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Degenerative Foot Diseases: Insights Into Causes, Symptoms, and Effective Management

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A degenerative foot condition occurs when the tendons and ligaments of the foot begin to wear out or break down gradually.

Written by

Dr. Sameeha M S

Medically reviewed by

Dr. Suman Saurabh

Published At May 10, 2024
Reviewed AtMay 10, 2024

Introduction

The ankle, leg, and foot are affected by various degenerative disorders. Adult-acquired flatfoot and tendinitis are two prevalent degenerative foot diseases treated by experienced podiatrists. Degenerative foot or ankle diseases result in discomfort and suffering in both feet and ankles as cartilage or other soft tissue structures degenerate. These can include neuromas (such as Morton's neuroma), which are caused by inflammation of the nerve cells, osteoarthritis, tendinitis, rheumatoid arthritis, plantar fasciitis, bunions, and hammer toe.

Who Is at Risk for Degenerative Foot Disease?

Diabetes, cardiovascular issues, arthritis, neurological disorders, and other skeletal-muscular conditions may increase the chance of developing degenerative foot diseases. Reduced feeling, the incapacity to continue an active lifestyle or adhere to a treatment plan, and age-related foot changes may further put older persons in danger.

What Are the Risk Factors for Having Degenerative Foot Diseases?

  • Age.

  • Unhealthy eating habits.

  • Being overweight.

  • Unsafe shoes.

  • Poor hygiene and foot care.

  • Persistent trauma to the feet.

  • Diabetes.

  • Consuming tobacco.

  • Lack of exercise.

  • Genetic changes.

  • Abnormalities of the neuromuscular system.

  • Unusual structure of the foot.

  • Decreased blood flow to the lower limbs.

  • Repetitive motions that cause ankle strain.

What Are the Symptoms Associated With Degenerative Foot Diseases?

  • Stiffness and pain.

  • Swelling near the ankle joint and inside it.

  • Standing or walking with difficulty.

  • Reduced mobility.

  • Inability to fully extend the foot and toes, particularly when extending upward.

  • Numbness as well as weakness in the ankle and foot.

  • Restricted capacity to support the weight.

  • Alterations to the foot or ankle shape, dimension, or texture.

  • An unstable feeling in the ankle joint.

  • Difficulties wearing specific types of shoes.

  • Experiencing pain upon applying direct pressure on the affected area.

What Are the Common Examples of Degenerative Foot Diseases?

  • Achilles Tendinitis - Achilles tendinitis is a painful and inflamed tendon around the bottom of the foot that connects the rear of the leg to the heel. The Achilles tendon is the name of this tendon, and it permits one to put the foot down. Walking, jumping, running, and jumping all require the usage of the Achilles tendon.

  • Adult-Acquired Flatfoot - An adult-acquired flatfoot deformity is defined as a malfunction involving the posterior tibial tendon, which is commonly associated with pain and flattening of the foot arches. It usually happens as people age. Repetitive irritation from walking and carrying weight is the cause of tendinitis or dysfunction. Though it can grow in both feet, it usually affects one.

  • Hammer Toe - A malformation of the second, third, or fourth toes is called a hammer toe. The toe is twisted at the middle joint in this condition, giving it a hammer-like appearance. At first, hammer toes are malleable and easily mended with home remedies; however, if neglected, they may become immobile and necessitate surgery.

  • Plantar Fasciitis - Plantar fasciitis constitutes an inflammatory condition of the band of tissue that runs down the sole. Plantar fascia extends from the heel bone towards the big toe. Heel pain may usually occur because of plantar fasciitis.

  • Bunionette - The protrusion of the fifth metatarsal bone as it joins the little toe bone is called a bunionette. It is frequently linked to the inward turning of the little toe. Bunions, a type of protrusion on the inner side of the foot beneath the big toe, are comparable to bunionettes.

  • Arthritis in the Ankles - The degeneration of cartilage within the ankle joint leads to the development of ankle arthritis. Numerous factors can lead to it, such as infections, autoimmune illnesses like rheumatoid arthritis, or trauma like an automobile accident. Ankle arthritis is typically caused by cartilage degradation from a previous injury.

  • Rheumatoid Arthritis - Rheumatoid arthritis is a long-term condition that typically begins in the foot and ankle and can affect many joints throughout the body. Rheumatoid arthritis is categorized as an autoimmune illness. In other words, the immune system targets its tissues in an attack. Rheumatoid arthritis causes swelling in the joint because immune cells assault the synovium that coats it. The synovial fluid invades and deteriorates ligaments, tendons, and bones over time, potentially leading to severe joint deformity and impairment.

  • Morton's Neuroma - Although benign, Morton's neuroma is a painful disease. Because of its placement in the space between the metatarsals, it is also known as an intermetatarsal neuroma. It happens when irritation or compression thickens the tissue around a nerve.

How Can Someone Manage the Pain and Discomfort Caused by Degenerative Foot Diseases?

  • Wear Comfortable Shoes - Put on supportive shoes that provide adequate cushioning and arch support. Replace the footwear as soon as notice wear and tear.

  • Perform At-Home Workouts - A podiatrist can offer advice on how to strengthen and stretch the muscles in and around the ankles and feet.

  • Physical Therapy - It can assist in reducing pain and increasing mobility. Podiatrists can help patients increase their range of motion, strengthen and stretch particular muscles, and take better care of their feet overall. Podiatrists can help slow down the degenerative process by offering specific exercises and individualized treatment regimens. Exercise can help lower inflammation and enhance the general health of the ankle and foot.

  • Medications - If required, take medicine. Over-the-counter NSAIDs, or nonsteroidal anti-inflammatory drugs, can help reduce inflammation and relieve discomfort.

  • Consult a Professional - A visit to a foot and ankle expert can assist in determining an efficient treatment strategy and locating any underlying causes of discomfort.

  • Orthotics - Invest in the right orthotics. By dispersing pressure within the foot, personalized orthotics can help reduce discomfort.

  • Good Foot Hygiene - To ensure good foot hygiene, constantly keep the feet dry and clean and refrain from abusing anything that contains alcohol.

  • Protective Gear - Splints, braces, or wraps can be used to stabilize and support the injured areas.

  • Heat and Ice Therapy - Using ice (on the affected region) may assist with decreasing swelling and applying a warm compress can help relax the muscles and lessen pain.

Conclusion

Degenerative foot disease is characterized by gradual deterioration or breakdown of the foot's tendons or ligaments. If left untreated, degenerative foot illnesses can be quite distressing. Numerous therapies have been found to help control the illness and provide relief for those who suffer from it. Non-surgical procedures like physical therapy, medication, and lifestyle changes are included in these treatments.

Dr. Suman Saurabh
Dr. Suman Saurabh

Orthopedician and Traumatology

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