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Is It Rheumatoid Arthritis or Gout?

Foot pain can sometimes be caused by rheumatoid arthritis or gout, each affecting the joints in different ways. Rheumatoid arthritis is an autoimmune condition that often causes pain, swelling, and stiffness in multiple joints. The joints may feel warm, appear swollen, and become increasingly stiff, especially in the morning or after rest. Over time, joint shape may change, leading to deformities and difficulty walking. Gout typically presents as a sudden and intense attack of pain, often affecting the big toe. The joint may become red, hot, and extremely tender, sometimes developing overnight. This occurs due to a buildup of uric acid crystals in the joint. A podiatrist can help distinguish between these conditions through examination and testing. They can then coordinate care that may include medication, supportive footwear, and custom orthotics to protect the joints. If you have foot pain from rheumatoid arthritis or gout, it is suggested that you make an appointment with 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 Dr. Larry Cohen of New York City. 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 Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Why the Right Shoe for Your Activity Matters

Finding the right shoe for walking or running is important for protecting the feet and supporting proper movement. Walking and running place different levels of stress on the feet, so each activity requires a specific type of shoe. Walking shoes are often more flexible, allowing the foot to roll forward smoothly. Running shoes are usually lighter, with thicker cushioning to absorb repeated impact. A poor shoe choice can place extra strain on the heel, arch, and ankle, which may lead to pain or injury during or after activity. Proper fit is also important, as shoes that are too tight or too loose can affect balance and pressure distribution. A podiatrist can examine foot structure, analyze walking or running patterns, and recommend appropriate footwear or custom orthotics to improve comfort and function. If you have foot pain after walking or running, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Dr. Larry Cohen from New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

  • Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
  • There should be little to no slipping at the heel
  • Don’t assume your size in one shoe brand will be your size in another
  • Do not lace up your shoes too tightly
  • Walk around in the store with your new shoes before you buy them

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Differences between Walking and Running Shoes

Causes of Mid-Foot Pain

Pain can develop when the structures in the middle of the foot become strained or damaged. This area contains joints, bones, and soft tissue that help support body weight during walking. Common causes of mid-foot pain include stress fractures, which are small cracks in the bone from repeated pressure, and arthritis, which leads to joint inflammation and stiffness. Tendon pain, known as tendinitis, may also occur when tendons become overworked. In some cases, nerve problems like a neuroma can cause burning or sharp pain. Foot shape and alignment issues can place uneven pressure on the mid-foot, leading to discomfort over time. A podiatrist can evaluate gait and order X-rays or other imaging to identify the exact source of pain. Treatment options include bracing, custom orthotics, or surgery in more serious cases. If you are experiencing mid-foot pain, it is suggested that you make an appointment with a podiatrist for treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Larry Cohen from New York City. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Types of Toenail Fungus

Toenail fungus is a common infection that affects the nail and surrounding skin, leading to discoloration and nail deformity. Subungual fungus develops beneath the nail, causing thickening, crumbling, and dark debris. White superficial fungus appears as white patches on the nail surface that may become rough and powdery. Candida infections affect the nail and surrounding tissue, often leading to swelling, redness, and separation of the nail. Symptoms can include brittleness, odor, and discomfort. Risk factors include warm moist environments, poor foot hygiene, diabetes, and a weakened immune system. A podiatrist can identify the type of infection, provide targeted treatments, such as topical or oral medications, and offer guidance on proper foot care to prevent recurrence. If you notice changes in your toenails, it is suggested that you consult a podiatrist for a diagnosis and treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Larry Cohen of New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Toenail Fungus
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