Rheumatoid arthritis, or RA, is a long-term autoimmune disease that can affect joints throughout the body. An autoimmune disease occurs when the immune system mistakenly attacks healthy tissues. RA often begins in the small joints of the hands and feet, and more than 90 percent of people with the disease eventually develop foot or ankle symptoms. In the joints, RA causes inflammation that can damage cartilage and weaken the tissues that provide support. Foot and ankle symptoms may include pain, swelling, and stiffness. Unlike some other forms of arthritis, RA commonly affects the same joints on both sides of the body.

As rheumatoid arthritis progresses, it can affect several areas of the foot and ankle. Ankle involvement may make stairs or inclines difficult, while advanced disease can make ordinary walking painful. In the middle of the foot, weakened ligaments can cause the arch to collapse and change the shape of the foot. RA can also contribute to bunions, claw toes, and pain under the ball of the foot. These structural changes may create areas of abnormal pressure and make wearing shoes uncomfortable. Joint stiffness can also increase as cartilage damage progresses, further limiting comfortable foot movement.

A podiatrist can evaluate how rheumatoid arthritis is affecting the feet and ankles by examining areas of tenderness, joint flexibility, and changes in foot shape. Imaging may also be needed to assess the bones or surrounding soft tissues. Treatment for foot symptoms depends on the location of pain and the amount of joint damage. Professional options include custom orthotics or other supportive devices to decrease pressure and improve comfort. If rheumatoid arthritis is causing persistent foot or ankle pain that affects your mobility, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment 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 Gary J. Kaiserman, DPM of Achilles Footcare Center. 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 offices located in Forest Lane and West Kiest Boulevard Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Falls are sudden events that cause a person to lose balance and land on the floor or another surface. Foot and ankle problems can make falling more likely, especially when pain changes how someone walks. Osteoarthritis of the feet and ankles is one possible contributor. This condition develops when cartilage within a joint breaks down. Symptoms may include joint pain, stiffness, and tenderness. Joint stiffness may also make steps feel less secure.

Several risk factors can increase the chance of falling. Previous falls, poor balance, and vision problems can affect stability. Osteoarthritis may add another concern because joint damage can make the feet and ankles less flexible. Pain may cause shorter steps or uneven weight distribution. Stiff joints can also make it harder to adjust quickly on uneven surfaces. Weak footwear support, cluttered walkways, and poor lighting can further increase fall risk. Other risks include unsuitable shoes and hazards.

Preventing falls starts with addressing problems that affect safe movement. A podiatrist can examine the feet and ankles, review walking patterns, and order imaging tests when joint damage needs evaluation. Treatment may include wearing supportive footwear, custom orthotics, or recommendations for activity changes. A podiatrist may also review current medications and suggest discussing possible side effects with the prescribing provider. At home, removing loose rugs, improving lighting, and clearing clutter may help to prevent falling.

If a fall causes foot or ankle pain, swelling, or difficulty bearing weight, prompt evaluation is important. A podiatrist can determine whether the injury involves a sprain, fracture, or another condition. Treatment may include protection, immobilization, or medication guidance. Preventive care can reduce future risks. If you have foot or ankle pain from falling, it is suggested that you consult a podiatrist for an accurate diagnosis, appropriate treatment, and additional guidance on fall prevention tips.

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 Gary J. Kaiserman, DPM from Achilles Footcare Center. Our doctor 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 Forest Lane and West Kiest Boulevard Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toe pain can make everyday activities difficult, especially when shoes rub the area or walking becomes uncomfortable. Causes include a bunion, tailor’s bunion, and hammertoe. A bunion is a deformity that develops when the big toe angles toward the smaller toes and the base of the joint pushes outward. A tailor’s bunion develops near the base of the little toe, creating a bump along the outside of the foot. A hammertoe occurs when a smaller toe develops an abnormal bend. These conditions have different symptoms and treatment needs.

Bunion symptoms may include a bump, swelling, and pain surrounding the big toe joint. A tailor’s bunion can cause tenderness, swelling, and difficulty finding comfortable shoes. Hammertoe symptoms often include a curled toe, pressure-related pain, and rubbing against footwear. Risk factors include family history, foot structure, and joint problems. Causes may involve inherited alignment issues, repeated pressure, and muscle imbalance. Arthritis is another possible factor. Toe pain can worsen when the problem is not addressed.

A podiatrist begins treatment with an examination of your feet, gait, and medical history. X-rays may help evaluate bone alignment and joint changes. Treatment depends on the condition and severity. Conservative care may include wearing wider shoes, orthotics, or activity changes. A podiatrist may recommend exercises to improve strength and flexibility. If pain remains severe or the deformity progresses, surgery may be considered. Follow-up visits help monitor healing.

You do not have to ignore toe pain or assume uncomfortable shoes are the only problem. Early evaluation can identify whether a bunion, hammertoe, or another condition is causing symptoms. Proper treatment can reduce pressure, improve comfort, and support walking. If you have toe pain, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Gary J. Kaiserman, DPM of Achilles Footcare Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our offices located in Forest Lane and West Kiest Boulevard Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The arch of the foot helps absorb shock, support body weight, and keep the body balanced. Pain in this area can make standing or walking uncomfortable. It can develop suddenly after an injury or begin gradually from repeated strain. The pain can feel sharp, aching, or burning. It may stay in the arch or spread toward the heel and ankle. Some patients notice worse pain with their first steps in the morning. Others feel it after long periods of standing, running, or other weight-bearing activity.

Plantar fasciitis is a frequent cause of arch pain. It affects the strong band of tissue that runs from the heel to the toes and supports the arch. Other causes include flat feet, high arches, and a strained tendon. A tendon is a firm cord that connects muscle to bone. Pain can also result from a stress fracture, which is a small crack in a bone caused by repeated pressure. Sudden increases in activity and shoes that lack proper support can raise the risk. Swelling, tenderness, or changes in foot shape can help point to the underlying problem.

A podiatrist can examine the foot, review when the pain began, and check how the patient stands and walks. The evaluation can also include tests of strength, movement, and balance. It may also reveal areas receiving too much pressure. X-rays or other imaging tests can help identify a fracture or damage to soft tissue. Treatment depends on the cause and severity of the pain. A podiatrist can provide custom orthotics to improve support and reduce strain. Care can also include bracing or a walking boot. Severe problems that do not improve with conservative care may require surgery. Early diagnosis can prevent the condition from worsening and help patients return to comfortable movement. If you have pain in the arch of your foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

If you have any concerns about your feet, contact Gary J. Kaiserman, DPM from Achilles Footcare Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Forest Lane and West Kiest Boulevard Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.