National Juvenile Arthritis Month

Could arthritis be the cause of your child’s swollen feet? It’s possible. Last month, we of the Integrity Foot and Ankle Associates in Lorain discussed Sever’s disease, a common cause of foot pain in children. But since July is National Juvenile Arthritis Awareness Month, we felt it would be appropriate to acknowledge another possible cause of ankle swelling in pediatric patients, and describe how it’s recognized and treated.

Juvenile arthritis is poorly understood, but is an autoimmune condition. That means the body’s immune system is attacking healthy tissues, causing swelling, hot spots, and stiffness. Most cases of juvenile arthritis are oligoarticular, meaning that they only directly affect a small number of joints. However, the joint that is affected is often the ankle or knee. It is more common in girls and tends to strike during the first few years of a child’s life.

Oligoarticular arthritis is generally considered to be the mildest form of juvenile arthritis. The diagnostic process includes x-rays and blood tests for antibodies associated with autoimmune disorders. Treatment is conservative, usually consisting of non-steroidal anti-inflammatory drugs and physical therapy to strengthen the muscles, allowing them to better support the joints. We especially encourage low-impact exercises that will also stretch the ankle without jostling it.

Doctors David J. Hintz and Michael A. Wenowitz run Integrity Foot & Ankle Associates at 1740 Cooper Foster Park Road #B, Lorain, Ohio, 44053. To schedule an appointment, visit Integrity Foot and Ankle or call 440-282-1221.

Ganglion Cysts

A lump on your ankle or foot is obviously concerning, but it might not be what you think. Sometimes, people develop pockets of liquid called ganglion cysts on the joints of their hands or feet. As podiatrists who offer a wide range of services, we at Integrity Foot & Ankle Associates want to help people understand why these cysts develop and what we can do to help.

Our joints and tendons are lubricated by gel that sometimes becomes displaced. Ganglion cysts usually occur when a joint suffers trauma or a degenerative condition and the tendon sheath has become frayed enough for lubricating gel to seep through and gather in a pocket. The cyst may be painful and it may be bulbous or take the form of a network of small bubbles. It may also interfere with the tendon’s function, causing weakness.

 We can conduct tests to determine whether a lump is a ganglion cyst or something more serious. We may advise that a cyst be aspirated, which means we will draw out the fluid with a syringe. Patients should not attempt to do this on their own, or they will risk injury. If the cyst returns repeatedly, we may suggest removing the cyst surgically or injecting it with anti-inflammatory steroids, but tendon sheaths are usually able to heal on their own.

Doctors David J. Hintz and Michael A. Wenowitz run Integrity Foot & Ankle Associates at 1740 Cooper Foster Park Road #B, Lorain, Ohio, 44053. To schedule an appointment, visit Integrity Foot and Ankle or call 440-282-1221.