Items filtered by date: August 2024

Rheumatoid arthritis, or RA, is a chronic autoimmune disorder where the body's immune system mistakenly attacks the joints, leading to inflammation, pain, and swelling. RA commonly affects the feet, with more than 90 percent of those with the condition experiencing foot or ankle involvement. The disease can lead to joint deformities, reduced mobility, and significant discomfort in the feet, impacting a person’s ability to walk and perform daily activities. The burden of RA on the feet can be substantial, leading to difficulties in finding comfortable footwear, increased risk of foot ulcers, and a reduced quality of life. Treatment focuses on managing inflammation and pain, often through a combination of medications, targeted exercises, and lifestyle changes. Orthotic devices or specially designed shoes may be used to alleviate pressure on affected joints. Early diagnosis and treatment can slow the progression of RA and preserve foot function, helping patients maintain an active, pain-free life. If you suffer from the effects of rheumatoid arthritis on your feet or ankles, it is suggested that you are under the care of a podiatrist.

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 David Williams, DPM of El Paso Feet. 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.

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 office located in El Paso, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Laser therapy is emerging as a promising treatment for diabetic neuropathy, a condition caused by nerve damage that can lead to pain, tingling, and numbness, especially in the feet. Laser therapy involves using light to stimulate the damaged nerve cells, which promotes regeneration and potentially alleviates symptoms. Some studies have shown positive results, particularly with deep-tissue laser therapy. However, there remains debate over its overall effectiveness due to variations in research methods and laser types. Deep-tissue lasers, with their ability to penetrate further into the body, have been noted for their potential in reducing pain for diabetic neuropathy patients. However, more extensive research is needed to establish definitive guidelines for laser therapy's application in neuropathy. A podiatrist can evaluate individual cases and recommend the most suitable laser treatment options. They can also guide patients on the number of sessions required and discuss cost considerations, which can vary based on treatment specifics. If you have foot problems caused by diabetic neuropathy, it is suggested that you schedule an appointment with a podiatrist to find out if laser therapy is right for you.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with David Williams, DPM from El Paso Feet. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our office located in El Paso, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet, or pes planus, in children, is a condition where the arches of the feet do not develop properly, resulting in the entire sole touching the ground. Often, this condition is flexible, with the arch appearing while sitting or standing on tiptoe, but disappearing when standing flat. Causes include genetics, ligament laxity, or underlying conditions like cerebral palsy. Children with flat feet often experience overpronation, where the ankles roll inward excessively. Overpronation can be mild, moderate, or severe, based on the degree of inward roll. Many children experience no symptoms and often outgrow flat feet as their arches develop naturally, usually by age six. However, some may experience pain, fatigue, or difficulty with physical activities requiring intervention. Rarely, severe cases may require surgical treatment. If your child is experiencing discomfort from flat feet, it is suggested that you schedule an appointment with a podiatrist who can provide recommendations which may include wearing supportive footwear, orthotic inserts, or stretching exercises to strengthen foot muscles and improve posture.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact David Williams, DPM of El Paso Feet. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our office located in El Paso, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

When considering orthotics for special needs patients, like those with Fragile X syndrome and Down syndrome, individualized care is essential. These conditions often present unique challenges such as hyperflexibility, low muscle tone, and joint instability. Orthotics play a vital role in providing stability, correcting gait abnormalities, and supporting proper alignment. For individuals with Fragile X syndrome, orthotics can help manage hypermobility and enhance proprioception to improve balance and coordination. In Down syndrome, orthotics may address flat feet and pronation issues common due to low muscle tone. Custom orthotics tailored to each patient's specific needs can alleviate discomfort, enhance mobility, and promote independence. Collaborating closely with podiatrists ensures that orthotic interventions are appropriately designed and adjusted to meet the dynamic needs of special needs patients. If you are someone with special needs or have a special needs loved one, it is suggested that you consult a podiatrist who can determine the appropriate types of orthotics for consideration.

If you are experiencing discomfort in your feet and would like to try custom orthotics, contact David Williams, DPM from El Paso Feet. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Custom Orthotics?

Custom orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain. 

Over-the-Counter Inserts

Shoe inserts come in a wide variety and are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality, custom inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you're experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibility of using custom orthotics or shoe inserts. A podiatrist can determine which type of custom orthotic or shoe insert is right for you and help you take the first steps toward being pain-free.

If you have any questions please contact our office located in El Paso, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Hammertoe surgery is a procedure to correct a deformity where a toe bends downward abnormally. Before surgery, expect a thorough consultation with your podiatrist, including a physical examination and imaging tests to assess the extent of the deformity. The procedure is typically outpatient, meaning you can go home the same day. During surgery, you will receive local anesthesia to numb the area. The doctor may remove a small piece of bone or realign tendons and ligaments to straighten the toe. Post-surgery, your foot will be bandaged, and you may need to wear a special shoe or boot for several weeks to protect the toe. Recovery involves rest, keeping your foot elevated, and avoiding putting weight on the affected area initially. Pain and swelling are common but manageable with prescribed medications. If you have had hammertoe surgery, follow-up appointments with a podiatrist are strongly suggested to monitor healing.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact David Williams, DPM of El Paso Feet. Our doctor will assist you with all of your foot and ankle needs.

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 El Paso, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.