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Arthritis and Podiatric Medicine: Walking Hand-in-Hand


David J. Sands, DPM 560 Northern Blvd., Suite 206 Great Neck, NY 11021 Diplomate, American Board of Podiatric Surgery Arthritis and Podiatric Medicine: Walking Hand ... – PowerPoint PPT presentation

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Title: Arthritis and Podiatric Medicine: Walking Hand-in-Hand

Arthritis and Podiatric Medicine Walking
  • David J. Sands, DPM
  • 560 Northern Blvd., Suite 206
  • Great Neck, NY 11021
  • Diplomate, American Board of Podiatric Surgery

Arthritis Facts
  • Arthritis in one form or another afflicts 66
    million Americans or nearly 1 in 3 adults
  • 42.7 million Americans have doctor-diagnosed
    arthritis and 23.2 million others live with
    chronic joint symptoms but have not been
    diagnosed by a doctor
  • Doctors of podiatric medicine are often the first
    to diagnose arthritis because the feet have 33
    joints that can be affected, and there is often
    pain associated with weight-bearing

Arthritis Facts
  • Arthritis is one of the most prevalent chronic
    health problems and the nations leading cause of
    disability among Americans over age 15.
  • Arthritis is second only to heart disease as a
    cause of work disability.
  • Arthritis limits everyday activities such as
    walking, dressing and bathing for more than 7
    million Americans.

Arthritis Facts
  • Arthritis results in 39 million physician visits
    and more than a half million hospitalizations.
  • Costs to the U.S. economy total more than 86.2
    billion annually.
  • Arthritis affects people in all age groups
    including nearly 300,000 children.
  • Baby boomers are now at prime risk. More than
    half those affected are under age 65.

Definition of Arthritis
  • Arthritis is inflammation and swelling of the
    cartilage and lining of the joints, generally
    accompanied by an increase of fluid in the
  • Often arthritis is a component of complex
    diseases that may involve more than 100
    identifiable disorders.

Causes of Arthritis
  • Hereditary tendencies
  • Age (arthritis often targets those over 50)
  • Trauma or injury (athletes and industrial workers
    at higher risk)
  • Bacterial or viral infections that strike joints
  • In conjunction with inflammatory bowel diseases
  • Use of prescription or illegal street drugs
  • Possible congenital autoimmune association

Types of Arthritis - Osteoarthritis
  • Osteoarthritis is the most common form of
  • Often called degenerative joint disease or wear
    and tear arthritis
  • Onset is generally gradual (i.e., the aging
    process causes a breakdown in cartilage)
  • Pain usually progresses, but rest can relieve
  • Characterized by dull, throbbing nighttime pain
    with accompanied muscle weakness or deterioration
  • Particularly seen in the feet when patients are
    overweight due to the deterioration of cartilage
    and development of bone spurs

Types of Arthritis Rheumatoid (RA)
  • Rheumatoid arthritis is the most serious and
  • Complex, chronic inflammatory system of diseases,
    often affecting more than a dozen smaller joints,
    usually in a symmetrical fashion
  • Characterized by lengthy morning stiffness,
    fatigue and weight loss

Types of Arthritis Rheumatoid (RA)
  • Can affect eyes, lungs, heart and nervous system
  • Women are 3-4 times more likely than men to
  • More acute onset than osteoarthritis
  • Intermittent periods of remission and
  • Resultant joint deformity and loss of motion

Types of Arthritis - Gout
  • Gout is caused by a buildup of the salts of uric
    acid (a normal byproduct of the diet) in the
    joints. It can also be caused by metabolic
    disorders in the kidney
  • Most commonly affects the great toe joint in the
    foot but can affect any joint in the foot
    including the ankle
  • Extreme acute onset of intense pain without
  • Men are much more likely to be afflicted than
  • Perhaps hereditary, but usually due to a diet
    rich in red meat, sauces, shellfish, liquor and
    fatty foods

Symptoms of Arthritis
  • You should visit your podiatrist if you have one
    or more of the following
  • Swelling in one or more joints
  • Recurring pain or tenderness in any joint
  • Redness or heat in a joint
  • Limitation of motion in joint
  • Early morning stiffness
  • Skin changes, including rashes and growths

Diagnosis of Arthritis
  • Early diagnosis is important since destruction of
    cartilage is not reversible
  • Your podiatrist or primary care physician can
    diagnose arthritis by
  • History and clinical exam
  • When suspected, the doctor can administer blood

Treatment of Arthritis
  • While there is no cure, the management of
    inflammation is the key
  • Patient education
  • Physical therapy and exercise
  • Medication
  • Control of foot function with orthotics or braces
  • Prescription shoes for those with fit issues
  • Surgical intervention with possible joint
    replacement as a last resort

Treatment of Arthritis
  • Because the foot is where arthritis often
    manifests, the DPM is often the first physician
    to encounter some of the typical complaints
  • Since arthritic feet can result in loss of
    mobility and independence, frequent visits to the
    podiatrist can help avoid this with early
    diagnosis and proper medical care

Arthritis is manageable
  • By working with your podiatric physician and your
    primary care doctor, you can treat and manage
    arthritis. The key is to seek care and follow up
    periodically to manage your care with all your
  • David J. Sands, DPM
  • (516) 482-8826