Rheumatoid arthritis is an autoimmune disease that can affect many joints throughout the body, including the feet and ankles. This occurs when the immune system mistakenly attacks healthy tissues, causing inflammation inside the joints. Because the feet contain many small joints that work together with every step, rheumatoid arthritis can make walking and standing increasingly difficult. Ongoing inflammation may damage cartilage, weaken surrounding tissues, and change the shape of the foot. Some people notice symptoms in the feet before other joints become affected. Since early treatment can help reduce joint damage and preserve mobility, a professional evaluation is important when foot pain or stiffness develops without an obvious cause.

Foot symptoms vary from person to person and may change as the disease progresses. Many people experience pain, swelling, or stiffness in the toes or the ball of the foot. Others notice warmth around the joints or tenderness that makes wearing shoes uncomfortable. Morning stiffness may last longer than expected and improve gradually as the joints begin moving. As rheumatoid arthritis advances, changes in joint alignment may affect balance, walking, and overall foot function. Persistent inflammation can also increase pressure on certain areas of the foot, leading to additional discomfort during daily activities. Identifying rheumatoid arthritis early may help protect the joints and improve long-term foot health.

A podiatrist plays an important role in managing the foot problems associated with rheumatoid arthritis. During an examination, the podiatrist evaluates joint function, foot structure, and walking mechanics to determine how the disease is affecting mobility. Treatment focuses on relieving pain, improving foot function, and helping reduce stress on the affected joints. A podiatrist may also work closely with your primary care provider or rheumatologist to support comprehensive care. Regular podiatry visits can help monitor changes in the feet and identify problems before they become more severe. If you are experiencing foot pain, swelling, or stiffness related to rheumatoid arthritis, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

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 Richard M. Allen, DPM of Idaho. 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 Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A black toenail, medically referred to as a subungual hematoma, develops when blood becomes trapped beneath the nail due to repeated trauma. This condition is especially common among runners who engage in frequent or long-distance training. The constant forward motion of the foot inside a shoe causes the toes to repeatedly strike the front, leading to bruising under the nail. Over time, this repetitive impact can damage the nail bed and result in noticeable discoloration.

Early symptoms often include tenderness, pressure, and mild discomfort in the affected toe. As blood accumulates, the nail may turn shades of dark red, purple, or black. Some individuals experience a throbbing sensation, particularly after running or extended physical activity. In more severe cases, the nail may loosen or eventually fall off. This discomfort can interfere with daily activities and make it difficult to maintain a regular training routine without proper care.

The primary cause of a black toenail is repetitive stress linked to running mechanics. Wearing ill-fitting shoes, especially those that are too tight or too short, significantly increases pressure on the toes. Activities such as downhill running or sudden stops can force the toes forward, intensifying the impact. Additionally, poor running form and long training sessions without sufficient rest can further contribute to nail damage and irritation.

Several risk factors increase the likelihood of developing this condition, including long-distance running, wearing improper footwear, and inadequate nail maintenance. Preventive strategies include keeping toenails trimmed, wearing properly fitted running shoes, and choosing moisture-wicking socks to reduce friction. Maintaining proper foot alignment and gradually increasing training intensity can also help minimize stress on the toes. Toe issues can be uncomfortable, and often cause difficulty in running. If toe pain persists, it is suggested that you consult a podiatrist for appropriate treatment and prevention guidance.

Toe pain can disrupt your daily activities. If you have any concerns, contact Richard M. Allen, DPM of Idaho. our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

A hammertoe is a toe that bends downward at the middle joint instead of lying flat. This change in position most often affects the second toe, although it can develop in other toes as well. At first, the toe may still move freely, but it can become more rigid as the condition progresses. The abnormal bend can create pressure inside a shoe and cause pain while walking. Corns and calluses sometimes develop where the toe rubs against the shoe. A podiatrist can evaluate the shape of the toe, identify the cause of the deformity, and recommend treatment that improves comfort and function.

Several factors can contribute to a hammertoe. Muscle and tendon imbalance is one of the leading causes because it changes how the toe moves. Tendons are strong bands of tissue that connect muscles to bones and help control movement. Arthritis, previous injuries, and shoes that lack proper support can also increase the risk. Shoes that fit too tightly around the toes can place added pressure on the joints and make the deformity worse. A podiatrist performs a physical examination and checks how well the toe moves. X-rays help evaluate the position of the bones and determine how advanced the deformity has become.

Treatment depends on the severity of the hammertoe and how much it affects daily activities. A podiatrist can recommend custom orthotics to improve foot alignment and reduce pressure on the affected toe. Other treatment options include padding and splints to improve flexibility and support better movement. Prescription medications can also help reduce pain and inflammation. When the toe becomes stiff or other treatments do not provide enough relief, surgery can straighten the toe and improve function. Early treatment helps prevent the deformity from becoming more severe and supports healthier movement. If you have symptoms of hammertoe, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Richard M. Allen, DPM from Idaho. our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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

Falls in older people are a major health concern that can lead to serious injury, reduced independence, and decreased quality of life.  Many falls are linked to reduced ankle strength, poor balance, and changes in foot structure that occur with aging. The ankles can be strengthened by practicing specific foot stretches, making the overall foot stronger. The feet and ankles play a critical role in stability, as they provide the base of support for movement and posture. When strength and coordination decline, the risk of falling increases, especially during walking or changes in direction.

Common symptoms associated with fall risk include unsteady walking, weakness in the lower legs, and difficulty maintaining balance when standing still. Some individuals may notice slower reaction time or a tendency to shuffle while walking. Ankle pain from falling may also develop, leading to further instability and hesitation during movement. These symptoms often create a cycle where reduced confidence leads to less activity, which then weakens muscles and increases fall risk over time. Early recognition of these signs is important for prevention.

Risk factors for falls in older adults include decreased muscle strength, joint stiffness, and poor flexibility. Conditions such as arthritis, neuropathy, and vision changes can affect coordination and awareness of surroundings. Wearing improper footwear and uneven surfaces further increase the likelihood of losing balance. Weak ankles and limited range of motion reduce the ability to adjust quickly during movement. These factors combined make it more difficult to maintain stability, especially in challenging environments or during sudden movements.

Improving ankle strength and balance can significantly reduce fall risk. Simple exercises such as ankle circles, heel raises, and gentle stretches help improve flexibility and stability. Balance training, including standing on one foot or practicing controlled movements, enhances coordination and confidence. Wearing supportive footwear and having a safe home environment also play an important role in prevention. If you have injured your ankle from falling, or if balance concerns are present, it is suggested that you consult a podiatrist who can provide effective relief solutions. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Richard M. Allen, DPM from Idaho. our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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