symptoms and prevent long-term joint damage. If you are afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can help you with pain management strategies.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Mack Jay Groves IV, DPM from Practice. 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.


  • 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 Covington, LA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Wednesday, 20 December 2023 00:00

We Can Treat Your Foot or Ankle Pain

Foot or ankle pain can negatively affect your day-to-day life and can occur due to several different conditions. Pain can also be an indicator of a more serious underlying condition, which is why you should seek professional help as soon as you notice any abnormalities in your feet.

Tuesday, 19 December 2023 00:00

Types of Ingrown Toenails

Ingrown toenails, a common foot ailment responsible for approximately 20 percent of podiatric visits, can be attributed to a variety of causes. Among these, improper nail trimming plays a significant role, as cutting nails too short or rounding them incorrectly encourages ingrowth. Wearing tight shoes or high heels that exert pressure on the toes is another prevalent cause. Trauma to the toe, such as injuries, can also contribute to the formation of an ingrown toenail. Three main types of ingrown toenails are categorized by their location on the toe. The lateral ingrown toenail, occurring most frequently, involves the side of the nail edge growing into the skin at the sides of the toe. A distal ingrown toenail can occur when the nail edge grows or curls into the skin at the end of the toe, where the top of the nail meets the skin. Proximal ingrown toenails happen when the nail grows into the skin at the base of the toe, near the cuticle area. This type is characterized by new toenail growth pushing the old nail upwards, causing it to become thick and embedded. Avoiding excessive shortcuts and wearing well-fitted footwear can significantly diminish the risk of ingrown toenails. In instances of persistent discomfort or suspected ingrown toenails, seeking professional advice from a podiatrist is suggested. Podiatrists possess the expertise to accurately diagnose the issue, determine the severity and type of ingrown toenail, and suggest suitable treatment options. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Mack Jay Groves IV, DPM of Practice. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.


  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition


Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.


Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

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Tuesday, 12 December 2023 00:00

The Function of the Sesamoid Bones in the Feet

Sesamoid bones are tiny bones that are found near joints within muscles or tendons. They act like pulleys to reduce stress on these muscle-tendon areas. Unlike regular bones that connect at joints, sesamoid bones connect to muscles using tendons. The word sesamoid comes from the Arabic word sesamum, which means sesame, because they are small like sesame seeds. These bones are often in the foot, hand, and wrist. Sesamoid bones usually develop due to extra strain on muscles and tendons. Their main job is to ease tension in muscles and tendons, making them better at carrying weight and more resilient by distributing it evenly. This helps protect these various parts of the body from getting too strained or injured. Even though they are small, sesamoid bones are vital in how our bodies work. If you have pain in your feet corresponding to the location of these bones, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Mack Jay Groves IV, DPM of Practice. Our doctor will treat your condition thoroughly and effectively.


Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

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Parental guidance is vital for families with children experiencing Sever's Disease, a common condition affecting the heels of children during growth spurts. First and foremost, it is essential to educate yourself and your child about what Sever's Disease is, and what causes it. By providing age-appropriate information, you can reduce any anxiety your child may have about the condition. One important aspect of managing Sever's Disease is ensuring that your child wears comfortable, supportive shoes with proper arch support. Avoiding flat or poorly cushioned footwear may help to alleviate discomfort. Encourage your child to take breaks and rest, especially during strenuous activities involving running or jumping. Performing gentle calf and Achilles tendon stretches can also promote flexibility and reduce tightness. Support your child with the knowledge that symptoms are likely temporary and resolve when the heel’s growth plate matures. If your child is experiencing heel pain, it is suggested that you make an appointment with a podiatrist who can provide a proper diagnosis and treatment plan.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Mack Jay Groves IV, DPM from Practice. 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.


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 Covington, LA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more about Sever's Disease

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