Tuesday, 21 May 2024 00:00

Rheumatoid arthritis, or RA, is an autoimmune disease that causes inflammation in the joints. In RA, the immune system mistakenly attacks the lining of the joints, causing swelling, pain, and potentially severe joint damage. This can cause problems in any of the 30 foot joints, but it most commonly affects the toes and ankles. RA can also lead to deformities such as bunions, claw toes, or severe flattening of the foot, as well as pain and difficulty walking. Chronic inflammation can weaken the ligaments and tendons in the foot, leading to instability and increased risk of injury. Podiatrists, or foot doctors, can help manage RA-related foot issues by providing targeted treatments. Among them are orthotics to support the joints, advice on proper footwear to reduce stress on the affected areas, and exercises to maintain joint function and mobility. They also monitor for changes or deterioration in foot health that might require more aggressive interventions, including injections or surgery. If you’re a rheumatoid arthritis patient with problems in the feet and ankles, it is suggested that you add a podiatrist to your care team. 

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 Dr. Rouder of S.I. 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.


  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation


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 Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Rheumatoid Arthritis in the Feet
Tuesday, 14 May 2024 00:00

Diabetic foot ulcers pose a significant challenge in managing diabetes, often leading to severe complications if left untreated. Among the array of treatment options, surgical offloading procedures stand as a critical intervention. These procedures involve relieving pressure from the affected area, allowing the ulcer to heal effectively. Surgeons may opt for techniques, such as tendon lengthening and bone resection. By redistributing weight-bearing forces, these surgeries alleviate stress on the ulcer, promoting tissue repair and reducing the risk of infection. While surgical intervention may seem daunting, it offers a vital opportunity for individuals with diabetic foot ulcers to regain mobility and prevent further deterioration. Additionally, when coupled with comprehensive diabetic foot care, including proper wound management and glycemic control, these procedures enhance the prospects of successful ulcer healing and minimize the likelihood of recurrence. If you have diabetes and have developed a foot wound, it is strongly suggested that you consult a podiatrist who can help you determine if this type of foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Rouder of S.I. Podiatry. Our doctor 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 office located in Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Surgery
Tuesday, 07 May 2024 00:00

An ankle fracture occurs when one or more bones in the ankle break due to excessive force or trauma. Understanding its causes and symptoms is essential for prompt diagnosis and effective treatment. These types of fractures often result from sudden twists, falls, or direct impacts during activities like sports or accidents. Symptoms typically include severe pain, swelling, bruising, and difficulty bearing weight on the affected ankle. You may also notice deformity or instability in the joint. These signs indicate the need for immediate medical attention to prevent further damage and complications. Ankle fractures can vary in severity, ranging from hairline cracks to complete breaks, requiring different treatment approaches such as immobilization, casting, or surgery. Ignoring or neglecting these injuries can lead to long-term issues such as chronic pain, arthritis, and reduced mobility. If you have any of the above symptoms, it is suggested that you promptly visit a podiatrist who can accurately diagnose and treat broken ankles.

Broken ankles need immediate treatment. If you are seeking treatment, contact Dr. Rouder from S.I. Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

Read more about Broken Ankle Causes, Differences, Symptoms and Treatments
Friday, 03 May 2024 00:00

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

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