How Rheumatoid Arthritis Affects the Feet and Ankles

Rheumatoid arthritis, or RA, is an autoimmune condition that often impacts the feet and ankles, leading to joint inflammation and structural changes over time. This chronic inflammation can make walking difficult and painful, especially during flare-ups. Movements that require side to side motion or walking on uneven surfaces may become challenging due to stiffness and instability. As the condition progresses, the arch of the foot can collapse, causing the foot to flatten and altering the way weight is distributed. This change can lead to further discomfort and imbalance. Bunions, which are bony bumps that form on the joint at the base of the big toe, are also common in individuals with rheumatoid arthritis. If you have symptoms of RA in your feet and ankles, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this uncomfortable condition.

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 doctors of New England Foot & Ankle . 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 Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Understanding and Treating Ingrown Toenails

Ingrown toenails are a common source of discomfort, especially in younger males who often wear tight shoes or play sports that stress the toes. This condition occurs when the edge of the toenail curves and grows into the surrounding skin, causing pain, redness, and sometimes infection. Early treatment often includes soaking the foot, using antiseptics, and gently lifting the nail edge to reduce pressure. When conservative methods do not help, minor in-office procedures can remove part of the nail and prevent it from growing inward again. Surgery is usually quick, with minimal recovery time. Proper nail trimming and wearing well-fitting shoes can reduce the risk of recurrence. If your toe becomes swollen, tender, or shows signs of infection, it is suggested that you see a podiatrist for appropriate treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Caring for an Injured Ankle

Ankle injuries, including sprains, strains, and fractures, are common and can range from mild to severe. Treatment depends on the type and extent of the injury. For minor sprains, rest, compression, and elevation can be effective. Supportive bracing and gentle stretching may follow once swelling decreases. More serious injuries may require immobilization in a boot or cast, especially if ligaments are torn or bones are fractured. Specific stretches can help to restore strength, balance, and range of motion. In rare cases, surgery may be needed to repair severe ligament damage or unstable fractures. Prompt attention and a clear treatment plan support better recovery and help prevent chronic instability or future injury. If you have ankle pain, swelling, or difficulty bearing weight after an injury, it is suggested you see a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our doctors from New England Foot & Ankle . Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Why Custom Orthotics Might Be Right for You

Shoe orthotics are not just for athletes or people with foot pain, they can benefit anyone whose feet are not functioning at their best. Custom orthotics are specially designed to support your unique foot structure, helping to correct alignment, absorb shock, and improve balance. You might need them if you suffer from chronic heel pain, arch problems, flat feet, or conditions like plantar fasciitis or arthritis. Even knee, hip, or back pain can sometimes be traced back to poor foot mechanics. Unlike over-the-counter inserts, custom orthotics are made from molds of your feet, so they address your specific needs. They can fit in many types of shoes and help reduce fatigue during everyday activities. If your feet ache or you feel unsteady on your feet, it is suggested that you see a podiatrist who can assess your gait and recommend whether orthotics could improve your comfort and long-term foot health.

If you are having discomfort in your feet and would like to try orthotics, contact one of our doctors from New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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