Helping Someone You Love With Arthritis
While it can be difficult to watch someone you care about suffer with rheumatoid arthritis, there are some things you can do that may help them deal with their illness and possibly even reduce pain in their feet and ankles. Try to reduce the swelling in your loved one’s joints with progressive relaxation—a technique where the muscles are tensed and then relaxed, working up from the feet. Their pain from swollen joints can also sometimes be eased by icing them with an ice pack or even a bag of frozen peas which conform to the joint’s shape. Help your loved one choose the right foods to maintain a healthy body weight to reduce the amount of pressure put on the joints of the feet, hips, and knees. You can also schedule an appointment for your loved one with a podiatrist for an exam, and to discuss if doing certain physical activities like tai chi, yoga, aqua therapy, or walking may help to strengthen their muscles and reduce their pain.
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 Donald Manger, DPM of Associated Podiatric Physicians, PA. 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 Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Turf Toe Severities
Turf toe is one of the most common foot injuries among athletes and refers to a sprain of the first metatarsophalangeal (MTP) joint located just below the big toe. When this joint is injured, it also often damages the surrounding ligaments, causing pain when you try to walk, jog, run, or jump. Turf toe can be classified based on how severe the injury is. A mild injury involves minor stretching of one or more ligaments in the MTP joint and is associated with tenderness, discomfort, and mild swelling. A moderate injury involves partial tearing of the ligament or joint capsule and causes pain, swelling, and difficulty walking. A severe injury involves a complete rupture of the ligaments or joint capsule and pain may be severe and make walking impossible. If you have any foot or ankle injuries, please seek the care of a podiatrist.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
- Plantar Fasciitis
- Plantar Fasciosis
- Achilles Tendinitis
- Achilles Tendon Rupture
- Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Heel Pain Can Be Treated!
Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.
Why Ankles Are so Important to Mobility
The ankle is a joint that connects the leg to the foot using a series of bones including the fibula, tibia, and the tarsal bones of the foot. The ankle is an integral part of a complex system that continually keeps our bodies balanced when we stand, and aids in our overall mobility. The foot needs the ankle in order to move up and down (dorsiflexion and plantarflexion), side-to-side (inversion and eversion), and to rotate either inward or outward (medially and laterally). Because of how active the ankle is in everyday movements as well as athletic activities, ankle injuries are quite common. Additionally, as we age, ankle mobility declines and makes us more prone to falling and other accidents. If you are experiencing any type of issue with your ankle, contact a podiatrist who can examine you and perform a variety of tests to detect any underlying cause of ankle pain, weakness, or mobility deterioration.
Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:
- Broken bones
- Muscle strains
- Injuries to the tendons and ligaments
- Stress fractures
Symptoms
Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:
- Bruising
- Inflammation/ Swelling
- Pain
Diagnosis
To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.
Treatment
Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What Does the Acronym PAD Stand For?
Peripheral Artery Disease (PAD) is a restriction of blood flow to the muscles and organs due to the build-up of plaque on artery walls. PAD starves muscles and organs of the oxygen and nutrients they need to function properly—especially during physical activities. This lack of oxygen-rich blood to the extremities can make it difficult to walk and can also cause pain in the feet and legs. This pain from PAD can go undetected in people who also suffer from diabetes and neuropathy, possibly leading to foot sores which—when caused by severe blood flow reduction—can increase the risk of amputation. Individuals who are afflicted with PAD and/or diabetes should be under the care of a podiatrist who can help to manage these conditions and improve overall health.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
- Claudication (leg pain from walking)
- Numbness in legs
- Decrease in growth of leg hair and toenails
- Paleness of the skin
- Erectile dysfunction
- Sores and wounds on legs and feet that won’t heal
- Coldness in one leg
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout Can Produce Extreme Pain
The most common form of inflammatory arthritis is referred to as gout. It is a condition that affects approximately four percent of Americans, and can be caused by genetic factors and eating habits. Common symptoms of this foot condition can include extreme tenderness, debilitating pain in the joints of the big toe, possibly causing difficulty in walking, and the toe may appear to be swollen. Some of the foods that can cause gout to develop include shellfish, red meat, and drinks that are made with large amounts of sugar. The pain comes from excess uric acid caused by elevated purine amounts that form in the joints, and can produce sensations that can feel like crystals in the feet. Mild relief may be found when lifestyle changes occur that include reducing the amount of food that is eaten with high purine levels. If you have frequent gout attacks, it is strongly advised that you are under the care of a podiatrist who can help you with proper treatment and prevention options.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Why Does My Ankle Feel Weak?
Repeated ankle sprains that have not healed nor been properly rehabilitated can cause chronic ankle instability—a condition where the ankle becomes weakened, uncomfortable, swollen, unstable, and is prone to roll outward. While this occurrence typically happens during activities or walking, it can also happen just by standing. A podiatrist can determine the proper treatment of a chronically unstable ankle depending upon what an examination reveals and the level of activity of the patient. Treatments may include exercises to strengthen muscles, increase range of motion and improve balance, as well as bracing, medication, and even surgery if the patient does not respond to non-surgical methods.
Ankle sprains are common but need immediate attention. If you need your feet checked, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
- Mild to moderate bruising
- Limited mobility
- Swelling
- Discoloration of the skin (depending on severity)
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How Plantar Warts Spread
Plantar Warts, and warts in general, are caused by the Human Papilloma Virus (HPV). Plantar warts occur when the virus enters the skin through tiny cracks or weak spots in the skin on the soles of the feet and forms thick, flat warts—sometimes forming clusters. Plantar warts are painful and can make you feel like you are walking on pebbles. Although it is possible for plantar warts to go away on their own, they are hardy and may take years to disappear, if at all. If your plantar warts are causing you pain, discomfort, or embarrassment, contact a podiatrist. There are a variety of therapies and procedures they can use to get rid of plantar warts, including topical treatment, cryotherapy, and laser therapy. For a proper diagnosis please speak with a podiatrist.
Plantar warts can be very uncomfortable. If you need your feet checked, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assist you with all of your foot and ankle needs.
About Plantar Warts
Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.
While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.
Symptoms
- Lesions on the bottom of your feet, usually rough and grainy
- Hard or thick callused spots
- Wart seeds, which are small clotted blood vessels that look like little black spots
- Pain, discomfort, or tenderness of your feet when walking or standing
Treatment
- Freezing
- Electric tool removal
- Laser Treatment
- Topical Creams (prescription only)
- Over-the-counter medications
To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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 Does my Heel Hurt?
Heel pain can affect and hinder everyday life, and it can come from many different sources. The leading cause of heel pain is plantar fasciitis. This occurs when the plantar fascia, the band of tissue connecting the heels to the toes, becomes inflamed. Achilles tendonitis, which occurs when the Achilles tendon becomes inflamed, can also lead to heel pain. Other causes of heel pain can include arthritis, a stress fracture, bursitis, or the wearing down of the fat pad under the heel. Because of the variety of issues that can result in heel pain, patients who are suffering should seek the help of a podiatrist to find the source of their heel pain and relief.
Many people suffer from bouts of heel pain. For more information, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
More...
Causes and Symptoms of Cuboid Syndrome
The cuboid bone is located on the outer side of your foot with a joint and ligaments nearby. These ligaments can tear or become otherwise damaged due to either an ankle sprain or other injury, or from the repetitive strain of certain sports and other activities. These conditions are known as cuboid syndrome, or cuboid subluxation. Cuboid syndrome can also develop in people with flat feet, or when a bone within the joint becomes slightly dislocated. Symptoms of cuboid syndrome usually present themselves on the lateral side of your foot where the ligaments are located, and can include swelling, tenderness, and redness. Additionally, you may experience diminishment in mobility of your ankle and even weakness in the toes nearest to the damaged ligament. While conditions such as arthritis and osteoporosis make you more prone to develop cuboid syndrome, you can reduce your risk by maintaining a healthy body weight, stretching before exercise, and wearing shoes that fit and offer adequate support. If you believe you are experiencing cuboid syndrome or have any pain in your foot, make an appointment with a podiatrist right away for proper diagnosis and treatment.
Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.
Causes
The most common causes of cuboid syndrome include:
- Injury – The most common cause of this ailment is an ankle sprain.
- Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
- Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.
Symptoms
A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.
Diagnosis
Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Exercising the Feet Can Be Fast and Easy
Stretching and exercising your feet is an often overlooked step in health and fitness routines. However, keeping the feet strong and flexible is important, as this can help prevent foot and ankle pain, improve your foot health, and keep you active. Though it may seem like an added burden to have to take time to stretch your feet, it can actually be quick, easy, and fun to incorporate foot exercises into your daily routine. One simple exercise that you can do to strengthen the muscles on the top of your feet and toes is towel scrunches. Set a towel down on the floor, then sit in a chair with your feet directly on top of the towel. Using only your toes, scrunch up the towel, pulling it toward you. Do this five times with each foot. For more information about exercising your feet, please consult with a podiatrist.
Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Stretching the Feet
Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.
- Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
- Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
- Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
- Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.
It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Tips for Finding the Right Shoes
As our bodies age, our feet can take quite a bit of wear and tear. Because of this, making sure your shoes fit properly is very important, and there are a variety of tips that can help make sure your shoes fit correctly. It is very important to always have your feet measured before buying shoes, and since our feet are largest in the afternoon, that is when measuring the feet is recommended. Since many people have one foot that is bigger than the other, make sure the shoe fits the larger foot the most comfortably. When trying on shoes, there should be approximately 3/8ths to half an inch of room between the longest toe and the end of the shoe while standing up. Shoes should not feel too tight when trying them on, and the heel should not be slipping while walking. Lastly, don’t be afraid to walk around in the shoes to make sure they have the right fit. If you would like more information on making sure your shoes fit properly, please consult with a podiatrist.
It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will treat your foot and ankle needs.
Proper Shoe Fitting
Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.
Tips for Proper Shoe Fitting
- Select a shoe that is shaped like your foot
- Don’t buy shoes that fit too tight, expecting them to stretch to fit
- Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
- Walk in the shoes to make sure they fit and feel right
- Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot
The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar Warts Can Be Treated!
Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!
