Items filtered by date: June 2025

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 Daniel Mendoza, DPM from Nashville Podiatry. 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 Hendersonville, TN . 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 be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Daniel Mendoza, DPM from Nashville Podiatry. Our doctor 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 tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• 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 our office located in Hendersonville, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ingrown toenails occur when the edge of the toenail grows into the surrounding skin, often affecting the big toe. This common condition can be caused by trimming toenails too short, wearing tight shoes, injury, or a natural curve in the nail. Symptoms include redness, swelling, pain along the nail edge, and sometimes drainage or infection, if left untreated. The area may feel tender to the touch and become increasingly painful when walking or wearing shoes. A podiatrist can diagnose an ingrown toenail with a simple exam. Treatment may involve gently lifting the nail edge, removing a portion of the nail, or prescribing antibiotics if an infection is present. In recurring cases, a minor procedure can permanently remove part of the nail to prevent future problems. Proper nail care and footwear recommendations can also help prevent recurrence. If you have developed an ingrown toenail, it is suggested that you promptly schedule an appointment with a podiatrist who can effectively treat this condition.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Daniel Mendoza, DPM of Nashville Podiatry. 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.

Causes

• 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

Prevention

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.

Treatment

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 Hendersonville, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Caring for your feet is essential to maintaining overall health and comfort. Washing your feet daily with warm water and drying them thoroughly, especially between the toes, helps prevent infections. Alternating shoes gives them time to air out and reduces moisture buildup. Avoiding flip flops for long periods helps prevent strain, while choosing supportive shoes protects the arches and joints. Checking your feet each day for cuts, blisters, or other changes is important, especially for anyone with diabetes or circulation issues. A podiatrist can provide expert advice on proper foot care, recommend the best footwear for your needs, and treat any issues early. If you have foot pain, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on important foot care tips.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Daniel Mendoza, DPM from Nashville Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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