Rheumatoid arthritis is an inflammatory condition that can affect the small joints of the feet, often causing pain, swelling, warmth, and morning stiffness that lasts longer than expected. Many people first notice discomfort in the front of the feet or toes, making walking uncomfortable, especially after rest. As the condition progresses, joint damage may lead to shifting toe position, reduced stability, and pressure points that make wearing shoes difficult. Because this condition affects the immune system, symptoms may involve both feet in a similar pattern rather than appearing from a single injury. A podiatrist can evaluate joint changes, walking mechanics, and areas of abnormal pressure while helping to manage discomfort and protect foot function. Early recognition matters because untreated inflammation can lead to lasting structural changes. If you are experiencing persistent foot swelling, stiffness, or unexplained joint pain, it is strongly suggested that you visit a podiatrist for an evaluation.

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 Zina Cappiello, DPM of Dr. Zina B. Cappiello DPM, LLC. Our podiatrist 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 Clifton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ingrown toenails, which account for about 20 percent of all foot issues, develop when the edge of a toenail grows into the surrounding skin. The affected toe may look red, swollen, and tender. In some cases, pus or an infection may develop. An ingrown toenail may feel painful or sore, especially when wearing shoes or applying pressure. Common causes include improper nail trimming, wearing tight or ill-fitting footwear, injury to the toe, or hereditary nail shape. A podiatrist can begin by examining the nail and surrounding tissue, assessing the severity of the ingrown nail, and checking for infection. Treatment may include safe removal of the ingrown portion, guidance on proper nail care, and infection management, if needed. Recommendations for protective footwear or orthotics to reduce pressure may be provided. In chronic or severe cases, minor surgery may be performed to prevent recurrence. Because early professional care reduces pain and prevents complications, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Zina Cappiello, DPM of Dr. Zina B. Cappiello DPM, LLC. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

Proper cane use can help prevent falls by improving balance and reducing strain on the feet and ankles. Using a cane the right way gives the body extra support while walking. The cane should be held on the side opposite the weaker or injured leg. This allows the stronger side to carry more weight and keeps each step steady. The cane and the weaker leg should move forward at the same time. On stairs, the stronger leg leads when going up, and the weaker leg leads when going down. Poor technique can increase the risk of falls and joint strain. A podiatrist can evaluate walking patterns, check foot alignment, and ensure the cane is the correct height. Treatment includes gait training, supportive devices, and custom orthotics to improve stability. If you need an assistive device to help you walk, it is suggested that you schedule an appointment with a podiatrist for expert guidance.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Zina Cappiello, DPM from Dr. Zina B. Cappiello DPM, LLC. Our podiatrist will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

Heel pain is often caused by plantar fasciitis, which is irritation of the thick band of tissue along the bottom of the foot. Another frequent cause of heel pain is Achilles tendonitis, inflammation of the tendon at the back of the heel. Stress fractures from repeated impact, and arthritis, which involves joint wear and stiffness, may also be factors. Nerve irritation, poor circulation, and long periods of standing sometimes play a role. Symptoms include sharp pain with the first steps in the morning and soreness after activity. Swelling or tenderness when pressure is applied to the heel may also occur. Some people notice a dull ache that worsens over time. A podiatrist can evaluate the foot and review symptoms. Imaging may be used to determine the cause. Treatment plans include orthotics, bracing, and guidance to reduce strain and improve foot function. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment plan.

Many people suffer from bouts of heel pain. For more information, contact Zina Cappiello, DPM of Dr. Zina B. Cappiello DPM, LLC. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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