
Symptoms of Rheumatoid Arthritis

The joints in the feet can be negatively affected by the autoimmune condition known as rheumatoid arthritis. This is often referred to as RA, which is the abbreviation. The common symptoms that are often associated with this type of arthritis can include swelling, pain, and a limited range of motion. Many patients have difficulty in completing daily activities as a result of the intense pain and this can affect more than the joints. The cartilage, ligaments, and tendons may become painful and can progress quickly. Some of the foot issues that may develop from RA are bunions, claw toes, and flattened arches. Some people can have their circulation affected and this can lead to nerve damage. RA can become triggered by an existing infection, stress, and lack of sleep. This condition can produce serious complications to the feet and it is strongly suggested that you are under the care of a podiatrist who can help you to manage rheumatoid arthritis.
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 Neeta Hasmukh, DPM of Total Podiatry. 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 offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Rheumatoid Arthritis in the Feet
Although rheumatoid arthritis attacks multiple bones and joints throughout the entire body, ninety percent of people who actually develop this condition usually do so in the foot or ankle area. Those who develop this kind of arthritis in the feet usually develop symptoms around the toes and forefeet first, before anywhere else. Rheumatoid arthritis appears to have a genetic component. If it runs in the family, then you will be more likely to develop it as well.
Rheumatoid arthritis is an autoimmune disorder in which the body’s own immune system attacks the lining of the membranes surrounding the joints. This causes inflammation of the membrane lining, and the gradual destruction of the joint’s cartilage and even bone.
Some of the most common symptoms that are associated with RA include pain and swelling of the feet. Stiffness in the feet is also another common symptom that people experience. Those who have RA in the feet usually feel the pain in the ball or sole of their feet. This can get to be very painful at times. A person's joints can even shift and become deformed after a period of time.
In order to properly diagnose RA in the feet it is usually necessary for a doctor or podiatrist to evaluate the area. Your doctor will also question you about your medical history, occupation, etc., to determine whether anything in your lifestyle may have triggered the condition. There are a number of tests that may be performed to help diagnose RA, such as a rheumatoid factor test. There is, however, no one single test that will tell you for sure if you have RA. There are different X-rays that can be taken as well to determine if a person has RA in their feet.
There is a range of treatment options for rheumatoid arthritis. Treatment of RA is usually a lifelong process that includes a variety of methods of treatment and therapy. Your doctor can prescribe special shoes that should help with arch support as well as heel support. A physical therapist can help those with this condition learn exercises which will keep their joints flexible. Surgery may be needed to correct some of the issues with the feet, such as bunions, and hammertoes. Fusion is usually the most successful surgical option for rheumatoid arthritis. However, people need to keep in mind that there are some risks associated with these surgeries.
Psoriatic Arthritis and Foot Conditions

Many individuals that suffer from psoriatic arthritis can develop three different kinds of common foot afflictions. Sometimes, before a diagnosis of psoriatic arthritis, an individual might even notice the onset of one of the following conditions. First, those with psoriatic arthritis can develop plantar fasciitis. This affliction occurs when the long band of tissue that runs along the arch of your foot (the plantar fascia) becomes strained and inflamed. This affliction is a common source of heel pain, particularly first thing in the morning. Second, those with psoriatic arthritis commonly develop Achilles tendonitis, which occurs when the tendon that runs between the heel and the calf muscle becomes inflamed. Heel pain is a typical symptom of this condition. Third, individuals living with psoriatic arthritis can commonly develop dactylitis, which can occur when a person’s toes become significantly and severely swollen. If you are living with psoriatic arthritis, take extra care of your feet. Leaving foot conditions like these unaddressed can create long term damage. Ensure that you are properly managing your psoriatic arthritis, and speak to a podiatrist. This foot specialist will be able to meet with you to assist you in maintaining the health of your feet.
Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Arthritic Foot Care
Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.
In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.
Alleviating Arthritic Pain
- Exercises that stretch the foot can prevent further pain and injury and increase mobility
- Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
- Massages can help temporarily alleviate pain.
It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.
If you have any questions, please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
How to Care for Your Arthritic Foot
Arthritis is an inflammation of the joints and it can occur at any joint in the body, especially in the foot. It generally effects those who are older, however, it can occur at any age. Although there are many different forms of arthritis, there are three main types that occur in the foot. The three types are osteoarthritis, rheumatoid arthritis, and gout.
The primary cause of osteoarthritis is aging. As you age, cartilage degenerates around the joints which causes friction and pain. Obesity can cause osteoarthritis through mechanical stress. Injuries that damage joints can increase the probability as well. Finally, a family history of osteoarthritis can also increase chances of having it.
Rheumatoid arthritis occurs when the immune system attacks the joint linings and weakens them over a long time. While there is no known cause of rheumatoid arthritis, obesity and smoking can increase your chances of getting it. Women are also more likely to get it than men.
Gout is a form of arthritis that occurs when there is too much uric acid in your blood and painful crystals form in your joints. Men are more likely to have gout than women. People who are obese or drink alcohol often are also more likely to develop gout. Furthermore, having diabetes, heart disease, high blood pressure, high cholesterol, gastric bypass surgery or a family history of gout may increase your likelihood of developing the condition.
Symptoms of arthritis include pain, stiffness, swelling in the joints. These symptoms can make it harder and more painful to walk. Physical activity can increase pain and discomfort. Furthermore, joint pain can worsen throughout the day for osteoarthritis. Gout attacks generally last several days with the first few being the worst.
Diagnosis of gout includes either a joint fluid test or a blood test. X-ray imaging can detect osteoarthritis but not gout. On the other hand, there is no blood test for osteoarthritis. Rheumatoid arthritis is difficult to diagnosis. Doctors utilize family and personal medical history, a physical examination, and antibody blood tests to determine if you have rheumatoid arthritis.
Treatment varies for the different kinds of arthritis. Anti-inflammatory medication or steroids can help reduce pain from inflammation of the joints. Changing shoe types can help with some symptoms. Wider shoes can help with discomfort from gout and osteoarthritis. High heels should be avoided. Shoes with proper arch support and that take pressure off the ball of the foot can help with rheumatoid arthritis. Drinking lots of water can also help rid uric acid from the blood. Losing weight, improving your diet, and limiting alcohol and smoking can also help prevent or lessen the symptoms of arthritis.
If you are having trouble walking or pain in your feet, see a podiatrist to check if you have arthritis.
High Heels and Ankle Sprains

High heels are undoubtedly a significantly popular footwear fashion choice made by women across the world. Despite their popularity, excessive use of high heels can wreak havoc on your feet. Due to their structure which features a narrow toe box, high heels can cause a variety of foot ailments that you ought to be aware of. Besides just causing foot pain, high heels can also lead to lower back pain and knee pain. In particular, high heels have a damaging tendency of making one susceptible to ankle sprains. When high heels are worn on uneven surfaces (i.e. cobblestone), the chances of falling or tripping increase markedly. If an individual falls while wearing high heels, they may land awkwardly on their ankle or twist it in some way, eventually suffering from an ankle sprain. Falling in this way might also lead to broken ankles and perhaps bruised knees. To avoid suffering these injuries, one might consider walking with high heels only on even surfaces. Additionally, one could consider limiting the time that they spend wearing this kind of footwear. It is simply an unfortunate truth that, like flip flops, high heels can be a potentially damaging kind of footwear. If you are worried about how high heels affect your feet, consult with your local podiatrist.
High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Effects of High Heels on the Feet
High heels are popular shoes among women because of their many styles and societal appeal. Despite this, high heels can still cause many health problems if worn too frequently.
Which Parts of My Body Will Be Affected by High Heels?
- Ankle Joints
- Achilles Tendon – May shorten and stiffen with prolonged wear
- Balls of the Feet
- Knees – Heels cause the knees to bend constantly, creating stress on them
- Back – They decrease the spine’s ability to absorb shock, which may lead to back pain. The vertebrae of the lower back may compress.
What Kinds of Foot Problems Can Develop from Wearing High Heels?
- Corns
- Calluses
- Hammertoe
- Bunions
- Morton’s Neuroma
- Plantar Fasciitis
How Can I Still Wear High Heels and Maintain Foot Health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available.
If you have any questions please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Why High Heels Are Not Ideal for Healthy Feet
It is no secret that high heels are uncomfortable to wear for long periods of time. Although beauty is pain, you should not sacrifice the health of your feet for a stylish heel. Wearing high heels can potentially cause many different foot conditions that may be avoided by wearing proper footwear.
The structure of high heels forces weight of your body to get shifted forward toward the ball of the foot. The higher the heel you wear, the more weight and pressure get shifted forward. The pressure that your toes may experience from wearing heels may lead to hammer toes, bunions, and ingrown toenails. Extra weight and pressure resulting from wearing heels may cause stress fractures. Furthermore, heels may cause pinched nerves which may result in Morton’s neuroma.
High heels are even more dangerous for people who are clumsy. Falling or tripping while wearing heels can cause an ankle sprain or twist.
What many people don’t know is that heels can also cause back and knee problems. In order for your body to stay balanced on heels, your spine has to sway unnaturally, which adds stress to your spine muscles. This may cause you to experience a sore lower back.
If you decide to wear high heels regardless of the risks associated with them, there are ways you can minimize their harmful effects. One way to reduce injury is to massage and stretch your legs at the end of the day. Stretching can prevent the Achilles tendons and calf muscles from becoming too tight. If you are simply looking for more height, wedges and platforms provide a better surface area to distribute the body weight across compared to thinner heels.
If you experience pain from wearing high heels, it is important to see a podiatrist before any of your symptoms become worse.
Dealing With Ankle Ulcers

Ankle ulcers are sores that do not heal, usually because of weak blood circulation, and can last for a few weeks to a few years. Medically known as venous stasis ankle ulcers, they can occur when there is a break in the skin. If the valve in the vein that regulates blood flow is faulty, it results in a backflow. This in turn causes pressure that inhibits the ability of the skin, usually over bony areas like the ankle, to heal properly. Venous skin ulcers are more common among older people, particularly women. Chances for developing a venous skin ulcer increase if you have had a previous injury, smoke, have varicose veins, or are obese. These ankle ulcers are not always painful, but in some cases may burn or itch. If an ulcer becomes infected, it may leak green or yellow fluid. Treatment options vary, but include compression therapy, antibiotic medication, or in severe cases, surgery. If you notice a sore on your ankle that has not healed properly, it is suggested you consult a podiatrist as soon as possible for an exam and treatment recommendations.
Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Neeta Hasmukh, DPM from Total Podiatry. Our doctor 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 tendonitis
- 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 San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ankle Pain
Pain experienced in the ankle can be caused by a multitude of conditions. While the most common cause is an ankle sprain, other possible problems can include arthritis, gout, ankle instability, an ankle fracture, nerve compression, or tendinitis. In more serious cases, ankle pain can be a sign of improper alignment of the foot or an infection.
Ankle pain can often be accompanied by symptoms such as redness, swelling, stiffness, and warmth in the affected area. Pain can be described differently depending on the condition: short, stabbing pain and a dull ache are some examples. If such symptoms are persistent and do not improve after time, be sure to schedule an appointment with your local podiatrist.
Depending on the condition causing your ankle pain, different treatments may be prescribed by your podiatrist. For ankle sprains, the first step in treatment involves rest, ice, elevation, and compression. Be sure to avoid placing pressure on the ankle, use an ice pack several times a day, and use a compression bandage and elevation to reduce swelling. Other, more serious conditions may require the assistance of certain drugs and medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, or even cortisone injections.
Depending on the severity of your ankle pain and the condition behind it, recovery from ankle pain may take some time.
Consult with your foot and ankle doctor to best determine the cause of your ankle pain and the appropriate treatment.
When Sweaty, Smelly Feet Are Not Normal

When the sweat on your feet gets trapped by unnatural shoe fibers or tight shoes and cannot evaporate quickly enough, this allows bacteria to begin to break the sweat down. This process is actually what creates the foul odor associated with feet. If you do not wash the sweat away or allow your shoes to air out properly, your feet and shoes will remain smelly. Warm climates, physical exercise, and certain types of shoes can naturally make feet sweat at times. This type of sweat is normal, as it is the body’s way of regulating temperature. However, if none of these factors is present and your feet are sweating persistently and excessively, this may be a condition called palmoplantar hyperhidrosis. If you find that you sweat through your socks, or that your feet slip and slide around in your shoes, or are always wet and white looking, you may have palmoplantar hyperhidrosis. Also, your feet may smell due to being continuously wet, creating an environment where bacteria are always working to break the sweat down. All of these symptoms can be embarrassing, uncomfortable, and disruptive to daily life. If you believe you may have palmoplantar hyperhidrosis, make an appointment with a podiatrist who can diagnose and treat your condition. They may present treatment options ranging from topical medications and antiperspirants, to botox injections. In severe cases, a process using a mild electrical current through water may be successful in helping to regulate your sweat glands.
If you are suffering from hyperhidrosis contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor 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 San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.