Arthritic Conditions

Rheumatoid Arthritis

This is a systemic disease that can affect the entire body and the cause is unclear.  It is thought to be a result of certain enzymes that inflame the joints and other tissue.  The result can be not only pain, but severe deformity of the joints.  The hands and feet are most visibly affected but it can affect all the joints.  Joint cartilage and the underlying bone are attacked and destroyed causing pain, deformity and loss of motion.

Osteoarthritis

Sometimes called degenerative or “wear and tear” arthritis.  This is usually in isolated joints, those undergoing repeated trauma, but can occur in a joint that was previously injured and no longer has normal alignment/mechanics.  Pain and stiffness is seen as joint cartilage is destroyed.  X-rays are helpful in diagnosing most types of arthritis.

Gout

Gout is a form or arthritis that occurs as a result of uric acid build-up in the body and joint fluid.  Typically a person who suffers from gout has difficulty processing certain substances called purines that are naturally occurring in our diet.  The build-up of uric acid can result when the body had difficulty eliminating it through the kidneys, or in some cases, when the body produces too much uric acid.  Gout can be hereditary and is most commonly seen in males between 50 and 60 years of age, although it can also be seen in females and in other age groups.  An acute gout attack is what most often brings these patients to the podiatrist.  The joint most commonly involved is at the base of the big toe.  Onset is sudden with severe pain, swelling, redness and warmth around the joint.  It is very painful to walk or to attempt to bend the joint.  X-rays and blood tests can be useful in making the diagnosis.