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Podiatrist - Cromwell
162 West St Ste K
Cromwell, CT 06416

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Posts for: December, 2021

A disorder at Feet First Foot Care Specialists we see more frequently in our Middlesex County patients at this time of the year is gout. Colder temperatures and festive feasting are partly to blame. That’s because this arthritic condition can be triggered by some foods that are popular during the holidays. Gout occurs when uric acid builds up to excessive levels. If the kidneys do not eliminate it, it can crystalize in one or more joints. It is more likely to crystalize under cold conditions, and that is why gout typically occurs in the big toe. That being the part of the body farthest away from the heart and therefore the coldest.

Common Gout Triggers

There are several potential causes of gout— you can control some, others you cannot.

The conditions of which you likely do not have control, are:

  • Gender—Men are more likely to get gout than women. This condition most commonly strikes men between the ages of 30-50. Women can get gout, too, however. After menopause, their levels of uric acid increase, which is when they are more likely to experience an attack.
  • Family history—Your risk for gout increases if others in your family have had this disease.
  • Injury, and surgery— These too can be potential triggers for a gout attack.

Gout triggers over which you have some control:

  • Diet—Some foods and beverages contain high levels of purines—a chemical that usually occurs in your body. When purines break down, they produce uric acid, hence why eating purine-high foods can trigger an attack of gout. These foods and beverages include shellfish, red meat, organ meats, rich sauces, legumes, drinks sweetened with fructose, beer, brandy, and red wine. Limiting your intake of these items or eliminating ones directly tied to an attack may reduce the risk of gout in the future.
  • Weight—Being overweight causes your body to produce more uric acid making it difficult for your kidneys to excrete the excess. Another way maintaining a healthy weight benefits your feet.
  • Medical conditions—some diseases and disorders increase your chances of developing gout. These include high blood pressure, heart and kidney disease, metabolic syndrome, and diabetes. Following your doctor’s treatment instructions for controlling these conditions can help reduce gout risk.
  • Medications—some vitamins and medications can also increase uric acid level. These include anti-rejection drugs given for patients who have had an organ transplant, low-dose aspirin, and some blood pressure medications. You can check with your doctor to see if there are effective alternatives if you are prone to gout.

If you have experienced gout symptoms—excruciating pain in your toe, swelling, redness, and heat surrounding the joint, contact our Cromwell office by calling 860-632-5499. Our podiatrist, Dr. Adam Mucinskas, can determine if you have gout and how to manage it best.

At Feet First Foot Care Specialists, we know slippery winter weather dramatically increases the number of ankle sprains we see in our Middlesex County patients. However, there are ways to decrease your risk of an ankle-twisting injury.


Here are some helpful Do’s and one Don’t for preventing an ankle sprain:


Do: keep your driveway, walkway, and the sidewalk around your house cleared of snow. Add salt or sand to prevent slips. One of the most common sites of accidents is at your own home.


Do: keep at least one hand free. Holding your briefcase in one hand, a last-minute Christmas gift, and takeout dinner in the other means you may not be able to see that icy patch in front of you. If you stumble, you won’t have a hand to grab something to steady or balance yourself. Always make sure you can see where you are going.


Don’t: talk and walk—on the cell phone, that is. Many people have missed a curb partially covered in snow or slush because they spoke on the phone and ignored the path before them or the conditions.


Do: wear weather-appropriate boots. Generally, work and party shoes will not keep you safe on slippery sidewalks, driveways, and stairs. Pack shoes you wish to wear at your destination and change into those after you arrive.


Do: carry a little kitty litter. Keep a small amount in a sealed plastic bag in your pocket. If you come upon an icy or slick stretch, sprinkle some in front of you for added traction as you carefully walk.


If you happen to suffer an ankle injury or fall despite all your efforts to stay upright, don’t delay in contacting our Cromwell office by calling 860-632-5499 for an appointment. Our podiatrist, Dr. Adam Mucinskas, will examine your ankle to determine the severity of the injury.

Before your visit with us, use the R-I-C-E regimen to treat your ankle: Rest, Ice, Compression, and Elevation.

At Feet First Foot Care Specialists, we’re wondering, if the feet of our Middlesex County patients could make a wish list for the holidays, what would be on it? It might go something like this:

Dear Santa,

Well, another year is coming to a close, which means I’ve walked another 1,400 miles! I have been good this year. I take my owner wherever she needs to go—and believe me, that’s a lot of places during this busy holiday season! Sometimes, however, I get achy and tired, and there are a few items on my wish list. In no particular order, here are a few of the gifts I’d love to find under the tree this year:

Foot Massager—it would be so lovely after a day of work or shopping to slip my feet into an electric foot massager and feel the stress melt away. I know maintaining good circulation is also essential for healthy feet, and regular massaging would certainly help with that.

Moisturizing Socks—when the heat goes on, my skin gets dry and flaky. I saw they now make socks that contain moisturizing gel in them. I would love to slip those on before I go to bed and let that moisturizer work its way into my heels which tend to get painful cracks in the winter.

Anti-Fatigue Mat—I try not to complain about when I stand at the sink prepping vegetables and fruits for family meals and cleaning the dishes afterward. Still, an anti-fatigue mat would make those chores so much more enjoyable. The cushiony comfort and slight movements those mats would cause me to make would leave my feet feeling way less tired when kitchen work is done.

New Shoes— I think my owner forgets that shoes do have a lifespan. Even though our go-to athletic shoes still look pretty good, I notice lately the insole cushioning feels compacted, and the arch isn’t as supportive as when we originally bought them. I’m sure it’s been over 500 miles in them, and I know they’re past due for replacing.

If it’s possible to bring me one or more of these items, Santa, I would appreciate it. And don’t forget something special for my owner too. She takes good care of me and always contacts the Cromwell office by calling 860-632-5499 to bring me to see our podiatrist, Dr. Adam Mucinskas, at the first sign of foot pains or problems.

Happy Holidays to you and Mrs. Claus,

Jennie’s Feet

By Feet First Foot Care Specialists
December 06, 2021
Category: Foot Care

'Tis the season for shopping, wrapping, decorating, cooking, and entertaining! At Feet First Foot Care Specialists, we want to ensure all our Middlesex County patients don’t lose the “happy” in their holidays because of foot pain. Below are four tips to help you take care of your feet during this busy time. 

  1. Function vs. Fashion—Choose Wisely—It’s a tricky season for footwear. There are many festive occasions you’ll want to dress up, but lots of tasks will require long hours on your feet. Don’t sacrifice your feet on the altar of style. Make a trusted pair of athletic shoes your go-to shoes for shopping days, and save the fashion boots and heels for holiday events only. 
  2. Avoid Slip-Sliding into an Ankle Sprain—If you’re wearing those pretty heels for a holiday party, pack them and make your way to your destination in shoes with a good gripping tread to get you safely across slippery surfaces. Always scope out the best cleared and treated route to get to where you’re going. Don’t carry so many packages that you can’t see the ground in front of you.
  3. Be Merry—Without Overeating and Drinking—If you can avoid gaining weight in December, your feet will thank you in January. Excess weight has an exponential effect on your lower extremities. For every pound you gain, you put an additional 3-5 pounds of pressure on your knees and feet. If you are prone to gout, be on the lookout for triggers on the buffet table like shellfish, red meat, rich sauces, red wine, and beer.
  4. Know When to Say “No”—No matter how busy your holiday season is don’t ignore your feet when they tell you they need a break. It’s best to pace yourself and alternate days that require you to be on your feet with rest days. It’s also a good idea to put your feet up (elevated above your heart preferably) at the end of the day.

If you have persistent foot or ankle discomfort, don’t put off contacting our Cromwell office by calling 860-632-5499. Our podiatrist, Dr. Adam Mucinskas, will examine you to determine the cause of your foot pain and the correct treatment to get you back on your feet to enjoy all the season offers.




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162 West St Ste K
Cromwell, CT 06416