May 2025

Gout is a chronic inflammatory form of arthritis that often affects the joints of the feet, particularly the big toe. During a gout flare-up, the affected joint may become intensely painful, swollen, and red due to the buildup of uric acid crystals. While there is no cure for gout, medical treatment can help reduce the frequency and intensity of flare-ups and limit joint damage. A podiatrist can diagnose gout and recommend treatment options that lower uric acid levels and manage inflammation. These may include medication that reduces pain and swelling, as well as long-term prescriptions aimed at preventing recurrences. Without proper treatment, gout may lead to joint deformity or permanent damage in the feet or ankles. Timely care from a podiatrist can shorten flare-ups, which typically peak within 24 hours and may last several days. If you suffer from flare-ups of gout, it is suggested that you schedule regular appointments with a podiatrist for ongoing treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Charles Marchese from Manalapan 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 Manalapan, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

An infected toe can be painful and concerning, especially when caused by a fungus, poor circulation, or diabetes. Fungal infections often begin as athlete’s foot or nail fungus, while poor circulation, common in those individuals with vascular conditions or diabetes, can prevent proper healing, which increases the risk of infection. Symptoms may include redness, swelling, warmth, pain, pus, or an unpleasant odor. The area might throb or feel tender, and walking could become uncomfortable. For diabetic patients, even minor infections can escalate quickly due to nerve damage and reduced blood flow. A podiatrist can diagnose the cause of the toe infection, clean and treat the wound, prescribe antifungal or antibiotic medication, and offer custom orthotics or footwear to prevent further issues. In more severe cases, they may recommend minor surgical procedures or refer patients for vascular assessment. If you are experiencing a painful toe infection, it is suggested that you promptly schedule an appointment with a podiatrist.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Manalapan, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Midfoot arthritis affects the joints in the arch of the foot, where several small bones meet. It can cause pain, stiffness and swelling, especially during walking or standing. This condition often develops from wear and tear over time, past injuries or inflammatory diseases like rheumatoid arthritis. The pain may feel worse in the morning or after activity, and shoes may start to feel uncomfortable. Treatment focuses on reducing stress on the joints. Wearing supportive shoes, custom orthotics, and anti-inflammatory medications may help manage symptoms. In some cases, targeted exercises or steroid injections provide relief. When pain does not improve, surgery may be considered to fuse the affected joints and restore stability. If you feel pain or stiffness in the middle of your foot that affects daily movement, it is suggested you see a podiatrist for an accurate diagnosis and appropriate treatment.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

If you have any questions, please feel free to contact our offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bunion is a bony bump that forms at the base of the big toe as the top of the toe leans inward toward the others. This deformity develops over time due to pressure on the big toe joint, leading to changes in the bone structure. Common causes of bunions include wearing tight or narrow shoes, genetic predisposition, and conditions like arthritis that affect the joints. Risk factors include having a family history of bunions, flat feet, and occupations that involve long periods of standing or walking. Symptoms of a bunion often include swelling, redness, tenderness, and pain surrounding the big toe joint. Over time, the discomfort can worsen, making it difficult to wear shoes comfortably and affecting overall foot function. If you have a bunion, it is suggested that you are under the care of a podiatrist who can offer treatment options to manage this condition.

If you are suffering from bunions, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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