Rheumatoid arthritis (RA) is an autoimmune disease in which the body’s immune system attacks the otherwise healthy cells that make up the linings of joints. Because each foot contains 33 joints, the feet, as well as the ankles, are often affected. RA can make other foot and ankle conditions more likely to occur. One such condition is tarsal tunnel syndrome, in which the posterior tibial nerve is compressed or damaged, causing burning pain, numbness, and tingling in the affected foot. Tarsal tunnel syndrome is frequently seen in people with RA. If you have RA, it is suggested that you be under the care of a podiatrist who can monitor the health of your feet and treat any problems as they arise.

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 North Bay Ankle & Foot Center. 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 our offices located in Petaluma and Sonoma, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pronation, a natural part of walking and running, specifically involves how you place the heel on the ground and the subsequent transfer of weight to the rest of your foot. People with normal pronation have a normal arch and the weight is transferred in line. People with flat feet generally overpronate, causing the arch to roll inward. With underpronation, the foot rolls outward as the weight is distributed. Many foot problems are associated with over- or under-pronation. Among them are bunions, arch pain, plantar fasciitis, Achilles tendonitis, calluses and corns, ankle sprains and hammertoe. You may have pronation problems if your heels or knees turn inward while standing, if you develop bunions or flat feet, or if you wear out the soles and heels of your shoes quickly. Obesity, pregnancy or repetitive pounding of the feet on a hard surface contribute to the problem, along with wearing high heels and standing for long periods in them. One solution for pronation problems is wearing custom orthotics to help distribute the weight properly. A visit to your podiatrist is suggested to have a full diagnosis of your gait and consequent foot problems, and to be fitted for the appropriate shoe inserts. 

If you have any concerns about your feet, contact one of our podiatrists from North Bay Ankle & Foot Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

While excessive sweating, also known as hyperhidrosis, can affect any part of the body, it often occurs in the feet. While many of us have dealt with sweaty feet from time to time, some can find it to be a constant problem that is both uncomfortable and embarrassing and has an effect on everyday life. This is because the feet have the most dense area of sweat glands than any other part of the body. Overly sweaty feet are normally a result of genetics or changing hormone levels that cause the sweat glands to be overactive. Dealing with overly sweaty feet starts with proper foot hygiene. Some ways that can help include regularly washing the feet, using an absorbent foot powder, and rotating which shoes are worn each day. If you find that you continue to struggle with overly sweaty feet, consulting with a podiatrist for a proper treatment and management method is a good idea. 

If you are suffering from hyperhidrosis contact one of our podiatrists of North Bay Ankle & Foot Center. Our doctors can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

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

Ankle impingement occurs when either soft tissue or bone fragments get compressed, or trapped, if you bend your ankle. This impingement is usually a result of an acute injury, or prolonged stress from repetitive activities. Ankle impingement can either be anterior (affecting the front part of the ankle) or posterior (affecting the back part of the ankle). Anterior ankle impingement usually causes pain on the front/outside of the ankle when the ankle is bent upward (dorsiflexion). Posterior ankle impingement can produce pain in the back of the heel when the ankle is pointed downward (plantarflexion). Ankle impingement is often diagnosed in athletes who play soccer and football, as well as in dancers, gymnasts, and runners. If you have this type of ankle pain, a podiatrist can help you restore ankle stability with certain strengthening exercises, while treating pain and inflammation with rest, icing, anti-inflammatory medication, steroid injections, or even surgery in some cases.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from North Bay Ankle & Foot Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

A DFU, or diabetic foot ulcer, is an unfortunately frequent complication of diabetes. Caused by a combination of high blood glucose levels, poor circulation, nerve damage, and immune insufficiency, DFUs are dangerous wounds that can form on the feet. These wounds typically heal slowly and poorly, and so they often require medical care. It is suggested that you call your podiatrist if you have a DFU and notice any new pain, drainage, discoloration, swelling, foul odor, or dead tissue at the site of the ulcer. You also may wish to seek medical treatment if the DFU increases in size or depth, or if it doesn’t heal. Some treatments that may help at the doctor’s office include debridement to remove dead tissue, medicated bandages, off-loading using orthotics, and surgery. If you have diabetes, it is suggested that you be under the regular care of a podiatrist. 

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from North Bay Ankle & Foot Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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