Rheumatoid arthritis is a disease that causes the body's immune system to attack healthy joints. This ongoing inflammation can damage the bones, joints, tendons, and ligaments in the feet. As the condition progresses, patients can develop painful deformities that make standing and walking more difficult. The toes can change position, the arch can become unstable, and pressure can build on different parts of the foot. These changes can affect balance and limit daily activities. A podiatrist carefully evaluates the condition to determine when foot surgery offers the best opportunity to relieve pain, improve alignment, and restore foot function after conservative treatments no longer provide enough relief.

A podiatrist begins with a complete examination to understand how rheumatoid arthritis has affected the feet. The evaluation includes checking joint movement, foot alignment, and tendon function. The podiatrist also studies how the patient stands and walks because changes in gait can reveal areas of instability and excessive pressure. Imaging tests, like X-rays, CT scans, or MRI scans, provide detailed views of joint damage and soft tissues. A CT scan combines multiple X-ray images to create detailed cross-sectional pictures of the foot. These findings help the podiatrist determine which surgical procedure is most appropriate and create a treatment plan that matches the patient's symptoms and level of joint damage.

Foot surgery for rheumatoid arthritis is designed to improve foot stability, reduce pain, and correct deformities that interfere with normal movement. Depending on the condition, surgery can straighten toes, restore joint alignment, or remove damaged tissue that contributes to pain. A podiatrist explains the expected benefits, possible risks, and recovery process before treatment begins. Regular follow-up visits allow healing to be monitored and help restore comfortable movement. The goal is to improve mobility, increase stability, and support a better quality of life. If you have rheumatoid arthritis and symptoms of foot pain or deformity, it is suggested that you schedule an appointment with a podiatrist to discuss the benefits of foot surgery.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Shawn Echard, DPM of Laurel Podiatry LLC. Our practitioner will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

A bunionette is a bony bump on the outside of the foot at the base of the little toe. The bump forms when the fifth metatarsal, the bone behind the little toe, shifts outward or has an unusual shape. The little toe may lean inward. Pressure from shoes can irritate the area and cause redness, swelling, or a painful callus. Some patients feel pain beneath the joint rather than beside it. A podiatrist can determine whether the discomfort comes from a bunionette or another foot problem.

Treatment begins with an examination of the foot. The podiatrist checks the bump, skin, and little-toe joint. Weight-bearing X-rays can show the position and shape of the bones while the patient is standing. These images help the podiatrist select treatment that matches the deformity. Options include padding to reduce rubbing, professional callus care, and custom orthotics to improve pressure distribution. The podiatrist can also recommend shoes with a wide toe box and enough room along the outside of the foot. If swelling is severe, an injection may be considered to reduce inflammation. These measures do not remove the bump, but they can ease pressure and make standing or walking more comfortable.

Surgery can be considered when pain continues despite treatment or when the deformity limits activity. The chosen procedure depends on the location of the bump and the position of the fifth metatarsal. A surgeon may remove excess bone, realign the metatarsal, or correct the little toe. Recovery instructions depend on the procedure and can include protected weight-bearing in a special shoe. Follow-up visits allow the podiatrist to check healing and guide a safe return to regular shoes and activity. Patients should seek prompt care for worsening redness, open skin, or drainage around the bump. If you have a painful bunionette, it is suggested that you schedule an appointment with a podiatrist who can offer effective relief and management solutions.

If you are suffering from bunions, contact Shawn Echard, DPM of Laurel Podiatry LLC. Our practitioner 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?

Podiatrists 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 provider.

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 our offices located in Greensburg and Somerset, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetic foot care is an important part of protecting long-term foot health. Diabetes affects the nerves and blood vessels in the feet. Nerve damage may reduce the ability to feel pain, heat, or injuries. Poor circulation can make it harder for damaged skin and other tissues to heal. As a result, a small wound may become more serious before a person realizes there is a problem. Changes such as swelling, redness, or sores may require professional attention. Regular podiatric evaluations can help identify concerns before they lead to more serious diabetic foot complications.

People with diabetes may develop several types of foot problems. Reduced sensation can make it difficult to notice cuts, blisters, or areas of pressure. These injuries can develop into diabetic foot ulcers, which are open wounds that may become infected. Changes in foot shape may also create areas that receive too much pressure during walking. In severe cases, infections and poor healing can damage deeper tissues and threaten the health of the foot. Any wound that is slow to heal or shows signs of infection should receive prompt medical attention. Professional diabetic foot care is especially important when numbness or circulation problems are present.

A podiatrist can play an important role in preventing and managing diabetes-related foot complications. During an examination, the podiatrist may evaluate circulation, skin condition, and sensation in the feet. The feet can also be checked for wounds or pressure areas that require treatment. When a problem is found, podiatric care can address the condition and help reduce the risk of further complications. A podiatrist can also work with other health-care professionals when diabetes affects several areas of a patient’s health. Regular evaluations allow changes in foot health to be identified early. If diabetes is affecting your feet or you have developed numbness, wounds, or other foot changes, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Shawn Echard, DPM from Laurel Podiatry LLC. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Foot color changes can sometimes provide an important clue about circulation and underlying health conditions. Systemic sclerosis, also called scleroderma, is a chronic autoimmune condition that can cause changes in the skin and connective tissues. It can also affect blood vessels, particularly those supplying the fingers and toes. People with systemic sclerosis may notice that their feet or toes change color when exposed to cold temperatures or during periods of stress. The skin may appear pale, blue, or purple, as blood flow changes. These episodes can occur with other symptoms, such as cold feet, numbness, or discomfort.

One common circulation-related symptom associated with systemic sclerosis is Raynaud phenomenon. During an episode, blood vessels in the toes can narrow temporarily, reducing blood flow and causing the affected area to become pale or bluish. As circulation returns, the toes may become red and feel warm, uncomfortable, or tingly. Foot color changes can also have many other causes, so they should not automatically be assumed to be related to systemic sclerosis. A professional evaluation can help identify the reason for the change.

Risk factors for circulation problems associated with systemic sclerosis include having the condition itself, repeated exposure to cold, and vascular involvement. Symptoms that deserve attention include persistent color changes, unusual coldness, and tingling. In more serious cases, reduced blood flow can contribute to ulcers or tissue damage. A podiatrist can examine the feet for changes in skin condition, temperature, and areas of pressure. 

Foot color changes should not be ignored, particularly when they are new, persistent, painful, or accompanied by wounds. Early evaluation can help identify circulation concerns and reduce the risk of complications. Treatment depends on the underlying cause and may include protecting the feet from cold, addressing pressure areas, and providing appropriate footwear. If you have unexplained foot color changes, it is suggested that you consult a podiatrist who can provide effective management solutions.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Shawn Echard, DPM from Laurel Podiatry LLC. Our practitioner will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please contact our offices located in Greensburg and Somerset, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.