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Rheumatoid arthritis (RA) is an autoimmune disease in which the body’s immune system attacks its own, otherwise healthy cells. The cells that are frequently attacked are those of the synovium, the soft tissue that lines the joints. The small joints of the feet and ankles are often affected, leading to symptoms such as foot and ankle pain, joint swelling, stiffness, and reduced mobility. RA affects millions of adults annually. In 2020, approximately 53 of every 100,000 women and 29 of every 100,000 men had RA. Women are more likely than men to develop RA at an early age. If you have RA and are experiencing foot and ankle pain, a podiatrist can help you relieve symptoms and maintain your foot health and mobility.  

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 Peter C. Smith of Lancaster 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

• 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 office located in Lancaster, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tarsal tunnel syndrome is the result of the tibial nerve getting squeezed or compressed in the tarsal tunnel, which is a narrow pathway in the ankle that serves as an opening for nerves, veins, arteries and tendons to pass through. This nerve can be compressed from an injury, a cyst, or due to overpronation. Other issues, such as diabetes or arthritis, can also cause tarsal tunnel syndrome. Common signs of tarsal tunnel syndrome include a burning pain that radiates throughout the foot, a pins and needles sensation at the sole of the foot, and tenderness on the inside of the foot. Patients who believe that they have tarsal tunnel syndrome should consult with a podiatrist for a proper diagnosis and treatment. Common treatment options include cold therapy, medication, rehabilitation exercises, and in severe cases, surgery.      

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Peter C. Smith of Lancaster Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our office located in Lancaster, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. This uric acid can crystallize in the joints, leading to symptoms such as sudden and severe pain, swelling, stiffness, redness, and warmth in the affected joint. While a gout flare up can hit any joint in the body, it is most frequently found at the base of the big toe joint. Because uric acid is sensitive to temperature changes, it crystallizes when temperatures are cooler.  Because the big toe is the furthest part of the body from the heart, it is also the coolest part of the body. This creates the perfect environment for uric acid to crystallize and for a gout attack to occur. If you experience painful gout flare ups in your feet, it is suggested that you consult with a podiatrist. 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Peter C. Smith from Lancaster Podiatry. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact our office located in Lancaster, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.