Caring with Experience and Expertise


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There are many different types of arthritis which may affect the foot. These include gout, psoriatic and rheumatoid arthritis.  The most common form of arthritis, osteoarthritis' develops as we age and is often called "wear-and-tear" arthritis. Over the years, the thin covering (cartilage) on the ends of bones becomes worn and frayed. This results in inflammation, swelling, and pain in the joint.  An injury to a joint, even if treated properly, can cause osteoarthritis to develop in the future. This is often referred to as traumatic arthritis. It may develop months or years after a severe sprain, torn ligament or broken bone.

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Mid foot pain is commonly caused by osteo-arthritis.

Diagnostic ultrasound is able to image the joint synovial (soft) tissue and the abnormal blood flow associated with inflammation which X-ray cannot. These images illustrate a chronic debilitating painful 2nd metatarso-cuneiform joint detected with ultrasound then rendered pain free with guided corticosteroid injection

Foot pain attributed to arthritis is often caused by the secondary effects of  arthritic changes which include mal-positioning or reshaping of the bony structures causing abnormal loading of joints, ligaments, tendons, muscles or skin injury. Sometimes the compensations required to reposition the foot will cause overloading of other foot or leg structures.  Although treatment of your arthritis may require use of medications, from the outset we will try to identify and lessen any mechanical causes of your pain.

Diagnostic ultrasound with power doppler imaging is extremely useful to look for active and aggressive inflammation. This is a powerful tool we use for diagnosing and treating foot pain. Radiographic exam will often lack sensitivity or specificity to determine root cause of pain when there is generalized and/or early arthritis. Diagnostic ultrasound allows us to accurately isolate pain generating joints and accurately guide corticosteroid injections which when combined with optimizing structural mechanics with foot orthoses can be extremely potent therapy..

As we age  we begin to lose flexibility and elasticity, and our shock absorbers simply don’t work as well as they used to.
Foot Facts
Many people buy shoes that do not fit their feet properly, and that tend to aggravate foot ailments, Our resources page has advice about correct shoe fitting.

Diagnostic ultrasound exam