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 Dr. Vadim Glukh, DPM from North Eastern Ohio Podiatry Group LLC. our doctor 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 offices located in Willoughby Hills, Euclid, and Beachwood, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Hammertoe develops when one of the smaller toes bends abnormally at its middle joint instead of lying flat. The condition most frequently affects the second, third, or fourth toe. An imbalance in the muscles and tendons that control the toe can contribute to this bent position. Foot structure and certain types of shoes can also place added pressure on the toes. Symptoms include pain, stiffness, and difficulty moving the affected toe. Corns can develop where the bent toe rubs against the inside of a shoe. Calluses can also form where increased pressure occurs. At first, the toe may remain flexible, but it can become harder to straighten as the condition progresses. Hammertoe can make standing, walking, and wearing shoes uncomfortable.

A podiatrist evaluates hammertoe by examining the position and movement of the affected toe. An examination includes checking toe flexibility, areas of tenderness, and changes in the skin caused by pressure. The podiatrist also evaluates the overall structure of the foot and how pressure is distributed while standing or walking. Treatment focuses on reducing pressure and improving comfort. Custom orthotics help support the foot and improve pressure distribution. A podiatrist can also recommend shoes with enough room in the toe area to reduce rubbing against the bent toe. Targeted treatment also addresses corns or calluses that develop from repeated pressure.

Hammertoe can affect balance and change how the foot functions during everyday activities. Patients may shift their weight to avoid pressure on the painful toe, which can place added stress on other areas of the foot. A podiatrist can identify these changes and develop a treatment plan based on the severity and flexibility of the hammertoe. Care focuses on reducing painful pressure and supporting better foot function. Treatment may be adjusted according to the patient's symptoms and response to care. Early evaluation helps address discomfort before the toe becomes more rigid and difficult to move. If you have symptoms of hammertoe, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Vadim Glukh, DPM of North Eastern Ohio Podiatry Group LLC. our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our offices located in Willoughby Hills, Euclid, and Beachwood, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swollen feet and ankles happen when extra fluid collects in tissues around the lower legs. Mild swelling may develop after a long day, but persistent or sudden swelling deserves attention. Common symptoms include puffiness, tight skin, and shoes that feel unusually snug. Swelling can affect one foot or both feet. The location, timing, and severity can help identify the underlying cause and guide appropriate care.

Standing for long periods is a common cause because gravity encourages fluid to collect in the lower legs. A high-sodium diet may also contribute because excess sodium can cause the body to retain water. Pregnancy can increase swelling as hormonal changes and pressure from the growing uterus affect circulation. Obesity also may place extra stress on the veins and joints. Risk factors include prolonged standing, frequent salty foods, and excess weight.

A podiatrist begins by reviewing symptoms, health history, and activity level. The feet and ankles are examined for tenderness, skin changes, and circulation concerns. Depending on the findings, additional testing may be recommended to identify the cause. Treatment may include reducing sodium, elevating the legs, or using compression when appropriate. The podiatrist also treats related foot problems that may increase discomfort.

Getting the cause of swollen feet and ankles identified can help prevent the problem from becoming a lasting concern. Mild swelling linked to standing may improve with rest and elevation, while swelling related to pregnancy or weight may require closer monitoring. Sudden swelling, severe pain, or breathing difficulty requires prompt medical attention. A podiatrist can help determine whether your symptoms are related to a foot condition or another concern during your normal daily activities. If you have unexplained swollen feet and ankles, it is suggested that you consult a podiatrist who can determine the cause and offer appropriate relief and treatment solutions.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Dr. Vadim Glukh, DPM of North Eastern Ohio Podiatry Group LLC. our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact our offices located in Willoughby Hills, Euclid, and Beachwood, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The heel fat pad is a thick layer of soft tissue beneath the heel bone that cushions each step. Heel fat pad atrophy develops when this protective layer becomes thinner or loses some of its spring. The heel then has less protection from the force created while walking, running, or standing. Aging can contribute to these changes. Repeated impact and an uneven walking pattern can place added strain on the pad. Certain health conditions, including diabetes, rheumatoid arthritis, and lupus, can also affect this tissue.

Heel fat pad atrophy causes a deep, bruise-like pain in the center of the heel. The discomfort can become stronger on hard floors or after long periods of standing. Some patients feel pain while resting or when firm pressure is placed on the heel. These symptoms can resemble plantar fasciitis, but the location of the pain is usually different. Plantar fasciitis tends to cause pain closer to the inner front edge of the heel. An accurate diagnosis is important because these two problems require different care. Without proper treatment, heel pain can affect a patient’s walking pattern and increase pressure elsewhere in the foot.

A podiatrist can examine the heel, review the patient’s symptoms, and study how the foot moves. X-rays can help rule out a bone injury or another source of pain. Ultrasound imaging can show the thickness and condition of the heel pad. Once the cause is identified, the podiatrist can recommend treatment based on foot structure and activity level. Treatment can include custom orthotics, cushioned heel cups, or taping to hold the heel pad in a better position. The podiatrist can recommend shoes with proper cushioning and support. Regular evaluations can track changes in the heel and allow the treatment plan to be adjusted. If you have pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat heel pad atrophy. 

Many people suffer from bouts of heel pain. For more information, contact Dr. Vadim Glukh, DPM of North Eastern Ohio Podiatry Group LLC. our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions, please feel free to contact our offices located in Willoughby Hills, Euclid, and Beachwood, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.