February 2022
When Rheumatoid Arthritis Affects the Ankles
The synovial membrane is the protective tissue that surrounds joints such as the ankle. Rheumatoid arthritis is an auto-immune disease in which the body attacks this tissue causing it to become swollen and filled with fluid. Over time, this fluid can break the ankle joint down, causing it to become misaligned, deformed, and stiff. Other symptoms include ankle pain, fatigue, and fever. If the inflammation of rheumatoid arthritis goes unchecked, it may affect other parts of the body and lead to other diseases. While genetics can make you more predisposed to infections that may bring on rheumatoid arthritis, smoking, old age, and obesity may also increase your risks of contracting this disease. If you have pain in your ankles due to rheumatoid arthritis, a podiatrist may treat you with medications, physical therapy, orthotics, steroid injections or, in worst case scenarios, surgery to increase stability, reduce pain, and restore mobility in the ankles.
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 and ankle needs.
How to Get Your Baby Started on the Right Foot
Having healthy feet is a lifelong journey, and developing a foot care program for your child can start at birth. One way babies develop muscle strength is by kicking and wiggling their feet and legs. So it’s a good idea to avoid constricting bed covers and footwear. It is thought that going barefoot helps the child’s feet develop properly. If your baby wears socks or one-piece outfits with feet, be sure to check them frequently to make sure they are not too tight around the toes. It’s also important to keep the baby's feet clean and dry daily. Here are a few things to look for as your child gets older: turning the foot in or out, not walking independently by around 18 months, frequent tripping and falling, still walking on toes by age 3, skin rashes, bumps, or other foot problems. It is a good idea to start early with a visit to a podiatrist who can examine your child’s feet and deal with any problems that may arise as he or she grows.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
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 and ankle needs.
Do You Suffer From Painful Feet?
Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!
Sinus Tarsi Syndrome
Sinus tarsi syndrome (STS) is a condition that causes pain along the outside of the foot, underneath the ankle. STS is thought to be caused by an unstable subtalar foot joint, brought about by recurrent ankle sprains and trauma. It is particularly common in athletes who play sports that require a lot of jumping, such as basketball or volleyball. In addition to pain on the outside of the foot, people with STS may also experience swelling, tenderness, and a feeling of instability in the subtalar joint. A podiatrist can diagnose STS through taking your medical history and completing a thorough physical examination. Imaging studies, such as an X-ray, ultrasound, or MRI, may be needed to confirm the diagnosis and see the extent of the injury. If you are suffering from foot or ankle pain, don’t hesitate to schedule an appointment with a podiatrist near you.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle 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.
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 tendinitis
- Achilles tendon rupture
- Stress fractures
- 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 office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Causes and Treatment Options for Plantar Fasciitis
Pain under the heel, especially if you are a jogger or runner, may be a sign that you have plantar fasciitis. This condition affects the plantar fascia, a band of tissue that runs from the heel to the ball of your foot. It is more common with older people, especially women, but can also be the result of repetitive stress, which causes inflammation. This results in pain that may feel worse if you stand a lot or put pressure on your heel. Being overweight also contributes to the discomfort. One thing you can do is cease the activities that are likely causing or aggravating the condition. Taking anti-inflammatory medication may help to dull the pain. Several stretches can help reduce or alleviate the symptoms. For severe cases, it is suggested that you see a podiatrist who can prescribe custom orthotics, administer injections to the affected area, and offer other solutions, such as ultrasound therapy or even surgery.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
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 and ankle needs.