Rheumatoid arthritis is a common condition of the musculoskeletal system with symptoms that can be triggered by certain foods. While Rheumatoid arthritis has no current cure and is a major cause for disability those aged 55 years plus, controlling your diet can help control the condition. Foods with high levels of sugar or salt have been known to cause inflammation. The proteins casein and whey in dairy products are also a major cause of inflammation in the joints. Processed foods and meats that contain high levels of fat and calories have chemicals that induce swelling for RA sufferers. Coffee and alcoholic beverages increase levels of inflammation when consumed excessively.
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. Lori S. Weisenfeld of New York. 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.
- Swelling and pain in the feet
- Stiffness in the feet
- Pain on the ball or sole of feet
- Joint shift and deformation
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 New York, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Rheumatoid Arthritis in the Feet
In a recent study conducted in the Boston area, correlations between obesity, foot pain, and foot disorders were investigated. The sample size of the study was 2445 men and women with an average age of 68. In men, severe obesity, defined as having a body mass index (BMI) of 35 kg/m^2 or more, was found to be associated with foot pain. For women, both moderate (30-34.99) and severe obesity were associated with foot pain. The general conclusion of the study was that regardless of foot posture and dynamic foot function, as one’s BMI increased the likelihood of foot pain increased as well.
Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Dr. Lori S. Weisenfeld from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
Obesity and your Feet
Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.
Problems & Complications
Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.
Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.
Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot.
If you have any questions please feel free to contact our office located in New York, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about How Obesity Affects Your Feet
Corey Kispert, a senior at King’s High and a soon to be freshman at Gonzaga, suffered a broken metatarsal. He had been feeling pain in his right foot since a basketball tournament around Christmas and after doctors had told him it was just a stress fracture, continued to play. However, during the next game, in the middle of a layup, Kispert “felt a pop” in both of his feet. X-rays showed an old fracture in his left foot and a broken metatarsal in his right. Surgery was performed on the broken metatarsal and Kispert is expected to be able to start his college basketball career on time.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions please feel free to contact our office located in New York, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Foot Surgery
The Los Angeles Galaxy is going to be starting the Major League Soccer season in rough shape. Forward Gyasi Zardes and right back Robbie Rogers are still nursing injuries and their season starts on March 4th. Zardes broke a bone in his foot last August and then sustained another injury during training camp in the run up to this season. Rogers has been battling ankle injuries for the last couple of years, with the most recent one last summer. He underwent arthroscopic ankle surgery and is still recovering from the procedure. It looks like The Galaxy and their fans are going to be missing these two important players.
Foot therapy is often necessary for those recovering from either foot deformities or foot injuries. If you have concerns regarding therapy, Dr. Lori S. Weisenfeld of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
Most Common Injuries
People who are active or athletes are prone to a variety of injuries. Therefore, it is often important to take part in physical therapy in order to quickly get back on the right track.
What To Do When Injured
Physical Therapy – This specialized treatment will focus on the affected area, speeding up recovery and the overall healing process. It is a proven method that has helped millions of people return from any injury.
During physical therapy you will undergo regimented training to get back into full form. Training is often very difficult, especially at first when the foot feels weak. Physical therapy often involves:
Basic stretching and twisting exercises – getting the feet’s mobility and flexibility up.
Massaging – the therapist will massage the injured area in order to activate the muscles and relax them.
Strengthening Exercises – this allows the muscles in the affected area to regain their full strength, a vital step towards full recovery.
If you have any questions please feel free to contact our office located in New York, NY. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.Read more about Foot Therapy for Sports Injuries
If you have a burning sensation in your feet, you may have any number of conditions. The feeling of burning in the feet can be either minor or severe, generally affect people over 50, and occur most frequently during the night. Nerve damage from diabetes, vitamin deficiency or alcoholism, obesity, strain on the feet, overheated feet, eczema or dermatitis, blood disorders, or any impairment of the feet’s nerves can all lead to the burning sensation. Seeing your podiatrist is vital to understanding any underlying causes. As always, make sure you are wearing properly fitting shoes as well.
When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly. If you have any concerns about your feet and ankles contact Dr. Lori S. Weisenfeld from New York. Our doctor will assist you with all of your podiatric needs.
Systemic Diseases of the Feet
Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.
Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.
Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.
Diabetes of the Feet
Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.
Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet.
Athletes who play on hard surfaces, such as basketball players or tennis players, typically participate in sports that often give their feet a harsh workout. Fast and rough movements can contribute to foot and ankle injuries such as plantar fasciitis, ankle sprains, stress fractures, bone spurs, and Achilles tendon issues. Many of these injuries can be prevented by proper stretching, wearing proper footgear appropriate for the sport, and wearing orthotics as needed. For younger athletes, heel pain should be monitored. The heel growth plate is especially vulnerable to injury for growing children. If pain persists, activity should be stopped immediately.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Lori S. Weisenfeld of New York. 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.
Children’s soccer has become an increasingly popular sport in the United States, making children more prone to foot and ankle injuries. The American Academy of Pediatrics states that injuries can occur when players collide and even when running, twisting or landing. Boys are more likely to incur ankle injuries especially when turning or stopping. Since children are constantly growing, some may experience irritation on the growth plate of the heel resulting in heel pain. Anti-inflammatories, ice, and stretching can help reduce this pain. However, consulting a healthcare professional is always the best bet when injuries occur. Participating in conditioning exercises, wearing proper cleats, teaching proper techniques, and maintaining field conditions can assist in preventing injury.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Lori S. Weisenfeld of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care.
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet
Allow the baby to stretch and kick his or her feet to feel comfortable
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet
Show them proper hygiene to prevent infections such as fungus
Be watchful of any pain or injury
Have all injuries checked by a doctor as soon as possible
Comfortable, protective shoes should always be worn, especially at play
Looking at a person’s feet can help determine how healthy their overall body is. Some important factors to look for include: sudden or chronic pain in the feet, skin discoloration which can indicate a more serious problem, and numbness or peripheral neuropathy which is typically associated with diabetes. Other symptoms of potential health problems are: swelling or edema which can be caused by insufficient veins or lymphatic ducts, cold feet which is most commonly associated with arterial disease, itchy feet which is associated with fungal infections, and changes in your foot structure, such as flatfoot. Overall, any noticeable changes should be looked at by your podiatrist, as our feet are the bedrock of our bodies.
Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Dr. Lori S. Weisenfeld from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
Everyday Foot Care
Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.
It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.
Flat foot is a condition that commonly affects young children, caused by a collapse in the medial longitudinal arch of the foot and sagging of the heel valgus. In most cases, the condition resolves itself as the child grows older; the arch typically forms between the third and fifth years of life. Diagnosis of the condition involves the careful examination of the child’s foot, ankle, and joints. The child may be asked to dangle their feet in the air or stand on their tiptoes. Treatment often revolves around monitoring the condition for possible progression, as the condition can correct itself as previously mentioned.
What are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact one of our office located in New York, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Flat Feet
If you are experiencing moderate to severe pain in your heel or foot, you may have Plantar Fasciitis. Plantar Fasciitis is an inflammatory condition that affects the heel of the foot, causing in some cases, very extreme pain. There are many causes for this, one being overstretching of the plantar fascia ligament, which runs from the heel to the ball of the foot. This ligament supports the arch and can be affected by both the feet below it, and the muscles above. If the calf muscles are too tight, this can pull on the ligament and cause inflammation. A similar thing happens if you have flat feet. The foot stretches the ligament from below. Other activities that can cause Plantar Fasciitis are standing for long periods of time, running while planting your heel instead of your toe, and constant stress on the plantar fascia ligament. Make sure to stretch your calves, take care that your footwear is not worn out, and seek podiatric treatment if your condition is painful.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Lori S. Weisenfeld from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
What is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
Among foot conditions, corns and calluses are often seen as some of the more harmless concerns. Regardless, if a corn or callus does become troublesome, there are methods available for removal. Because calluses are essentially small areas of thick, hardened skin, softening calluses can help aid in their removal. Soaking the feet in warm water and avoiding using harsh soaps while washing can help maintain softness of the skin. Hard areas can also be buffed away using a pumice stone. If you are suffering from corns and calluses and seek ways to remove them, consult with your podiatrist.
Corns: What are they? And how do you get rid of them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.
Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:
- Well-fitting socks
- Comfortable shoes that are not tight around your foot
- Shoes that offer support
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Salicylic acid can help in getting rid of these corns because it dissolves keratin, which is the protein that makes up a good majority of corns. Podiatrists recommend that people with diabetes not use salicylic acid but should consult with their podiatrist regarding the treatment of corns.
Arthritis and aching joints are one of the most prevalent complaints of people 55 years and over. Dr. Kendra Zuckerman of Main Line Health states, “arthritis technically means an inflammation of the joints.” Deborah Wolf, 76, shares her time between practicing law and playing tennis, and is not ready to slow down her rigorous schedule. However, after the development of arthritis in her knees, activity has become difficult. Dr. Zuckerman advises that exercise and weight-watching is important for arthritic patients, and that anti-inflammatory drugs can also help with the pain, too. Deborah works on knee strengthening and diet-planning to keep her pain at bay.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Lori S. Weisenfeld of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Neuropathy – can reduce feeling in the feet, and can hide many life threating medical conditions.
Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
Gouging toenails affecting nearby toe
Shoes that don’t fit properly
Loss of circulation in legs & feet
Edema & swelling of feet and ankles
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions, please feel free to contact our offices located in New York, NY. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
“If you want to know the state of your health, try looking down.” Poor circulation in a person’s feet can be caused by a variety of things, and it is vitally important not to ignore any hint that this may be happening to you. Symptoms to look out for include cold feet, numbness, pain, or swelling. Diabetes can lead to poor circulation in the extremities and if left untreated, can wreak havoc on your feet. But there are many other reasons for lack of blood flow, including neurological issues, Peripheral Artery Disease (PAD), and smoking, among others. Causes of these symptoms can become serious so it is imperative get to a podiatrist immediately to find out what is going on.
Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Lori S. Weisenfeld of New York. Our doctor will treat your foot and ankle needs.
Poor Circulation in the Feet
Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.
Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.
Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development.
It can also cause:
- muscle pain, stiffness, or weakness
- numbness or cramping in the legs
- skin discoloration
- slower nail & hair growth
- erectile dysfunction
Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD, and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.
As always see a doctor as they will help try and fit a regime that suits you. A doctor will also prescribe you medication which will help for PAD.
As winter approaches we all know how important it is to make sure to keep our skin from getting too dry. Just as we use balms and moisturizers for our face and hands, there are many ways to protect against dry and cracked feet and heels. Glycerin lotions are some of the best remedies for combatting dryness. Hydrogenated oils are also very effective moisturizers, and can be used not only on your feet, but your ankles and legs too. In addition, fruits like banana and pineapple have plentiful amounts of helpful enzymes to ensure smooth and crack-free feet and ankles.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Lori S. Weisenfeld of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked heels are unappealing, and make it harder for you walk around in sandals. Not only may they look bad, but they can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How do you get them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Over the counter medicines can help, especially for those that need instant relief, or who suffer from chronic dry feet.
Wear Socks – wearing socks with medicated creams, helps lock in moisture so it can stay on longer.
Moisturizers – applying it both day and night will help alleviate dryness which causes cracking.
Pumice Stones – these remove dead skin, and then you can massage cream onto your foot. This way the cream will be absorbed. The skin needs to be exfoliated; therefore the outer layer dead skin needs removal.
Change in Diet
Eating healthy, with a well-balanced diet, will give the skin a fresh and radiant look. Your body responds to what kinds of food you ingest. Omega-3 fatty acids and zinc supplements will also help with skin tissue.
Most importantly seek a health professional for foot care if something is wrong or doesn’t seem to be working. A podiatrist will help you with any questions or information needed.