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April 2019

Monday, 29 April 2019 00:00

Rheumatoid Arthritis and the Feet

A large percentage of patients who have rheumatoid arthritis notice evidence of this condition in the feet. Some of the symptoms affecting these patients can include soreness, joint instability, and pain which often accompanies the foot as it changes shape. The smaller joints in the foot are typically affected more often than the ankle joint. Daily activities can be difficult to accomplish, and this is often a result of painful foot function. Additional conditions people with rheumatoid arthritis may experience can be poor circulation which causes the feet to have a tingling or numbing sensation. Vasculitis occurs if the blood vessels become inflamed, and may be associated with rheumatoid arthritis. If you have this painful condition, it is suggested that you schedule a consultation with a podiatrist who can properly diagnosis and treat this ailment.

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 Chukwuma Ukata, DPM of Advanced Carolina Foot and Ankle 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 office located in Garner, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 23 April 2019 00:00

Is Hammertoe Surgery Effective?

The condition that is known as hammertoe is considered to be a deformity of the middle toes. It can cause severe pain and discomfort, and wearing certain shoes may be difficult to accomplish. It is typically caused by a muscle imbalance, which results in pressure being exerted on the tendons in the toes. One of the reasons hammertoe develops can come from wearing shoes that do not fit properly. These include high heels, which push the front of the foot down, and rests against the shoe. It is common for the muscles to weaken, and this causes the toes to curl. This condition is effectively treated with surgery, which involves permanent straightening of the toes. If you have developed hammertoe, it is advised to seek the counsel of a podiatrist to discuss different types of hammertoe surgery.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Chukwuma Ukata, DPM from Advanced Carolina Foot and Ankle Center. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our office located in Garner, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What Are Hammertoes?
Monday, 15 April 2019 00:00

Symptoms of Morton’s Neuroma

The place on the foot where pain from Morton’s neuroma is typically felt is the bottom of the third and fourth toes. This condition can develop as a result of a swollen nerve in the ball of the foot. Some of the symptoms that patients may experience can include numbness or a tingling sensation, a burning pain, or a feeling that something is inside the bottom of the foot. There are, however, some methods that can be implemented which may help in finding mild relief. These may include performing exercises to aid in strengthening and stretching the foot, in addition to massage therapy. Patients may also find comfort in resting the foot, or wearing shoes that have adequate room for the toes to move freely. If you have any kind of pain in your foot, it is suggested that you speak to a podiatrist who can properly diagnose and treat the cause.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Chukwuma Ukata, DPM of Advanced Carolina Foot and Ankle Center. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Read more about What is Morton's Neuroma?

Arthritis in the feet may cause pain and discomfort, and having surgery performed may be an option for relief. Broken bones may occur as a result of bones that are weak, and surgery may be necessary to reposition the bone so the healing process can take place. A procedure that is referred to as arthroscopic debridement may aid in removing inflamed tissue on the affected joints. Additionally, some patients may benefit from joint fusion. This consists of removing a portion of the bone where it connects to the joint, and replacing it with pins. This may alleviate pain and provide additional support for maintaining strong bones. If you are experiencing pain or arthritis in your foot, it is suggested that you consult with a podiatrist who can recommend the type of foot surgery that is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Chukwuma Ukata, DPM of Advanced Carolina Foot and Ankle Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Read more about Foot and Ankle Surgery
Monday, 01 April 2019 00:00

The Location of the Sesamoid Bones

The sesamoid bones are located at the bottom of the big toe. The purpose of the sesamoid bones is to protect the tendons in that area of the foot, in addition to increasing mobility of the tendons. If these bones should become irritated and inflamed, a condition that is known as sesamoiditis may develop. Common causes of this ailment may include overuse of the tendons which may occur while participating  in sporting activities, or from a sudden injury. There are typical symptoms that may be associated with sesamoiditis, and these may include pain that is felt in the toes while walking, and discomfort may be present when the big toe is pulled up. Wearing proper footwear may help to relieve pressure on the sesamoid bones, in addition to adding custom made orthotics to your shoes. If you feel you have this condition, it is advised that you schedule a consultation with a podiatrist so the correct treatment can begin.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Chukwuma Ukata, DPM of Advanced Carolina Foot and Ankle Center. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

Read more about Sesamoiditis
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