Early onset rheumatoid arthritis is an inflammatory condition that can affect the joints sooner than expected, sometimes beginning in young adulthood or even earlier. It occurs when the immune system mistakenly targets joint tissue, leading to pain, swelling, stiffness, and warmth. The feet and ankles are often among the first areas involved, which can make walking uncomfortable and limit daily activity. Symptoms may come and go at first, but without care, joint changes can become more persistent over time. Early evaluation is important to identify the condition and begin treatment that helps control inflammation and protect joint function. Management may include medication, wearing supportive footwear, and strategies to reduce stress on affected joints. Paying attention to subtle changes, such as morning stiffness or swelling, can make a meaningful difference. If joint pain or stiffness is ongoing for you or your child, it is suggested that you consult a podiatrist for a proper diagnosis and 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 Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. 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 Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever’s disease is a common cause of heel pain in growing children, especially those involved in sports or frequent activity. It occurs when the growth plate in their heel becomes irritated from repetitive stress and pulling of the Achilles tendon. Children may complain of pain at the back or bottom of the heel that worsens with running or jumping and improves with rest. The area may look slightly swollen and feel tender to the touch, and some children may begin to limp or avoid activity. A podiatrist can diagnose Sever’s disease through a physical exam and by reviewing activity levels and growth patterns. Treatment includes supportive footwear, heel cushions, activity modification, and targeted exercises to reduce strain on the heel. Most cases improve as the growth plate matures. If your child has heel pain, it is suggested that you make an appointment with a podiatrist.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

Foot pain in women may develop from several lifestyle and health-related factors that place stress on the feet. Wearing high heel shoes or shoes that fit improperly can increase pressure on the forefoot and toes, often leading to discomfort, swelling, and deformities over time. Pregnancy may also contribute to foot pain because increased body weight and hormonal changes can affect ligaments and foot stability. Additionally, conditions such as osteoporosis may weaken bone strength, while rheumatoid arthritis can cause joint inflammation, stiffness, and swelling in the feet. Risk factors may include prolonged standing,  wearing improper footwear, and genetic predisposition. A podiatrist can evaluate symptoms and provide personalized treatment. If you have foot pain, it is suggested that you consult a podiatrist who can determine what the cause is, and offer appropriate relief and treatment solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Toenail fungus is a common infection that affects the nails of the feet. It develops when tiny living organisms called fungi enter the nail through small cracks in the nail or surrounding skin. These organisms grow best in warm, moist places, which makes the inside of shoes an ideal environment. Early signs of toenail fungus include yellow, white, or brown discoloration of the nail. The nail may also become thick, brittle, or crumbly. In some cases, the nail may begin to separate from the skin beneath it, which can cause discomfort when wearing shoes. Although the infection may start as a minor cosmetic concern, it can gradually worsen and affect more of the nail if it is not treated. A podiatrist is trained to identify toenail fungus and determine the severity of the infection. They can recommend medical treatments that target the infection and help restore nail health. If you notice changes in your toenails, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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