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Tests to Determine if You Have Gout

Experiencing sudden joint pain, swelling, and redness in your big toe? It could be gout, a condition where urate crystals accumulate in the joints. To determine whether you have gout, a podiatrist may recommend various tests. Blood tests are essential to check uric acid levels, although elevated levels don't always signify gout. Joint fluid testing, or arthrocentesis, involves extracting fluid from the affected joint to identify uric acid crystals, confirming a gout diagnosis. Ultrasound imaging can reveal inflammation and the presence of crystals, or tophi, around the joint. Additionally, dual-energy computerized tomography, or DECT, scans provide detailed images to show uric acid crystals within the joints, aiding in diagnosis. If you're experiencing severe and persistent discomfort in the big toe joint, it is suggested that you make an appointment with a podiatrist. This foot doctor is medically trained to diagnose symptoms of gout and offer the appropriate options to manage this condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Injuries From Running

Foot injuries are common among runners, and often stem from overuse, wearing improper footwear, or biomechanical issues. Conditions like plantar fasciitis, stress fractures, and Achilles tendinitis are prevalent. Plantar fasciitis causes heel pain due to inflammation of the tissue along the bottom of the foot. Stress fractures result from repetitive impact, leading to small cracks in the bones. Achilles tendinitis affects the Achilles tendon, causing pain and stiffness. To prevent these injuries, it is helpful for runners to practice prevention techniques, including wearing appropriate shoes with proper support and cushioning, increasing mileage gradually, and incorporating rest days into training schedules. Additionally, it is beneficial to perform strengthening and stretching exercises targeting the feet and lower legs. If you enjoy running, it is suggested that you schedule an appointment with a podiatrist for professional guidance on foot protection from running.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
- Plantar Fasciitis
- Plantar Fasciosis
- Achilles Tendinitis
- Achilles Tendon Rupture
- Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Arthritis Can Cause Pain in the Feet and Ankles
Non-Surgical Treatments for Bunions

Non-surgical treatments for bunions focus on relieving pain and discomfort, as well as slowing down the progression of the condition. Treatments include wearing comfortable shoes with a wide toe box to reduce pressure on the bunion, using padded inserts or orthotic devices to provide support and cushioning, and resting the foot to reduce swelling and inflammation. Toe spacers or splints may be used to help realign the toes gradually. Stretching and strengthening exercises for the foot and toe muscles can also improve flexibility and stability. While these treatments may not correct the bunion entirely, they can alleviate symptoms and improve quality of life for individuals with bunions who wish to avoid surgery. If you have a bunion that is causing discomfort, it is suggested that you visit a podiatrist regularly to track its progression, and adjust treatment as needed.
If you are suffering from bunions, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. 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?
Doctors 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 doctor.
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 our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Understanding the Role of Sesamoid Bones and Sesamoiditis in the Feet

Sesamoid bones are small, specialized bones embedded within tendons, and play a critical role in the function of the feet. Positioned beneath the first metatarsal head, sesamoid bones provide leverage and support to the big toe, facilitating smooth movement and weight distribution during activities such as walking, running, and jumping. Despite their importance, sesamoid bones are prone to injury and inflammation, a condition known as sesamoiditis. Sesamoiditis typically occurs due to repetitive stress or trauma to the sesamoid bones, commonly seen in athletes engaging in activities that involve high-impact forces on the feet. Improper footwear, excessive pressure on the ball of the foot, and sudden increases in physical activity can also contribute to sesamoiditis. Symptoms of sesamoiditis include localized pain, swelling, and difficulty bearing weight on the affected foot. Recognizing the function of sesamoid bones and understanding the causes of sesamoiditis is essential for preventing and managing this painful condition. If you have any of the above symptoms, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat sesamoiditis.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor will treat your condition thoroughly and effectively.
Sesamoiditis
Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.
Causes of Sesamoiditis
- Sudden increase in activity
- Increase in physically strenuous movement without a proper warm up or build up
- Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible
Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Debridement and Saving a Limb

Debridement is a critical aspect of managing severely injured feet and lower extremities from diabetes, particularly in cases of open fractures with extensive skin and soft tissue loss. This surgical procedure involves the meticulous removal of contaminated, nonviable tissues and foreign materials from the wound. Debridement plays a pivotal role in preventing infection, a common complication in such injuries. During debridement, podiatric surgeons must work under optimal conditions, utilizing good anesthesia, adequate lighting, and magnification. The use of a tourniquet is often essential for better visualization of contaminants and distinguishing between viable and nonviable tissues. Skin margins are carefully freshened, subcutaneous tissues are excised to reach healthy fat, and damaged muscles and tendons are assessed for viability. Preservation of vital structures like nerves and blood vessels is paramount, as they are crucial for future reconstruction efforts. Proper recording of the debridement procedure, including the extent of tissue damage and the status of nerves and tendons, is essential for guiding subsequent treatment. If you are a diabetic patient and have wounds, ulcers, or other foot or ankle skin conditions, it is strongly suggested that you are under the care of a podiatrist who can consider debridement as a possible effective treatment.
Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Limb Salvage?
Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot and Ankle Injuries Among Assembly Line Workers

Jobs that require prolonged standing and walking often lead to complaints of foot and ankle pain among employees. Various factors contribute to foot and ankle pain in assembly line work, including time spent standing, walking, or sitting. Additionally, floor surface characteristics, weight, BMI, age, foot biomechanics, and demographic and medical history may significantly contribute to developing foot and ankle pain. Increased risk factors can include high metatarsal pressure during gait assessment, extended periods of walking, female gender, job dissatisfaction, and a history of conditions like rheumatoid arthritis, osteoporosis, or vascular disorders. Truck and forklift drivers who frequently exit and enter their vehicles tend to have a higher prevalence of ankle and foot problems. Prevention includes the use of shoe orthotics with medial longitudinal arch and metatarsal pad support. The incorporation of sit and stand work stations are also options to mitigate foot and ankle issues in these types of environments. If you are involved in assembly line work and experience foot or ankle pain, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment that can help relieve pain.
Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:
- Broken bones
- Muscle strains
- Injuries to the tendons and ligaments
- Stress fractures
Symptoms
Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:
- Bruising
- Inflammation/ Swelling
- Pain
Diagnosis
To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.
Treatment
Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout Pain Can Be Managed
The Optimal High Heel Height

Choosing the right high heel height is a delicate balance between fashion and comfort, with implications for both style and foot health. While personal preferences play a role, experts recommend considering a heel height that is one to two inches. This range provides a stylish lift without subjecting the feet to excessive pressure or discomfort. Lower heels distribute weight more evenly, reducing strain on the balls of the feet and minimizing the risk of conditions such as bunions or metatarsalgia. Additionally, a modest heel height promotes a more natural posture, preventing issues like lower back pain and Achilles tendon strain. Ultimately, the optimal high heel height is one that allows you to walk with grace and confidence while prioritizing the well-being of your feet. By striking this balance, you can effortlessly blend style with comfort, ensuring your footwear choices enhance both your fashion statement and overall foot health. If you are interested in seeking additional information about how wearing high heels affect your feet, it is suggested that you consult a podiatrist.
High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Effects of High Heels on the Feet
High heels are popular shoes among women because of their many styles and societal appeal. Despite this, high heels can still cause many health problems if worn too frequently.
Which Parts of My Body Will Be Affected by High Heels?
- Ankle Joints
- Achilles Tendon – May shorten and stiffen with prolonged wear
- Balls of the Feet
- Knees – Heels cause the knees to bend constantly, creating stress on them
- Back – They decrease the spine’s ability to absorb shock, which may lead to back pain. The vertebrae of the lower back may compress.
What Kinds of Foot Problems Can Develop from Wearing High Heels?
- Corns
- Calluses
- Hammertoe
- Bunions
- Morton’s Neuroma
- Plantar Fasciitis
How Can I Still Wear High Heels and Maintain Foot Health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Common Running Injuries and Prevention Strategies

Engaging in running offers numerous health benefits, but it also comes with the risk of encountering common injuries that can sideline even the most dedicated runners. One common issue is plantar fasciitis, causing heel pain. This condition is often a result of overuse or improper footwear. Regular stretching and wearing supportive shoes can be preventive measures. Achilles tendinitis, involving inflammation of the Achilles tendon, emphasizes the importance of gradual training increments and proper footwear. Prioritizing rest, cross-training, and incorporating strength exercises into one's routine can significantly reduce the risk of these common running injuries, ensuring a more enjoyable and injury-free running experience. If you are experiencing foot, toe, or ankle injuries related to running, it is suggested that you consult a podiatrist who can recommend effective treatment options.
All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor will treat your foot and ankle needs.
How to Prevent Running Injuries
There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.
More Tips for Preventing Injury
- Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
- Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
- “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
- Cross-Training is Crucial
- Wear Proper Running Shoes
- Have a Formal Gait Analysis – Poor biomechanics can easily cause injury
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Managing Heel Fissures

Heel fissures, or cracked skin on the heels, develop when the feet lack adequate moisture. This can lead to the development of painful cracks and dry patches on the outer edge of the heels. While heel fissures are often perceived as a cosmetic concern, they can escalate into more serious health conditions, underscoring the importance of timely treatment. Common causes of heel fissures include wearing open-backed shoes, living in dry climates, walking barefoot, obesity, and having inactive sweat glands. In cases of persistent or severe fissures, seeking professional help from a podiatrist is suggested. Treatment measures can provide a comprehensive approach to alleviate discomfort and expedite the healing process. The danger of heel fissures is particularly important for diabetic people and patients with neuropathy and should not be ignored. If you have developed seriously cracked heels that are bleeding or may have become infected, it is suggested that you schedule an appointment with a podiatrist as quickly as possible for an exam and treatment.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. 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 our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Red Feet in Elderly Individuals

Red feet in the elderly can be a symptom with a myriad of potential causes. One primary contributor is reduced circulation, a common age-related issue that compromises blood flow to the extremities. Chronic venous insufficiency, where weakened veins struggle to return blood to the heart, may result in redness in the feet due to pooling blood. In some cases, medications or medical conditions affecting blood vessels can contribute to this discoloration. Additionally, inflammatory conditions like arthritis or infections might manifest as redness in the feet. Diabetic complications, particularly peripheral artery disease, may also lead to diminished blood supply and red discoloration. A podiatrist needs to conduct a thorough assessment to accurately diagnose and address the root causes of red feet in the elderly. If you or someone you know has this foot condition, it is suggested that you visit a podiatrist who can offer appropriate treatment options.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Utilizing Imaging Tests for Diagnosis and Treatment of Morton’s Neuroma

Morton's neuroma is a painful condition that affects the nerves in the ball of the foot, often causing discomfort and a sensation of a lump between the toes. To diagnose and effectively treat Morton's neuroma, podiatrists often employ various imaging tests. Ultrasound is a commonly used imaging technique to visualize Morton's neuroma. It provides real time images and allows for dynamic assessment, which can help in confirming the diagnosis. Ultrasound can also guide injections for therapeutic purposes. Magnetic resonance imaging, or MRI, is another valuable tool for evaluating Morton's neuroma. It offers detailed images of the foot's soft tissues, providing insight into the size and location of the neuroma. This can assist in treatment planning and determining the severity of the condition. X-rays, although less effective in directly visualizing neuromas, are sometimes used to rule out other foot conditions like bone abnormalities or arthritis. These imaging tests play a vital role in diagnosing Morton's neuroma and determining the most appropriate treatment approach, which may include conservative measures, injections, or surgical intervention. If you have pain in the ball of your foot, it is suggested that you schedule an appointment with a podiatrist, as early intervention can lead to more effective management of this painful foot condition.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
- Ill-fitting high heels or shoes that add pressure to the toe or foot
- Jogging, running or any sport that involves constant impact to the foot
- Flat feet, bunions, and any other foot deformities
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.