Freiberg disease is an osteochondrosis of the metatarsal heads. It most commonly affects the 2nd metatarsal head, although the other metatarsal such as the 3rd and 4th may also be affected. This condition mainly affects females between the ages of 10-18 years with a male to female ratio of 1:3.
Clinically these patients present with pain on weight-bearing with swelling and tenderness.
The cause of Freiberg infraction is controversial and is probably due to several factors.
The two most popular theories re from trauma and vascular compromise. Trauma can be associated with either acute injury or something that is repetitive in nature, such as dance. Vascular compromise can be due to an elongated 2nd metatarsal. Since this is mainly seen in women, particularly during adolescence, high-heeled shoes have been theorized as a possible causative factor.
Increased temperature and humidity attract many people to local pools and beaches to beat the heat! Another thing it may attract is tinea pedis-more commonly known as athlete’s foot. Athlete’s foot is a condition in which fungus inhabits the feet. It is caused by the same type of fungus that causes ringwork and jock itch. This organism thrives in moist socks and shoes along with dark, warm/humid conditions.
Symptoms of athlete’s foot include an itchy or burning type of rash usually on the soles of feet. This rash is usually ring like peeling often referred to as annular scaling in podiatric terminology. At times, small itchy blisters may also develop. It is important to note that this infection can spread to other parts of the body such as hands, toenails and your groin. In the office, we commonly see toenail fungus in addition to athlete’s foot as it cross contaminates rather quickly.
Some ways to avoid athlete’s foot include- keeping your feet dry after showering and throughout the day, alternating shoe gear every day to allow drying of shoes between use, using flip flops in public places like pools and locker rooms and changing your socks once-twice a day . Do not forget about the spaces between your toes since that it is a common place for fungus to hang out! It is important to moisturize your feet but always avoid the interspaces as creams/lotions between the toes create a home for fungus.
Do not let the summer heat cause stress to your feet! If you have any dryness, itching or rash to your feet make an appointment to come see one of our specialists today. Summer should be an enjoyable few months-not an itchy one!
Do you get a gout flare when the weather changes?
The climate plays a big role for us gout sufferers especially when it’s hot and humid which can lead to dehydration and triggering a gout attack. When your body is depleted of fluids through perspiration, you can suffer recurrent gout attacks so it is imperative that you drink a lot of water when the humidity index is high. There are also many gout sufferers who have reported that they get gout attacks in the fall and when seasons change. After an extended period of time where the temperature is stable at a certain range of degrees, our bodies then become accustomed to this consistency. Then if the temperature drops dramatically overnight, bringing about unusually cold mornings as in the fall season, it is very reasonable to believe that your excess uric acid will crystallize in the joints triggering a gout attack.Remember that gout is a form of arthritis and that people who suffer from arthritis are also sensitive to weather changes. As your body adapts to the new season and new range of temperatures, your uric acid levels also adjust accordingly until the next change in weather or season. To avoid a gout attack it is important to maintain a regular temperature in your body despite the changes of temperature and pressure of the environment.
So what is a gout sufferer to do?
Maintaining a regular temperature in your body although the weather is changing drastically is the key to avoiding a gout attack. It is important when the weather changes towards heat and humidity to keep hydrated since you lose more water when it’s hot, drink frequently because water will help your body maintain a constant temperature. Try and have air conditioning in your house and car if possible, this will help you a lot.
When the weather changes to cold you definitely need to warm yourself up, if it’s possible for you to move to a warm area in the wintertime, then good for you. If not make sure to bundle up when going out, so wear an extra layer of socks to keep your feet warm and dress in layers. Drinking warm beverages like coffee or your favorite tea will warm up your body and raise your body temperature. Try and keep moving in cold weather, this will produce body heat and since you are more active this will improve your blood circulation. At home make sure to have heating or at least electronic blankets to keep your body warm at night when it’s coldest.Regardless of hot or cold weather, take the necessary precautions and avoid that painful gout attack.
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