October 2023

Managing foot pain associated with rheumatoid arthritis, or RA, is vital for maintaining mobility and quality of life. Podiatric interventions for RA typically focus on a multi-faceted approach that combines medication, exercise, custom orthotics, and sometimes surgical treatments. Medications for rheumatoid arthritis can include anti-inflammatory or disease-modifying antirheumatic drugs to reduce pain. Corticosteroid injections are given for localized foot pain or an affected joint, and can offer temporary relief from inflammation. Custom orthotics are tailor-made shoe inserts that can provide better arch support and cushioning to relieve stress on inflamed joints. In severe cases where deformities have developed, surgical interventions such as joint fusion or joint replacement may be considered. If you suffer from rheumatoid arthritis and it is causing pain in your feet or ankles, it is strongly suggested that you make an appointment with a podiatrist for relief and pain management techniques.

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 William Urton, DPM of British Columbia. 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 Langley, BC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The way your foot and ankle move is really important for how your legs work. Your foot is the last part of your leg that touches the ground and pushes against any outside force. When your foot and ankle move properly, it helps your leg handle the weight of your body. During the part of walking where your foot is on the ground, it is important that your lower leg spreads out and manages different kinds of forces like pushing, pulling, sliding, and twisting. If these forces do not spread out evenly, it can put too much pressure on your muscles and tissues, leading to potential problems. When your muscles, bones, and foot movement all work together correctly, it makes your leg handle these forces efficiently. This helps protect your muscles and tissues from getting hurt. To keep your foot and ankle biomechanics in good shape, it is suggested that you make an appointment with a podiatrist for an examination and recommendations of anything you can do to keep your lower legs healthy.

If you have any concerns about your feet, contact William Urton, DPM from British Columbia. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Metatarsalgia, a prevalent foot condition, can disrupt daily life with pain and discomfort.  Symptoms of metatarsalgia include sharp, aching, or burning pain in the ball of the foot. This discomfort may extend to the areas around the second, third, or fourth toes. Pain may worsen when standing, walking, or running but eases when resting. Some individuals may experience sharp or shooting pain in their toes, tingling sensations, or the sensation of walking with a pebble in their shoe. Walking barefoot, especially on hard surfaces, can intensify the pain. Metatarsalgia can be due to intense physical activities, such as running or jumping, particularly when combined with improperly fitting or worn-out shoes. Conditions like hammertoes, bunions, and excess body weight can also contribute to metatarsalgia. Furthermore, footwear choices play a role, with high heels, narrow-toed shoes, and non-supportive athletic footwear increasing the risk. Stress fractures in the metatarsals or toe bones and Morton's neuroma can contribute to this condition. If you are experiencing pain or discomfort in the ball of the foot, it is suggested that you make an appointment with a podiatrist for an exam and possible treatment solutions.  

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with William Urton, DPM from British Columbia. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

Determining when it is time to replace your orthotics is essential for maintaining foot health and comfort. Orthotic replacement intervals vary widely, typically ranging from six months to a year, depending on individual differences in usage and wear patterns. Factors include the frequency of wear, specific footwear usage, and individual foot characteristics. Indicators that can help assess the condition of your orthotics include wear pattern and fading, lack of support and comfort, and loss of definition. Check your orthotics for worn spots or discoloration. If your orthotics no longer provide the same level of support or comfort as when new, it may be time for a replacement. Cracks, tears, splits, or deterioration in the materials signal the need for replacement. Sometimes, the need for replacement is not immediately obvious. For instance, the insert may still be in good condition, but it might have compressed and affected the built-in support of your shoes. Additionally, certain foot conditions can worsen over time, necessitating new orthotics for optimal support. If you suspect that you need new orthotics or you want to make sure you are replacing them at adequate intervals, it is suggested that you make an appointment with a podiatrist for a professional assessment.

If you are having discomfort in your feet and would like to try orthotics, contact William Urton, DPM from British Columbia. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Gout and kidney disease are two distinct medical conditions, but they share a complex relationship that can significantly affect one's health. Gout is a type of arthritis characterized by sudden, severe joint pain, often in the big toe, caused by the buildup of uric acid crystals in the joints. Kidney disease involves the impaired function of the kidneys, leading to the buildup of waste and toxins in the body. What ties these two conditions together is uric acid. When the kidneys are unable to effectively filter and excrete uric acid, it can accumulate in the bloodstream, increasing the risk of gout attacks. Furthermore, some medications used to treat gout can potentially worsen kidney function. Managing both conditions requires a comprehensive approach. It is beneficial for patients to monitor kidney function, control uric acid levels, and adopt lifestyle changes. These can include eating a balanced diet and drinking plenty of water. If you are experiencing gout attacks, it is strongly suggested that you are under the care of a podiatrist who can determine what the cause is, and offer appropriate treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact William Urton, DPM from British Columbia. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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