
How Systemic Sclerosis Can Affect Foot Function

Systemic sclerosis, also known as scleroderma, often affects the small blood vessels, skin, and connective tissues, making the feet particularly vulnerable. Tightening of the skin, joint stiffness, and reduced circulation can all interfere with how the foot moves and bears weight. Walking may become difficult, and standing for long periods of time can lead to discomfort or fatigue. In some cases, ulcers, changes in foot shape, or nerve symptoms may develop, further limiting mobility. Foot pain or reduced function can significantly impact daily activities and overall quality of life. Supportive footwear, targeted exercises, and proper foot care can help maintain comfort and reduce complications. If you are living with systemic sclerosis and noticing changes in how your feet feel or function, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly. If you have any concerns about your feet and ankles contact Ambrose Su, DPM from Cascade Foot Clinic. Our doctor will assist you with all of your podiatric needs.
Systemic Diseases of the Feet
Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.
Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.
Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.
Diabetes of the Feet
Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.
Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet.
If you have any questions please contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Systemic Diseases of the Foot
There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis, among others.
In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.
Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.
There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.
Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.
All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.
Managing Discomfort From Plantar Heel Pain

Plantar heel pain refers to discomfort at the bottom of the heel, often caused by irritation or inflammation of the soft tissues that support the foot. Common causes include overuse, poor footwear, excess weight, or abnormal foot mechanics. The pain is typically sharp and felt with the first steps in the morning or after periods of rest. Staying active within comfort limits is important, as movement helps maintain circulation and flexibility. A podiatrist can evaluate the cause of the pain, provide custom orthotics, suggest stretching routines, and recommend footwear for support. If you are experiencing ongoing heel pain, it is strongly suggested that you contact a podiatrist who can guide you through effective solutions to reduce discomfort and support daily activity.
Many people suffer from bouts of heel pain. For more information, contact Ambrose Su, DPM of Cascade Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions, please feel free to contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Heel Pain
Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.
One condition is plantar fasciitis. Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.
There are various options your podiatrist may suggest for heel pain. Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.
Preventing heel pain is possible. If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.
Toenail Fungus in Children

Onychomycosis, or toenail fungus, can affect children, although it is more common in adults. This condition develops when fungi invade the nail bed, often after exposure in warm, damp environments such as locker rooms or around swimming pools. The infected nail may become thickened, discolored, brittle, or distorted in shape. While it is usually not painful at first, the appearance of the nail can cause concern and discomfort over time. Children with sweaty feet, tight shoes, or minor nail trauma may be more at risk. Because fungal infections are unlikely to clear up without help, early attention is important. Treatment may involve topical medications or, in some cases, oral antifungal medicine. If your child has toenails that appear yellow, rough, or unusually shaped, it is suggested that you visit a podiatrist to confirm the diagnosis and discuss the most appropriate treatment options.
For more information about treatment, contact Ambrose Su, DPM of Cascade Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Toenail Fungus
Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.
The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.
Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.
Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.
Common Causes of Arch Pain

Foot arch pain can stem from several medical conditions that affect the muscles, ligaments, bones, and tendons in the foot. Plantar fasciitis is one of the most frequent causes, involving inflammation of the thick band of tissue that runs along the sole of the foot. Posterior tibial tendon dysfunction may also lead to arch pain due to gradual weakening of the tendon that supports the arch. The posterior tibial tendon runs along the inside of the ankle and attaches to bones in the arch, helping to maintain foot stability. Stress fractures in the long bones of the foot can develop from repetitive impact and are common among people who participate in high-impact activities. Other possible causes of arch pain include ligament sprains and structural abnormalities, such as high arches, which can place uneven pressure on the feet. Severe or prolonged arch pain may require medical imaging to confirm the diagnosis. A podiatrist can recommend effective treatment, including orthotics, medication, immobilization devices, or surgery, depending on the condition. If you are experiencing pain in the arch of your feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Ambrose Su, DPM from Cascade Foot Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain
Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place. However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.
Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.
Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.
If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.
Hallux Rigidus and Big Toe Pain

Hallux rigidus is a form of degenerative arthritis that affects the joint at the base of the big toe, leading to pain and stiffness. This condition often develops gradually and can make activities like walking, running, or even standing for long periods uncomfortable. Over time, the joint may become increasingly stiff, and movement may be limited, making it difficult to bend the toe. Swelling and inflammation surrounding the joint are also common. Hallux rigidus can result from repeated stress, structural abnormalities, or previous injuries. Wearing supportive shoes with a stiff sole and avoiding high-impact activities may help relieve symptoms. Early recognition and management of hallux rigidus are important in preventing further joint damage and maintaining quality of life. If you have pain in your big toe, it is suggested that you promptly schedule an appointment with a podiatrist who can offer effective relief and treatment solutions.
Toe pain can disrupt your daily activities. If you have any concerns, contact Ambrose Su, DPM of Cascade Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.






