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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.
Recognizing and Treating Plantar Warts

Viral infections caused by the human papillomavirus (HPV) that enter the skin of the feet through cuts or breaks can lead to the development of a plantar wart. These are thickened, rough growths of a lighter color than skin that are typically flat, and may have a ridged pattern. They usually develop in high pressure areas, such as the heel and ball of the foot. A small, clotted blood vessel can sometimes be visible, looking like a dark dot in the center of the wart. Sometimes plantar warts grow individually, or they may form in clusters, called mosaics. Because plantar warts grow on the bottom of the feet, they can be painful as the weight of the body bears down on them while standing or walking. Plantar warts are highly contagious, with the HPV spreading through direct contact with another person’s skin, or by sharing personal hygiene items, footwear, or towels that are infected with the virus. Plantar warts are hearty, making them difficult to treat, and have a high rate of recurrence if not completely eradicated. Therefore, plantar warts usually require professional care from a podiatrist who can use a variety of effective treatments to quickly and permanently treat them.
Plantar warts can be very uncomfortable. If you need your feet checked, contact our podiatrists from CNY Foot Surgery & Podiatry Care. Our doctors will assist you with all of your foot and ankle needs.
About Plantar Warts
Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.
While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.
Symptoms
- Lesions on the bottom of your feet, usually rough and grainy
- Hard or thick callused spots
- Wart seeds, which are small clotted blood vessels that look like little black spots
- Pain, discomfort, or tenderness of your feet when walking or standing
Treatment
- Freezing
- Electric tool removal
- Laser Treatment
- Topical Creams (prescription only)
- Over-the-counter medications
To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.
If you have any questions please feel free to contact our office located in East Syracuse, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
An Ankle Sprain Can Happen to Anyone

Many people who participate in sports activities experience ankle sprains, although this type of injury is not limited to this particular group of people. Patients from all walks of life that range from being physically fit to having limited exercise experience can incur an ankle sprain. Research has shown the ankle is a common joint that can be injured, and it is often the result of twisting the ankle beyond its normal range of motion. This can happen from stepping off of a curb unexpectedly, or from walking or running on uneven surfaces. Additionally, it can occur from landing improperly on the foot after jumping, or from having endured a fall. An ankle sprain is divided into three classes, consisting of a grade one, two, or three ankle sprain. A mild sprain can be categorized into the grade one class, and there is generally no disability that accompanies this type of sprain. A grade two sprain can cause pain and discomfort, and there may be a slight tear of one or more of the ligaments. The approximate time for a full recovery is six weeks or less. A severe ankle sprain can fall into the grade three class, and often involves a complete tear. This type of sprain can take up to three months to completely heal. If you have endured an ankle sprain, please consult with a podiatrist who can categorize the sprain, and offer correct treatment options.
Ankle sprains are common but need immediate attention. If you need your feet checked, contact our podiatrists from CNY Foot Surgery & Podiatry Care. Our doctors can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
- Mild to moderate bruising
- Limited mobility
- Swelling
- Discoloration of the skin (depending on severity)
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
If you have any questions please feel free to contact our office located in East Syracuse, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Working On Your Feet While Pregnant

Many individuals throughout the American workforce spend a significant amount of the workday on their feet. For example, cooks, construction workers, and hairstylists spend most of their time on the clock standing on their feet. There are a few things to be mindful of, however, for pregnant women who hold jobs that require them to stand all day. Standing for prolonged periods while pregnant can not only be dangerous, but it can also be difficult or painful. It is recommended that pregnant women stand for no more than four or five hours while taking frequent breaks throughout the workday. Since pregnant women’s feet are prone to swelling, it is more important to listen to your body and give your feet the rest that they need. As the pregnancy progresses, a woman might notice standing becomes increasingly difficult throughout the workday. Pregnant women might choose to lie down during breaks as well as stay hydrated and elevate their feet. Working on one’s feet is certainly nothing to take lightly, particularly if you are pregnant or are planning to be. Consult with a podiatrist for the best advice on maintaining the health of your feet.
While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact our podiatrists from CNY Foot Surgery & Podiatry Care. Our doctors will treat your foot and ankle needs.
Working on Your Feet
Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.
Positive Changes
Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.
Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.
Eliminate Pain
Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.
Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.
With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.
If you have any questions please feel free to contact our office located in East Syracuse, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Working on Your Feet
Foot care is important regardless of your profession, but those who work on their feet must pay special attention. Bunions, calluses, blisters, and plantar warts are just a few of the many conditions that can arise after standing all day. While painful at their worst, these conditions can easily be avoided with the right foot care. This includes both appropriate footwear and proper posture—important elements that affect the health of your feet.
Choosing appropriate footwear means choosing a shoe that has a negative heel. This means that the heel is slightly lower than the ball of your foot, which places less of a strain. If you have a profession that requires you to be on your feet all day, investing in a pair of high-quality shoes is pertinent. High-quality shoes can be purchased from a respected manufacturer that emphasizes foot care and foot health.
Despite the regularity of wearing shoes, the feet are naturally not designed to be enclosed. Regular “barefoot” time for your feet can be beneficial for foot health. Among other methods, allowing your feet to breathe can help alleviate the pain and pressure your feet may be experiencing from being on your feet all day.
Simple foot exercises and yoga positions can help improve both the health and function of your feet. Active foot exercises that create movement will stimulate your foot’s blood flow and circulation, and yoga positions that place your feet flat onto the floor will stretch out their muscles. Yoga is particularly beneficial for your Achilles tendon and calf muscles, which are areas that can become especially problematic if not taken care of. Foot exercises and yoga positions can be easily performed every day at virtually any location and any time; whether it is at the office, at the gym, or at home right before you go to bed. Simple stretching can increase your foot health by miles.
The foot pain you experience after lengthy hours working on your feet may seem inevitable and unavoidable; in reality, however, that is not the case. Wearing proper footwear and performing simple foot exercises and stretches can help ease foot pain and allow you to truly avoid frustrating foot problems.
Your feet can easily be kept healthy with some education and a little effort. Pain that begins at the feet can eventually affect the whole body. Begin taking care of your feet now!
Tarsal Tunnel Syndrome Diagnosis

Some afflictions of the foot occur when a local nerve is damaged or strained, which can result in complications in the feet. Tarsal tunnel syndrome is one such foot affliction. This condition occurs in an individual when the tissue surrounding the tarsal tunnel aggravates the posterior tibial nerve. This nerve is located in the lower calf and runs to the heel of the foot. When this nerve aggravation occurs, the patient can feel pain when walking. By working with a podiatrist, a patient can receive a diagnosis of tarsal tunnel syndrome. There are different ways in which a podiatrist might go about making a diagnosis. In some cases, a podiatrist might conduct a simple examination of the affected foot. In other cases, the podiatrist might use nerve conduction studies. These studies essentially use electrical currents to measure the speed with which a nerve can produce impulses. If the posterior tibial nerve being studied produces impulses at a very slow rate, this can indicate the presence of tarsal tunnel syndrome. Regardless of how a diagnosis of tarsal tunnel syndrome is performed, it can be very helpful to reach out to a podiatrist who will be able to best help you identify and treat this condition.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact our podiatrists of CNY Foot Surgery & Podiatry Care. Our doctors can provide the care you need to keep you pain-free and on your feet.
Tarsal Tunnel Syndrome
Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.
Common Cause of Tarsal Tunnel Syndrome
- Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
- Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
- At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.
The Effects of Tarsal Tunnel Syndrome
- Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
- The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
- If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.
A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.
If you have any questions please feel free to contact our office located in East Syracuse, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Injuries Common to Dancers

Many people do not realize that dancers are athletes, too. Their feet, which are involved in nearly every movement, take a great deal of pounding from jumps, leaps, and running – sometimes while wearing toe shoes. In addition, because of the nature of dancing, the ankles as well as the feet and toes are always at risk of injury. One of the common injuries is known as a dancer’s fracture, which affects the 5th metatarsal, and is caused by landing on the side of the foot or twisting an ankle. Landing awkwardly from a jump or leap also can cause a sprained ankle. Bunions and other toe deformities are common to dancers, exacerbated by wearing shoes that can be up to two sizes smaller than their feet. Wearing toe shoes also may aggravate the big toe joint and aid in bunion formation. Stress fractures of the feet are often the result of repetitive movements that can cause the bones to weaken. Anyone who spends a lot of time dancing may wish to have an ongoing relationship with a podiatrist who can examine, diagnose, and treat injuries related to their activity.
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 our podiatrists from CNY Foot Surgery & Podiatry Care. 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 office located in East Syracuse, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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.
Preventing Blisters

Blisters are fluid-filled sacs usually caused by friction or heat. They are a common complaint of walkers and runners alike and can develop due to poorly fitting shoes, a change in footwear, or an increase in the duration of a workout. Blisters most often occur on the toes, heels, balls of the feet, or soles. Eliminating the source that originally caused the blister may aid in their prevention. The feet should be kept cool and dry, as well as thoroughly examined for spots that rub against socks or shoes. Shoes that are too loose or too tight can pinch and irritate the skin of the feet. It is important to give yourself time to break in a new pair of shoes before wearing them for long periods of time. Wear synthetic socks to prevent moisture build-up and watch for seams in socks that can rub against shoes. If a blister does develop do not pop it and cover it with a bandage. If a blister does not drain on its own or becomes infected, contact a podiatrist for treatment and additional ways to prevent them from recurring.
Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact our podiatrists of CNY Foot Surgery & Podiatry Care. Our doctors can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
Symptoms
(Blister symptoms may vary depending on what is causing them)
- Bubble of skin filled with fluid
- Redness
- Moderate to severe pain
- Itching
Prevention & Treatment
In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.
If you have any questions, please feel free to contact our office located in East Syracuse, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Prevention of Athlete’s Foot

Athlete’s foot is a common and contagious fungal infection of the skin. Common symptoms are dry, red, and cracked skin that generally develops on the bottom of the foot and in between the toes. It can spread to the toes and other areas of the foot if it is not promptly treated. This fungus can be uncomfortable and cause irritability and embarrassment. There are effective methods that can help to prevent athlete’s foot. These include wearing appropriate shoes while in public shower rooms or locker rooms and keeping your feet washed and thoroughly dried regularly. Additionally, it is advised to refrain from sharing shoes and socks. It is beneficial to wear shoes that are made of natural materials as this may help the feet to feel more comfortable. There are several treatment methods that respond well to athlete’s foot and it is suggested that you consult with a podiatrist who can determine which treatment options are best for you.
Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact our podiatrists from CNY Foot Surgery & Podiatry Care. Our doctors will treat your foot and ankle needs.
Athlete’s Foot: The Sole Story
Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.
Solutions to Combat Athlete’s Foot
- Hydrate your feet by using lotion
- Exfoliate
- Buff off nails
- Use of anti-fungal products
- Examine your feet and visit your doctor if any suspicious blisters or cuts develop
Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.
If you have any questions please feel free to contact our office located in East Syracuse, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.