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Rheumatoid arthritis can affect joints throughout the body, and the feet are no exception. Many people with this condition experience pain, stiffness, or swelling in the toes, midfoot, or ankles. Over time, the structure of the foot may change, leading to deformities such as bunions, hammertoes, or a flattened arch. These changes can make walking painful and cause difficulty in finding comfortable footwear. The lining of the joints becomes inflamed, which can damage bone and cartilage if not treated. Supportive shoes, inserts, and exercises can help manage symptoms and reduce stress on affected areas. In more advanced cases, medical treatments or surgery may be considered to improve comfort and mobility. Paying close attention to early signs and adjusting daily routines can prevent the condition from worsening. If rheumatoid arthritis is causing discomfort or changes in your feet, it is suggested that you see a podiatrist for relief options.
Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Glenn Davison, DPM of Advanced Podiatry. Our doctor will assist you with all of your podiatric concerns.
What Is Rheumatoid Arthritis?
Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.
Rheumatoid Arthritis of the Feet
Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.
Symptoms
Diagnosis
Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.
If you have any questions, please feel free to contact our offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Although rheumatoid arthritis attacks multiple bones and joints throughout the entire body, ninety percent of people who actually develop this condition usually do so in the foot or ankle area. Those who develop this kind of arthritis in the feet usually develop symptoms around the toes and forefeet first, before anywhere else. Rheumatoid arthritis appears to have a genetic component. If it runs in the family, then you will be more likely to develop it as well.
Rheumatoid arthritis is an autoimmune disorder in which the body’s own immune system attacks the lining of the membranes surrounding the joints. This causes inflammation of the membrane lining, and the gradual destruction of the joint’s cartilage and even bone.
Some of the most common symptoms that are associated with RA include pain and swelling of the feet. Stiffness in the feet is also another common symptom that people experience. Those who have RA in the feet usually feel the pain in the ball or sole of their feet. This can get to be very painful at times. A person's joints can even shift and become deformed after a period of time.
In order to properly diagnose RA in the feet it is usually necessary for a doctor or podiatrist to evaluate the area. Your doctor will also question you about your medical history, occupation, etc., to determine whether anything in your lifestyle may have triggered the condition. There are a number of tests that may be performed to help diagnose RA, such as a rheumatoid factor test. There is, however, no one single test that will tell you for sure if you have RA. There are different X-rays that can be taken as well to determine if a person has RA in their feet.
There is a range of treatment options for rheumatoid arthritis. Treatment of RA is usually a lifelong process that includes a variety of methods of treatment and therapy. Your doctor can prescribe special shoes that should help with arch support as well as heel support. A physical therapist can help those with this condition learn exercises which will keep their joints flexible. Surgery may be needed to correct some of the issues with the feet, such as bunions, and hammertoes. Fusion is usually the most successful surgical option for rheumatoid arthritis. However, people need to keep in mind that there are some risks associated with these surgeries.
Sever's disease, also known as calcaneal apophysitis, is a medical condition that causes heel pain in children’s feet while they’re growing. Sever's disease occurs most commonly in boys and girls between the ages of 8 and 14.
Sever's disease occurs when the child’s growth plate, or the calcaneal epiphysis, an area attached to the Achilles tendon, is injured or when the muscles and tendons of the growing foot do not keep pace with bone growth. The result is constant pain experienced at the back of the heel and the inability to put any weight on the heel. This forces the child to bear weight on their toes while walking. When a toe gait develops, the child must change the way they walk to avoid placing weight on the painful heel. If this is not properly addressed, this can lead to further developmental problems.
The most common symptom of Sever's disease is acute pain felt in the heel when a child engages in physical activity such as walking, jumping or running. Children who are active athletes are among the group most susceptible to experiencing Sever's disease. This is due to the extreme stress and tension placed on their growing feet. The rolling movement of the foot during walking or running and obesity are both additional conditions linked to causing Sever's disease.
The first step in treating Sever's disease is to rest the foot and leg and avoid physical activity. Over the counter pain-relieving and anti-inflammatory medications can be helpful for reducing the amount of heel pain. A child with Sever's disease should also wear shoes that properly support the heel and the arch of the foot. Consider purchasing orthotic shoe inserts which can help support the heel and foot while it is healing. Most patients with Sever's disease symptoms report an eventual elimination of heel pain after wearing orthotic insoles that support the affected heel.
Sever's disease may affect either one heel or both. It is important for a child experiencing heel pain to be examined by a foot doctor who can apply the squeeze test. The squeeze test compresses both sides of the heel in order to determine if there is intense pain. Discourage any child diagnosed with Sever's disease from going barefoot as this can intensify the problem. Apply ice packs to the affected painful heel two or three times a day for pain relief.
Exercises that help stretch the calf muscles and hamstrings are effective at treating Sever's disease. An exercise known as foot curling has also proven to be very effective at treating Sever's disease. When foot curling, the foot is pointed away from the body, then curled toward the body to help stretch the muscles. The curling exercise should be done in sets of 10 or 20 repetitions and repeated several times throughout the day.
Treatment methods can continue for at least 2 weeks and as long as 2 months before the heel pain completely disappears. A child can continue doing daily stretching exercises for the legs and feet to prevent Sever’s disease from returning.
Sever’s disease is a common cause of heel pain in growing children, especially those who are active in sports. It is not actually a disease but a temporary condition that occurs when the growth plate at the back of the heel becomes irritated. This area is still developing in children, and repeated impact from running or jumping can lead to inflammation. Symptoms often include pain during or after activity, limping, and tenderness when the heel is squeezed. The condition typically affects children between the ages of 8 and 14, and tends to improve once growth slows down. Rest, wearing supportive shoes, and stretching exercises are often helpful in reducing discomfort. In some cases, custom orthotics may be recommended to reduce pressure on the heel. If your child is complaining of heel pain that does not go away, it is suggested that you visit a podiatrist who can accurately diagnose and offer relief options for Sever’s disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Glenn Davison, DPM from Advanced Podiatry. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar fibroma excision is a minor outpatient procedure lasting 30 to 40 minutes, performed to remove a benign fibrous nodule from the plantar fascia of the foot. This condition often appears as a firm lump in the arch that may cause pain with weight bearing, discomfort while wearing shoes, or the sensation of a mass beneath the foot. While excision offers relief, there are risks such as recurrence of the fibroma or numbness due to nerve involvement. A podiatrist evaluates the need for surgery based on symptoms and failed conservative treatments, guiding patients through diagnosis, imaging, and aftercare. If you are struggling with persistent foot arch discomfort or difficulty walking due to a plantar fibroma, it is suggested that you consult a podiatrist for expert evaluation and treatment options.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Glenn Davison, DPM of Advanced Podiatry. Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions, please feel free to contact our offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot care needs.
When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.
Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.
Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.
Some children develop nerve issues in the feet and legs as a result of other medical conditions affecting their entire body. These nerve problems, known as peripheral nerve disorders, can cause tingling, numbness, weakness, or burning sensations. In children, they may be connected to illnesses such as diabetes, autoimmune disorders, or infections. When these underlying health conditions affect how nerves send signals, it can lead to trouble with walking, balance, or coordination. Early signs are sometimes subtle, like frequent tripping or unexplained foot discomfort. Identifying the root cause is important, as treating the overall condition often improves nerve symptoms. If a child begins to show signs of nerve changes or foot pain without injury, it is suggested that you visit a podiatrist for further investigation.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Glenn Davison, DPM from Advanced Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
If you have any questions, please feel free to contact our offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.
Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.
Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.
If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.
Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.
Congenital foot deformities are structural abnormalities present at birth that affect the shape or function of a baby’s feet. One of the most common types is clubfoot, where the foot appears twisted inward and downward. Causes may include genetic factors, issues during pregnancy, or unknown developmental conditions. These deformities are usually diagnosed through physical examination and sometimes imaging tests shortly after birth. Early diagnosis is important to begin proper treatment and support normal development. A podiatrist can assist by creating a personalized care plan that may include stretching, casting, bracing, or referral for surgical correction, if needed. If your child has been born with clubfoot, it is suggested that you include a podiatrist on your healthcare team who can provide you with proper advice and guidance.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Glenn Davison, DPM of Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.
What are Causes of Congenital Foot Problem?
A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.
What are Symptoms of Congenital Foot Problems?
Symptoms vary by the congenital condition. Symptoms may consist of the following:
Treatment and Prevention
While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.
If you have any questions, please feel free to contact our offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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