Rheumatoid arthritis is a long-term autoimmune disease that can strongly affect the feet and ankles. An autoimmune disease means the immune system, which normally protects the body, mistakenly attacks healthy joint tissue. In rheumatoid arthritis, this attack causes inflammation in the thin lining inside joints. As swelling continues, joints in the toes, mid-foot, and ankles may become painful, stiff, and unstable. People may notice warmth, redness, or difficulty walking, especially in the morning. Over time, the condition can change foot shape, leading to deformities such as drifting toes or flattened arches. Tendons, which are strong bands that help move the foot, may also weaken. Because symptoms can develop slowly and resemble other problems, proper diagnosis is important. A podiatrist can perform a detailed exam, review imaging or blood test results, and develop a care plan to protect joint function and mobility. If you are experiencing foot pain, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

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 David Carmack, DPM of Texas. 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 Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Morton neuroma is a nerve-related condition that causes burning pain, tingling, or numbness in the ball of the foot. It usually develops between the third and fourth toes when the nerve becomes irritated and thickened from repeated pressure. Wearing tight shoes, high heels, and high impact activities often worsen the problem. When shoe changes, padding, and activity modification do not bring relief, injection therapy may be considered. This treatment involves carefully placing medication around the affected nerve to reduce inflammation and calm nerve irritation. Corticosteroid injections are commonly used to decrease swelling and pressure in the surrounding tissues. Some patients also receive alcohol-based injections that help shrink the enlarged nerve over time. These treatments are performed in a clinical setting and are designed to relieve pain while improving walking comfort. When persistent forefoot pain suggests Morton neuroma, a consultation with a podiatrist is suggested to discuss diagnosis and appropriate treatment options.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact David Carmack, DPM of Texas. 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 Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet, also known as fallen arches, describe a condition in which the arch of the foot collapses, causing the entire sole to touch the ground. This may occur due to genetics, aging, injury, obesity, or weakened tendons. There are two types of flat feet, known as flexible and rigid. Signs of flexible flat feet are where the arch appears when sitting, but flattens when standing, and rigid flat feet happens when the arch is absent at all times, limiting movement. Symptoms can include foot pain, swelling, fatigue, ankle instability and discomfort in the knees, hips or lower back. Risk factors include family history, diabetes, and previous trauma. A podiatrist can evaluate structure and gait, and recommend orthotics or supportive footwear. If you have flat feet, it is suggested that you consult a podiatrist who can offer you appropriate management solutions.

Flatfoot is a condition many people suffer from. If you have flat feet, contact David Carmack, DPM from Texas. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Ankle pain can develop from a variety of causes, ranging from sudden injury to gradual wear and tear. Sources include sprains, tendon inflammation, arthritis, or overuse from repetitive activity. A sprain may occur when the ligaments are stretched or torn, often leading to swelling, bruising, and difficulty bearing weight. In other cases, pain may build slowly with stiffness, aching, or a feeling of instability in the joint. The ankle may appear swollen, tender to touch, or limited in movement, especially after activity. A podiatrist can evaluate the ankle through physical examination and imaging  tests to determine the underlying cause. Treatment may include braces, changes in footwear, custom orthotics, and targeted exercises to restore strength and stability. In more severe cases, advanced treatment or surgery may be considered. If you have ankle pain that does not improve or interferes with daily activity, it is suggested that you schedule an appointment with a podiatrist for appropriate relief and treatment remedies.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with David Carmack, DPM from Texas. 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 tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• 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 Marble Falls, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.