November 2020

Rheumatoid arthritis (RA) is an autoimmune disorder that causes the body’s immune system to attack the lining of the joints. This leads to joint pain, as well as weakened tendons and ligaments. RA often affects the joints of the feet and ankles, especially in the early stages of the disease. Symptoms of this condition include painful, swollen, and stiff joints. Over time, RA can also change the position of joints, leading to misalignment and a decrease in joint function and range of motion. The earlier RA is detected and diagnosed, the earlier treatment can begin. Early treatment can prevent RA symptoms from worsening. If you have RA and experience foot and ankle symptoms, it is suggested that you are under the care of a podiatrist, who can help you manage this condition and stay on your feet. 

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 Gregory Rorick, DPM of Rorick Podiatry, PC. 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 New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal tunnel syndrome is a squeezing or pinching of the tibial nerve, which runs down the back of the leg to the inner ankle. This condition causes burning foot pain and aching, numbness, or tingling in the sole or arch of the foot. There are several things that you can do at home that can help your foot feel better. If possible, stop or reduce the activities that caused your symptoms. Taking nonsteroidal anti-inflammatory drugs may help relieve pain. Icing your foot and ankle for 10-20 minutes at a time can also ease pain. If you have persistent or severe symptoms, it is strongly recommended that you see a podiatrist for treatment. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Gregory Rorick, DPM of Rorick Podiatry, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Pain in the ankle can have a variety of causes. Ankle sprains are the leading causes of ankle pain, and they are a result of the tearing of ligaments that hold the bones together. Sprains are usually a direct result of rolling or twisting the ankle. Arthritis, gout, nerve damage, infections and broken bones can also lead to ankle pain. Those who experience extreme swelling and bruising, or struggle to put weight on the affected ankle, should consult with a podiatrist. If there has been no improvement in the level of ankle pain, that is another sign that you may want to visit a podiatrist. Treatment options that a podiatrist can provide include an ankle brace, medication or orthotics.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Gregory Rorick, DPM from Rorick Podiatry, PC. 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 tendinitis
• Achilles tendon rupture
• Stress fractures
• 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 office located in New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

There are many people who enjoy walking when the weather is favorable, and are aware that possible injuries may be reduced when proper stretches are performed first. Effective stretches before beginning a walk can consist of marching in place, and gently moving the arms. The calves can become stronger and more flexible while standing on a step, and lowering one heel at a time. Some people find it beneficial to perform leg swings, which can promote balance and flexibility. If you would like additional information about specific foot stretches that can be practiced before and after exercising, please consult with a podiatrist.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Gregory Rorick, DPM from Rorick Podiatry, PC. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

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

Peripheral neuropathy is a disorder characterized by damage to the nerves outside of the brain and spinal cord. This condition often affects the nerves of the lower limbs, leading to symptoms such as weakness, numbness, pain, and reduced sensation. This disorder has many possible causes. One of the most common is diabetes, however, peripheral neuropathy can also be caused by shingles, a vitamin deficiency, excessive alcohol use, certain autoimmune diseases, AIDS, various inherited disorders, exposure to certain toxins, and cancer therapy drugs. If you have peripheral neuropathy, it is important to keep an eye on your foot health. A podiatrist can help you manage your peripheral neuropathy. 

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 Gregory Rorick, DPM from Rorick Podiatry, PC. 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 New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.