Rheumatoid arthritis is an inflammatory condition that can significantly affect the feet, often causing pain, swelling, and joint damage. It frequently targets the forefoot, where the toes meet the foot, leading to stiffness and difficulty walking. Ongoing inflammation can weaken the supporting tissues, causing deformities like bunions and claw toes, which are toes that bend into an abnormal position. This can also lead to joint shifting or dislocation, making standing and movement painful. Thick areas of skin may form under pressure points, adding to discomfort. A podiatrist can evaluate joint alignment, order imaging, and create a treatment plan. This may include custom orthotics, bracing, or surgery to improve stability and reduce pain. Early care can help limit long-term joint damage. If you have symptoms of rheumatoid arthritis in your feet, it is suggested that you make an appointment with a podiatrist.

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 Scott Samera, DPM of Samera / Foot + Ankle. 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 Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Choosing the right running shoes is essential for comfort, performance, and injury prevention. Start by understanding your goals and the type of running you plan to do. Knowing your arch type is important. A neutral arch provides balanced support, a low arch often leads to increased inward rolling of the foot, and a high arch may result in reduced shock absorption. Understanding your running gait also plays a key role. Neutral pronation allows even weight distribution, overpronation causes excessive inward movement, and supination results in outward rolling. Each pattern affects how your foot interacts with the ground. A podiatrist can help by evaluating your foot structure and gait to recommend proper footwear or orthotics. If you have sustained a foot injury from wearing the wrong shoes while running, it is suggested that you consult a podiatrist for appropriate treatment solutions and guidance on choosing the right shoes and fit. 

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

• Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
• There should be little to no slipping at the heel
• Don’t assume your size in one shoe brand will be your size in another
• Do not lace up your shoes too tightly
• Walk around in the store with your new shoes before you buy them

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

Hyperuricemia refers to higher than normal levels of uric acid in the blood, a substance produced when the body breaks down certain foods and cells. It can be linked to gout, which is an arthritic condition, causing severe pain in the big toe. While it is more commonly discussed in adults, it can also occur in children and adolescents. In some cases, it does not cause noticeable symptoms, but it may be linked to joint discomfort, swelling, or the development of crystal buildup in joints, over time. Factors such as diet, weight, genetics, and underlying health conditions can all play a role. Early recognition allows for guidance on nutrition, hydration, and activity to help manage levels and reduce stress on the body. When symptoms are present, targeted care may be needed to address discomfort and prevent progression. If your child or teen is experiencing foot pain or swelling in the big toe or surrounding areas, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Scott Samera, DPM from Samera / Foot + Ankle. 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 Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain is common among runners because each step places force on the ankle joint. Over time, this pressure can lead to injury. One likely cause is an ankle sprain, which occurs when ligaments, the bands that connect bones, stretch or tear after a twist. Another is an ankle strain, resulting from tearing or overstretching the muscles or tendons attached to the bones. Inflammation of a tendon may develop from overuse or changes in training distance, while stress fractures are hairline cracks in a bone caused by repeated impact. Runners may notice swelling, tenderness, weakness, or pain that worsens during activity. A podiatrist can evaluate foot structure and joint stability to find the source of discomfort. Treatment may include bracing and orthotics to improve proper alignment and reduce strain. If you are experiencing ankle pain from running, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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