Gout Gout is the most common metabolic disorder involving the foot. Gout may result from chronic renal disease or antihypertensive medication. The classical presentation involves the first MTP joint. In acute gout onset is very rapid, often within a few hours, the involved joint swells and becomes very tender to touch and excrutiatingly painful with motion. Diabetic Foot Diabetic foot involves small vessel disease, large vessel disease, and peripheral neuropathy.
Diabetic foot is more severe and occurs at younger ages in insulin-dependent diabetics.
Insulin-dependent diabetics also experience neurovascular and systemic complications earlier. Peripheral neuropathy is a problem because subjective symptoms may be minimized as a result. Patients with old unrecognized ruptured Achilles tendons, who do not run, have minimal disability. Disorders of the hindfoot are relatively common and are often caused by spontaneous tendon ruptures of the tibialis posterior . Spontaneous ruptures of the tibialis anterior tendon often occurs in the sixth or seventh decade.