Rheumatoid arthritis is an autoimmune disease, as opposed to the traditional ‘wear and tear’ arthritis (osteoarthritis). It occurs when your body’s immune system attacks your own cells at the lining of the joints. This causes pain, swelling and inflammation. Rheumatoid arthritis isn’t limited to just the lower limbs but affects the whole body, primarily the small joints in the hands and feet.
In an RA flare, the body’s immune system attacks the joint capsule lining, called the synovial membrane. As the lining becomes inflamed, it is no longer able to produce the synovial fluid which works to lubricate joints and nourish the cartilage and bone ends. This means the joints stiffen and mobility becomes harder. With repetitive inflammation during flares, the cartilage and connective tissues become damaged and the joint capsule can lose its ability to stabilise the joints. While the exact reason for the body getting confused and attacking its own cells at the joints is not well understood, it has been thought that hereditary factors may increase your chance of developing it. Other contributing factors include smoking and the female gender. Flares often occur without an identifiable cause, though some causes have been attributed to stress, illness and injury. Some of those affected report that cold temperatures and weather affect their symptoms.
Rheumatoid Arthritis typically presents symmetrically. These flares come and go unpredictably and can affect many joints at once. The effects of RA progressively worsen and the joints incur more damage, until the joints are left with very little movement. This is why management has a big focus on slowing down the progression of symptoms and maintaining as much mobility as possible. Generally, symptoms include:
Your GP may be able to provide medication and other therapies to help manage the symptoms of RA and slow its progression. These will likely involve anti-inflammatory medications. As Podiatrists, we look at ways to reduce pain in the joints of your feet and legs, improving your comfort and general quality of life. Custom-prescribed orthotics are often used to increase comfort, absorb shock, and decrease the load through high-pressure areas and joints at the feet. Keeping you comfortable and mobile allows you to continue to carry out your daily activities. Exercises can also help you maintain your muscle strength and range of motion at the joints, slowing down the progression of symptoms.
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It’s important to not only use an evidence-based treatment plan to help you get the best outcomes for your foot and leg pain, but to help you see the best results in the shortest time. That’s the reason we’ve invested in shockwave.
Heel pain is our specialty here at Perform Podiatry. We now have Low-Level Laser Therapy (LLLT) and Shockwave Therapy to
help you get the best results from your treatment.
We treat a lot of ingrown toenails here at the Auckland Ingrown Toenail Clinic. So, with approximately 10% or more of the adult population harbouring a fungal nail infection, it’s not uncommon that we see many ingrown toenails where a stubborn nail fungus has also infiltrated the nail. So how can you tell, what can […]
Shockwave therapy is a gold standard treatment used to help achieve the best clinical outcomes for musculoskeletal injuries and pain – and we’re very proud to now offer it to our patients here at Perform Podiatry.
While many of the cases we see here at the Auckland Ingrown Toenail Clinic are fairly standard, there are a few that vary greatly from the ‘norm’, and could have resulted devastating consequences if they had been left untreated under the hopes that the ingrown nail would “go away on its own”, something many people […]
They may be small, but verrucas, also known as plantar (foot) warts, are much more than just a minor annoyance. They can be painful to walk on and extremely persistent, making your day to day life a lot less pleasant or comfortable. As one of Auckland’s leading podiatry clinics that specialise in ingrown toenails, we […]
Keeping your family on their feet and helping them to walk, run, play and exceed their goals is why we love getting up in the morning.
We're located inside the One Health medical centre at Building 122 Remuera Rd, Remuera, Auckland 1050, New Zealand
MON - SAT | 8:30am – 6:00pm |
SUN | Closed |
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