Rheumatoid Arthritis and Foot Health

Rheumatoid arthritis is an autoimmune disease that causes the body's immune system to attack the lining of healthy joints. The feet are often affected early, making walking and other daily activities more difficult. Many people experience pain, swelling, and stiffness in the front of the foot or around the toes. As the condition progresses, the joints may become unstable. This can cause changes in foot shape and make it harder to wear comfortable shoes. Rheumatoid arthritis usually affects the same joints on both sides of the body. Without proper treatment, ongoing inflammation can damage bones, joints, and soft tissues, leading to long-term foot problems. Early diagnosis and professional care play an important role in protecting foot health and maintaining mobility.

 

A podiatrist is an important member of the healthcare team for people with rheumatoid arthritis. During an examination, the podiatrist evaluates joint movement, foot alignment, and areas of pain to see how the condition is affecting the feet. They may also identify deformities or changes that increase pressure when walking. Treatment is based on a person's symptoms and the stage of the disease. It may include custom orthotics, supportive footwear recommendations, or other medical treatments that improve comfort and reduce stress on the joints. Regular podiatry visits also allow changes in the feet to be monitored so treatment can be adjusted as needed.

 

Professional rheumatoid arthritis foot care can help improve mobility and reduce the impact of joint damage over time. Early treatment may slow the progression of foot problems and help people remain active for longer. A podiatrist works closely with other healthcare providers to support overall treatment while addressing pain and changes that affect the feet. Seeking care early may also help reduce the risk of balance problems and difficulty walking. If rheumatoid arthritis is causing foot pain or swelling, it is suggested that you consult a podiatrist for an evaluation.

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 Shalonda Davidson, DPM of Instride Carolina Foot Care. 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 Statesville, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Bunion Basics and Foot Changes

A bunion is a bony bump that forms at the base of the big toe when the joint shifts out of alignment. It often appears as the toe leans toward the second toe, while the joint becomes prominent and swollen. This condition can develop due to inherited foot structure, flat feet, or joint instability. Wearing tight or narrow shoes may worsen the problem, especially in people who already have risk factors. Common symptoms include pain, redness, stiffness, and difficulty wearing certain shoes. As the bunion progresses, walking may become uncomfortable, and balance can be affected. A podiatrist can assess the severity and order X-rays and other imaging if needed. Treatment options include custom orthotics or surgical correction to restore alignment and reduce pain. If you have developed a bunion, it is suggested that you are under the care of a podiatrist who can help you to manage this type of foot deformity.

If you are suffering from bunions, contact Shalonda Davidson, DPM of Instride Carolina Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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

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Pesky Ingrown Toenails

Ingrown toenails, which account for about 20 percent of all foot issues, develop when the edge of a toenail grows into the surrounding skin. The affected toe may look red, swollen, and tender. In some cases, pus or an infection may develop. An ingrown toenail may feel painful or sore, especially when wearing shoes or applying pressure. Common causes include improper nail trimming, wearing tight or ill-fitting footwear, injury to the toe, or hereditary nail shape. A podiatrist can begin by examining the nail and surrounding tissue, assessing the severity of the ingrown nail, and checking for infection. Treatment may include safe removal of the ingrown portion, guidance on proper nail care, and infection management, if needed. Recommendations for protective footwear or orthotics to reduce pressure may be provided. In chronic or severe cases, minor surgery may be performed to prevent recurrence. Because early professional care reduces pain and prevents complications, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Shalonda Davidson, DPM of Instride Carolina Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

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Understanding Pronation and Supination in the Feet

Pronation and supination describe how the feet move while walking. Pronation occurs when the foot rolls slightly inward after the heel touches the ground. This movement helps absorb shock and spread body weight more evenly. With supination, the foot rolls outward and places more pressure on the outer edge of the foot. A small amount of both movements is normal, but too much can lead to pain and balance problems. Excessive pronation can place stress on the arches, heels, and ankles. Too much supination is more common in people with high arches and can reduce the foot’s ability to absorb impact. Signs of gait problems include uneven shoe wear, foot fatigue, and pain in the ankles or heels. A podiatrist can examine how your feet move while walking and recommend supportive shoes, custom orthotics, or other treatment options. If you have gait problems that are causing pain, it is suggested that you make an appointment with a podiatrist. 

If you have any concerns about your feet, contact Shalonda Davidson, DPM from Instride Carolina Foot Care. 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 office located in Statesville, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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