Rheumatoid arthritis, or RA, is an autoimmune disorder that primarily affects the joints, and the feet are often one of the first areas to display symptoms. Understanding the signs of RA in the feet is essential for early diagnosis and effective management of this chronic condition. One common symptom of RA in the feet is joint pain and stiffness. Affected individuals may experience discomfort in the joints of the toes, ankles, or the midfoot. This pain is typically more pronounced in the morning and may improve with movement. Swelling is another noticeable sign. RA can cause inflammation in the synovium, a lining that surrounds joints. When this occurs in the feet, it leads to visible swelling, making it harder to wear shoes comfortably. Deformities, such as bunions, claw toes, or hammertoes, can also develop due to the erosion of joint tissues. These ailments are often accompanied by limited mobility in the affected toes. If you notice these symptoms in your feet, it is suggested that you consult a podiatrist who can effectively diagnose RA, and help you to manage this condition. 

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. Scott Shrem of Garden State Foot & Ankle Center. 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 Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Stress fractures typically affect various areas of the foot and leg, including the metatarsals, calcaneus, navicular, and fibula bones. The most common type is a metatarsal stress fracture, sometimes referred to as a march fracture because it is prevalent among soldiers and hikers. MRI scans or bone scans may be needed to identify a stress fracture, since X-rays are not always sensitive enough to detect them early. Stress fractures in the foot develop when the foot is subjected to repetitive overloading, particularly during activities such as running, football, tennis, gymnastics, and basketball. Relief from stress fractures begins by ceasing the activity that caused them. After seeing a podiatrist for a diagnosis, treatment options may include special walking shoes or braces to reduce the force on the foot. In severe cases, a splint or cast may be required. Crutches can help keep weight off the affected foot for a few weeks, after which controlled weight bearing can stimulate healing. If you suspect you have endured a stress fracture in your foot, it is suggested that you consult a podiatrist for an exam and customized treatment plan. 

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

High heels, while often a stylish footwear choice, can lead to foot problems for many women. Regularly wearing these types of shoes can result in the feet becoming flatter, causing the big toe to deviate abnormally, either inwards or outwards. This is not just limited to the big toe, as the little toe can also be affected, tending to bend inwards. The altered posture and pressure points created by the elevated heel height can lead to various deformities. For women who frequently choose to wear high heels, it is essential to recognize the potential long-term effect on their foot health. If you enjoy wearing high heels, it is suggested that you make an appointment with a podiatrist who can offer guidance on how to wear heels in a way that minimizes harm. They can also suggest alternative fashionable footwear options that provide a better balance between fashion and foot health. Taking these precautions may help to prevent long-term foot issues.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

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

Which Parts of 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.  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 office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Athlete's foot, also known as tinea pedis, is a skin infection caused by dermatophytes, a type of mold-like fungi. These fungi naturally reside in the skin folds of the foot and generally remain in check if the foot is kept clean and dry. However, conditions like wearing tight, closed shoes or plastic footwear can create a warm, moist environment that promotes fungal growth. The two main fungi responsible for athlete's foot are trichophyton rubrum, which causes moccasin-like lesions and tends to be chronic, and trichophyton mentagrophytes, causing sudden, severe blister-like lesions between the toes. Both conditions are contagious and can be spread through direct skin-to-skin contact or indirectly via contaminated objects like towels, shoes, or wet floors. The risk of contracting athlete's foot increases with age and is higher among those with weakened immune systems. If you have athlete’s foot, it is strongly suggested that you make an appointment with a podiatrist for treatment.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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

The human foot is a marvel of biomechanical engineering, uniquely shaped and intricately structured to provide stability, balance, and mobility. Each foot contains 26 bones, 33 joints, and over 100 muscles, tendons, and ligaments all working together to support our body weight and facilitate movement. The foot's formation begins early in fetal development, with cartilage gradually ossifying into bones and its distinct arches taking shape. The arches, known as medial, lateral, and transverse, enable shock absorption and weight distribution, making the foot flexible yet resilient. The metatarsal bones form the foot's longitudinal arch, while the tarsal bones provide the transverse arch. This complex design ensures that the foot can withstand the rigors of walking, running, and standing for extended periods. As we grow, our feet evolve, adapting to the unique pressures and movements they experience. If you would like additional information about the intricacies of the foot, it is suggested that you consult with a podiatrist.

If you have any concerns about your feet, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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