Arthritis symptoms, diagnosis and cureHealth and Disease information

What causes arthritis in the foot and ankle, and how is it treated?

well arthritis is the degeneration of the joint cottage causing pain and disability or dysfunction of that joint there are a number of causes for arthritis particularly in the foot and ankle but that really depends slightly on what joint of the foot and ankle is involved for example arthritis in the big toe joint is slightly different from a causation factor to your arthritis in the ankle the most common causes we see for foot and ankle arthritis is primary osteoarthritis which usually has a small hereditary component and therefore may run in families and that’s certainly more common in arthritis of the great toe joint post-traumatic arthritis on the other hand is the most common cause of arthritis that we see in ankle arthritis and that usually results from either severe ankle fractures or recurrent ankle instability injuries which then cause degeneration of the joint other common factors or causes may be inflammatory conditions for example Gatti arthritis or patients with rheumatoid or other inflammatory conditions that may cause a secondary degenerative arthritis and the joint much less common causes are those like post infection septic what we call a septic arthritis or neuropathic type arthritis occurring in severe diabetics with a peripheral neuropathy and finally and probably less common least common are some of the arthritis is resulting from either developmental or congenital abnormalities of the ankle and usually the hind foot or mid foot [Music] symptoms of arthritis in the foot and ankle are usually the three cardinal symptoms that we see generally when describing arthritis these are pain swelling and loss of function essentially the pain that one feels in an arthritic joint particularly in the foot and ankle is usually of an aching nature may be described as a nagging pain something like a toothache it’s a deep-seated pain the pain is usually aggravated with activity or exercise and it’s usually relieved with rest as the the Arthritis progresses one may even get pain at night initially the pain may be relieved with simple analgesics or anti-inflammatories the other symptom of swelling again is usually worse with activity and it’s reduced with rest ice packs or anti-inflammatories the final symptom of loss of function is usually described our patients as a reduced range of movement patients will normally complain of stiffness in the affected joint for example the ankle or the great toe and this reduced activity is usually a result of pain arising from a degenerative joint arthritis of the foot and ankle is a fairly complex presentation or complaint by the patient and therefore essentially a thorough clinical assessment needs to be performed by the treating consultant in discussion with the patient and his symptoms a full history is really important to discuss the contributing factors for example if the patient’s had any specific trauma or there have any other inflammatory conditions which may be contributing to the arthritis following a history a good thorough examination by the consultant to assess the severity of the arthritis its effect on neighboring joints and the level of functional disability that the patient may be experiencing once these factors have been considered investigations may complete the full picture such as x-rays possibly CT or MRI scan and once we have all this information together in conjunction with the patient we could then discuss the options of treatment broadly speaking there are two options of treatment and these are conservative or non-operative measures and the other is obviously a surgical treatment which may in the ankle and foot arthritis involve simple fusion procedures or alternatively joint replacements there are a number of non-surgical options and these really depend on the site for the particular joint involved in the foot and ankle for example arthritis and the great toe would be managed significantly differently different from that of the ankle initially simple things like painkillers and inflammatory medications may help particularly in foot arthritis or toe arthritis specialized orthotics or insoles may help to alleviate any local pressure or pain arising in the shoe or from from the specific toe joint involved wore around the ankle or in the hind foot splints or braces may often help to offload weight-bearing pressure and therefore help with pain symptoms particularly in the foot shoe where advice is extremely important this may help to accommodate deformities that are rising from the arthritis and also may help to reduce pain symptoms the ankle particularly is a very small joint compared to for example the hip and knee it’s also exerting the same amount of weight expressed upon it as the hip and knee when standing and walking and therefore weight loss is an important factor to consider particularly an ankle arthritis other aids such as walking sticks possibly a crutch may also help in alleviating the weight reduction and the pain from a joint non-surgical interventional techniques may also involve things like physiotherapy which may help improve the strength of the supporting muscles particularly around the ankle and they may also help with gait analysis and gait function I didn’t check injection techniques into specific joints may also be performed to help with the inflammation and pain associated with arthritis these are usually performed under x-ray control on the ultrasound control if the patient’s symptoms deteriorate then surgical options may be required I think that there are some ways to avoid the progression rather than the onset of foot and ankle arthritis and these may really relate to the original cause of the arthritis for example patients with gout with Guardian writers may afford better control of the guard and prevent the RT episodes and their joint causing the degenerative change rheumatoid and other inflammatory conditions have also seen a significant improvement in their medical management of the disease process with now much less end-stage arthritis presenting an hour for PT clinics there are there aren’t really any tablets or foods that or foodstuffs that can prevent the onset of arthritis glucosamine and chondroitin sulfate studies are controversial and they haven’t really been proven to help in the avoiding the onset of arthritis in my opinion one should really try and keep a little active some daily exercise maintained they recommended weight and managed any specific medical medical condition appropriately [Applause] [Music]

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