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Rheumatoid Arthritis

Rheumatoid arthritis (RA) is an autoimmune disorder in which the body’s immune system attacks its own otherwise healthy joint lining. This condition can affect any of the 33 joints of the feet, as well as the ankle joints. RA symptoms include joint pain, stiffness, swelling, and warmth. It may become difficult to stand, walk, or exercise due to joint pain. RA can also affect the biomechanics of the feet. When the structure of the foot changes, this can affect one’s gait or walking pattern. Foot deformities, such as bunions and hammertoes, also become more likely. RA’s negative effects on mobility could impact one’s overall quality of life. 

Although there is no cure for RA, your chiropodist can help you manage symptoms and maintain the health of your feet and your mobility. They may recommend conservative treatments such as resting and icing the feet and taking non-steroidal anti-inflammatory medications to manage pain. Orthotic inserts and braces can help reduce pain and give the feet structure and support. In more severe cases, corticosteroid injections can be used to relieve pain as well. 

Surgical treatments for joint pain are another possible option for those with RA, particularly if the conservative treatment methods described above prove ineffective. Joint fusion surgery or joint replacement surgery may help. Deformities like bunions and hammertoes can be surgically corrected as well. 

To learn more about living with RA, please consult with a chiropodist near you. 

Heel Pain

Heel pain can range in severity from mild and annoying to severe and debilitating. Usually caused by an injury, heel pain can become chronic if it's left untreated. There are many different types of injuries that can bring about heel pain. When describing your pain, it is important to note the location and type of pain, as well as when the pain started and what activities make it better or worse. 

Perhaps the most common cause of heel pain is plantar fasciitis, a condition in which the plantar fascia, a ligament that runs along the bottom of the foot, becomes inflamed due to repetitive overuse or trauma. This condition causes stabbing pain in the bottom of the heel. The pain is usually at its worst when you take your first few steps after a period of rest, like when you first get up in the morning. Plantar fasciitis is also sometimes accompanied by bone spurs, calcium deposits on the heel bone that can cause sharp pain that gradually evolves into a dull ache. Other possible causes of heel pain include Achilles tendonitis, heel fractures, bursitis, tarsal tunnel syndrome, and Sever’s disease. 

Although treatment for heel pain depends on the underlying cause, most treatments involve resting, icing, and elevating the affected foot. Your chiropodist will also typically suggest that you wear more comfortable, supportive shoes or orthotics to help your heel heal. Over-the-counter pain medications are usually sufficient to manage heel pain. For more information about heel pain, please consult with a chiropodist.

Choosing the Right Running Shoe

Finding the right shoes to run in can be a headache. With so many options on the market, it can be difficult to determine exactly the right type of running shoes for you. This is where your chiropodist can help. In addition to taking into consideration the type of running you will be doing, it’s also very important to buy running shoes that cater to the individual needs of your feet. 

There are many individual foot differences that can have a bearing on which types of running shoes to buy. Your gait, or walking pattern, may require certain specifications to ensure the safest and efficient running possible. A chiropodist can perform a gait analysis to determine your needs. Generally, people’s gaits can be normal, overpronated, or underpronated. Having an overpronated gait means that the foot rolls too far inwards while you walk or run. This can be mitigated by choosing stability running shoes. Having an underpronated gait means that the foot rolls too far outwards while walking or running. This can be helped by choosing shoes with neutral cushioning. 

In general, it’s suggested that you shop for shoes in person in the late afternoon or evening. Shopping in person will allow you to try on and test out the shoes. You would also be able to get assistance from a store associate, who could measure your feet and provide recommendations. Shopping later in the day is suggested because your feet naturally swell throughout the day and are at their largest in the late afternoon and early evening. Your feet also naturally swell while you run. By fitting your feet when they are at their largest, you can ensure that they will fit properly throughout the day. 

For more information about how to find the best running shoes for you, please consult with a chiropodist.

Hammertoes

Hammertoes are a common foot deformity in which one or more of the small toes bends downwards at the middle joint. This puts the toes into a hammer or mallet-like shape, hence the name of the condition. Hammertoes can be very uncomfortable and even painful, causing symptoms such as irritation, inflammation, redness, stiff toe joints, muscle contracture, and corns, calluses, and sores on the tops of the affected toe joints. 

Hammertoes can either be flexible or rigid. Flexible hammertoes are those that can still be moved at the joint. Rigid hammertoes are those that can no longer move due to stiff, tight joints. Flexible hammertoes slowly turn into rigid hammertoes when no steps are taken to treat this condition. 

Seeking treatment for hammertoes is strongly suggested, as they tend to get progressively worse over time. The main goals of treatment in the early stages are to slow or stop the progression and manage symptoms. Your chiropodist will likely recommend changes in your footwear. Wide, roomy shoes that have a large toe box and a low heel can give your toes extra space and prevent them from crowding and becoming further deformed. Orthotic insoles can be worn in the shoes for added support. Corns and calluses on the tops of the toes may need to be padded to protect them from irritation. Over-the-counter medications can be taken to relieve pain. In more severe cases, your chiropodist may suggest corticosteroid injections to reduce pain and inflammation. Surgery is another treatment option for hammertoes but is usually reserved for severe cases where the toe has become rigid and immobile. 

If you notice hammertoes or any other foot deformity, it is strongly suggested that you seek the care of a chiropodist. 

Arthritic Foot Care

Osteoarthritis is a condition in which the cartilage located on the ends of joints deteriorates over time. Cartilage is very important, as it protects and cushions the bones during movement. Osteoarthritis is the most common type of arthritis and is associated with aging. It can affect any of the joints in the body, and frequently affects the joints of the feet and the ankles. Though rarer, osteoarthritis can also occur as a consequence of an injury, such as as a sprain or fracture, or as a result of abnormal foot biomechanics. 

Symptoms of osteoarthritis include pain and stiffness in the joints, swelling, and difficulty walking or bending the joints. In some cases, bony protrusions called bone spurs can develop on the affected joints. Osteoarthritis is a progressive condition, meaning that it worsens over time. Diagnosing the condition early allows for earlier treatment, which can help preserve the health and function of your joints. 

A variety of treatment options are available for osteoarthritis. Pain can often be minimized by taking nonsteroidal anti-inflammatory medications, getting steroid injections into the affected joints, and wearing orthotics. Bracing or immobilizing the affected foot or ankle may help reduce inflammation and prevent deformity of the joint. Doing specific exercises can help strengthen the muscles in the feet and ankles to prevent injuries. In cases where more conservative treatments have failed or in which arthritis has progressed significantly, surgery may be an option. If you have osteoarthritis in your feet or ankles, it is recommended that you consult with a chiropodist. 

Foot Pain

If you’re suffering from foot pain, it’s important to note the locations and quality of your foot pain. Pain can affect any part of the foot, including the top, bottom, side, heel, or toes. The pain may be sharp, stabbing, dull, achy, burning, or stinging, and can come on suddenly or develop gradually over time. 

Pain in the top, bottom, or side of the foot can have many causes. In addition to the type of pain and its location, it’s also important to note when the pain started, what you were doing at the time, and what aggravates the pain. For example, pain in the top of the foot that worsens with physical activity or weight-bearing, that has gradually gotten worse over time, and is accompanied by swelling and tenderness could be indicative of a stress fracture. 

Pain in the heel is a frequent concern, especially among patients who participate in sports, run, or wear high heels. Plantar fasciitis, an inflammation of the ligament that runs along the bottom of the foot and connects the heels to the toes, can cause stabbing heel pain. The pain is usually at its worst upon taking your first few steps in the morning or after a long rest and can radiate to the arch of the foot. Plantar fasciitis is also often associated with heel spurs, bony outgrowths on the heel bones that can be painful if they poke into the surrounding tissues. 

Foot pain can be caused by not only injuries but also problems with the biomechanics of the feet and underlying health problems, like diabetes or peripheral neuropathy. If you’re experiencing foot pain, please seek the care of a chiropodist near you. 

Working on Your Feet

Standing for prolonged periods of time can cause damage to your feet. Unfortunately, this is a necessary part of the job for many working people. Common foot conditions that may occur as a result of being on your feet all day include foot pain, blisters, calluses, corns, arthritis, toe deformities, sprains, bunions, athlete’s foot, and fallen arches. 

There are certain steps that you can take to prevent work-related foot problems. If you are on your feet all day, it is recommended that you avoid shoes that have high heels, pointed toes, a fit that is too loose or too tight, and a lack of arch support. If you work in a place where foot injuries are a common occupational hazard, such as a construction zone, wearing the right shoes becomes increasingly important. Wearing comfortable, properly fitted, supportive shoes made of breathable materials can mitigate the risk of developing a variety of foot problems.

Maintaining an immobile, upright stance for prolonged periods of time is bad for your foot health. If possible, take breaks throughout the day to sit down, stretch, and walk around. At home, take care of your feet with a daily foot care routine. Wash the feet daily with soap and water and dry them thoroughly. Apply a moisturizer to prevent cracked heels. When trimming the toenails, trim straight across to avoid ingrown toenails. Wear clean socks daily. If you notice any problems developing in your feet or ankles, consult with a chiropodist, who can diagnose and treat your condition and help you maintain the health of your feet. 

Toe Pain

The toes are hard at work every time you stand, walk, run, hop, skip, or jump. They help to push the foot off the ground and to keep you balanced. When a toe is in pain it can negatively impact your normal daily activities. Among the numerous causes for toe pain, the chief one is trauma, such as stubbing a toe or dropping something heavy on it. This often causes severe bruising and affects your ability to bear weight. Other common causes of toe pain are bunions, hammertoes, nerve damage, and toenail problems. In addition, toe pain can be caused by gout (a type of arthritis), rheumatoid arthritis, sprains, or warts. Further causes include toenail infections, ingrown toenails, and athlete’s foot infections. Treatment by a chiropodist varies according to the underlying cause of the pain. In case of a broken or severely bruised toe, the remedy is usually to brace or splint the toe. Certain medications can be prescribed to relieve pain and injections may be administered. X-rays and imaging tests may be performed to determine the cause and severity of the toe pain. Custom orthotics may also be prescribed and fitted to counteract toe deformities or other problems. If your toe pain continues or worsens, it is suggested that you visit a chiropodist for an exam, diagnosis, and appropriate treatment options. 

Tips on Finding the Perfect Shoe For You

Wearing the right shoes is important for more reasons than your appearance - it can also benefit the health of your feet. Ill-fitting, unsupportive, and uncomfortable shoes can cause or contribute to many foot problems, including bunions, corns, calluses, and hammertoes. Comfortable, supportive, and properly fitted shoes, on the other hand, can prevent and relieve foot pain. 

When shopping for shoes, there are several things to keep in mind. It is best to try on shoes prior to purchasing them. Your feet swell throughout the day and are at their largest in the late afternoon or early evening. It is best to try on shoes at this time to ensure that they will fit your feet throughout the day. Having both feet measured in a shoe store can also help ensure that you get the right size. Your feet grow and change throughout your lifetime, even in adulthood, so your shoe size can change. When you are trying on shoes, be sure to walk around the store in them to see how they fit. If you wear orthotic inserts, bring them with you when you go shopping so you can try them out in the various shoes you try on. 

But what kinds of shoes should you look for? It’s best to avoid shoes that have excessively high heels and narrow or pointed toes, which can increase the pressure on your toe joints and cause foot deformities. A wide toe area that allows you to wiggle your toes will likely be more comfortable. Shoes with a soft but rigid back will prevent your heel from slipping while you walk. You should also look for shoes with adequate cushioning that are made with breathable materials.

For more information about how to find the right shoes for you, please consult with a chiropodist. 

Sports Related Foot and Ankle Injuries

Participating in sports is great for maintaining your health and fitness, but can sometimes result in injuries to your feet or ankles. Common sports-related foot and ankle injuries include Achilles tendonitis, ankle sprains, stress fractures, turf toe, and plantar fasciitis. 

Achilles tendonitis is a common injury in which the Achilles tendon located at the back of your ankle becomes inflamed due to overuse or biomechanical issues with the feet. Symptoms of Achilles tendonitis include pain in the lower calf, swelling, stiffness, redness, warmth, and reduced strength and range of motion. 

Ankle sprains occur when the ligaments in the ankle are overstretched or torn. Depending on the severity of the injury, you may experience symptoms such as localized pain, swelling, and bruising at the site of the sprain, a limited ability to move the affected ankle, and difficulty walking. 

Stress fractures are fine cracks that occur in the bones when they can’t bear the load placed on them. These fractures often occur in the foot bones and get worse over time if they are not promptly diagnosed and treated. Symptoms of stress fractures in the feet include tenderness, deep and dull or sharp and localized pain, weakness, swelling, and bruising. 

Turf toe is a sprain of the largest joint in the big toe. It can cause symptoms such as pain, swelling, or tenderness that vary in intensity depending on the severity of the injury. 

Plantar fasciitis is an inflammation of the ligament that runs along the bottom of the foot. This condition usually causes stabbing heel pains, arch pain, and pain when taking your first steps after a long period of rest.

If you have injured your feet or ankles while playing sports, it is recommended that you see a chiropodist who can diagnose and treat your condition and get you back on your feet. 

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