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Doctor Q&A for Dr. Frank Kase

A female asked:
Dr. Frank Kase
Podiatry 45 years experience
May be normal: Swelling is a common part of any foot surgery. However, it has already been 10 months since your surgery. Swelling at this late stage may be normal but there may be some underlying process occurring. I would certainly recommend that x-rays be taken to determine whether or not the fracture of the metatarsal has completely healed. After an x-ray is been taking a greater interpretation can be made.
A 30-year-old male asked:
Dr. Frank Kase
Podiatry 45 years experience
May be significant: If you try stretching before and after activity and apply ice after activity and the pain doesn’t improve, then you may have a significant problem that needs to be evaluated by a sports medicine specialist. In the differential diagnosis is calf Strain, calf tear, Achilles tendinitis, deep vein thrombosis. Either way, if the pain doesn’t respond to conservative measures as described above, then see a sports medicine specialist.
A 42-year-old member asked:
Dr. Frank Kase
Podiatry 45 years experience
Colchicine: The best cure for gout is a two-step process. In the initial stages of gout, the best treatment is colchicine or an anti-inflammatory medication specific for the reduction of inflammation associated with gout. The long-term treatment however involves reducing the amount of uric acid in the blood. This either involves taking medication such as allopurinol or uloric. In addition, as gout is a disease associated with protein metabolism, it is a good idea to reduce the intake of rich foods and foods with high protein content like redmeat.
A 47-year-old member asked:
Dr. Frank Kase
Podiatry 45 years experience
Gentle stretching: There's a great deal that goes into rehabilitation following surgical repair of the Achilles tendon. Initial treatment consists of immobilization and ice. Then gentle stretching and gradually move into a running shoe with varying levels of heel lifts, going from higher to lower. This allows the injured Achilles tendon to regain its normal flexibility.
A 35-year-old member asked:
Dr. Frank Kase
Podiatry 45 years experience
Uric acid in joints: Gout is a condition that develops when the body retains a high level of serum uric acid. There are many reasons for this including but not limited to genetics, kidney problems and thiazides diuretics. Uric acid is a by product of protein metabolism. Therefore eating Rich foods and foods that contain high-protein like steak and redmeat can cause gout in the person that is predisposed to it.
A 28-year-old male asked:
Dr. Frank Kase
Podiatry 45 years experience
Plantar fasciitis: The most common condition that causes heel pain is known as plantar fasciitis. It occurs when there is inflammation at this dense connective tissue band on the bottom of the heel that is actually a continuation of the Achilles tendon. It is usually aggravated by excessive foot pronation or flattening of the foot down to the ground especially on a hard surface. It is often times responsive to wearing good supportive shoes, performing stretching exercises to stretch the planter fascia and the Achilles tendon, ice massage for 10 to 15 minutes several times a day, anti-inflammatory medication, and shoe inserts either over-the-counter type for custom made by a sports podiatrist.
A female asked:
Dr. Frank Kase
Podiatry 45 years experience
Bleeding under the nail: The most common reason why a nail become the blue is usually due to blood but that accumulates under the nail. This could be due to direct trauma or it could be due to shoes that are too short and there is continual trauma to the nail and eventually it will turn blue.
A 53-year-old member asked:
Dr. Frank Kase
Podiatry 45 years experience
Probably it's a fungal nail infection: The most common reason why a nail becomes white and flaky is due to fungus in the nail. However, the only way to determine whether or not there is a fungus and the nail is by doing a fungal nail culture. Many times there is no pain with a fungal nail. There are now many great treatments for the eradication of fungal nails including topical medicine that is either over-the-counter or prescription,
A 24-year-old female asked:
Dr. Frank Kase
Podiatry 45 years experience
No: The only way to prevent a bunion from getting worse is not irritating it by wearing supportive and wider shoes. Also, a properly constructed functional foot orthotic device may reduce the tendency of a bunion to progress.
A 34-year-old male asked:
Dr. Frank Kase
Podiatry 45 years experience
Not likely: While it is certainly possible to contaminate your feet on a cockroach or its eggs, it is highly unlikely than any egg would survive on your feet or in your shoes. To be safe, wash your feet with soap and water and take alcohol and clean out your shoes. That should be enough to more than protect you.
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