Dakota Foot & Ankle Clinic Blog

Posts for tag: nd

By Dr. Brian Gale, DPM, FACFAS
December 10, 2015
Category: Uncategorized

Tendinitis in Your Ankle.

What is tendinitis?  It is an inflammation of a tendon, which is a thick cord that connects bone to muscle.  One of the most common types of tendinitis in the foot/ankle is Achilles tendinitis.  This is an inflammation of the Achilles tendon.

What causes tendinitis?  Tendinitis can form after an injury or from over-use.  It is best to stretch before exercising and also to make sure you are in the correct form.  If you have flat feet, arthritis, or tight tendons you might be more prone to getting tendinitis.

What are the symptoms of tendinitis?  The most common symptom of tendinitis is pain.  The pain is especially noticeable when trying to move that particular part of the body.  There might also be some swelling.

What can you do at home?  The best thing you can do to help relieve the pain at home is rest and ice.  Try to stay off of your foot as much as possible and apply ice.

When should you see a podiatrist?  If your pain is not going away with ice and rest or if the pain lasts longer than a week, it is time to see Dr. Gale.  It is best not to wait too long otherwise tendinitis can become a chronic problem and it will be harder to treat.

Diagnosis and treatment.  Dr. Gale will do a physical exam of your feet and ankles, and he will ask you some questions regarding your health and pain.  X-rays and/or an MRI might be needed to rule out any other possible problems.

To treat tendinitis Dr. Gale will try to help alleviate the pain and try to help you prevent further injury.  He may recommend shoe inserts or a walk cast to help immobilize the foot.  Medication can sometimes help.

How to prevent tendinitis.  Custom shoe orthotics may help you from redeveloping tendinitis.  These will help control the motion of your foot.  Stretches and/or exercises might be recommended to help increase the elasticity of the tendon and to strengthen the muscles that are attached.  If you gradually increase your activity level may help prevent injury.

If you are having any pain and think it might be tendinitis Contact Us today at the Dakota Foot & Ankle Clinic to schedule an appointment with Dr. Brian Gale, DPM, FACFAS.

By Dr. Brian Gale, DPM, FACFAS
November 17, 2015
Category: Uncategorized

Types and Symptoms of Arthritis


   Osteoarthritis- This is the most common form and generally has a gradual onset. Sufferers generally feel muscle weakness and deterioration, breakdown in cartilage, and possible bone spurs. This form comes with pain that can also progress but can also be relieved with rest. Osteoarthritis is a problem in feet when people are overweight due to the amount of pressure on the many joints in the foot.


   Rheumatoid Arthritis- This form is a major crippling disorder and the most serious of the forms of arthritis. This systematically affects more than a dozen smaller joints during its course. Sufferers generally feel stiffness, fatigue, and weight-loss. Women are 3 times more likely to be affected then men. Rheumatoid Arthritis can alternate between periods of remission and exacerbation, it can be active for months or years then stop, sometimes permanently.


 Gout Arthritis- This usually affects a single big toe joint and is extremely painful. Men are more affected then women. Heredity, as well as diet, dehydration, and water pills/fluid retention can be factors and can affect those suffering from this form of arthritis. 


 Psoriatic Arthritis- This form only shows up in 1 in 20 psoriasis patients. It mildly affects only a few joints usually the ends of fingers and toes. Psoriasis affects the skin, and in severe cases it can affect the joints. As the skin worsens so does this form of arthritis.


If have any questions or feel that you are suffering from any of these symptoms of Arthritis please Contact Us at Dakota Foot and Ankle Clinic today to schedule your appointment withDr. Brian Gale, DPM, FACFAS in Bismarck or Hazen, North Dakota today.        701-255-3338.


photocredit: ashokorg0 via pixabay.com

By Dr. Brian Gale, DPM, FACFAS
October 28, 2015
Category: arthritis

What is Arthritis and what causes it?


              Arthritis is the inflammation and swelling of the cartilage and lining of the joints, generally accompanied by an increase in the fluid in the joints.

This can be a disabling and occasionally crippling disease. Arthritis can occur at any age but is most common in people over 50 years of age.

It may seem that the foot is more susceptible to Arthritis; this is because the foot has 33 joints that can become affected.

    There are several causes of Arthritis besides heredity:

  • Injury from sports or industrial work (mostly those that have been ignored)
  • Bacterial and viral infections that strike the joints (pneumonia, staph infections, and lyme disease)
  • Bowel disorders (colitis and ileitis) usually result in arthritic conditions in the joints of the ankles and toes

Arthritic feet can result in loss of mobility and independence, but early diagnosis and proper medical care can help significantly.


Many patients that seeDr. Brian Gale, DPM, FACFAS have previously been told "there isn't anything that can be done for Arthritis in the foot or ankle."  This is not true. Dr. Gale will be able to give you different options to help with your symptoms including: proper shoes, insoles, orthotics, ankle braces, or injections.


If you are suffering from joint swelling or foot and ankle pain Contact Us at Dakota Foot and Ankle Clinic today and ask to schedule your appointment with Dr. Brian Gale, DPM, FACFAS

photocredit: elenute20030 via pixabay.com

By Dr. Brian Gale, DPM, FACFAS
October 21, 2015
Category: Psoriasis

When to Visit a Podiatrist for Psoriasis.

It is especially important to see a podiatrist for psoriasis if you notice it on your feet.  Your feet may be reddened and itchy.   Psoriasis can also mimic athlete’s foot or contact dermatitis.  If your feet are dry and itchy and it is not relieved by any at home methods it is best to see Dr. Brian Gale, DPM, FACFAS.

Dr. Gale will complete an exam of your feet and look at your medical history.  He may also take a biopsy of the affected area to confirm that it is psoriasis.

If the psoriasis is mild, it can be treated by a topical cream that is applied directly to the affected area.  More severe cases may need something that can treat the whole body.  If it is a severe case you may need to work with more than one medical specialist to get it under control.

You cannot prevent psoriasis, but you can help control it.  Stress management is very important.  Dry air, alcohol, and sunlight can trigger psoriasis so it is important to control your exposure to these elements.  

If your feet are dry and itching contact us today at Dakota Foot & Ankle Clinic to set up an appointment with Dr. Brian Gale, DPM,FACFAS

​photocredit: films42 via pixabay.com

By Dr. Brian Gale, DPM, FACFAS
October 02, 2015
Category: Psoriasis

Symptoms of Psoriasis and at Home Treatment.

Symptoms are usually the same with all people that are affected with Psoriasis.  One symptom is thick, red skin that includes dry, white patches.  The dry, white patches are called psoriatic plaques.  Another symptom is the skin may feel itchy.

Psoriasis is most commonly found on the knees, elbows, and the bottoms of the feet.  It can also affect joints, fingernails, and toenails.

To treat Psoriasis at home it is best to keep the skin well moisturized.  This will help ease any discomfort from the itchy skin.  Oatmeal baths can also help soothe the skin.

If you are experiencing itchy skin that has dry patches and you think it might be Psoriasis, Contact Us at Our Bismarck Office today to schedule an appointment.  Dr. Brian Gale, DPM, FACFAS will help you determine the best way to help treat your symptoms.


Photocredit: Boesmantjie via pixabay.com