Rheumatoid arthritis is an autoimmune disorder, or a condition in which the body attacks itself. Bacteria in the gut has been found to predict susceptibility of rheumatoid arthritis. Experts were able to study microbes that were normally low in healthy individuals, but high in people with rheumatoid arthritis. This study could be used to predict if someone is likely to have rheumatoid arthritis in the future.

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 one of our podiatrists of Active Foot and Ankle Care, LLC. Our doctors can provide the care you need to keep your pain free and on your feet.

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 & 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 New Jersey. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Women are starting to choose shoes that they can easily walk in. Shoe brands that are known for making comfortable shoes are starting to upgrade their designs in order to make their shoes fashionable as well. Some podiatrists are also working to create shoes that are not only comfortable, but fashionable too. Dr. Joan Oloff is a Californian podiatrist who is bothered by the fact that traditional women’s shoes are bad for the feet. She has worked to minimize the angle of the foot inside the shoe.

High heels have a history for causing foot and ankle problems. If you have any concerns about your feet or ankles, contact one of our podiatrists of Active Foot and Ankle Care, LLC. Our doctors can provide the care you need to keep your pain free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because their style and societal appeal. Despite this, they can still cause many health problems if worn too frequently.

What parts 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. Also, 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 New Jersey. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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For hundreds of years, women have been wearing various kinds of high-heels for aesthetic reasons. Women who wear high-heels appear to be taller and have longer and thinner legs, and the wearer’s gait and posture changes. Though high-heels have had an association with femininity and have kept them popular over the years, there are definite health problems caused by wearing them too frequently.

The motion of the ankle joints is limited when heels are worn. The ankle joint is very important to the body when it comes to walking. Because of their location, these joints have a great deal of weight put on them. Thus, it is very important to keep them as healthy as possible. The Achilles tendon is the main tendon in the ankle. Wearing high-heels too often, studies have shown, can cause the calf muscle and Achilles tendon to shorten and stiffen. This can cause problems when shoes without heels are worn.

By putting a great deal of pressure on the ball of the foot and by forcing the toes into a small toe box, high-heels can cause or may worsen many foot problems. These include corns, hammertoe, bunions, Morton’s neuroma and plantar fasciitis.

Not only does wearing very high-heels regularly have negative effects on the feet, the rest of the body can suffer as well. The knees, one of the most important joints in the entire body, can be affected by wearing high-heels. High-heels causes the knees to stay bent all the time. Also, it can cause them to bend slightly inward as well. Doctors believe that women can suffer from osteoarthritis later in life because of constantly walking like in high-heels. By limiting the natural motion of the foot during walking, high-heels also cause an increased in stress on the knees.

Similarly, high-heels can cause the back to go out of alignment. If high-heels are worn constantly, the spine’s ability to absorb shock can cause continued back pain. They can compress the vertebrae of the lower back, and can overuse the back muscles.

However, this is not to say that high-heels can never be worn. If worn occasionally and not often, they will not cause serious problems. They should not be worn every day. It’s important to wear them modestly to avoid the long-term physical health problems of the feet, knees, ankles, and back mentioned above.

Many athlete’s incorporate cross-training into their fitness routines in order to avoid injury. Cross training allows for athletes to challenge other muscle groups and avoid injuries due to overuse. There are also specific workouts that athletes can do in order to strengthen weak muscles and prevent running injuries. Plyometric jump squats can be done to improve the muscles in your quads, core, hamstrings, and calves. Plyometric jump lunges are also beneficial for runners because they help strengthen the glutes. Lastly, planking is good for muscles because it strengthens just about every part of your midsection.

Runners can still be prone to running injuries even with proper precautions. If you are suffering from a running injury, contact one of our podiatrists of Active Foot and Ankle Care, LLC. Our doctors can provide the care you need to keep your pain free and on your feet.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber, this will help you gain better flexibility.

If you have any questions, please feel free to contact our offices located in New Jersey. We offer the newest diagnostic tools and technologies to treat your foot and ankle needs.

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Overtraining and overusing the feet are the main causes of common running injuries. A number of these common injuries are caused by overrunning. Runner’s knee is a condition that is characterized by the back of the kneecap beginning to wear away and cause pain in the knee.This frequently occurs due to either a decrease in strength in the quadriceps muscles or ill-fitting shoes that are lacking in proper support for the inside of the forefoot. Strengthening exercises focusing on the quad muscle and sports orthotics are the usual treatments for those suffering from runner’s knee. Prevention of the condition lies in a focus on hip strengthening and quad-strengthening to keep the kneecap aligned. To help learn the best exercise to heal runner’s knee, one can also undergo physical therapy.

One common injury, called iliotibial band syndrome, is often caused by overtraining. This condition occurs when the iliotibial band gets irritated, creating pain and discomfort in the outside knee area. Plantar fasciitis, another common running injury, also occurs as a result of inflammation and irritation. Plantar fasciitis is an inflammation and irritation of the bone in the foot. A large amount of pain is often experienced due to plantar fasciitis. The condition can be caused by a high arch, improper footwear, tight muscles, or flat feet. It can best be avoided by stretching and wearing appropriate footwear that supports the foot.

Another common injury for runners is stress fractures. These injuries occur due to running style, overtraining, or a lack of calcium. Stress fractures most often occur in several locations in runners, including the inner bone of the leg, the thighbone, the bone at the base of the spine and the bones of the toes. Stress fractures are best prevented by wearing proper footwear and by running on flat and hard surfaces; this will absorb some of the shock created during running.

Aside from overtraining, other causes of common running injuries include ill-fitting footwear, a lack of flexibility and strength, and irregular biomechanics. The best way to avoid running injuries is to prevent them from even occurring. Both iliotibial band syndrome and stress fractures are preventable. The first step that should be taken to prevent running injuries is to only wear footwear that fits properly and that is appropriate for whatever activity you are doing. Running shoes are the only protective gear available to runners that can safeguard them from sustaining injuries. Choosing the right pair of shoes is therefore extremely important. While running shoes are an important factor, it is also important to consider other facets of your running routine such as training schedules, flexibility, and strengthening. These elements should be considered and altered according to your running needs to best maximize your run and minimize the possibility of injury. Careful stretching before and after a run should also be considered to help prevent running injuries. Stretching muscles enables greater flexibility and a lesser chance of sustaining injury.

While most people understand that podiatrists are foot doctors, many people still may not comprehend a podiatrist’s work and the various conditions a podiatrist treats. Various foot problems that many people experience and that a podiatrist can treat include plantar fasciitis, ingrown toenails, bunions, hammertoes, and flat feet.   

Among the group who sought podiatric help, 88% reported a quick diagnosis and 76% received treatment that eliminated the problem.  A third of the group said that their visits to the podiatrist exposed other health concerns, such as diabetes, circulatory issues, and nerve issues.

"It's not surprising to see how many people are affected by foot pain, when survey results show that we view our feet as the least important body part in terms of our overall health and wellbeing," said AMPA President Frank Spinosa. "Our feet are literally and figuratively the furthest things from our minds."

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact our one of our podiatrists of Active Foot and Ankle Care, LLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

What is a Podiatrist? 

Someone would seek care of a podiatrist when they have suffered a foot injury or have common foot ailments such as: heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

• physical therapy
• drugs
• perform surgery on lower extremity fractures
• orthotic inserts or soles

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

If you have any questions please feel free to contact one of our offices located in New Jersey. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What is a Podiatrist.

The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.

To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery, or set fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.

When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.

Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise. Referrals will then be made to specialists that handle the greater health problems.

Some podiatrists have their own independent, private practices or clinics where they have a small staff and administrative personnel. Many podiatrists work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals, or visit patients in nursing homes. Podiatrists typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.

Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that results from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes. 

It is no secret that flip-flops are not the best choice of footwear for your feet. Flip-flops often cause a great deal of heel pain for those that wear them for an extended period of time. Teens are a group that usually doesn’t suffer from foot problems such as heel pain. However, as flip-flops and sandals have increased in popularity, more teenagers have been suffering from feet issues. If you choose to wear sandals, it is recommended that you select a pair that has strong soles and good arch support. Although sandals with thicker soles may not be stylish, is it important to wear them in order to avoid getting plantar fasciitis.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles contact one of our podiatrists of Active Foot and Ankle Care, LLC. Our doctors will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off, perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are there injuries associated with flip-flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like wearing flip-flops, are there safe alternatives?

When buying flip-flops, try to find ones that have sturdy soles and are made of high quality materials that will support for your feet.  These flip-flops will cost more, but will also last longer as a result.

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

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Flip-flops are often a popular choice of footwear for many people. Flip-flops allow your feet to breathe and give your toes the freedom of movement. They are easy to slip on and can be worn with virtually any style of clothing. Flip-flops, however, despite their many benefits, can be detrimental for your foot health.

Despite their comfortableness, frequently wearing flip-flops can create problems in the lower body over time. Issues mainly stem from the fact that people walk differently in flip-flops compared to other footwear, such as sneakers. This is due to a change in one’s natural gait, which therefore creates stress in different parts of the body while hindering the body’s natural posture. Problems can also arise in the arches and balls of the feet. Flip-flops provide little to no support to these areas.

Aside from long-term problems, flip-fops can also create short-term issues as well, such as ankle sprains and blisters. Weak materials that are flexible and bendable are generally used to manufacture flip-flops. These materials make its wearers prone to both tripping and injuring their ankles. Flip-flops can create blisters as the material rubs against the foot. People are much more at risk for infection while wearing flip-flops due to their openness. This also makes it easier to scrape and cut the foot since there is a lack of protection. If these cuts are left untreated and uncovered, the risk then becomes greater.

To prevent the aforementioned occurrences, purchase a pair of flip-flops that offer significant protection. The soles of the flip-flops should not be floppy, but sturdy and firm, and should not significantly bend or wiggle when lifted from the floor. Flip-flops made of high-quality materials will not be affected by this problem. While higher quality flip-flops may be more expensive, they will last longer and provide better protection compared to a cheaper pair. Brand name flip-flops sold from a quality manufacturer are a dependable option.

There is no problem in wearing your favorite pair of flip-flops so as long as you do not wear them daily or for extended periods of time. Flip-flops should be replaced every 3-4 months to ensure that they provide your feet with the best protection. 

Blisters are a fairly common foot condition that can be easily prevented with a few simple steps. The first step is to always ensure the feet or kept clean to prevent any germs or bacteria from penetrating the skin. Wearing the right pair of socks can also help support the feet and reduce friction, which can create blisters. Applying bandages or bandaids to any already existing blisters can help reduce excess heat or additional friction that can exacerbate the blister.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact our one of our podiatrists of Active Foot and Ankle Care, LLC. Our doctorswill assist you with all of your podiatric concerns.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often 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.

How do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

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