February 2024

Rheumatoid arthritis, or RA, is an autoimmune disorder that affects millions of people worldwide, causing chronic inflammation, pain, and stiffness in the joints. When it comes to RA, the feet are often overlooked despite being commonly affected. In fact, up to 90 percent of individuals with RA will experience symptoms in their feet and ankles at some point. This condition can lead to deformities such as bunions, hammertoes, and claw toes, as well as the formation of painful nodules called rheumatoid nodules. Additionally, RA can erode the cartilage and bone within the joints, resulting in severe pain and difficulty walking. Foot pain and deformities can significantly impair mobility and diminish quality of life for individuals with RA. Early diagnosis and aggressive treatment are essential for managing symptoms and preventing irreversible damage to the joints. If your feet are showing signs of rheumatoid arthritis, it is strongly suggested that you are under the care of a podiatrist who can provide you with effective relief measures.

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 Kellvan Cheng, DPM of Elite Foot & Ankle. 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 Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Understanding the risk factors for ankle sprains and strains is important to avoid injury. Poor athletic conditioning, characterized by a lack of regular ankle strengthening exercises, increases susceptibility to ankle sprains during strenuous activities. Muscle and ligament fatigue, especially when pushing through exhaustion towards the end of vigorous activities, further heightens the risk. Skipping warm-up sessions before physical activity leaves muscles and ligaments tight, while decreasing flexibility and increasing vulnerability to injury. Excess weight places additional stress on the joints, amplifying the likelihood of sprains during movements like walking, running, or jumping. Gender and age also play significant roles, with females over 30 and males aged 15 to 24 showing higher susceptibility to ankle sprains. Wearing high heels in uneven terrain, and wearing low-topped shoes during sports like basketball, further increases the risk of injury. Through proper conditioning, warm-up routines, weight management, and appropriate footwear selection, the risk of ankle sprains decreases. For personalized guidance and strategies for minimizing ankle sprain risk, it is suggested that you schedule an appointment with a podiatrist. 

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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

Morton's neuroma is a painful condition that affects the ball of the foot, specifically the area between the third and fourth toes. This condition involves the thickening of the tissue surrounding a nerve leading to the toes, usually caused by irritation or compression. The hallmark symptom of Morton's neuroma is a sharp, burning pain or the sensation of a small, pebble-like object under the ball of the foot. As the condition progresses, individuals may experience numbness, tingling, or a feeling of swelling in the toes. The pain tends to worsen with activities like walking or wearing tight shoes, as these activities compress the affected nerve. Morton's neuroma is often more prevalent in women and individuals who frequently wear high heels or engage in activities that put repetitive pressure on the forefoot. Morton’s neuroma is treated by a podiatrist. If you are experiencing symptoms of this condition, it is suggested that you schedule an appointment with this type of doctor who can accurately diagnose and treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

There are many kinds of arthritis, and one of them could be a cause of your ankle pain. Osteoarthritis, the most common type, occurs when wear and tear on the cartilage that cushions the ends of the bones causes the bones to rub against each other. People with osteoarthritis in their ankle may experience painful joints between the shin and ankle. Rheumatoid arthritis, an autoimmune condition, often causes joint pain in both ankles. Gout is another type of arthritis that can cause ankle pain because of a buildup of uric acid in the body. Gout patients often feel pain in the big toe as one of their first symptoms. Sudden intense pain that lasts for several hours and affects any of the joints, including ankles, can indicate a gout attack. These are not the only forms of arthritis that can lead to ankle pain. Understanding the specific type of arthritis affecting the ankle is important for developing an effective treatment plan. If you are experiencing persistent ankle pain, it is suggested you consult a podiatrist who can help identify the underlying cause of your pain, diagnose types of arthritis, and explore appropriate treatment plans. 

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. 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 Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.