Rheumatoid Arthritis of the Feet and Ankles

Rheumatoid Arthritis of the Feet and Ankles

Rheumatoid arthritis, or RA, is a chronic autoimmune disorder that primarily affects the joints and causes inflammation, pain, and eventual joint damage. When RA affects the feet and ankles, it can lead to debilitating symptoms and complications. Common manifestations include pain, swelling, stiffness, and difficulty walking due to joint inflammation and damage. RA can also cause the formation of nodules, particularly in pressure areas like the soles of the feet. It may also result in foot deformities, such as bunions or hammertoes. If you have RA that is affecting your feet and ankles, it is strongly suggested that you schedule an appointment with a podiatrist. This medically trained foot doctor can provide comprehensive treatment, including interventions, such as custom-made orthotics, corticosteroid injections, and guidance on foot care techniques to manage RA symptoms and prevent complications.

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 one of our podiatrists of Associates in Podiatry. Our doctors 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

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

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 Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Plantar Warts Can Be Treated!

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Neuropathy

Neuropathy

Neuropathy is a condition in which the nerves in the body become damaged from a number of different illnesses. Nerves from any part of the body, including the foot, can be damaged. There are several forms of neuropathy including peripheral neuropathy, cranial neuropathy, focal neuropathy, and autonomic neuropathy. Furthermore there is also mononeuropathy and polyneuropathy. Mononeuropathies affect one nerve while polyneuropathies affect several nerves. Causes of neuropathy include physical injury, diseases, cancers, infections, diabetes, toxic substances, and disorders. It is peripheral neuropathy that affects the feet.

The symptoms of neuropathy vary greatly and can be minor such as numbness, sensation loss, prickling, and tingling sensations. More painful symptoms include throbbing, burning, freezing, and sharp pains. The most severe symptoms can be muscle weakness/paralysis, problems with coordination, and falling.

Podiatrists rely upon a full medical history and a neurological examination to diagnose peripheral neuropathy in the foot. More tests that may be used include nerve function tests to test nerve damage, blood tests to detect diabetes or vitamin deficiencies. Imaging tests, such as CT or MRI scans, might be used to look for abnormalities, and finally nerve or skin biopsies could also be taken.

Treatment depends upon the causes of neuropathy. If the neuropathy was caused by vitamin deficiency, diabetes, infection, or toxic substances, addressing those conditions can lead to the nerve healing and sensation returning to the area. However if the nerve has died, then sensation may never come back to the area. Pain medication may be prescribed for less serious symptoms. Topical creams may also be tried to bring back sensation. Electrical nerve stimulation may be used for a period of time to stimulate nerves. Physical therapy can strengthen muscle and improve movement. Finally surgery might be necessary if pressure on the nerve is causing the neuropathy.

If you are experiencing sensation loss, numbness, tingling, or burning sensations in your feet, you may be experiencing neuropathy. Be sure to talk to a podiatrist to be diagnosed right away.

Navigating Peripheral Neuropathy With Podiatric Solutions

Navigating Peripheral Neuropathy With Podiatric Solutions

Peripheral neuropathy refers to damage to the peripheral nerves, resulting in symptoms such as numbness, tingling, and weakness, often starting in the feet and hands. This condition can be caused by various factors, including diabetes, infections, injuries, and certain medications. Individuals with diabetes are particularly susceptible to neuropathy due to prolonged high blood sugar levels damaging nerves over time. Neuropathy affects people of all ages, though it is more common in older adults. Treatment aims to manage symptoms and address underlying causes. This may include medications to relieve pain and discomfort, and lifestyle changes, such as maintaining healthy blood sugar levels. If you suffer from peripheral neuropathy, it is suggested that you schedule an appointment with a podiatrist who can help you by providing guidance and foot care tailored to your individual needs.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Associates in Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Understanding Corns and Calluses

Understanding Corns and Calluses

Corns and Calluses are both hardened layers of thickened skin that develop because of friction. Both ailments are typically found on the feet and may be unsightly. Although they have similarities, corns and calluses are different from each other.

Some causes of corns and calluses may be wearing ill-fitting shoes and not wearing socks. If you wear tight shoes, your feet will constantly be forced to rub against the shoes, causing friction. If you fail to wear socks, you are also causing your feet to endure excess friction.

There are some signs that may help you determine whether you have one of these two conditions. The first symptom is a thick, rough area of skin. Another common symptom is a hardened, raised bump on the foot. You may also experience tenderness or pain under the skin in addition to flaky, dry, or waxy skin.

There are also risk factors that may make someone more prone to developing corns and calluses. If you are already dealing with bunions or hammertoe, you may be more vulnerable to having corns and calluses as well. Other risk factors are foot deformities such as bone spurs, which can cause constant rubbing inside the shoe.

Corns tend to be smaller than calluses and they usually have a hard center surrounded by inflamed skin. They also tend to develop on the parts of the body that don’t bear as much weight such as the tops and sides of toes. Corns may also be painful for those who have them. On the other hand, calluses are rarely painful. These tend to develop on the bottom of the feet and may vary in size and shape.

Fortunately, most people only need treatment for corns and calluses if they are experiencing discomfort. At home treatments for corns and calluses should be avoided, because they will likely lead to infection. If you have either of these ailments it is advised that you consult with your podiatrist to determine the best treatment option for you.

Foot Corns

Foot Corns

Corns on the feet, medically termed keratotic lesions, are areas of thickened skin caused by repeated friction or pressure. They commonly occur on weight-bearing areas like the toes and soles of the feet. Symptoms can include localized pain or tenderness, a hardened or raised bump, and sometimes inflammation or redness. Older individuals are more prone to developing corns due to factors like reduced skin elasticity and altered foot mechanics. There are three main types of corns. Hard corns are small, dense, and are usually found on bony areas. Soft corns are moist and typically form between toes where the skin is moist. Seed corns are tiny and appear on non-weight-bearing areas. Diagnosis is typically made based on clinical examination. Management involves relieving pressure on the affected area, wearing properly fitting footwear, using protective pads or cushions, and sometimes, having the corn removed. If you have persistent or painful corns, it is suggested that you schedule an appointment with a podiatrist for treatment.

If you have any concerns regarding your feet and ankles, contact one of our podiatrists of Associates in Podiatry. Our doctors will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctors to determine the best treatment option for your case of corns.

If you have any questions please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Rare Foot Conditions

Rare Foot Conditions

A podiatrist will be able to address a variety of rare foot conditions, particularly the ones that affect children. The most common are Kohler’s disease, Maffucci syndrome, and Freiberg’s disease. They can be properly diagnosed by having an X-ray taken, but in more serious cases an MRI may be needed. Kohler’s disease generally affects younger boys and bone deterioration may result from an interruption of blood supply. Children who have Kohler’s disease may find relief when the affected foot is rested, and a special boot is worn. Benign growths in the long bones of a child’s foot may lead to the development of bone lesions, and this is known as Maffucci syndrome. People who have this condition find mild relief when custom-made orthotics are worn. Freiberg’s disease targets the ball of the foot and can typically affect pre-teen and teenage girls. The metatarsal bone becomes deteriorated and flattened, and common symptoms include swelling and stiffness. A cast is often necessary to wear with this disease as it can help to reduce existing pain. Erythromelalgia is a rare foot condition, and its cause is unknown. Symptoms of this disease can include intense burning pain and the feet may appear red or feel warm. Relief may be found when the affected foot is immersed in ice water. It can also be beneficial to elevate the foot frequently. If your child complains of foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rare foot conditions. 

How Freiberg's Disease Affects Teens

How Freiberg's Disease Affects Teens

Freiberg's disease is characterized by cartilage degeneration in the lesser metatarsal heads of the feet, notably affecting adolescent females, though it can occur in both genders later in life. The condition primarily involves the second and third metatarsals. While the exact cause remains unclear, vascular problems, genetic predisposition, and altered biomechanics are common causes. Diagnosis by a podiatrist includes clinical evaluation and imaging confirmation. In many cases X-rays show normal bone formation in early stages and flattened, fragmented metatarsal heads as the disease progresses. Treatment focuses on relieving foot pressure and may involve nonoperative measures such as activity modification and custom orthotic support. Surgical interventions are considered for advanced cases. Outcomes for Freiberg’s disease from both nonoperative and operative management are generally favorable, allowing most patients to resume previous activities. To find out what may be causing metatarsal foot pain, it is suggested that you make an appointment with a podiatrist.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of Associates in Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

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Falls Prevention

Falls Prevention

Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds. In light of these striking statistics, one can see the importance of taking steps to prevent falls.

Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.

Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.  

Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.

How Balance Exercises Can Help Seniors With Falls Prevention

How Balance Exercises Can Help Seniors With Falls Prevention

Balance exercises can help seniors prevent falls, leading to serious injuries. As individuals age, balance and stability tend to decline due to muscle weakness and reduced awareness of the body’s movement. These exercises focus on challenging the body's equilibrium through activities like standing on one leg and heel-to-toe walking. By consistently practicing these exercises, seniors can enhance their ability to maintain balance in various situations, such as navigating uneven surfaces or recovering from sudden movements. Additionally, balance exercises promote better posture and body awareness, further decreasing the likelihood of falls. If you are a senior interested in preventing falls, it is suggested that you make an appointment with a podiatrist for a discussion of your current situation, and how you can incorporate balance exercises into your daily routine to maintain independence and quality of life as you age.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Associates in Podiatry. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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