Rheumatoid arthritis is an autoimmune disease that causes the body’s immune system to attack the lining of the joints. It often affects the feet and ankles early in the condition. This ongoing inflammation can lead to pain, swelling, stiffness, and warmth in multiple joints at the same time. Many patients notice morning stiffness that improves slowly throughout the day, along with difficulty walking or standing for long periods. The feet may appear swollen or develop changes in shape as the joints become damaged over time. Common problems include bunion formation, hammertoes, and pain in the ball of the foot caused by joint instability. Rheumatoid arthritis can also weaken surrounding ligaments and tendons, making movement more uncomfortable. A podiatrist can evaluate how the disease is affecting foot structure and function and recommend treatment to improve comfort and mobility. Care may include wearing supportive footwear, targeted exercises, and coordination with other healthcare providers for long-term management. If   rheumatoid arthritis is affecting your feet, it is suggested that you schedule an appointment with a podiatrist for effective relief and management tips.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Gerald Mauriello, DPM of Gerald Mauriello, DPM. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions, please feel free to contact our offices located in Hackettstown Vernon and Allamuchy, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

An ingrown toenail develops when the edge of a toenail grows into the surrounding skin instead of over it. This condition most often affects the big toe, and can cause redness, swelling, tenderness, and pain along the nail border. The area may feel sore while  walking, wearing shoes, or applying pressure to the toe. In some cases, the skin may become infected, leading to drainage, warmth, or increased swelling. Common causes include trimming the nails too short, wearing tight footwear, injury to the toe, or naturally curved nails. Repeated pressure from sports or daily activities may also contribute to the problem. A podiatrist can examine the toe, determine the severity of the condition, and recommend appropriate treatment. Care may include trimming or removing the ingrown portion of the nail, treating infection, recommending proper footwear, or performing a minor procedure to help prevent recurrence. If you have an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Gerald Mauriello, DPM of Gerald Mauriello, DPM. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions, please feel free to contact our offices located in Hackettstown Vernon and Allamuchy, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A cane is a supportive mobility aid designed to enhance stability and reduce the risk of falls during walking. It is especially beneficial for patients experiencing balance issues or instability due to injury or chronic conditions. Proper use is essential. The cane should be held in the hand opposite the injured or weaker foot to promote a more symmetrical gait that closely resembles a natural walking pattern. This technique helps distribute weight evenly and improves confidence with movement. A podiatrist can assess gait, recommend the appropriate type of cane if one is needed, and provide guidance on correct usage. Early support can prevent injury and maintain independence. If you are unstable on your feet, it is suggested that you consult a podiatrist who can determine the cause and offer effective treatment solutions.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Gerald Mauriello, DPM from Gerald Mauriello, DPM. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our offices located in Hackettstown Vernon and Allamuchy, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Morton’s neuroma is a painful condition affecting a nerve between the toes, most often between the third and fourth toes. The tissue surrounding the nerve thickens, which can cause burning pain, tingling, or the feeling of a pebble in the shoe. This problem is often linked to wearing tight footwear, high heels, or repeated stress on the foot. Treatment usually begins with simple care. Wearing wider shoes, using orthotics, and reducing pressure on the area can ease symptoms. Injections, including anti-inflammatory medicine, often help reduce swelling and pain around the nerve. If these treatments do not provide lasting relief, a surgical procedure to remove the affected nerve or release tight tissue may be considered. If you have foot pain, it is suggested that you see a podiatrist for a proper evaluation and appropriate treatment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Gerald Mauriello, DPM of Gerald Mauriello, DPM. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our offices located in Hackettstown Vernon and Allamuchy, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.