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Stephan J. LaPointe, DPM, PhD, FACFAS

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Two Small Bones in the Foot Can Cause Big Pain

Two tiny bones under the big toe joint, called sesamoids, help the foot handle pressure while walking and running. When these bones or the surrounding tissue become irritated, inflammation can develop. This often causes pain beneath the base of the big toe, especially when walking, standing for long periods of time, or wearing thin-soled or high-heeled shoes. The area may feel swollen, warm, or tender, and bending the big toe can make the pain worse. Repeated stress from dancing, jogging, or wearing poor-fitting shoes often leads to this problem. A podiatrist can examine the foot, check for swelling, and order X-rays to rule out a fracture or arthritis. Treatment of sesamoiditis includes custom orthotics, offloading pads that reduce pressure, and supportive shoes with thicker soles. Pain also can be relieved with anti-inflammatory medicine taken orally and injections to numb the painful area. If you have pain beneath the big toe joint, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and effective treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Stephan J. LaPointe of Georgia Foot & Ankle Specialists . Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

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Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Reasons Ankles May Swell

Swollen feet and ankles may develop when fluid builds up in the lower extremities, a condition known as edema. This swelling may appear gradually or suddenly. It causes the skin to look stretched or shiny and feel tight or heavy. Some people notice indentations in the skin after pressing on the area. Others experience discomfort when walking or wearing shoes. Causes of swollen feet or ankles include standing or sitting for a long time, injury, and circulation issues. Underlying medical conditions that affect fluid balance may also contribute. A podiatrist can evaluate the pattern and severity of swelling. Treatment includes compression therapy, elevation, and guidance on supportive footwear to improve circulation and reduce fluid buildup. Targeted exercises may be recommended to encourage movement and blood flow. Early evaluation helps prevent complications and improve comfort. If you have swollen feet and ankles, it is suggested that you make an appointment with a podiatrist.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Dr. Stephan J. LaPointe of Georgia Foot & Ankle Specialists . Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Is It Rheumatoid Arthritis or Gout?

Foot pain can sometimes be caused by rheumatoid arthritis or gout, each affecting the joints in different ways. Rheumatoid arthritis is an autoimmune condition that often causes pain, swelling, and stiffness in multiple joints. The joints may feel warm, appear swollen, and become increasingly stiff, especially in the morning or after rest. Over time, joint shape may change, leading to deformities and difficulty walking. Gout typically presents as a sudden and intense attack of pain, often affecting the big toe. The joint may become red, hot, and extremely tender, sometimes developing overnight. This occurs due to a buildup of uric acid crystals in the joint. A podiatrist can help distinguish between these conditions through examination and testing. They can then coordinate care that may include medication, supportive footwear, and custom orthotics to protect the joints. If you have foot pain from rheumatoid arthritis or gout, 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 Dr. Stephan J. LaPointe of Georgia Foot & Ankle Specialists . 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 Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Diabetic and Non-Diabetic Foot Ulcers Explained

Foot ulcers are open sores that commonly affect the feet and can occur in both diabetic and non-diabetic individuals. Diabetic foot ulcers are primarily caused by peripheral neuropathy and poor circulation, which reduce sensation and slow healing. Minor injuries may go unnoticed and develop into serious wounds. In contrast, non-diabetic foot ulcers are often linked to pressure, trauma, vascular disease, or skin conditions. While they may heal more predictably, underlying issues still require attention. Both types need proper wound care, including cleaning, protection, and sometimes medical treatment. Early diagnosis is essential to prevent infection or complications. Maintaining good foot hygiene, wearing supportive footwear, and monitoring skin changes can significantly reduce risk and promote healing outcomes. Patients should seek professional care from a podiatrist if wounds do not improve quickly or show signs of redness, swelling, pain, or discharge. Early intervention improves overall recovery.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Wound Care
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