Dr. Berg's Foot Facts

Posts for: November, 2014

By Dr. Rion Berg
November 25, 2014
Category: foot care
Tags: Untagged

At this time of year many of us are salivating just thinking about the wonderful foods we love to eat at Thanksgiving. Unfortunately this holiday of thanks can be problematic for people prone to gout.


Some of your favorite foods can be high in a compound called purines which convert to uric acid. When uric acid can’t be flushed from the body by the kidneys (as in gout) it can cause crystals to deposit in the joints, which is very painful.

Feet are often the first place gout sufferers feel the pain. According to the American College of Foot and Ankle Surgeons the big toe is particularly
vulnerable since it’s the coolest part of the body and uric acid is sensitive to temperature changes.

As Thanksgiving approaches many of us are already starting to salivate just thinking about eating turkey, stuffing, yams, and other holiday treats. Although some traditional fare is fine to eat for people with gout, other foods high in purines may trigger a painful gout attack.

Feet are often the first place gout sufferers feel the pain due to buildup of uric acid. According to the American College of Foot and Ankle Surgeons the big toe is particularly vulnerable since it’s the coolest part of the body and uric acid is sensitive to temperature changes.

Men tend to develop gout more often than pre-menopausal women but after menopause women’s risk approaches that of men. High blood pressure and diabetes can also can also make it more likely to develop it.

Because we live in Seattle and the Pacific Northwest we are likely to find seafood as well as turkey on our holiday table.  Mussels, scallops and tuna are among the foods high in purines. Other foods to avoid or minimize are red meat, particularly organ meats like liver, red wine and beer, and drinks containing fructose. Gout triggers can vary from person to person so learning your own triggers is important. On Thanksgiving and at other times be sure to drink plenty of water since it helps remove uric acid from your body.

Besides controlling your diet, there are medications that can block the production of uric acid and can improve uric acid removal.

For more information about gout and other foot problems call the Foot and Ankle Center of Lake City at 206-368-0493 or request an appointment online.

Your free foot book "No More Foot Pain" is waiting to be sent to your home.

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

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By Dr. Rion Berg
November 18, 2014
Category: sports injuries

Our poor Seahawks just can’t seem to catch a break this season. With the pressure of having to defend their title and multiple injuries among their players, it’s making it difficult for them to rebound to get into the playoffs. Luke Willson has a sprained knee, Bobby Wagner a toe injury, James Carpenter and Zach Miller have ankle injuries.  The latter may have to sit out this season.

Pete Carroll the ever exuberant Seahawk coach still has the words “Always Compete. Win Forever” on his twitter account. Good ol’ Pete.

What makes ankle injuries so darn nasty?

It really depends on the level of the injury (mild to severe) and what part of the ankle was injured. Ankle injuries can affect bone, ligament, or tendon. You may or may not be an athlete, but ankle injuries can affect anyone. Sports injuries such as the type the Seahawks sustain often run into the severe category due to the level of impact to the feet and ankles when they are playing. Tendons and ligaments can completely tear or rupture; surgery is often required in these situations. Fractures of the bone often take less time to heal.

You can also incur an injury simply by tripping or falling or rolling your ankle. As a Seattle podiatrist, I highly recommend a good sturdy pair of shoes that can prevent your feet and ankles from rolling in or out. Some people will require inserts or orthotics in additional to a sturdy pair of shoes if they have a certain foot type. Also, the higher level of activity the more support you will need. Hikers will need ankle protection as well since rough terrain can more easily lead to an ankle sprain.

As we approach winter with icier conditions, look carefully at the surface you walk on to prevent an fall and injury from occurring.

If you’ve twisted your ankle, you can apply the RICE method and then make an appointment with us to ensure you haven’t sustained additional damage by calling us at 206-368-7000 or request an appointment online.