Psoriatic arthritis or PsA is an inflammatory arthritis that can affect people with psoriasis. Psoriasis is a condition that causes red patches of skin with silvery scales on the body. PsA causes pain, swelling, and tenderness in the joints and can affect one’s toes, toenails, soles, heels, and ankles. A common symptom of PsA is swelling of one or more toes. This is known as dactylitis and gives the toe a sausage-like appearance. In fact, swelling of various parts of the foot is common with PsA and can be accompanied by color changes and extreme tenderness. A heel ailment, called enthesitis, can also affect those with PsA. This is characterized by inflammation at the point where tendons and ligaments connect with the bone and can impact the Achilles tendon and the soles of the feet among PsA sufferers. Nail problems can also occur among people with PsA, especially those who have nail psoriasis. The nails may appear pitted, with ridges, flaking, and discoloration, and there may be a lifting up of the nail. This might happen because of inflammation and cellular disruption caused by PsA. The goal of treating PsA-related foot problems is to reduce pain and prevent permanent damage to bones. If you have PsA and are suffering with foot pain, you might see a podiatrist who can help you in developing a plan of treatment towards living a more comfortable life.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

Patients who have arthritis in their big toe may find relief by having toe surgery performed. A big toe fusion can help relieve stiffness, swelling, and inflammation that often accompanies arthritis. Some of the benefits that are associated with this type of surgery include a general feeling of well-being, permanent reduction in big toe pain, and stability due to the use of screws, wires, pins, and metals. Additionally, wearing shoes will gradually become a comfortable experience. Some patients refrain from having this type of surgery performed. This may be because of the inability to push off with the big toe while taking a step and the nerves can be affected which may cause numbness. A condition that is referred to as a malunion occurs when the toe heals in the wrong position. Despite the cons of having this type of joint replacement surgery performed, many patients are satisfied with the result. If you have arthritis in your big toe, please confer with a podiatrist who can determine if this surgery is right for you.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

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

You may not know that a heel spur is developing until it is causing considerable pain. Known medically as a calcaneal spur, this calcium growth forms around the tendons and ligaments of the foot where they connect with the calcaneus, or heel bone. When you put weight on your heel, especially after a rest, the pain can be excruciating. It has been described as having a “toothache in the foot.” Ironically, the more you walk, the less painful it may become as the nerves and capillaries adjust to the motion. Calcaneal spurs are more common in adults over 40. They are also common among people with osteoarthritis, rheumatoid arthritis, or poor blood circulation. A podiatrist can offer a wide variety of treatments that may include ultrasound therapy, custom orthotics, and in severe cases, surgery. If you believe you have developed a heel spur, it is a good idea to make an appointment with your podiatrist.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Cary, NC . We offer the latest in diagnostic and treatment technology to meet your needs.

Research has indicated that practicing exercise is the most beneficial method that may help to decrease the risk of falling. This may be the most effective fall prevention method seniors 65 or older can practice. Other successful techniques can include improving lighting in the household, removing worn rugs, and installing grab bars in the shower and toilet area. Clutter is important to throw away, and this can help to make the home safer. Additionally, many seniors choose to use walkers and canes to maintain balance, and this can help to prevent falling. One out of five seniors will suffer a serious injury as a result of falling, and it is important to implement as many prevention strategies as possible. Having regular physical and eye examinations is necessary to keep medications and eyeglass prescriptions up to date. If you would like more information about how falling can affect the feet, and how to keep the home safe, please confer with a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

The most common causes of toe fractures are stubbing your toe (known medically as axial force) or by dropping something heavy on it. Symptoms of toe fractures include bruising, swelling, and throbbing pain. You likely will feel tenderness when you touch the site of the injury. The most common fractures are to the big toe. The big toe affects your balance, as well as your ability to walk and bear weight. A series of X-rays may be used to determine the site and severity of the break. A fractured big toe will usually be treated with a splint and rigid sole shoe to prevent joint movement. For the lesser toes, two or even three may be taped together with gauze in between to stabilize them, a process known as buddy taping. Some kind of open walking cast may also be used. It may take from three to six weeks for toe fractures to heal, or until point tenderness subsides. For help with a broken toe, or toes, it is suggested you consult with a podiatrist for appropriate treatment.  

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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