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Monday, 26 November 2018 00:00

Rheumatoid Arthritis in the Feet

Rheumatoid Arthritis is a chronic progressive disease that attacks several joints throughout the body. It is an autoimmune disease in which the body’s immune system mistakenly attacks the joints. As a result, the tissue inside the joints, called synovium, starts to thicken and causes pain around the joints. The synovium is responsible for creating a fluid that lubricates the joints to help them move. Approximately 1.5 million people in the United States have Rheumatoid Arthritis. Women are almost three times as likely to have RA compared to men, and it’s disease usually begins between the ages of 30 and 60. People who have a genetic history of RA are more likely to develop the disease.

Symptoms of RA may include the following sensations in the joints: pain, tenderness, swelling, redness, warmth, stiffness, and loss of range. Swollen joints are a very common symptom for those with the disease. At times, it may be minimal, but it may also be very apparent. Another typical symptom is joint stiffness. Doctors will often use the direction of morning stiffness to measure the severity of a patient’s joint inflammation. Other RA symptoms include limping, anemia, fever, and fatigue.

To diagnose RA, your podiatrist will typically request x-rays to see how much damage there is in the joints. Blood tests may also be performed to show if there are any signs of anemia, or antibodies such as the rheumatoid factor. If you have previously been diagnosed with RA, you should know the disease may spread to your feet and ankles.

There are many non-surgical options that can be used to treat this ailment. Some of these options include physical therapy, foot massages, orthotics, bracing, supportive shoes, and steroid injections. Physical therapy is useful because it will help stretch and strengthen the joints in both the foot and ankle to improve joint function. Massages can help improve blood circulation which will be good for the feet. Choosing proper footwear will allow you to walk with comfortability if you are a sufferer from RA. Lastly, bracing will help stabilize the foot joints, limit deformities and decrease pain.

In severe cases, surgery may be a treatment option that should be considered. For those who cannot walk without experiencing pain and those whose deformities can not be managed with braces, surgery should be considered. Your podiatrist will recommend surgery if he or she believes it will improve your foot biomechanics.

If you are experiencing chronic pain, which may be caused by inflammation in your feet, you may have rheumatoid arthritis. This uncomfortable ailment is caused by an autoimmune condition and will typically affect the tissues in the feet, which may cause severe pain and swelling. When this condition develops in the feet, the joints in the ankle may become affected as a result of possible damage that the tissues and ligaments may endure. This may cause diminished support in the ankle bones and can cause difficulty in walking. If rheumatoid arthritis (RA) develops in the center of the foot, damage to the ligaments may cause the arch to gradually collapse, and desired relief may be felt by wearing shoe inserts. If you are experiencing this type of foot pain, it’s suggested to consult with a podiatrist, so the proper treatment techniques can begin.

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 one of our podiatrists of InStride Foot & Ankle Specialists. Our doctors 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 one of our offices located in Mt Airy, Clemmons, Winston-Salem, and King, NC. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 19 November 2018 00:00

The Definition of PRP Injections

A possibly effective treatment method known as PRP injections may be able to help chronic conditions that may include Achilles tendonitis. This may be a result of increased growth factors that are typically crucial to the healing process. They can be administered in one visit, or over a period of time, and this may depend on the severity of the condition. The procedure is performed after obtaining the patient’s blood, extracting the platelets, then injecting this portion of the blood into the affected area. There may be possible side effects from using this type of treatment, and these may include experiencing an increase of pain and inflammation at the site of the injection. If you feel you would like to use PRP injections as a possible treatment option, it’s advised to consult with a podiatrist to determine if this is correct for you.

If you are suffering from a foot condition, contact one of our podiatrists of InStride Foot & Ankle Specialists. Our doctors will assist you with all of your podiatric concerns.

What Is PRP?

Platelet Rich Plasma, or PRP, is blood taken from a patient and spun in a centrifuge, concentrating the amount of platelets. The plasma is then re-injected into the site of injury or damage, assisting the body in repairing damage to muscles, tendons, ligaments, and tissue. PRP helps the body speed up its healing process.

Uses of PRP

Injuries affecting the foot sometimes don’t heal properly because of poor blood circulation. The healing time slows down, and recovery time is affected by poor blood supply. PRP injections will speed up recovery and resolve this issue.

Treatment

PRP is the first regenerative treatment for damaged muscles, tendons, and ligaments. No surgery needed. It is only applied with an insertion of a needle.

Ultrasound – An ultrasound is needed for proper placement of the platelets.

Injection – When the first injection is received, the patient will return to the doctor in about 2 to 3 weeks and monitor the recovery process.

Recovery time – Some people respond to treatments differently. Therefore, depending on your condition, the doctor will make any remaining decisions on how many more injections are needed, or if any additional ones are even required.

Benefits

One may be able to avoid major surgery, and recovery time will be cut down. PRP injections also avoid creating scar tissue and damage to the area. Risks are also very low using PRP as a treatment. There is no risk of rejection, contracting a disease from using another person’s blood, or infection.

If you have any questions please feel free to contact one of our offices located in Mt Airy, Clemmons, Winston-Salem, and King, NC. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about PRP Injections In Your Feet
Monday, 19 November 2018 00:00

PRP Injections In Your Feet

Platelet rich plasma, or PRP, is blood taken from a patient and spun in a centrifuge, concentrating the amount of platelets and growth factors. This plasma, containing a very high concentration of platelets, is re-injected into the site of injury or damage, inducing the body to repair damage to muscle, tendons, ligaments, and soft tissue. Although the body does this naturally when an injury occurs, the PRP helps speed the healing process.

Many injuries to the foot, especially those affecting tendons, do not heal well because poor blood supply to the area prevents healing platelets and growth factors carried by the blood from getting to the injury site. Platelet rich plasma (PRP) injections can help fix this problem and speed recovery.

This is the first regenerative treatment ever for damaged muscles, tendons, and ligaments. It avoids the need for surgery, and as it requires only the insertion of a needle, is minimally invasive. The injection of PRP is done with the use of ultrasound to ensure the proper placement of the platelets.

Once the first injection is received, the patient will return to the doctor's approximately 2 to 3 weeks later to be checked on how well the treatment is moving along. As with most treatments, each patient's response is different. Based on a patient's condition, the doctor will make the decision about how many more injections will be needed. Acute and chronic injuries will typically require more injections than mild ones.

Common injuries of the feet such as ankle sprains, Achilles tendonitis, and plantar fasciitis, as well as acute and chronic tendon and joint diseases like arthritis, can all be treated with PRP injections. For many, this therapy has lead to greatly reduced pain and increased function of the foot. Combining exercise or physical therapy with the PRP injections will help increase the success of the treatment.

This treatment, being minimally invasive, means that surgery can be avoided, in many cases, and recovery time cut down. Other benefits of PRP injections are a decrease in scar tissue and fibrosis to the damaged area, as well as increased range of motion, flexibility, and strength. The risks from using PRP injections as a treatment is very low. As the patient is injected with his own blood, there is no risk of rejection or of getting a disease from using another person's blood. As with any injection into the body, there is a risk of infection, but this is very rare. Research is showing that PRP may have an anti-bacterial property that would further decrease the risk of infection.

Monday, 12 November 2018 00:00

How to Prevent Running Injuries

Overtraining and overusing the feet are the main causes of common running injuries. A number of these common injuries are caused by overrunning. Runner’s knee is a condition that is characterized by the back of the kneecap beginning to wear away and cause pain in the knee. This frequently occurs due to either a decrease in strength in the quadriceps muscles or ill-fitting shoes that are lacking in proper support for the inside of the forefoot. Strengthening exercises focusing on the quad muscle and sports orthotics are the usual treatments for those suffering from runner’s knee. Prevention of the condition lies in a focus on hip strengthening and quad-strengthening to keep the kneecap aligned. To help learn the best exercise to heal runner’s knee, one can also undergo physical therapy.

One common injury, called iliotibial band syndrome, is often caused by overtraining. This condition occurs when the iliotibial band gets irritated, creating pain and discomfort in the outside knee area. Plantar fasciitis, another common running injury, also occurs as a result of inflammation and irritation. Plantar fasciitis is an inflammation and irritation of the bone in the foot. A large amount of pain is often experienced due to plantar fasciitis. The condition can be caused by a high arch, improper footwear, tight muscles, or flat feet. It can best be avoided by stretching and wearing appropriate footwear that supports the foot.

Another common injury for runners is stress fractures. These injuries occur due to running style, overtraining, or a lack of calcium. Stress fractures most often occur in several locations in runners, including the inner bone of the leg, the thighbone, the bone at the base of the spine and the bones of the toes. Stress fractures are best prevented by wearing proper footwear and by running on flat and hard surfaces; this will absorb some of the shock created during running.

Aside from overtraining, other causes of common running injuries include ill-fitting footwear, a lack of flexibility and strength, and irregular biomechanics. The best way to avoid running injuries is to prevent them from even occurring. Both iliotibial band syndrome and stress fractures are preventable. The first step that should be taken to prevent running injuries is to only wear footwear that fits properly and that is appropriate for whatever activity you are doing. Running shoes are the only protective gear available to runners that can safeguard them from sustaining injuries. Choosing the right pair of shoes is therefore extremely important. While running shoes are an important factor, it is also important to consider other facets of your running routine such as training schedules, flexibility, and strengthening. These elements should be considered and altered according to your running needs to best maximize your run and minimize the possibility of injury. Careful stretching before and after a run should also be considered to help prevent running injuries. Stretching muscles enables greater flexibility and a lesser chance of sustaining injury.

Many runners realize the pain and disappointment that is experienced if an injury should occur, which may inhibit the joy and ease of this sport or hobby. Research has shown that most injuries happen when the runner trains too intensely. Additionally, proper stretching techniques and warm-ups are beneficial to perform before each run, and this will loosen the muscles in the feet to ensure safe running. It’s important to wear the correct shoes that have adequate cushioning for this sport, and it may be necessary to replace them approximately every four-hundred miles. There are surfaces that are easier to run on, and these may include dirt trails or grass, which may better absorb the shock than if running on concrete. If you enjoy running frequently, it’s suggested to speak with a podiatrist for advice on how to prevent injuries caused by running.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact one of our podiatrists of InStride Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

If you have any questions please feel free to contact one of our offices located in Mt Airy, Clemmons, Winston-Salem, and King, NC. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Prevent Running Injuries
Monday, 12 November 2018 00:00

Wounds that Don't Heal Need to be Checked

Your feet are covered a good part of the day. If you are diabetic, periodic screening is important for good health. Numbness is often another sign of diabetic foot and can mask a sore or wound.

Monday, 05 November 2018 00:00

Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place.  However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.

Many people who enjoy running may experience common foot conditions that may be associated with this sport. A portion of the foot that is commonly affected is the the plantar fascia. This is identified as the tissue that is located on the bottom of the foot and connects the heel bone to the toes. If this should become torn or injured, it will most likely produce severe pain and discomfort, and is referred to as plantar fasciitis. A condition known as metatarsalgia may be a result of intense running, and most often affects the middle toes. Patients have equated this discomfort to feeling like there are small stones in their shoes or on the soles of the feet. Additionally, an uncomfortable condition known as Morton’s neuroma may be mistaken with metatarsalgia, but will have additional symptoms that may include burning, tingling, or sharp pains in the toes and surrounding area. It is suggested to consult with a podiatrist if you are experiencing any of these ailments so proper treatment can begin.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from InStride Foot & Ankle Specialists. Our doctors 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 one of our offices located in Mt Airy, Clemmons, Winston-Salem, and King, NC. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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