September 2025

Gout is a painful condition that occurs when uric acid crystals build up in the joints, often affecting the big toe, toes, or ankle. While many people can manage symptoms of gout with conservative care, some cases may require surgery. A podiatrist may recommend gout surgery when painful tophi, or hard deposits of uric acid, develop under the skin of the toes, feet, or ankles and interfere with walking. Surgery may also be needed if gout causes joint damage that limits mobility or if repeated flare-ups lead to lasting deformities in the foot. In some severe cases, untreated gout can increase the risk of limb loss if not properly addressed. A podiatrist can perform surgery to remove deposits, repair damaged joints, or improve alignment to reduce pain and restore function. If you suffer from gout, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and help in managing this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor 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 Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A small bump on the side of the big toe may be indicative of a bunion. This protrusion can become larger, and it may push the other toes closer to each other. Probable causes of a developing bunion can include genetics and wearing shoes that do not have adequate room for the toes to move freely in. Additionally, existing medical conditions such as certain types of arthritis may cause a bunion, or it may develop as a result of repetitive stress on the front of the foot. A bunion may cause difficulty in walking, and the foot may feel painful and stiff. There are effective methods that can be implemented which may help to manage bunion symptoms. Many patients find mild relief when there is ample room in the shoes that are worn, or from using a bunion pad or wearing custom made orthotics. If you notice a bunion that is beginning to form, it is recommended that you schedule a consultation with a podiatrist who can offer you the correct treatment options.

If you are suffering from bunions, contact Brian D. Jackson, DPM of Neuhaus Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

When a cut or sore on the foot lingers without getting better, it may be a sign of an underlying issue. Poor circulation can limit blood flow, slowing down the delivery of oxygen and nutrients needed for repair. Diabetes is another common factor, as high blood sugar often interferes with healing and raises the risk of infection. Sometimes, wounds fail to improve because of constant pressure or rubbing from footwear, which keeps reopening the skin. Nerve damage may also play a role, as people may not feel the injury worsening. In addition, not caring for the wound properly at the start, such as failing to clean it, cover it, or watch for signs of infection, can make recovery much harder. Delaying care for a non-healing wound can lead to serious complications. If you have a foot wound that is not improving, it is suggested that you see a podiatrist for an evaluation and appropriate treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle fractures are breaks in one or more of the bones that make up the ankle joint and can result from sports injuries, falls, car accidents, or by simply twisting the ankle the wrong way. Symptoms often include sudden pain or swelling, difficulty bearing weight, and a visible deformity, in more severe cases. The area may feel tender, unstable, or too painful to touch or move. An ankle fracture can sometimes be mistaken for a sprain, making proper diagnosis essential. A podiatrist can assess the injury through a physical exam and imaging tests such as X-rays or CT scans to determine the type and severity of the fracture. Treatment options include immobilization with a cast or brace, or, in more serious cases, surgical intervention to realign the bones. Rehabilitation and targeted exercises may also be needed for full recovery. If you experience symptoms of an ankle fracture, it is suggested that you promptly schedule an appointment with a podiatrist for appropriate treatment.

Broken ankles need immediate treatment. If you are seeking treatment, contact Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
• Swelling around the area
• Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cracked heels are splits in the thickened skin of the heel that can cause pain, bleeding, and discomfort while walking. They are often caused by dryness, prolonged standing, wearing ill-fitting footwear, or excess pressure on the feet. Certain skin conditions can also contribute, including athlete’s foot and plantar warts, which may worsen the problem or lead to infection. Symptoms often include rough skin, fissures, and tenderness. A podiatrist can help by gently debriding thick skin, treating underlying conditions, and recommending proper footwear and moisturizers to restore skin health. If cracked heels are causing pain or interfering with your daily life, it is suggested that you consult a podiatrist who can help you to manage this uncomfortable condition.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

If you have any questions, please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.