Rheumatoid arthritis is an autoimmune disease that can affect many joints throughout the body, including the feet and ankles. This occurs when the immune system mistakenly attacks healthy tissues, causing inflammation inside the joints. Because the feet contain many small joints that work together with every step, rheumatoid arthritis can make walking and standing increasingly difficult. Ongoing inflammation may damage cartilage, weaken surrounding tissues, and change the shape of the foot. Some people notice symptoms in the feet before other joints become affected. Since early treatment can help reduce joint damage and preserve mobility, a professional evaluation is important when foot pain or stiffness develops without an obvious cause.

Foot symptoms vary from person to person and may change as the disease progresses. Many people experience pain, swelling, or stiffness in the toes or the ball of the foot. Others notice warmth around the joints or tenderness that makes wearing shoes uncomfortable. Morning stiffness may last longer than expected and improve gradually as the joints begin moving. As rheumatoid arthritis advances, changes in joint alignment may affect balance, walking, and overall foot function. Persistent inflammation can also increase pressure on certain areas of the foot, leading to additional discomfort during daily activities. Identifying rheumatoid arthritis early may help protect the joints and improve long-term foot health.

A podiatrist plays an important role in managing the foot problems associated with rheumatoid arthritis. During an examination, the podiatrist evaluates joint function, foot structure, and walking mechanics to determine how the disease is affecting mobility. Treatment focuses on relieving pain, improving foot function, and helping reduce stress on the affected joints. A podiatrist may also work closely with your primary care provider or rheumatologist to support comprehensive care. Regular podiatry visits can help monitor changes in the feet and identify problems before they become more severe. If you are experiencing foot pain, swelling, or stiffness related to rheumatoid arthritis, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

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 one of our podiatrists of Granite State Podiatry Associates. Our doctors 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 Manchester and Bedford, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fibromatosis, also known as Ledderhose disease, is a condition that affects the connective tissue on the bottom of the foot. It leads to the formation of firm nodules within the plantar fascia, which can interfere with normal foot function. While these growths are benign, they can cause discomfort and affect mobility if they become large or irritated. Understanding the nature of this condition helps guide proper care and management.

Common symptoms include the presence of one or more nodules in the arch of the foot. These growths may feel firm to the touch and can cause pain when pressure is applied during walking or standing. Some individuals experience a sensation of tightness or discomfort that worsens with activity. As the condition progresses, the nodules may increase in size, making it more difficult to wear certain types of shoes comfortably.

The causes of plantar fibromatosis are not fully understood, but repetitive stress and strain on the plantar fascia are believed to play a role. Genetic factors may also increase the likelihood of developing this condition. Risk factors include age, foot structure abnormalities, and activities that place continuous pressure on the arch. The buildup of fibrous tissue leads to the formation of nodules that can disrupt normal movement.

Managing plantar fibroma involves addressing symptoms and reducing stress on the foot. Early evaluation allows for appropriate care and can help prevent further progression. Supportive measures and professional guidance are important for maintaining comfort and mobility. If you have lumps on the sole of your foot, it is suggested that you visit a podiatrist for an accurate diagnosis and effective management tips. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Granite State Podiatry Associates. Our doctors 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 Manchester and Bedford, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

High heels are a popular footwear choice in every season, but they can place added stress on the feet and ankles if worn without proper support. This style shifts body weight forward, increasing pressure on the forefoot and affecting balance. Choosing the right shoe shape is important, as styles with a rounded or almond toe box allow for better alignment and reduce crowding of the toes. Opting for shorter heels can also improve stability and make it easier to stay comfortable for extended periods of time, especially when planning to wear heels all night. Selecting supportive footwear is essential for maintaining foot health. Well structured shoes with a wider heel base offer better balance, while closed toe designs can provide added protection when needed. Non-slip soles improve traction on a variety of surfaces, helping to prevent slips and falls. Cushioning and proper fit reduce pressure points and help limit irritation, fatigue, and discomfort during prolonged wear. Taking short breaks, shifting weight, and stretching the feet when possible can also help you wear high heels more comfortably throughout the evening.

Common symptoms associated with improper high heel use include foot pain, ankle instability, and difficulty walking comfortably. Risk factors include prolonged wear, poor shoe fit, narrow toe boxes, and walking on uneven or slick surfaces. Without proper precautions, these issues may lead to sprains, strains, or more serious injuries.

In summary, wearing high heels safely requires thoughtful choices that prioritize balance, support, and proper fit. Paying attention to heel height, shoe shape, and comfort strategies can make a significant difference when wearing heels for long periods. If you have foot pain or have sustained an injury while wearing high heels, it is suggested that you consult a podiatrist for relief tips and guidance on the right type of shoes to wear.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact one of our podiatrists from Granite State Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

Morton's neuroma affects nerves between the toes, most often between the third and fourth, causing irritation and thickening of surrounding tissue. This leads to nerve compression and discomfort in the ball of the foot. Metatarsalgia is a related condition that involves inflammation and pain in the forefoot, particularly under the metatarsal heads. Both conditions are commonly linked to repetitive pressure and biomechanical stress. They are more prevalent in women, often due to footwear choices that place increased strain on the forefoot. Understanding these conditions helps individuals recognize symptoms early and seek appropriate care.

Symptoms of Morton's neuroma include burning pain, tingling, and numbness that may extend into the toes. Many people describe the sensation as walking on a small object inside the shoe. Metatarsalgia presents as aching pain, tenderness, and increased discomfort with standing or walking. Swelling and a feeling of bruising under the ball of the foot are also common. These symptoms may worsen during activity and improve with rest. Early recognition is important to prevent progression and reduce the impact on mobility and daily function.

Risk factors for these conditions include high-heeled or narrow footwear, repetitive impact activities, and foot structure abnormalities like high arches or flat feet. Obesity increases pressure on the forefoot, contributing to tissue stress and inflammation. Tight calf muscles and poor shock absorption can also lead to excessive force on the metatarsal region. Common causes of metatarsalgia include overuse, improper footwear, and uneven weight distribution when walking or running. These factors create ongoing stress that leads to irritation and pain in the forefoot.

Managing these conditions involves reducing pressure on the forefoot through proper footwear, cushioning, and orthotic support. Activity modification and targeted exercises may help improve foot mechanics and relieve symptoms. Early treatment leads to better outcomes and reduces the likelihood of chronic pain. If you have Morton’s neuroma, it is suggested that you consult a podiatrist for effective treatment to restore comfort and improve foot function.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of Granite State Podiatry Associates. Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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