If possible, try to keep the blister intact. Do not try to pop or drain a blister that hasn’t popped on its own. It’s important not to put pressure on the blister, so avoid any shoes that may be too tight. If you’re going to put on shoes, make sure to apply a bandage (some band-aids are designed specifically for covering blisters) to the area first.
If the blister popped on its own, clean it with warm water soap (do not use alcohol or hydrogen peroxide on the blister). Once the area is clean, apply an over-the-counter antibiotic cream to the area and apply a bandage over the blister. These simple steps can prevent an infection from occurring.
You should only drain a blister if it’s very large, painful, or affects your ability to move. In this case, you should sterilize a needle with alcohol and then make a small hole in the blister to let it drain. You may need to carefully squeeze the blister to help it drain fully. Once the blister has drained, rinse out the area with soap and warm water before applying antibiotic cream to the area and placing a bandage over it.
You mustn’t keep the same bandage on your blister day in and day out. You should check the blister every day to make sure it isn’t infected. You should clean the area daily with soap and water and then reapply another bandage.
- You experience pain, inflammation, and stiffness in the joints of the foot, particularly the toes
- You experience aching feet, particularly after activity or long periods of standing
- Some parts of your foot may feel oddly warm to the touch or may emanate heat while the rest of the foot feels normal
- The joints of the toes and ankles may swell
What does RA do to the feet and ankles?
Along with painful joints and stiffness, you may also notice other changes to your feet over time. Some of these changes include,
- Hammertoes and claw toes
- Circulation issues (e.g. atherosclerosis; Raynaud’s phenomena)
Since RA is not curable, your podiatrist will focus on crafting a treatment plan that will help to alleviate your symptoms and slow the progression of the disease to prevent severe and irreparable joint damage. Prescription medications known as disease-modifying antirheumatic drugs (DMARDs) are biologics that can reduce inflammation and prevent the progression of the disease.
Of course, there are also lifestyle changes you can make along with taking prescription medication that can also ease symptoms,
- Warm soaks
- Custom insoles or orthotics
- Pain relievers
- Stretching exercises for the feet
- Steroid injections (for targeting severe inflammation)
Most people with RA will eventually develop foot and ankle problems, which is why it’s important to have a podiatrist on your team that can help you manage your RA effectively.
If you have high arches, you may notice them but not experience any problems; however, those with high arches bear more weight on the balls and heels of the feet. Over time, you may develop corns, calluses, hammertoes, painful calf muscles, or foot pain. If you have high arches, a podiatrist can provide you with a variety of ways to support your feet to prevent these problems.
Consider wearing custom orthotics
Orthotics are special devices that are placed inside the shoes to improve stability and to cushion the foot. These devices can reduce shock absorption while standing, walking, or running. While there are over-the-counter orthotics that you can buy, they aren’t specifically designed to fit your feet or treat the issues you’re dealing with.
A podiatrist can provide you with custom-fitted orthotics that can help to support the arches of your feet and distribute weight more evenly among the foot to prevent heel pain and pain in the ball of the foot.
Wear shoes that support your feet
You must be also wearing shoes that can accommodate your high arches, especially if you are on your feet most of the day or participate in physical activities. Those with high arches are prone to stress fractures and ankle sprains, and you must consider shoes that have,
- A high top that can cushion and support the ankles
- A spacious toe box that won’t put pressure on the toes or cause irritation to preexisting deformities such as hammertoes or bunions
- A midsole that has added cushioning to reduce pressure
- A high-abrasion rubber outsole that will provide more durability (especially important for running shoes and athletic footwear)
Talk to your podiatrist about bracing
In some cases, your podiatrist may also recommend bracing the feet and ankles to help stabilize them and provide additional support. If your podiatrist has told you that you also have a drop foot, which means that you have trouble lifting the front of your foot, then bracing may also be a great way to manage this problem and provide a more natural and comfortable gait when walking.
While high arches alone aren’t a cause for concern it can be good to know about potential issues that it can cause along the way so you can take the necessary precautions now to protect your feet. If you are dealing with foot pain or other problems, a podiatrist can help.
You may not be aware of the fact that you can prevent bunions from forming. The biggest problem is that many people don’t try to take steps to prevent them until it’s too late. Here are some tips that can help you prevent bunions, if you already have bunions, you may want to talk to a podiatrist.
Dr. Alan J. Discont is a podiatrist at Family Foot and Ankle Care, PC. He provides treatment for bunions and all other foot and ankle issues for patients in and around the Chandler, AZ area.
Tips for Preventing Bunions
Bunions can be aggravating and as they develop, they can become more and more painful. Here’s how you can prevent them:
- Wear comfortable shoes: This is probably the most important factor for bunion prevention. If your shoes put pressure on the base of your big toe, this will encourage a bunion to form. By eliminating pressure on this area of your foot, you considerably lower your risk of bunions. This is why it’s also important to wear shoes with a wide enough toe box. Shoes should never be so tight that they squeeze your toes together. They should be wide enough to let your toes lie in their natural position.
- Avoid high heels: While high heels may be fashionable, any podiatrist will tell you they extremely bad for your feet and ankles. This is because they push your toes to the front of the shoe where they are pressed together causing excessive pressure. If you must wear them, do so in moderation.
- Rest your feet when you can: It doesn’t matter whether you are at home or at the office, you should rest your feet every now and again. Slip off your shoes and let your feet breathe. Stretch your toes and ankles. If you’re at home, go barefoot or wear comfortable slippers.
If you live in or around Chandler, AZ and you would like to find out more about preventing or treating bunions, call Dr. Discont today at 480-732-0033.
Do I really have poor circulation in my feet?
It isn’t always easy to notice the warning signs of bad circulation. After all, it’s normal to feel a lack of sensation in your feet during cold winter days or to notice some aching and tiredness when standing for long periods of time; however, signs of poor circulation in the feet include:
- A “pins and needles” sensation in your feet
- Changes in the color of your feet
- Cold feet
- Numbness or tingling
What causes poor circulation in the feet?
There are many reasons that people may develop poor circulation in their feet as they get older. Some causes can’t be helped but others are due to health conditions or bad habits. Causes of poor circulation include:
- Age: As we get older most people will deal with some degree of decreased blood flow.
- Inactive lifestyle: If you lead a sedentary lifestyle you are more likely to deal with blood flow issues, especially as you get older. We see this most often in seniors who have mobility issues and can’t stay active.
- Overweight or obese: Being overweight or obese also puts a lot of stress on the body, causing the heart to work harder to pump out blood to the rest of the body including the feet.
- Smoking: Smoking restricts blood flow, which makes it more difficult for blood to reach the feet. Smoking can also increase your risk for deep vein thrombosis (DVT) and peripheral artery disease (PAD).
- Diabetes: Diabetes can increase your risk for inflammation, poor circulation, and even nerve damage in the feet (known as neuropathy). You must work with your doctor and a podiatrist to control your blood sugar to reduce your risk.
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