Rheumatoid arthritis is an inflammatory disease in which the immune system attacks the joint lining. Many small joints in the feet and ankles can be affected. Inflammation can cause pain, swelling, and warmth. It can also cause stiffness. Symptoms affect both feet and can make standing or walking difficult. Morning stiffness may last longer than with other forms of arthritis. As joint damage progresses, the toes can shift out of position. Bunions, hammertoes, and painful pressure points can then develop. Changes in foot shape may make shoes harder to fit comfortably.

Pain from rheumatoid arthritis can occur in the toes, ball of the foot, or heel. The ankle and the middle or back of the foot can also become sore. Swollen joints may feel tender, while damaged joints can lose movement and stability. Some patients develop thick calluses beneath areas carrying extra pressure. Others notice that the arch flattens or the heel turns outward. These changes can alter how weight moves across the foot when walking. Because rheumatoid arthritis can flare and then become quieter, foot symptoms may vary from day to day. Persistent pain, redness, or swelling requires an evaluation from a podiatrist.

This foot doctor can examine joint movement, foot shape, and tenderness. The evaluation can include X-rays or other imaging tests to check for joint damage. Treatment focuses on reducing pressure, improving support, and preserving mobility. A podiatrist can recommend properly fitted shoes with room for swollen joints or changed toe positions. Custom orthotics can redistribute weight and support unstable areas. Padding or braces can protect tender spots and improve alignment. A podiatrist can also care for painful corns, calluses, or nail problems. When severe joint damage limits movement, the podiatrist can discuss whether surgery is appropriate. If you have symptoms of rheumatoid arthritis in the feet, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

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 Steven Ginex, DPM of Palm Desert 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 Palm Desert, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tarsal tunnel syndrome is a nerve condition that develops when the tibial nerve becomes compressed as it passes through a narrow space along the inside of the ankle. Symptoms can include burning pain, tingling, or an electric-like feeling that may extend into the sole. Some people also notice weakness or discomfort after standing or walking for extended periods.

Several factors can contribute to tarsal tunnel syndrome. An ankle injury may cause swelling that places pressure on the nerve. Flat feet can change foot alignment and increase tension around the tarsal tunnel. Arthritis, bone spurs, or cysts may also narrow the space surrounding the nerve. Diabetes and other conditions affecting nerves can increase risk. Repetitive standing, walking, or activities that place stress on the ankle may further aggravate symptoms.

A podiatrist begins treatment by reviewing symptoms, examining the foot and ankle, and checking sensation and nerve function. Imaging may be recommended. Treatment depends on the underlying cause and may include wearing supportive footwear, custom orthotics, or medication when appropriate. The podiatrist may also recommend strategies to reduce swelling and pressure around the nerve. If symptoms remain severe or a clear structural cause is identified, surgical nerve decompression may be considered.

Early evaluation can help identify the source of nerve irritation and prevent ongoing discomfort. During healing, a podiatrist monitors symptoms and adjusts treatment. Following recommendations for footwear, activity, and follow-up visits can support recovery. Tarsal tunnel syndrome can sometimes resemble other causes of foot numbness, making an accurate diagnosis important. If you have persistent burning, tingling, or pain around your ankle or foot, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Steven Ginex, DPM of Palm Desert Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Athlete’s foot is a fungal skin infection that begins between the toes. The fungus grows in warm, damp places and can spread through contact with contaminated surfaces. Locker-room floors, showers, and pool areas are sources of exposure. Shoes that trap heat and moisture can create conditions that allow fungus to grow. Symptoms include itching, burning, and peeling skin. The affected area may also become red, cracked, or sore. Some infections spread across the sole or along the sides of the foot. Small, fluid-filled blisters can appear in certain cases.

Although an athlete’s foot infection can seem minor, it should not be ignored. Cracks in the skin can allow bacteria to enter and cause a serious infection. This risk is greater for patients with diabetes, poor circulation, or a weakened immune system. Athlete’s foot can also spread to the toenails, hands, or other areas of the body. Because eczema and other skin problems can cause similar symptoms, an accurate diagnosis is important. A podiatrist can examine the skin and determine whether a fungal infection is present. In some cases, a small skin sample is tested to confirm the cause.

A podiatrist can recommend treatment based on the location and severity of the infection. The podiatrist can also check for nail involvement, bacterial infection, or skin damage that requires closer attention. Guidance can be provided on keeping the feet dry and reducing the chance of another infection. This includes choosing breathable shoes, changing damp socks, and protecting the feet in shared bathing areas. Shoes should fit properly and allow enough room around the toes. Patients should seek prompt care when symptoms keep returning or begin to spread. Swelling, drainage, or increasing pain also requires professional evaluation. Early diagnosis can shorten the infection and help protect the surrounding skin and nails. If you have symptoms of an athlete’s foot infection, it is important that you schedule an appointment with a podiatrist effective relief and treatment solutions.

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 Steven Ginex, DPM from Palm Desert Podiatry. Our doctor 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 our office located in Palm Desert, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flexible flat feet are common in children. They occur when the arches flatten while standing, but return when the child sits or rises onto the toes. Some children have no symptoms, while others may develop foot pain, tired legs, or discomfort after activity. Flexible flat feet can affect comfort and movement, especially when children participate in sports or walk for long periods. A podiatric evaluation can determine whether treatment is needed.

Several factors can increase the risk of developing flexible flat feet. Family history, ligament flexibility, and certain foot structures may contribute. Rapid growth can also change how a child stands and walks. Children with flexible flat feet may experience heel or arch discomfort, ankle fatigue, or changes in walking patterns. Although flat feet do not always cause problems, consistent pain or difficulty with activities warrants podiatric attention.

Orthotics can provide support for children whose flexible flat feet cause discomfort or affect movement. A podiatrist may first examine foot structure, walking patterns, and tenderness. The podiatrist may then recommend supportive shoes or custom orthotics. Properly fitted orthotics can help support the arch, improve alignment, and increase comfort during everyday activities. Follow-up visits allow the podiatrist to check fit, comfort, and treatment response.

Supporting healthy feet can help children stay active. Orthotics are not necessary for every child with flexible flat feet, so treatment should be based on symptoms and examination findings. A podiatrist may also recommend activity adjustments, footwear changes, and routine monitoring, when needed. Parents should seek evaluation if a child has persistent pain, fatigue, or difficulty keeping up with peers. If your child has pain from having flat feet and you want to consider insoles, it is suggested that you consult a podiatrist who can determine what type of orthotic is the most beneficial.

If you are having discomfort in your feet and would like to try orthotics, contact Steven Ginex, DPM from Palm Desert Podiatry. 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 feel free to contact our office located in Palm Desert, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.