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Tuesday, 21 May 2024 00:00

Rheumatoid arthritis, or RA, a chronic autoimmune disorder, can relentlessly target the feet, causing considerable discomfort and impairing mobility. In RA, the immune system mistakenly attacks healthy tissues, leading to inflammation in the joints, including those in the feet. The toe joints, ankle joints, and subtalar joints are often affected, resulting in pain, stiffness, swelling, and deformities like bunions and hammertoes. Managing RA in the feet requires a multifaceted approach. Medications such as nonsteroidal anti-inflammatory drugs, disease-modifying anti-rheumatic drugs, and biologic agents can alleviate symptoms and slow disease progression. Custom orthotics and supportive footwear aid in maintaining foot function and reducing discomfort. In severe cases where joint damage is significant and conservative treatments prove ineffective, surgery may be necessary to repair or replace damaged joints. If you are feeling the effects of RA in your feet, it is suggested that you consult a podiatrist for tailored management strategies and ways to improve overall foot health.

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 Dr. Janet Leicht of New Jersey. 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 Berkeley Heights, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 14 May 2024 00:00

Buschke-Ollendorff syndrome is a rare genetic disorder characterized by the presence of skin abnormalities, typically in the form of firm, non-tender, rubbery bumps called connective tissue nevi, and bone abnormalities, such as osteopoikilosis. These can occur on the feet. It is inherited in an autosomal dominant pattern, meaning one copy of the altered gene in each cell is sufficient to cause the disorder. While the skin lesions are usually asymptomatic, they can cause cosmetic concerns. Osteopoikilosis often goes unnoticed and does not typically cause symptoms. Diagnosis is usually made based on clinical examination and imaging studies, such as X-rays. Management of Buschke-Ollendorff syndrome involves monitoring for any potential complications and addressing cosmetic concerns. Podiatrists can help by providing supportive care and addressing any foot-related issues that may arise, such as discomfort or deformities associated with osteopoikilosis. If you develop skin abnormalities affecting the feet, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and care.

Some foot conditions may require additional professional care. If you have any concerns, contact Dr. Janet Leicht of New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our office located in Berkeley Heights, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

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Sunday, 12 May 2024 00:00

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 07 May 2024 00:00

The cuboid bone, a vital component of your foot's structure, often remains unnoticed until a problem arises. The cuboid bone is located on the outer side of the foot, just in front of the heel. It plays a significant role in mobility, aiding in pointing the foot downward and supporting lateral movement. An injury of this bone can lead to cuboid syndrome, which is a partial dislocation at the joint between the heel and the cuboid. Symptoms may include metatarsal pain, lateral ankle instability, hammertoes, or plantar fasciitis. If left untreated, these symptoms can escalate into more severe conditions, such as ankle arthritis or stress fractures. Treatment options involve padding and a manipulation technique to realign the bone. For cuboid fractures, patients may need to refrain from weight-bearing activities for a period of time, followed by a transition to a walking boot. Where conservative methods fail, surgical intervention may be used to stabilize the bone and restore its function, ensuring a quicker recovery. If you are experiencing symptoms of a lateral foot injury, it may involve the cuboid bone. It is suggested that you schedule an appointment with a podiatrist for a thorough exam and indicated treatment options.

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 Dr. Janet Leicht from New Jersey. 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 Berkeley Heights, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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