Juvenile idiopathic arthritis is an inflammatory condition that affects children and can cause pain, stiffness, and reduced joint movement. When inflammation involves the feet and ankles, children may experience swollen and tender joints, difficulty walking, and reduced participation in play or sports. Foot and ankle disability can develop when inflammation affects joint function and changes normal movement. Risk factors may include immune system dysfunction, family history of autoimmune disease, and genetic influences. Early evaluation can protect mobility and quality of life.

A podiatrist starts by examining the child’s feet, ankles, footwear, and activity level. The examination may include a gait assessment and review of medical information from the child’s healthcare team. If additional support is needed, custom foot orthotics may be recommended. These devices are designed around the child’s foot structure and symptoms. Orthotics can help stabilize the feet, distribute weight more evenly, and support comfortable movement during activities.

For children with juvenile idiopathic arthritis, properly fitted orthotics may reduce mechanical stress around painful areas and improve how forces move through the feet and ankles. Better pressure distribution can make walking more comfortable and may reduce strain associated with swollen and tender lower joints. Orthotics do not treat the underlying inflammation, but they can complement medical care by supporting mobility and function. A podiatrist may also recommend supportive shoes, activity changes, and regular follow-up.

Improving comfort can help children participate more confidently in school, exercise, and other activities. Because children grow quickly, orthotics should be checked regularly for fit and effectiveness. If your child has foot pain from this or any other foot or ankle condition, it is suggested that you consult a podiatrist who can determine if orthotics can provide the relief that is sought.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Arizona Foot & Ankle Specialists. 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.

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

Peripheral artery disease, or PAD, develops when narrowed arteries reduce blood flow to the legs and feet. Fatty deposits inside these blood vessels are usually responsible for this narrowing. Without enough oxygen-rich blood, the feet may become painful and slow to heal. Signs include cramping in the calves when walking, cold feet, and a weak pulse in the lower legs. The skin may look pale, shiny, or bluish. Toenails can grow slowly, and hair on the feet or legs may decrease. As the condition advances, some patients also develop numbness or pain while resting.

Several factors raise the risk of developing PAD. Smoking, diabetes, and high blood pressure are major concerns. High cholesterol and older age can also increase risk. Because reduced circulation limits healing, a small blister or cut can become a serious wound. An untreated wound may develop an infection, tissue damage, or limb loss. People with diabetes face added danger because nerve damage can make an injury difficult to feel. Changes should not be ignored, even when they seem minor. A sore that does not heal, a change in skin color, or sudden foot pain requires prompt medical attention.

A podiatrist can examine the feet for circulation problems and check the skin, nails, and pulse. The examination can also identify wounds that require careful treatment. Tests that compare blood pressure at the ankle and arm can help measure blood flow. A podiatrist can clean and protect wounds, remove damaged tissue, and reduce pressure on sore areas. Regular foot examinations can help detect problems before they become severe. A medical team approach can help manage PAD and protect foot health. In severe cases, procedures or surgery may be considered to improve circulation. If you have symptoms of peripheral artery disease, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

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 Arizona Foot & Ankle Specialists. 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.

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

Pronation describes the inward roll of the foot after the heel touches the ground. This movement helps the foot absorb shock and adjust to the surface while walking or running. A small amount of pronation is a normal part of a step. Overpronation occurs when the foot rolls too far inward, which can cause the arch to flatten. It can affect how weight moves through the foot. People with flat feet are more likely to overpronate.

Signs of overpronation can appear in the feet, shoes, or legs. The arch may drop inward when standing, and the inner edges of the shoes may wear down faster. Some patients develop heel pain, arch discomfort, or repeated ankle problems. Extra strain can also reach the knees, hips, and lower back. These symptoms do not always prove that overpronation is the cause. Other foot problems can produce similar pain. A podiatrist can study the position of the feet and watch how they move. This gait evaluation, which is an assessment of walking patterns, helps identify abnormal motion and areas of excess pressure.

Treatment depends on the patient's foot structure, symptoms, and activity level. A podiatrist can recommend shoes with the right amount of support and cushioning. Custom orthotics can also be prescribed to guide foot motion and spread pressure more evenly. These devices are made to match the patient's feet and specific walking pattern. The podiatrist can also evaluate related problems, like plantar fasciitis, tendon strain, or ankle instability. Imaging tests can help rule out bone or joint damage when the examination raises concern. Regular follow-up visits allow the podiatrist to check whether treatment is improving comfort and movement. Surgery is rarely considered and is generally reserved for severe structural problems that do not improve with other care. If you have foot pain after exercise, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

If you have any concerns about your feet, contact one of our podiatrists from Arizona Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

A bunion forms when the big toe begins to angle toward the other toes, and the long bone behind the joint shifts outward. This change creates a noticeable bump along the inside of the foot. Bunions can run in families, and extra movement within the foot joints can contribute to their development. Wearing narrow or pointed shoes and high heels can make bunions progress more quickly. Some bunions cause little discomfort, while others become painful enough to limit walking and other activities. The size of the bump does not always match the amount of pain a patient feels.

Bunion pain can become stronger when shoes press or rub against the enlarged joint. A podiatrist can examine the foot and assess the position of the big toe to diagnose the problem. Imaging can also help rule out other causes of pain or provide details when surgery is being considered. Treatment depends on the patient’s symptoms and how much the bunion affects movement. Wearing wide-fitting shoes can reduce pressure against the bump. A podiatrist can also recommend cushioning pads or specialized insoles to reduce discomfort and improve support while walking.

Non-surgical care can reduce bunion pain, but it cannot permanently correct the changed shape of the joint. A podiatrist can study the way a patient stands and walks to determine whether an orthotic, which is a specialized shoe insert, could improve comfort. For severe pain, other treatments can be considered based on the patient’s needs. Surgery is the only treatment that can correct the bunion’s shape and can be considered when pain limits activity despite appropriate care. A podiatrist can explain the available choices and help patients understand which approach fits their symptoms. If you have developed a bunion, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

If you are suffering from bunions, contact one of our podiatrists of Arizona Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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