Multiple sclerosis, or MS, is a chronic autoimmune disease affecting the central nervous system, disrupting communication between the brain and the rest of the body. It occurs when the immune system mistakenly attacks the protective myelin sheath surrounding nerve fibers, leading to inflammation, scarring, and nerve damage. MS can cause a wide range of symptoms, including fatigue, weakness, numbness, coordination difficulties, and cognitive impairment, significantly impacting quality of life. Foot symptoms such as numbness, tingling, weakness, or difficulty in walking are common manifestations of MS. If you have MS and are experiencing foot symptoms, it is strongly suggested that you schedule an appointment with a podiatrist who can provide personalized care to help you maintain optimal foot health and overall well-being.
When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly. If you have any concerns about your feet and ankles contact one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors will assist you with all of your podiatric needs.
Systemic Diseases of the Feet
Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.
Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.
Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.
Diabetes of the Feet
Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.
Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet.
Neuropathy is a condition that can lead to numbness or loss of sensation in the feet, but it can also cause pain. This condition is more likely to develop for those who are diabetic, obese, or with high blood pressure.
Peripheral artery disease, or PAD, is a condition where the arteries that supply blood to the legs and feet become narrowed or blocked due to plaque buildup. This decreases blood flow to the lower extremities. Symptoms of PAD can vary but often include leg pain or cramping while walking or climbing stairs, which typically eases with rest. Some people may also experience numbness, weakness, or a cold sensation in their lower legs or feet. Changes in the color of the skin or slower growth of the nails may also occur. In more severe cases, PAD can lead to wounds or ulcers on the feet or legs that heal poorly or not at all. Getting diagnosed early is important because PAD can be a sign of more widespread arterial disease, which could increase the risk of heart attack or stroke. Early treatment can help manage symptoms, improve mobility, and reduce the risk of more serious complications. It is suggested that you consult a podiatrist, or foot doctor, for help if you are experiencing any symptoms that sound like PAD.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
Claudication (leg pain from walking)
Numbness in legs
Decrease in growth of leg hair and toenails
Paleness of the skin
Erectile dysfunction
Sores and wounds on legs and feet that won’t heal
Coldness in one leg
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
Orthotics, specialized shoe inserts designed to support and align the foot and ankle, are crafted by a myriad of companies worldwide. However, amidst this diversity, podiatrists stand out as experts in the field. These healthcare professionals possess extensive knowledge of foot anatomy, biomechanics, and gait analysis, enabling them to tailor orthotic solutions to individual needs effectively. Unlike mass-produced inserts, podiatrists meticulously assess each patient's unique requirements, accounting for factors like foot structure, medical history, and lifestyle. This personalized approach ensures optimal fit and function, addressing a wide range of conditions, from plantar fasciitis to diabetic foot complications. Podiatrists employ a variety of techniques and materials, including foam impressions, computerized scans, and custom molds to create orthotics that provide maximum comfort and support. Furthermore, they offer ongoing care and adjustments, ensuring patients experience lasting relief and improved mobility. If you experience foot or ankle discomfort, it is suggested that you schedule an appointment with a podiatrist to discuss whether custom-made orthotics can help you.
If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
Peripheral artery disease, or PAD, is a condition where the arteries that supply blood to the legs and feet become narrowed or blocked due to plaque buildup. This decreases blood flow to the lower extremities. Symptoms of PAD can vary but often include leg pain or cramping while walking or climbing stairs, which typically eases with rest. Some people may also experience numbness, weakness, or a cold sensation in their lower legs or feet. Changes in the color of the skin or slower growth of the nails may also occur. In more severe cases, PAD can lead to wounds or ulcers on the feet or legs that heal poorly or not at all. Getting diagnosed early is important because PAD can be a sign of more widespread arterial disease, which could increase the risk of heart attack or stroke. Early treatment can help manage symptoms, improve mobility, and reduce the risk of more serious complications. It is suggested that you consult a podiatrist, or foot doctor, for help if you are experiencing any symptoms that sound like PAD. 
