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How Rheumatoid Arthritis Affects the Feet

Tuesday, 08 September 2026

Rheumatoid arthritis, or RA, is a disease in which the immune system attacks joint tissue. For some people, pain and swelling in the feet are the first signs of RA. In other patients, foot symptoms appear months or years later, or never develop. Rheumatoid arthritis usually affects the small toe joints and where the toes meet the forefoot. It can also affect the joint below the ankle. Early signs include soreness, warmth, and swelling. A sudden period of stronger symptoms is called a flare.

As RA damages joints, pain and swelling can make standing and walking difficult. Joint damage can also cause instability or changes in foot shape. Pressure from these changes can lead to corns, calluses, or open sores. Firm lumps called nodules can develop near the Achilles tendon, heel, or other bony areas. Some patients notice numbness, tingling, or poor temperature awareness because nerves may be affected. Others develop circulation problems that cause cramping while walking or color changes in the toes. New swelling, shape changes, or skin wounds require prompt medical attention.

A podiatrist can examine the feet, identify affected joints, and check the skin. The examination can assess nerve function and blood flow. Treatment focuses on easing pressure, supporting painful joints, and improving foot function. A podiatrist can recommend supportive shoes and prescribe custom orthotics. These specially made shoe inserts can improve balance and reduce stress beneath sore areas. The podiatrist can also safely care for corns and calluses, treat skin wounds, and monitor changes linked to RA. When joint damage is severe, the podiatrist can discuss whether surgery could improve comfort or movement. Regular foot evaluations can help detect concerns before they become harder to manage. If you have foot pain related to rheumatoid arthritis, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

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 John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. 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 Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Causes and Treatment of Peeling Skin Between the Toes

Tuesday, 01 September 2026

Peeling skin between the toes is more than a cosmetic concern. It can be a sign that the skin has become irritated, damaged, or infected. The affected area may look white, flaky, cracked, or soft from excess moisture. Redness, itching, or an unpleasant odor are other symptoms. Several problems can lead to peeling skin, including fungal infections, trapped moisture, and eczema, which causes dry, inflamed skin. A podiatrist can examine the affected area, determine the cause, and recommend treatment that targets the problem instead of simply covering up the symptoms.

A fungal infection is one of the most frequent reasons for peeling skin between the toes. Fungus grows well in warm, damp places, making the spaces between the toes especially vulnerable. Shoes that do not allow enough air circulation can create an environment where moisture stays trapped. Wearing tight-fitting shoes can also increase rubbing and irritation. Some skin conditions produce peeling that looks similar to a fungal infection, making a professional evaluation important. A podiatrist can identify the source of the peeling through a careful examination and testing. Treatment is based on the diagnosis and focuses on restoring healthy skin while reducing discomfort and preventing the problem from returning.

Ignoring peeling skin between the toes can allow the skin to crack. This makes it easier for bacteria to enter and cause an infection. Patients with diabetes or poor circulation face a greater risk of serious complications because their damaged skin heals more slowly. A podiatrist can provide an accurate diagnosis, remove damaged skin when appropriate, and recommend treatment that protects the surrounding tissue. Regular follow-up visits also allow the healing process to be monitored and adjusted as needed. Healthy skin between the toes supports comfort, balance, and everyday movement. If you notice peeling skin between the toes, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and appropriate treatment.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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

Are You Suffering From Ingrown Toenails?

Sunday, 30 August 2026

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!

Shoe Time for Babies and Toddlers

Tuesday, 25 August 2026

The journey of a child's first steps is a monumental milestone, prompting many parents to wonder when the right time is for those tiny feet to don their first pair of shoes. In the initial stages of crawling and early walking, experts suggest that barefoot is best. This allows little feet to develop naturally, promoting balance and strength. As a child begins to take more confident steps and explores different surfaces, introducing soft-soled shoes provides protection without impeding the foot's natural growth. Typically, at approximately one year of age, when walking becomes steadier, it is an appropriate time to consider the introduction of shoes. Opting for shoes with a proper fit, flexible soles, and breathable materials is vital to support the natural development of the feet. If you have concerns about a more definite time to purchase the first shoes for your child, it is suggested that you consult a podiatrist.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

Make sure their shoes fit properly
Look for any signs of in-toeing or out-toeing
Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
Cut toenails straight across to avoid ingrown toenails
Keep your child’s foot clean and dry
Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

Common Causes of Outer Side Foot Pain

Tuesday, 18 August 2026

Pain on the outer side of the foot, also known as lateral foot pain, can affect walking, balance, and daily comfort. This type of pain may develop suddenly due to injury, or gradually from overuse and underlying conditions. The outer foot supports weight during movement, making it vulnerable to strain and stress. Several conditions can lead to discomfort in this area, including ankle sprains, bunionettes, and Achilles tendinitis. Understanding the source of pain is important for proper care and recovery.

Symptoms of lateral foot pain vary depending on the cause. An ankle sprain often results in swelling, bruising, and tenderness along the outer ankle, especially after a twist or fall. Arthritis can cause stiffness, aching, and reduced joint flexibility, which may worsen with activity. A bunionette, also called a tailor’s bunion, appears as a bony bump near the base of the small toe and can lead to redness, irritation, and pressure from shoes. Achilles tendinitis may cause pain near the back of the heel that can extend along the outer foot, along with stiffness and discomfort during movement.

The causes of pain on the outer side of the foot often involve repetitive stress, injury, or structural issues. Ankle sprains occur when ligaments are stretched or torn, usually from sudden movement. Arthritis develops over time due to joint wear or inflammation. Bunionettes may develop from foot structure or wearing tight footwear that places pressure on the outer foot. Additionally, Achilles tendinitis is typically caused by overuse, especially in activities that involve running or jumping. Each condition affects the foot differently but can lead to ongoing discomfort if not addressed.

Risk factors for lateral foot pain include wearing improper footwear, high impact activities, and a history of previous injuries. If you have pain on the outer side of your foot, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

Bunions
Hammertoes
Plantar Fasciitis
Bone Spurs
Corns
Tarsal Tunnel Syndrome
Ingrown Toenails
Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
Flat Feet
Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

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