Foot pain is sometimes an early sign of rheumatoid arthritis, an autoimmune condition that causes inflammation in the joints. Unlike wear and tear osteoarthritis, rheumatoid arthritis often affects both feet and can involve the toes, midfoot, ankles, and surrounding soft tissues. People may notice stiffness that is worse in the morning, swelling, warmth, or pain that improves slowly with movement. Over time, inflammation can lead to joint deformities, changes in walking patterns, and increased pressure on certain areas of the foot. Early recognition is important because rheumatoid arthritis can progress and affect daily mobility. Wearing supportive footwear, custom orthotics, and activity modifications may help reduce strain on painful joints. When foot pain, swelling, or stiffness persists, it is suggested that you see a podiatrist for an evaluation, diagnosis, and appropriate treatment. Coordinated care with a rheumatologist is often part of long-term management. 

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 one of our podiatrists of Comprehensive Footcare Clinic - Hawaii. Our doctors 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 Honolulu, HI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Stress fractures are small cracks in foot bones that develop from repetitive impact and overuse, most commonly seen in runners. They occur when training demands exceed the ability of bone to repair and adapt. Symptoms often begin as mild pain during activity, and gradually progress to persistent pain, tenderness, and swelling in a specific area of the foot or ankle. Diagnosis involves a detailed history, physical examination, and imaging such as X-rays to confirm bone stress. Risk factors include sudden increases in training intensity, wearing inadequate footwear, poor biomechanics, and low bone strength. A podiatrist can identify stress fractures early, guide activity modification, and create a recovery plan to promote proper healing. If you have sustained a stress fracture in your foot, it is suggested that you consult a podiatrist who can effectively treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Comprehensive Footcare Clinic - Hawaii. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions please contact our office located in Honolulu, HI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Intermittent claudication is a common symptom of peripheral artery disease, or PAD, and reflects reduced blood flow to the legs during activity. Intermittent claudication is a tight, aching, or squeezing pain in the calf, foot, thigh, or buttock. It typically begins after a certain amount of walking or climbing but eases with rest. As circulation becomes more limited, pain may start sooner, walking distance shortens, and legs can feel weak or cramp. Advanced PAD can cause pain at rest, cold or numb toes, slow healing sores, skin color changes, or shiny skin, which signals higher risk to the feet. Because several conditions can mimic intermittent claudication, a podiatrist plays an important role in evaluation, vascular screening, foot exams, and coordination of appropriate care. For help dealing with symptoms of peripheral artery disease, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Comprehensive Footcare Clinic - Hawaii. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Gradual changes in toe position can be an early sign of a hammertoe, where one or more toes bend at the middle joint and no longer rest flat. Common signs include toe stiffness, irritation from footwear, and corns or calluses. As the hammertoe progresses, the toe may become rigid, limiting movement and causing more pain. Muscle imbalance, nerve conditions, injury, and long-term pressure on the toes can all contribute to this toe deformity. A podiatrist can evaluate toe alignment, joint flexibility, and foot structure to confirm the diagnosis and determine treatment. Some cases of hammertoe may require surgery to correct alignment and relieve pain. If you notice changes to the structure of your toes, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of Comprehensive Footcare Clinic - Hawaii. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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