The Effects of Psoriatic Arthritis on the Feet

The Effects of Psoriatic Arthritis on the Feet

Psoriatic arthritis or PsA is an inflammatory arthritis that can affect people with psoriasis. Psoriasis is a condition that causes red patches of skin with silvery scales on the body. PsA causes pain, swelling, and tenderness in the joints and can affect one’s toes, toenails, soles, heels, and ankles. A common symptom of PsA is swelling of one or more toes. This is known as dactylitis and gives the toe a sausage-like appearance. In fact, swelling of various parts of the foot is common with PsA and can be accompanied by color changes and extreme tenderness. A heel ailment, called enthesitis, can also affect those with PsA. This is characterized by inflammation at the point where tendons and ligaments connect with the bone and can impact the Achilles tendon and the soles of the feet among PsA sufferers. Nail problems can also occur among people with PsA, especially those who have nail psoriasis. The nails may appear pitted, with ridges, flaking, and discoloration, and there may be a lifting up of the nail. This might happen because of inflammation and cellular disruption caused by PsA. The goal of treating PsA-related foot problems is to reduce pain and prevent permanent damage to bones. If you have PsA and are suffering with foot pain, you might see a podiatrist who can help you in developing a plan of treatment towards living a more comfortable life.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions, please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Diabetic Foot Care

Diabetic Foot Care

Diabetes can cause two problems that can potentially affect the feet: Diabetic neuropathy and Peripheral Vascular Disease. Diabetic neuropathy occurs when nerves in your legs and feet become damaged, which prevents you from feeling heat, cold, or pain. The problem with diabetic neuropathy is that a cut or sore on the foot may go unnoticed and the cut may eventually become infected. This condition is also a main cause of foot ulcers. Additionally, Peripheral vascular disease also affects blood flow in the body. Poor blood flow will cause sores and cuts to take longer to heal. Infections that don’t heal do to poor blood flow can potentially cause ulcers or gangrene.

There are certain foot problems that are more commonly found in people with diabetes such as Athlete’s foot, calluses, corns, blisters, bunions, foot ulcers, ingrown toenails, and plantar warts. These conditions can lead to infection and serious complications such as amputation. Fortunately, proper foot care can help prevent these foot problems before they progress into more serious complications.       

Each day you should wash your feet in warm water with a mild soap. When you finish washing your feet, dry them carefully especially between your toes. You should also perform daily foot inspections to ensure you don’t have any redness, blisters, or calluses. Furthermore, if you are diabetic, you should always wear closed-toed shoes or slippers to protect your feet. Practicing these tips will help ensure that your feet are kept healthy and away from infection.

If you have diabetes, contact your podiatrist if you have any of the following symptoms on your feet: changes in skin color, corns or calluses, open sores that are slow to heal, unusual and persistent odor, or changes in skin temperature. Your podiatrist will do a thorough examination of your feet to help treat these problematic conditions.

Walking Barefoot Is Not Suggested for Diabetic Patients

Walking Barefoot Is Not Suggested for Diabetic Patients

An elevated blood sugar level in the body may lead to a condition known as diabetes. It can damage the nerves in the feet and it can be difficult to feel existing cuts, bruises, or scrapes. An infected cut on the bottom of the foot could evolve into a foot ulcer, and the foot may have to be amputated if it is not promptly treated. It is important to perform proper diabetic foot care and this is done by using a mirror to check the bottom of the feet. Additionally, when the feet are washed and dried thoroughly, they will generally feel better. This can be followed by trimming the toenails straight across instead of curved. Many diabetic patients understand the importance of refraining from walking barefoot and this is an added measure in protecting the feet. Shoes are to be worn with socks that are well-padded and both need to be comfortable and fit properly. It is beneficial to purchase shoes at the end of the day when the feet are at their largest. Patients who have diabetes are suggested to be under the care of a podiatrist who can help them properly treat and manage their foot care issues.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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See Your Foot Specialist Regularly If You Work On Your Feet

See Your Foot Specialist Regularly If You Work On Your Feet

Do you work on your feet all day and find your feet in pain? Don't go to work in pain each day. Your foot pain can be treated, and we can help.

Geriatrics and Podiatry

Geriatrics and Podiatry

Bone density loss, dry skin, poor circulation, and rough and brittle nails are some of the common problems that can occur as people age. The effect that these problems has on foot health should be of particular concern in comprehensive geriatric care.

Feet that are diseased or injured have a negative effect on overall health and safety. Painful feet limit a person’s willingness and ability to stay active. Poor foot health can also cause gait change, which can lead to falls and accidents. Even though recovery time from health problems naturally slows as we age, many foot problems can be avoided altogether with regular prophylactic care.

Feet should be thoroughly washed in warm water daily. Care must be taken to dry the feet well, making sure to dry between and under the toes. Any left-over moisture can cause problems like foot fungus. After cleaning feet carefully check for problems such as cracked skin, bruises, swelling, cuts, corns, or other irregularities.

Examine toenails for ingrown, jagged, or split nails. Long toenails should be cut straight across. Never cut toenails at an angle or down the side as this may lead to ingrown nails.

Cracked and dry feet should be treated once or twice a day with a non-greasy moisturizer. Rub the moisturizer into the skin and allow it to dry before putting on socks and shoes. Sweaty feet can be dusted with a small amount of talcum powder. Avoid putting talcum directly into shoes as this may make feet slip within the shoe and cause a serious fall.

Wear clean dry socks each day. Not only do clean socks feel better on the feet, but socks worn for longer periods may harbor disease and odor-causing bacteria. Socks should not be tight around the top as they can leave marks on the leg. Socks that are too small can bring about bruising caused by pressure against the toes.

Wear comfortable and well-fitting shoes. If possible, consult a professional footwear specialist when purchasing shoes. Do not walk around barefoot as this exposes the feet to possible injury and bacteria.

Good foot health allows a more active lifestyle, which improves blood flow. Good circulation aids in recovery from injury or illness. It is also important for maintaining overall health.

Serious health problems can manifest themselves as symptoms in the feet. The elderly should seek professional help from a podiatrist if experiencing foot problems like tingling, numbness, pain, infection, or a sore that does not heal. Taking care of these problems right away can prevent the development of severe cases.

Caring for Elderly Feet

Caring for Elderly Feet

As people age and the skin loses its thickness and elasticity, it can become harder to take care of their feet. Because it gets harder to bend and inspect elderly feet, caregivers often assume the role of elderly foot care. This can be a daunting task if the one cared for is embarrassed that they cannot do this for themselves and resist help. The key things to look for regarding an older person’s feet are signs of infection, such as discolored nails, blisters, cracked skin, or bleeding sores and wounds. Clean and dry the feet thoroughly each day. Toenails should be kept at a short length to avoid breaking, snagging on clothing, or scratching the skin. Look for ingrown toenails or hangnails, moisturize the feet, and make sure the elderly person wears shoes that fit properly. Footwear should also provide adequate cushioning and support for the feet, and fasten securely. Socks should not be too tight. If circulation is an issue for an older person a warm foot bath might be employed to help with blood flow and relieve tired, achy feet. If infections or problems with an older person’s feet are noted, a quick response and contacting a podiatrist can prevent a foot health crisis. A podiatrist can properly diagnose, treat, and provide prevention tips on caring for elderly feet.

If you need your feet checked, contact one of our podiatrists of Carolina Foot & Ankle Specialists. Our doctors will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

If you have any questions, please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Bunions

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.

A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.

Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.

For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.

Bunion Surgery May Be Necessary

Bunion Surgery May Be Necessary

Bunions may be prevented from developing. A bunion is defined as a bony protrusion on the side of the big toe and can gradually occur from wearing shoes that do not fit correctly. In severe cases, the bunion can cause the other toes to overlap, and this may cause difficulty in walking and completing daily activities. Some of the suggested ways to prevent bunions from developing can include wearing shoes that have adequate room for the toes to move freely as well as avoiding high heels. It can be beneficial to frequently rest the feet as this can provide the opportunity to stretch the toes. If the bunion is painful, it may feel better to wear a protective pad on top of it which may aid in reducing the pressure against the shoe. When a bunion is severe, surgery may be a necessary option for permanent relief. If you notice the beginning stages of a developing bunion, it is suggested that you contact a podiatrist who can offer the correct treatment options. 

If you are suffering from bunions, contact one of our podiatrists of Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Foot and Ankle Fractures

Foot and Ankle Fractures

When the foot or ankle experiences trauma, a fracture may occur.  Causes of foot and ankle fractures can vary; in some cases, an obvious impact to the foot or a fall can be behind a fracture.  Alternatively, fractures can also occur because of increased stress on the bone over time.  The location of the fracture can often give your podiatrist information on how the fracture occurred.

Pain, especially when bearing weight, is a telltale sign of a fracture.  Limping due to this pain is a further sign of a foot or ankle fracture.  Other symptoms include inflammation, bruising, deformity, and tenderness.  A deformity may occur due to a shift in bone alignment or a joint dislocation near the fracture.  While pain is a significant symptom of breakage, a patient who has nerve damage or who has diabetes may not feel this pain.  In this instance, your podiatrist will look for additional signs to determine whether a fracture has occurred.

If you are experiencing severe pain, cannot walk without limping, have an open wound near the suspected break, or have numbness or tingling in the toes, you should see your podiatrist.

Facts About Foot and Ankle Fractures

Facts About Foot and Ankle Fractures

A fracture, which is a break or crack in a bone, can vary greatly in type and level of severity. Symptoms of fractures include redness, swelling, pain, and difficulty/inability to bear weight. If you believe you have sustained a foot or ankle fracture, please seek medical help immediately. Among the types of fractures are displaced bone, stress fracture, pathological fracture, or compound or open fracture. A displaced bone fracture occurs when the broken ends of a bone move away from each other. Conversely, with a stress fracture the bone cracks but stays intact. A pathological fracture may be the result of a disease or condition that weakens the bone. Among the causes are cancer and osteoporosis. A fracture can occur simply as a result of ordinary daily activities, absent any extreme force or trauma. A compound fracture creates an open wound when the bone is pushed through the skin as the result of trauma. These are extremely serious fractures and it is suggested you get immediate attention as soon as possible. A podiatrist can examine, diagnose and treat it properly. 

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 one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors 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 offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot and Ankle Fractures