Q: How do most patients get referred to a rheumatologist in the first place? Kremer: Usually, it’s the pain that’s perceived to be arthritis pain. Sometimes it’s muscle pain. Other times it can just be a nagging pain from anywhere that the primary care provider cannot diagnose. It’s more helpful to be referred to a rheumatologist when there are other symptoms along with the pain, such as early joint swelling. Q: What does the rheumatologist do when they see a referred patient? Kremer: We’ll take a history. Do you have morning stiffness? Fatigue? How long has this been going on? Do you have any family history of these same symptoms? After history, you do a physical exam looking for impaired joint movement, which joints are swollen, warm to the touch, difficult to move. Q: When do you take lab tests? And which tests do you start with first? Kremer: It depends on where the initial history and exams lead you. You many test for Rheumatoid factor (...
Our feet are very important parts of our body. They provide a platform so we can move around, and they provide our body with the balance we need to perform many tasks. We take them for granted and don’t pay much attention unless our feet are out of sorts. They certainly get our attention if we develop a corn from wearing the wrong shoes, stub a toe, or break a nail past the quick. But there are other things than can create long-term foot pain. For these reasons, it’s important to know what is happening to our feet that is causing us pain.
Possible causes of foot pain include:
Tarsal tunnel syndrome
Tarsal Tunnel Syndrome
A tunnel through the bones in our feet provides a passageway for nerves, tendons, and vessels. When the bony tunnel is narrowed from such things as arthritis, fracture, surgery, or bone displacement, the tibial or plantar nerves are compressed and that causes the pain of tarsal tun...
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