Juvenile rheumatoid arthritis, or JRA, can significantly impact a child's feet, leading to symptoms like swollen, stiff, painful joints, and warmth in the affected area. These symptoms can cause difficulty in walking, often observed as limping, particularly in the morning when stiffness is at its worst. The condition varies in how it presents itself. Symptoms can be intermittent, ranging from mild to intense, and they may persist for years. In JRA, several types affect the feet differently. Pauciarticular JRA, the most common form, typically affects up to four joints, often including those in the ankles or toes. JRA affects five or more joints and often involves the small joints in the toes. Systemic JRA and spondyloarthritis, while less common, can also impact foot health, with systemic JRA potentially causing long-term joint damage. If your child suffers from JRA and has foot discomfort, it is strongly suggested that you make an appointment with a podiatrist for treatment that will help restore easier movement.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our doctors of Favor Foot Ankle Leg & Wound Center. Our doctors can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
Ankle pain is a common complaint that can impact people of all ages and activity levels. There are numerous factors that can contribute to ankle discomfort. One common cause is injury, such as sprains or strains, which can result from a fall, twist, or overexertion during physical activities. Arthritis is another prevalent reason for ankle pain, particularly in older individuals. Conditions such as osteoarthritis or rheumatoid arthritis can lead to joint inflammation and discomfort. Overuse and repetitive stress on the ankle joint, often seen in athletes, can result in pain or conditions like Achilles tendonitis. Other potential causes can include underlying medical conditions, such as gout, nerve compression, or circulatory issues. Footwear choices and improper gait can also contribute to the development of ankle pain. Proper diagnosis and management of ankle pain are vital, as the appropriate treatment plan will depend on identifying the specific cause. If you have ankle pain, it is suggested that you schedule an appointment with a podiatrist who can determine what the cause is, and offer appropriate relief and treatment options.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our doctors from Favor Foot Ankle Leg & Wound Center. Our doctors 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.
The most common causes of ankle pain include:
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.
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.
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.
To diagnose peripheral neuropathy and determine what is causing it, a podiatrist may ask questions about symptoms, physically check troublesome areas, and test feeling, strength, and reflex actions in these areas. Blood tests are often ordered to look for common causes of foot neuropathy, such as diabetes or a vitamin B12 shortage. If further testing is needed, nerve conduction and electrical studies can be done to observe how nerves respond to small electric shocks, in addition to measuring muscle electrical activity. Underlying health issues or side effects of medication may surface during testing. In rare cases, a nerve sample from near the ankle might be taken for a biopsy to look for specific neuropathy indicators. Imaging such as X-rays, CT scans, or MRIs might also be performed to find the root cause of neuropathy. If you suffer from foot neuropathy, it is strongly suggested that you make an appointment with a podiatrist for a thorough examination and necessary testing done to determine the root cause of the problem prior to proceeding with treatment to ease your discomfort.
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 one of our doctors from Favor Foot Ankle Leg & Wound Center. Our doctors 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:
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.
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.
Ingrown toenails can be painful and can make wearing shoes or walking uncomfortable. Seek professional help if you believe you've developed an ingrown toenail and be treated safely.
Freiberg's disease, a condition affecting the bones in the ball of the foot, often near the base of the big toe, can cause substantial pain and discomfort. It is more apt to affect runners, dancers, and women who wear high heels. Freiberg's disease sometimes affects people with a short big toe and a longer second toe. It is characterized by the death of tissue in the foot's bones, primarily the second metatarsal head. Symptoms can include persistent pain, described as a sharp, aching discomfort. Swelling and stiffness in the affected joint can hinder mobility. The pain worsens during weight-bearing activities, especially when pushing off of the foot and wearing high-heeled shoes. Freiberg's disease is more prevalent in adolescent girls experiencing rapid growth, or people with specific bone structure issues. Diagnosis by a podiatrist involves taking X-rays to confirm and assess the condition's severity. Treatment options include corticosteroid injections to help manage pain and inflammation during flare-ups. Footwear modifications, including low-heeled shoes with thicker soles and rounded heels, can help redistribute pressure across the foot. Custom orthotics also can relieve pressure on affected joints. Surgery, which is rarely required, may involve removing the second metatarsal bone for unmanageable, persistent pain. If you suspect you may be suffering from Freiberg's disease, it is suggested that you make an appointment with a podiatrist for an accurate diagnosis and personalized treatment plan.
Some foot conditions may require additional professional care. If you have any concerns, contact one of our doctors of Favor Foot Ankle Leg & Wound Center. Our doctors can provide the care you need to keep you pain-free and on your feet.
Rare Foot Conditions
The majority of foot conditions are common and can be treated by a podiatrist. Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care.
There are many rare foot conditions that can affect children. Some of these can include:
Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp.
Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.
Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking.
A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.