March 2023
Foods and Gout

The body naturally processes uric acid through the kidneys. Excess uric acid may form crystals and can cause debilitating pain in the joints of the big toe. This is known as gout, and it is a type of arthritis. There are specific kinds of foods that have large amounts of purines, which convert to uric acid. These can include shellfish, red meat, alcohol, and drinks that are made with sugar. If you suffer from frequent gout attacks, it is beneficial to limit these types of foods and drinks. Common symptoms that are associated with gout can include pain, swelling, and redness surrounding the big toe joints. Additionally, it can be difficult to bear weight on the affected foot. There may be other factors that can cause gout to develop. These can consist of obesity, family history, or it may happen to women who are postmenopausal. If you have gout, it is suggested that you are under the care of a podiatrist who can help you to manage and treat this condition.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
If you have any questions please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Everything You Need to Know About Gout
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.
Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.
Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.
Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.
Considering Speed When Choosing a Running Shoe

When choosing or shopping for a running shoe, many runners and athletes consider a variety of factors. For example, runners might select a specific type of shoe because it is better suited to a particular kind of terrain. The degree to which running shoes might actually increase an athlete’s speed, however, is another important factor to consider when purchasing a pair of running shoes. This is to say that running shoes might actually make a runner faster because a good pair of running shoes will essentially increase one’s running economy. In other words, good running shoes might maximize the effort that a runner puts into their runs, ultimately increasing their speed. If you are someone who is looking for the perfect pair of running shoes, it is suggested that you contact a podiatrist today.
If you are a runner, wearing the right running shoe is essential. For more information, contact the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.
- Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
- Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
- Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.
If you have any questions please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Choosing the Right Running Shoe
Choosing the right running shoes for you is an important part of running. A good pair of running shoes will make the running experience more enjoyable for you and prevent potential injury.
Poorly-fitted shoes can increase the risk of injury in runners substantially. Common injuries from running with poor quality shoes include shin splints, sprained ankles, Achilles tendinitis, stress fractures, plantar fasciitis and more. This is due to the fact that bad shoes do not provide proper foot support, can increase pronation (how much the foot rolls when hitting the ground), have little to no cushioning, do not allow the feet to breath, and do not provide enough flex and rigidity in the right parts.
When looking for running shoes, first, determine where you will be running. If you are a trail runner, then pick trail shoes. If you run on concrete and asphalt, then regular running shoes are the best choice. When trying on shoes, its best to go at the end of the day as feet grow during the day and shrink after a night of sleep. Shoes should be more rigid towards the back of the foot while being more flexible up where the toes are. The toe box should provide enough room for the toes to move freely. The overall fit should be snug, not too tight but not too loose. A good pair of running shoes should also provide enough arch support for your foot type. If you experience overpronation or under-pronation while running, try to find a pair of shoes that will help correct this with different sole patterns. Finally, try to find a pair of shoes that allow the feet to breathe like nylon mesh or synthetic leather.
Don’t forget about the socks either. Socks that hold too much moisture can lead to athlete’s foot. Socks should be breathable so that your feet can air out and breathe. Synthetic socks wick away moisture like sweat. If you tend to run a lot, having a second pair of shoes that you can wear while you let the first pair air out is smart. Just don’t forget to replace your shoes after about every 300 to 500 miles.
Before you start running, it is advised to see a podiatrist to see if running is right for you. They can also offer good advice on how to run and what to look for in a pair of running shoes. If you have flat feet or poorly supported ones, they can also offer custom-made orthotics that will help give your feet the support they need.
Heel Pain Can Be Treated!
Dr. Timothy Young, a Board-Certified Foot Surgeon, Discusses Children's Foot Problems
This attachment point can be overstressed with a pronated low arch foot structure. Basically the tendon has to work too hard and there can be pain and inflammation with the tendon attaches to the navicular. In other cases the tendon attaches to the accessory navicular bone which then attaches to the main navicular bone. This weakens the attachment point and creates more potential problems. In some cases, the accessory navicular has to be removed. This foot surgery procedure is called a Kidner procedure and is done at approximate 13 years of age with a range of 9 to 16 years of age for children. This is sometimes done in adults also. When the accessory bone is removed and the tendon is repaired it often improves the mechanical function of the tendon at this point. It also eliminates the inflamed and symptomatic accessory bone. The accessory navicular very common and is present in approximately 5-10% of the population. For milder cases, ankle braces orthotics and athletic taping can all offer some symptomatic and functional improvement with the painful accessory navicular.
If you or your children are experiencing foot or ankle pain, give us a call today at 425-391-8666 or make an appointment online today.
Dr. Timothy Young, Board-Certified Foot Surgeon, Discusses Painful Bumps and Bones That Stick Out on Children's Feet

Dr. Timothy Young, Board-Certified Foot Surgeon, Discusses Painful Bumps and Bones That Stick Out on Children's Feet
Up to 10% of the population may have this. Also the navicular bone itself even without the extra or accessory bone may be quite prominent. This is much more of a problem in children that have low arches/hyperpronation or flat feet. The posterior tibial tendon that attaches this location is at a strong mechanical disadvantage. On the outside or lateral aspect of the foot there may be a tailors bunion or bunionnette. And a smaller percentage of the pediatric population will have a growth plate or and apophysis of the 5th metatarsal base. This is called Iselin's disease. We will go over each of these more detail in some of our following blogs and discussion.
If you are experiencing foot or ankle pain, give us a call today at 425-391-8666 or make an appointment online today.



