May 2022

Rheumatoid arthritis can be a debilitating disease where a joint's lining (synovium) is attacked by the body’s immune system. This causes the synovium to become inflamed, which damages the surrounding tissues and ligaments. In time, this may dislocate toe joints and cause deformities such as bunions and hammertoes. Along with toe joints, rheumatoid arthritis can also occur in the ankle joint, the tarsometatarsal joints in the midfoot, and the hindfoot (heel area). While rheumatoid arthritis has no cure, a podiatrist can help treat its symptoms which, if left untreated, may inhibit a person’s ability to lead a normal life. Your podiatrist may prescribe special shoes, braces, and/or create custom orthotics to help restore functionality to the feet and ankles and relieve pain. Icing, gentle exercises, and physical therapy may also help relieve symptoms, as can corticosteroid injections. Make an appointment with a podiatrist today to begin treatment for your painful rheumatoid arthritis symptoms.

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 Grobowski Foot & Ankle. 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 one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Athlete’s foot is a common and contagious fungal infection of the skin. Common symptoms are dry, red, and cracked skin that generally develops on the bottom of the foot and in between the toes. It can spread to the toes and other areas of the foot if it is not promptly treated. This fungus can be uncomfortable and cause irritability and embarrassment. There are effective methods that can help to prevent athlete’s foot. These include wearing appropriate shoes while in public shower rooms or locker rooms and keeping your feet washed and thoroughly dried regularly. Additionally, it is advised to refrain from sharing shoes and socks. It is beneficial to wear shoes that are made of natural materials as this may help the feet to feel more comfortable. There are several treatment methods that respond well to athlete’s foot and it is suggested that you consult with a podiatrist who can determine which treatment options are best for you.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with one of our podiatrists from Grobowski Foot & Ankle. our doctors will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

If you have any questions, please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Women are more prone to developing bunions than men. This may be a result of wearing high heels or shoes that do not have adequate room in the toe area. A bunion appears as a bony lump on the side of the big toe and is considered to be a foot deformity. This protrusion causes the bone in the big toe to gradually move toward the other toes and can produce pain and discomfort. People who develop bunions may eventually get osteoarthritis in the big toe, which can be the source of chronic pain. Additionally, the risk of getting a bunion may increase in patients who have short calf muscles or a shortened Achilles tendon, and medical conditions such as rheumatoid arthritis and flat feet. Bunions may be prevented by wearing shoes that are comfortable and flat. It may help to frequently walk barefoot, which may be beneficial in strengthening the muscles in the overall foot. If you have developed a bunion, it is strongly suggested that you speak with a podiatrist who can provide you with correct treatment options, which may include surgery for permanent removal. 

If you are suffering from bunions, contact one of our podiatrists of Grobowski Foot & Ankle. our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The Achilles tendon is located in the back of the calf and connects the heel to the calf muscles. It is responsible for pointing and flexing the foot and is needed while walking or running. Many people can develop an Achilles tendon injury, and it generally causes severe pain and discomfort. It can happen as a result of not training properly or overtraining before a running practice is started. Some patients develop this type of injury if their speed or mileage is increased too quickly, and a small tear in the Achilles tendon may occur. This is a condition that typically takes several weeks to completely heal. Patients may find it helpful to wear a protective boot as the healing process takes place, in addition to limiting walking. Some of the symptoms that are associated with this type of injury include swelling and bruising in the calf area, and it may become difficult to walk. Research has indicated surgery may be necessary in finding permanent relief if not completely healed in six months. If you have injured your Achilles tendon, it is strongly advised that you are under the care of a podiatrist who can effectively treat this condition.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Grobowski Foot & Ankle. our doctors 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 one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

The outside of the foot is generally where the pain is felt when cuboid syndrome exists. It is often misdiagnosed, and this can happen from the gradual onset of this condition. It is known to be a common ailment among ballet dancers and happens when the ligaments and joints surrounding the cuboid bone get injured. One of the first symptoms of cuboid syndrome consists of sharp pain underneath the pinky toe. Additional symptoms can include red skin around the injured area, and it may be difficult to move or twist the ankle. Research has shown it may be necessary to move the bone back into its original place, followed by taping the foot. Mild relief may be felt when the affected foot is elevated, and this may help to reduce some of the swelling. Many patients can return to their chosen activity that caused the syndrome after several weeks after the healing process has been completed. If you have injured your foot, please consult with a podiatrist who can properly diagnose and treat cuboid syndrome.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from Grobowski Foot & Ankle. our doctors will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.