Foot care is important. Gout is a well-known and common problem that affects the first metatarsophalangeal joint of the feet. Miguel Cunha, DPM, and the physicians at Gotham Footcare offer treatment for gout at their offices in Downtown and Midtown Manhattan, New York.
Recent surgery or trauma. Surgery or damage to a joint increases the likelihood that uric acid will accumulate in that joint, which increases the risk of developing a gout attack.
At Gotham Footcare, your doctor may perform the following tests to help diagnose gout:
Ultrasound. Musculoskeletal ultrasound can also be used to visualize urate crystals in a joint.
At Gotham Footcare, the first step in acute treatment of gout is to eliminate or reduce the pain by decreasing inflammation of the joint. Your doctor will prescribe pain-relieving medications, which may include:
Corticosteroids. Corticosteroid medications, such as the drug prednisone, are generally used in patients with gout who cannot take either NSAIDs or colchicine. Corticosteroids may be in pill form, or they can be injected into your joint.
Last but not least, at Gotham Footcare, your doctor will have a thorough discussion with you on the necessary lifestyle changes that you will need to make including increased exercise, weight loss, and modifications in your diet to help prevent future gout attacks.
In an effort to minimize out-of-pocket expenses, we accept most managed care plans and insurance providers. For any questions regarding insurance, please contact our offices.
"Dr. Cunha is kind, takes the time to answer all my questions, and helps me find alternative solutions when my insurance doesn't cover what he first suggests."
"The staff was extremely friendly their positive vibes were contagious! Dr. Cunha was great, he took his time to answer all of my questions."
"Dr. Cunha truly cares for the well-being of his patients. He is extremely professional and knowledgeable."
"Dr. Cunha was attentive, accommodating, and willing to answer any and all questions I had through my recovery process. I would highly recommend Gotham Footcare."
"All of the staff are super friendly, energetic and efficient. Dr. Cunha is attentive and finds solutions quickly, offering more than one option for treatment."
"Dr. Cunha is knowledgeable, personable and really cares about his patients. His staff is wonderful; They are always friendly and helpful."