Rheumatoid arthritis, or RA, is an autoimmune condition that causes inflammation in the joints, often beginning in the smaller joints such as those in the feet. In its early stages, rheumatoid arthritis may cause subtle symptoms that gradually worsen over time. Individuals might notice stiffness in the feet, particularly in the morning or after long periods of rest. Swelling surrounding the toe joints or the ball of the foot may also develop, accompanied by warmth and tenderness. Pain can be constant or may come and go, making walking uncomfortable. As the condition progresses, joint function can be affected, leading to changes in foot shape. If you have joint pain and stiffness in your feet, it is suggested that you are under the care of a podiatrist who can offer appropriate relief and treatment remedies.

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 Daniel Mendoza, DPM of Nashville Podiatry. 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 Hendersonville, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A plantar fibroma is a benign growth that forms within the plantar fascia, a thick band of tissue along the bottom of the foot. This firm lump is usually located in the arch and may gradually increase in size. While it is noncancerous, a plantar fibroma can cause discomfort, especially while walking or standing for extended periods. Symptoms often include a noticeable lump, aching pain, or a sensation of pressure when wearing shoes. The exact cause of plantar fibromas is not fully understood, but factors such as genetic predisposition, trauma to the foot, or underlying medical conditions may contribute. Early identification and appropriate care can help manage uncomfortable symptoms. If you have a lump on the sole of your foot, it is suggested that you confer with a podiatrist who can offer you relief and management tips.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Daniel Mendoza, DPM of Nashville Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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

Ingrown toenails occur when the edge of a toenail, usually on the big toe, grows into the surrounding skin. This can lead to pain, swelling, and infection. Surgery for ingrown toenails is often recommended when the problem does not improve or keeps coming back. A podiatrist may perform a procedure called a wedge excision, where part of the toenail and the tissue it grows from are removed. In more severe cases, the entire nail may be taken out, termed nail avulsion. A chemical or heat may be used afterward to prevent the nail from growing back, a process known as nail-bed ablation. Another option, Zadek’s procedure, involves removing both the nail and the underlying tissue that causes the nail to regrow. Ingrown toenail surgery is typically done under local anaesthetic and takes about 10 minutes. Infection or toenail regrowth can occur, but many patients experience no such repercussions. If you are experiencing ongoing pain from an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for an exam, treatment, and possible surgery.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Daniel Mendoza, DPM of Nashville Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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