What is Arthristis?
Arthritis is the inflammation of a joint (the space between two bones). There are several types of arthritis. The most common being Degenerative Arthritis. This is a condition that slowly wears away joints - the connection between bones. In the beginning, you may notice that the affected joint seems stiff. It may cause some pain. As the joint surface (cartilage) breaks down, the bones rub against one another, causing pain and swelling. Over time, bone spurs develop and the joint's ability to move becomes limited. But movement doesn't have to cause pain. The effects of arthritis can be reduced. Talk with Dr. Michael J. Marcus or your podiatric physician about developing a treatment plan to meet your needs.
Which joints are most commonly affected by arthritis?
The Big-Toe Joint (Hallux Limitus)
When arthritis affects your big toe, your foot hurts when it pushes on the ground. Arthritis often appears in the big toe joint along with a bunion (a bony bump on the side of the joint). You may notice enlargement around the joint and swelling, as well as limitation of motion , hence the condition is referred to as Hallux Limitus--Hallux referring to the big toe.
Other Joints
When arthritis affects the rear or midfoot joints, you feel pain when you put weight on your foot. Arthritis may affect the joint where the ankle and foot meet.- often referred to as the subtalar joint. It may also affect other joints nearby. Here too, swelling, pain and limitation of joint motion can occur. Deformity of the foot may also occur at this point or may become more progressive.
Remodeling of the Joint
If the bone is not damaged too badly, your doctor may simply shave away bone spurs. Any excess bone growth related to a bunion may also be trimmed. This is referred to as Cheilectomy -- when referring to the big toe joint. This procedure is often combined with an oseotomy procedure.
Fusing Joints
If damage is more severe, your doctor may fuse the joint in order to prevent the bones from rubbing. This is referred to as Arthrodesis. A triple arthrodesis is the term used for fusing three joints in the foot located just under the ankle -- subtalar joint. It is performed for pain and deformity in this area. Afterward, staples or screws may hold the bones in place so they heal properly.
Joint Replacements-Implants
Certain joints of the foot and ankle may be replaced with newly designed implants. Joint replacements exist for the big toe joint, as well as other joints at the ball of the foot. Currently, new ankle joint implants are being designed and used in selected cases.
After Surgery
During the early stages of recovery, your foot will be bandaged and possibly even casted. Depending on the exact surgery performed you may not be able to bear weight on the foot for a period of time. During that period you may require the use of crutches or a walker depending on your level of activity and age. Follow up with your doctor as scheduled. These visits help ensure that your foot heals properly.