Rheumatoid arthritis, or RA, is a long-term autoimmune disease that can affect joints throughout the body. An autoimmune disease occurs when the immune system mistakenly attacks healthy tissues. RA often begins in the small joints of the hands and feet, and more than 90 percent of people with the disease eventually develop foot or ankle symptoms. In the joints, RA causes inflammation that can damage cartilage and weaken the tissues that provide support. Foot and ankle symptoms may include pain, swelling, and stiffness. Unlike some other forms of arthritis, RA commonly affects the same joints on both sides of the body.

As rheumatoid arthritis progresses, it can affect several areas of the foot and ankle. Ankle involvement may make stairs or inclines difficult, while advanced disease can make ordinary walking painful. In the middle of the foot, weakened ligaments can cause the arch to collapse and change the shape of the foot. RA can also contribute to bunions, claw toes, and pain under the ball of the foot. These structural changes may create areas of abnormal pressure and make wearing shoes uncomfortable. Joint stiffness can also increase as cartilage damage progresses, further limiting comfortable foot movement.

A podiatrist can evaluate how rheumatoid arthritis is affecting the feet and ankles by examining areas of tenderness, joint flexibility, and changes in foot shape. Imaging may also be needed to assess the bones or surrounding soft tissues. Treatment for foot symptoms depends on the location of pain and the amount of joint damage. Professional options include custom orthotics or other supportive devices to decrease pressure and improve comfort. If rheumatoid arthritis is causing persistent foot or ankle pain that affects your mobility, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

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 Peter Siroka, DPM of Connecticut. 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 Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cracked heels develop when the skin around the heel becomes dry, thick, and less flexible. Pressure from standing and walking can cause heel pain. The heel may look rough or have a hard rim of skin. Deeper cracks, called fissures, can cause pain, bleeding, and tenderness when weight is placed on the foot. Dry weather, aging, and prolonged standing can increase the risk. Shoes with open backs can also allow the heel to spread under pressure. Certain health concerns, including diabetes, eczema, and poor circulation, can make the skin more likely to crack.

A cracked heel should receive attention when it is painful, bleeding, or slow to heal. Redness, warmth, and drainage can point to an infection. Patients with diabetes should take heel cracks seriously because nerve damage can reduce feeling in the feet. Reduced circulation can also interfere with healing. A podiatrist can examine the depth of each crack and check the foot for infection. The evaluation can also identify pressure patterns that contribute to the problem. When another condition appears to be affecting the skin, the podiatrist can explain how it relates to the heel damage and coordinate further care.

Treatment from a podiatrist focuses on closing the cracks, reducing pressure, and restoring healthier skin. The podiatrist can remove thick, hardened skin. This reduces tension around the heel without harming healthy tissue. Protective dressings can cover open areas and support healing. Custom orthotics or heel cups can distribute weight more evenly and limit pressure on damaged skin. A podiatrist can also recommend shoes that fit correctly, support the heel, and reduce spreading with each step. Regular foot evaluations can help patients with diabetes or circulation problems avoid deeper wounds and infections. Follow-up visits allow the podiatrist to check healing and adjust the treatment plan. If you have painful cracked heels, it is suggested that you schedule an appointment with a podiatrist for effective treatment remedies, which may include prescribed medication.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Peter Siroka, DPM from Connecticut. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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

Morton's neuroma is a benign enlargement of nerve tissue in the foot, most commonly located between the third and fourth toes. This condition develops when the nerve becomes irritated or compressed, often from pressure or repetitive stress. Symptoms include a sharp or burning pain in the ball of the foot, tingling, or the sensation of standing on a small pebble. Risk factors include wearing tight or narrow shoes, high-impact activities, and foot structure concerns. Discomfort may worsen without proper care. A podiatrist can evaluate your symptoms, confirm the diagnosis, and recommend treatment, such as footwear changes, padding, or custom orthotics. If you have pain in this area of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat the problem.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Peter Siroka, DPM of Connecticut. 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 Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The Achilles tendon connects the calf muscles to the heel bone, and helps the foot point downward. An Achilles tendon injury can develop when repeated activity places too much stress on this strong band of tissue. Running, jumping, and long periods of walking can strain the tendon, especially after a sudden increase in activity. Tight calf muscles can also place extra stress on the area. Symptoms include pain, stiffness, and thickening around the tendon. Pain can be noticeable first thing in the morning or after activity. As the problem becomes more severe, discomfort can occur when walking or running, particularly uphill or across uneven ground.

Several factors can increase stress on the Achilles tendon. Ankle stiffness, calf tightness, and muscle weakness can affect how forces travel through the lower leg. Foot position and poor balance can also contribute to the problem. Shoes that lack proper support, especially very flat shoes, can place additional strain on the tendon. Because complete rest can weaken muscles and tendons, treatment focuses on restoring healthy movement and gradually improving the tendon’s ability to handle activity.  Wearing supportive shoes with a slightly raised heel can also reduce strain while the tendon recovers.

A podiatrist can examine the foot and ankle to determine what is causing Achilles tendon pain. The evaluation can assess foot position, ankle movement, and the way the patient walks. Treatment can focus on improving how the foot functions and reducing excessive strain on the tendon. A podiatrist can also recommend appropriate shoes and develop a structured plan for returning to activity safely. Early evaluation can help prevent ongoing pain from interfering with work, exercise, and everyday movement. If you have symptoms of an Achilles tendon injury, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Peter Siroka, DPM of Connecticut. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Stamford, CT . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.