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Condition Management

 bunion pain (2)

What is Arthritis of the Foot and Ankle?

Arthritis is a broad term for a number of conditions that destroy the workings of a normal joint. Arthritis causes inflammation in and around joints and can occur at any age. It is not curable, but treatments allows patients to manage pain, stay active, and live fulfilling lives, often without surgery.

 

There are three types of arthritis that may affect your foot and ankle.

Osteoarthritis
Osteoarthritis is a common condition that affects many people after they reach middle age. As patients age the smooth, gliding surface covering the ends of bones (cartilage) becomes worn and frayed causing swelling, inflammation and pain in the joints.
Rheumatoid Arthritis
Rheumatoid arthritis is an inflammatory disease where the persons own immune system attacks and destroys cartilage.
Post-Traumatic Arthritis
Post-traumatic arthritis is caused by the wearing out of a joint that has had some kind of physical injury. This type of arthritis is similar to osteoarthritis as it may develop years after a fracture, severe sprain, or ligament injury.

Treatment

orthotics back viewFunctional Foot Orthotics 

Functional foot orthoses are used to correct abnormal foot function. Functional foot orthoses are useful in the treatment of a very wide range of painful conditions of the foot and lower extremities such as big toe joint and lesser toe joint pain, ankle pain, heel pain, arch and instep pain. Orthotics can prevent the development of disability and additional deformity of the feet which may result in dramatic improvement in foot symptoms.

Accommodative foot orthotics 

Accommodative foot orthoses are used to relieve pressure, cushion or pad a painful or injured area on the bottom of the foot.   Accommodative orthoses are useful in the treatment of painful callouses, corns, bony prominence and sore bones due to pathology.

Shoes can play a major part in the management of arthritis.  

  • At Perform Podiatry we have the ability to modify your footwear to accommodate most fit problems. We can work with you to provide comfort and accommodation of your foot deformity.

Regular foot care for people with diabetes is one of the most overlooked aspects of diabetes management. Podiatrists are on hand at every stage, be it prevention, concern about a foot problem and dealing with genuine problems once they occur. 

Common foot problems associated with diabetes

Even common foot problems can be dangerous for people with diabetes, as they may lead to more serious foot problems.

Corns and calluses

  • Corns and calluses are a thickening of the skin that is caused by repeated pressure or rubbing on the same area. If not treated, corns and calluses can act like stones in the shoe, putting pressure on the tissue underneath them. This pressure can lead to bruising, infection or an ulcer.

Foot ulcers

  • Ulcers are an area of skin that is broken and is taking longer than normal to heal. Not getting treatment for your ulcer can result in infection or gangrene, which in turn can lead to you losing a limb (amputation).

Cracked skin or fissuring

  • Cracks heels or fissures in the skin allow bacteria to enter the foot and can cause infection which can be serious.

Toenail problems

  • Problem nails can be caused by injury, poor circulation, fungal infection or badly fitting shoes. Ingrown toenails can be painful, red and swollen and can get infected very quickly.

 

Regular diabetic foot assessments we perform include:

Vascular Assessment

ABI

Neurological assessment

monofilament

Musculoskeletal assessment

biomechanical assessment

Dermatological assessment

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