Tuesday, 24 June 2025 00:00

Rheumatoid arthritis is a long-term condition that causes inflammation in the joints, often starting in the feet. In many cases, the toes or middle part of the foot are the first areas to become painful or swollen. The joints most often affected are the ones at the base of the toes, as well as the joints below the ankle. These areas can become stiff, unstable, or painful, and over time, the shape of the foot can change. Some people develop soft lumps, called nodules, that form over pressure points like the heel or the back of the ankle. Fluid-filled sacs under the ball of the foot, known as bursae, may become sore if irritated. Corns, calluses, and thick skin may build up in areas that take extra pressure, especially if walking becomes uneven. A podiatrist can provide support through an accurate diagnosis, pressure relief techniques, and long-term foot care. If you have rheumatoid arthritis that is causing foot pain, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

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 Darlyne Cange, DPM of Cange Podiatry, DPM, PA. 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 offices located in Glen Burnie and Ellicott City, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 17 June 2025 00:00

Supination of the foot is a natural motion that occurs when the foot rolls outward during walking or running. This helps the foot form a stable structure for push-off. When this motion becomes excessive, it is called over-supination or underpronation. Too much outward rolling can place stress on the outer edge of the foot and reduce shock absorption. This may lead to heel pain, ankle sprains, arch strain, and fractures in the heel bone. Over-supination is often related to high arches, poor walking patterns, or previous foot injuries. People who over-supinate may notice that their shoes wear out more along the outer edges, causing instability while walking. A podiatrist can evaluate your gait and determine if your foot alignment is contributing to the pain. Custom orthotics, bracing, or surgery may be recommended to correct the issue and improve balance. If you have foot pain caused by your gait, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

If you have any concerns about your feet, contact Darlyne Cange, DPM from Cange Podiatry, DPM, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Glen Burnie and Ellicott City, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 10 June 2025 00:00

A foot fracture is a break in one or more bones of the foot, often caused by trauma, overuse, falls, or direct impact from heavy objects. Symptoms typically include sharp pain, swelling, bruising, difficulty walking, and tenderness when pressure is applied. Diagnosis begins with a thorough physical examination, followed by X-rays or digital scans to determine the location and severity of the fracture. A podiatrist plays a key role in identifying the type of fracture and providing appropriate treatment, which may include immobilization, custom orthotics, or surgery. If you have symptoms of a broken foot, it is suggested that you consult with this type of doctor who can accurately diagnose and treat foot fractures.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Darlyne Cange, DPM from Cange Podiatry, DPM, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

If you have any questions please feel free to contact our offices located in Glen Burnie and Ellicott City, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 03 June 2025 00:00

A plantar fibroma is a benign growth that forms within the plantar fascia, the thick band of tissue along the bottom of the foot. This firm lump usually develops in the arch and may increase in size over time. The exact cause is not always clear, but it may be linked to genetics, repeated trauma, or underlying conditions that affect connective tissue. Symptoms include a noticeable bump in the arch, discomfort when walking or standing, and pain when pressure is applied to the area. A podiatrist can diagnose a plantar fibroma through physical examination and imaging, and offer treatments such as custom orthotics, footwear modifications, or other noninvasive options to reduce pain and improve foot function. If you have a lump in the arch of your foot, it is suggested that you contact a podiatrist for an exam and treatment options.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Darlyne Cange, DPM of Cange Podiatry, DPM, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our offices located in Glen Burnie and Ellicott City, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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