Osteoarthritis (OA) affects roughly 27 million Americans. Not surprisingly, the foot is one of the most common areas affected by joint cartilage degradation that can result from OA. OA is not merely a matter of “inevitable wear and tear” as we age; rather, it’s a disease process that is a result of many factors such as genetics, excess weight, tendon and ligament injuries, and the presence of other disorders such as acromegaly (a condition involving abnormal growth of the hands and feet) or hemochromatosis (a condition involving joint damage from excess iron.)
As osteoarthritis worsens over time, the bones can break down, causing chips (called “bone spurs”) that float around inside the joint. In response, inflammation occurs, prompting the accumulation of proteins and enzymes that further erode the cartilage. In the final stages of OA, there is no soft tissue remaining in the joint — just bone rubbing up against bone, which accelerates joint damage and causes excruciating pain.
The NYC foot surgeons at The Center For Podiatric Care and Sports Medicine are excited about the U.S. Food and Drug Administration’s (FDA) approval of a new synthetic cartilage that can be used in the treatment of osteoarthritis involving the foot and toe, offering these patients a pain-free step forward for the first time in years.
These days, there is no reason to live with debilitating arthritis pain in your feet. Surgeons used to discourage younger patients from undergoing ankle surgery because they worried about the limited mobility a joint fusion would bring or the need for another joint replacement down the road. We’ve reported on several success stories of patients who got another lease on life with their new ankles. Another story comes to you from the UK; 56-year-old photographer Donna Castle told the UK Daily Mail she got a new type of ankle replacement — and she loves it!1http://www.dailymail.co.uk/health/article-3252578/ME-OPERATION-Hi-tech-ankle-joint-gets-feet-faster.html
Arthritis is a difficult chronic condition to overcome. It can be an autoimmune problem (as in the case of rheumatoid arthritis), related to overuse (as in the case of osteoarthritis), or it may be associated with a traumatic injury or a complication of foot surgery. Approximately 55,000 people a year suffer midfoot injuries like fractures or dislocations that fail to heal properly and cause the development of arthritis.1https://steinhardt.nyu.edu/scmsAdmin/uploads/004/320/TFAS%20Rao%20Midfoot%20arthritis.pdf The Arthritis Foundation estimates that nearly half of all people over 60 will suffer some form of arthritis in the feet.2http://www.everydayhealth.com/osteoarthritis-pictures/ways-to-ease-arthritis-foot-pain.aspx In this article, we’ll cover some of the things you can do at home to ease the everyday aches and pains of foot arthritis.
A new study published in the journal of Arthritis Care and Researchfound that about 25% of patients with knee osteoarthritis also have foot and ankle pain.1http://www.medpagetoday.com/Rheumatology/Arthritis/52399 The investigation of 1,255 patients found that people with foot pain and knee osteoarthritis were more likely to be young and female with a higher BMI. More than half the patients (54.9%) suffered from bilateral foot pain. Researchers could not determine whether the foot pain caused the knee problems, the knee problems caused the foot pain, or if both issues arose simultaneously, but they surmised that pronation and other biomechanical conditions resulted as patients overcompensated for the knee arthritis, and that overcompensation worsened the pain.
Jenn F. on
Wednesday, February 11th, 2015
We’ve come a long way from the days when the only chance at a pain-free existence was for patients to live with a poorly functioning fused ankle for the rest of their lives. For former athletes and people accustomed to active lifestyles, this was a devastating blow. But now, INBONE® ankle implants are giving end-stage arthritis patients improved quality of life and a full range of motion. The Center of Podiatric Care & Sports Medicine in NYC is pleased to offer the latest and greatest innovations in ankle replacement science.
Jenn F. on
Wednesday, February 4th, 2015
If you are experiencing pain, tenderness, stiffness, reduced mobility, or swelling in your feet, and have difficulty walking, you may have arthritis. Many people assume that arthritis is something that happens to the elderly, but in reality, many athletes suffer from it as well. It is best to see a New York podiatrist if arthritis is suspected, so we can take you through the full gamut of treatment options. Early, effective intervention can often prevent the need for surgery down the road.
Nearly a quarter of Americans suffer from arthritis, a disease characterized by inflammation, stiffness, joint pain, and swelling. Multiple body parts can be affected, but we treat arthritis of the foot and ankle here at The Center for Podiatric Care and Sports Medicine. Although there is no scientific reason to corroborate an increase in arthritis flare-ups during the winter months, we find that the number of people seeking arthritic pain relief does tend to increase with the colder New York weather. In fact, the Arthritis Foundation offers a local weather tracking toolthat can help people predict their symptoms.
Gout is a terribly painful form of arthritis that drives 8.3 million Americans to podiatrists, rheumatologists, primary care physicians, and emergency rooms each year. The inflammation is triggered by the crystallization of uric acid within the joints, which causes swelling and severe pain.
At The Center for Podiatric Care and Sports Medicine in New York City, we take note of your full medical history upon your arrival as a new patient. You may wonder, “Why does a podiatrist need to know about my diabetes?” but evidence suggests that gout is tied to metabolic syndrome. If you are obese, or have insulin resistance, high blood pressure, and cholesterol issues, then you are considered at risk for developing gout. We find it’s best to take steps to prevent gout, rather than risk one of these severe attacks.
Post-traumatic arthritis is sort of like running over a nail, says Dr. Joshua Baker, MD, of the VA Medical Center in Philadelphia. Your car may drive for a little while, but eventually the tires will blow out. Damaging a joint makes individuals seven times’ more likely to suffer arthritis in the future, according to the American Academy of Orthopaedic Surgeons.
Roughly 5.6 million Americans suffer from arthritis following an injury like a tear, sprain, or fracture. While this only equates to 15% of the arthritis sufferers overall, researchers are starting to look into what causes arthritis to occur after an injury, with the hopes of preventing it in the future.
Many people feel they can’t afford a doctor. However, a foot injury can become a serious (and expensive) problem years down the road if it hasn’t been treated properly. At our NYC Center for Podiatric Care and Sports Medicine, we understand the stress that unanticipated medical expenses can cause — especially for those who are uninsured. We work with patients to create reasonable payment plans and find alternative financing so every person who comes through our door can enjoy prompt treatment without breaking the bank. Read on to learn about the consequences and complications that may arise from untreated fractures, sprains and other foot injuries.
“I am so grateful for having had Dr. Geldwert perform bunion surgery on both of my feet. I have complete confidence in him and continue to see him for other sports related injuries. I was cautious about having surgery for the first time, but his knowledge, patience, and skill made me completely comfortable in trusting him. And I couldn’t be any happier with the results!! When anything else feels wrong with my feet, I love that I now know to go immediately to him. He is my top choice for anyone searching for the best foot fixer/surgeon/sports doctor in NYC! Thank you, Dr. Geldwert!!!”
– J. M., Manhattan, NY
Manhattan Office 111 East 88th Street New York, NY 10128 (212) 996-1900 See map here
Westchester Office 10 Mitchell Place Suite 105 White Plains, NY 10601 (914) 328-3400 See map here
Manhattan Orthopedic and Sports Medicine 57 West 57th Street New York, NY 10019 (212) 996-1900 See map here
Dr. Josef J. Geldwert DPM, Dr. Katherine Lai DPM, Dr. Ryan Minara, DPM, and Dr. Mariola Rivera DPM serving Westchester County, White Plains, Ardsley, Bronxville, Harrison NY, Larchmont, Mamaroneck, New Rochelle, Rye, Scarsdale, Rye Brook, Chappaqua, and the surrounding area.
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