Rheumatoid arthritis (RA) is an autoimmune disease in which the body’s own immune system attacks and destroys otherwise healthy cells in the lining of the joints. There are several groups of joints in the lower limbs that are frequently affected by RA. The interphalangeal joints, which are located between the bones that make up the toes, and the metatarsophalangeal joints, which connect your toe bones to the rest of your foot, can become stiff, swollen, and inflamed. Hammertoes or claw toes may develop over time, keeping the toes bent at uncomfortable angles. The subtalar joint, located between the heel bone and the bone that connects your foot to your leg, and the ankle joints, can also become stiff, restricting the range of motion in your feet and ankles. If you have RA, it is suggested that you seek the ongoing care of a podiatrist.

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 Mark Isenberg, DPM of Center for Podiatric Excellence. 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 Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

When uric acid builds up in the joints, usually the big toe, it forms a very painful type of arthritis known as gout. This happens when there is too much uric acid in the blood, and the acid forms crystals around the joints causing them to be stiff, irritated and painful. The main key to preventing gout is a healthy lifestyle, which includes maintaining a healthy weight, getting enough vitamin C, and avoiding foods that are high in purines. Patients who are struggling with pain in their big toe and believe it is due to gout would be wise to consult with a podiatrist. The doctor will assist in managing the condition, as well as provide options for pain relief.   

Gout is a painful condition that can be treated. If you are seeking treatment, contact Mark Isenberg, DPM from Center for Podiatric Excellence. 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 Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pain in the top of the foot can be caused from a variety of conditions, one of them being extensor tendinitis. Tendons are fibrous tissues that connect muscles to bone. Extensor tendons are located on the top of the feet. They connect bones in the toes to muscles on the front portion of the leg which work together to help raise your toes and flex your feet. These tendons can become inflamed and irritated from wearing tight, small, or non-supportive shoes, or from overuse. This condition, known as extensor tendonitis, can cause pain and swelling in the top of the feet that may worsen after activity. If you are experiencing this type of foot pain, it is a good idea to contact a podiatrist. After the examination, if it’s determined that you have extensor tendonitis, your doctor may prescribe a course of treatment that includes rest, anti-inflammatory medication, splinting, physical therapy, or even steroid injections.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Mark Isenberg, DPM from Center for Podiatric Excellence. 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 Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Many people experience the sensation of “pins and needles” in their feet when they cross their legs for too long. Generally, it recedes once the blood flows to the affected area. However, when the occurrence of this sensation becomes more frequent, it can affect your ability to walk or stand safely. This condition, known as paresthesia, may be experienced as tingling, itching and burning, aching pain, or numbness. The cause is likely to be peripheral artery disease (PAD), which is a buildup of plaque in your arteries. The result is poor circulation due to the reduced flow of blood to the feet. Other contributing factors include having diabetes, being overweight, overindulgence in alcohol, and possible vitamin deficiency. Some actions that might help are eating healthy foods, avoiding alcoholic beverages, and taking short walks daily. If you have noticed an increase in the frequency of a pins-and-needles sensation in your feet, it is a good idea to make an appointment with a podiatrist as soon as possible for a complete examination and suggested treatment plan.

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 Mark Isenberg, DPM from Center for Podiatric Excellence. 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 Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.