Blog

Tuesday, 13 December 2022 00:00

Wearing High Heels May Cause a Bunion to Develop

A bunion can be unsightly. It is a bony protrusion that forms on the side of the big toe, and a severe bunion can cause the other toes to shift toward each other. It is a common foot deformity and affects women more than men. A callus may form on top of the bunion as it touches the shoe, and larger shoes may need to be purchased for a better fit. A bunion generally develops gradually, and it may form because of the shoes that are worn. Wearing high heels frequently can cause a bunion to grow and this may be due to the limited amount of room in the toe box. Medical conditions such as arthritis and flat feet may contribute to the development of a bunion. Some patients may be more at risk from genetic factors. Some of the symptoms that are often associated with bunions can include chronic toe pain, redness, and the bump may be shiny. Relief may be found when the symptoms are managed, the shoes are changed, or custom-made orthotics are worn. If you have a bunion, it is strongly urged that you consult with a podiatrist who can offer treatment options which may include surgery for permanent removal.

If you are suffering from bunions, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

Refrain from wearing heels or similar shoes that cause discomfort
Select wider shoes that can provide more comfort and reduce pain
Anti-inflammatory and pain management drugs
Orthotics or foot inserts
Surgery

If you have any questions, please feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

When Are Custom Orthotics Needed?

Many people are confused by the many types of inserts that can be used in shoes to alleviate foot pain. In certain cases, however, such over-the-counter items do not solve the problem and custom insoles are needed. A major use of custom orthotics is to correct arch problems that often lead to pain, not only in the feet but also in other parts of the body. Low arches or flat feet, high arches, and overpronation call for different and specific solutions that can only be corrected with a custom insert. In addition, deformities such as bunions or hammertoes, as well as heel spurs, may benefit from specially made orthotics. A podiatrist can examine your feet, the way you walk, and your posture to determine if custom orthotics will be best for you. Then this foot doctor can measure your feet, create a mold to see which areas need to be corrected and make a pair of orthotics that will specifically address your foot problems. It is suggested that you consult a podiatrist for an exam and effective treatment solutions.

If you are having discomfort in your feet and would like to try orthotics, contact Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Tuesday, 04 April 2023 00:00

Why Does My Big Toe Hurt When I Run?

Pain in the joint of the big toe, termed hallux rigidus, is a form of osteoarthritis caused by the wearing away of cartilage between the base of the big toe and the first metatarsal bone of the foot. This condition often affects runners, as the big toe takes the brunt of the continual pounding with each step. Hallux rigidus often develops in runners between the ages of 30 and 60. Some possible causes include having flat feet or overpronation, which is when the foot rolls inward 15 percent or more with each step. Overtraining, a stubbed toe, gout, a toe deformity, or genetics may also play a role in the development of hallux rigidus. Limited mobility and stiffness in the big toe joint are early symptoms of this disorder. In addition, a runner may experience pain and swelling on top of the big toe. Changing to footwear with a larger toe box and stiffer sole can help relieve the pressure on the big toe. Certain medications may also help. A podiatrist can examine the toe, determine the cause of the joint pain, and offer appropriate treatment solutions. It is suggested that you make an appointment today.

Toe pain can disrupt your daily activities. If you have any concerns, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. 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 feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Facts About Hammertoes

A hammertoe is a deformity that usually develops on the second or third toe. It is caused by an imbalance between the muscles and tendons in the toe joint. This results in the middle joint rising up to form a peak. In and of itself, a hammertoe is not generally painful. The problem of pain arises when wearing shoes that may cause the raised knuckle of the toe to rub against the top of a shoe. Wearing shoes that do not fit properly along with genetics are the main contributors in the formation of a hammertoe. Shoes with a narrow toe box can force the toes into a flexed position. And the higher the heel, the more the toes are subject to increased pressure. After a while, the toes can no longer extend and they become rigid. This can result in painful corns or calluses. Besides changing your footwear, many patients with hammertoe deformities use orthotics to counteract the toe joint imbalance. In severe cases, surgery may be needed to correct the problem. It is suggested that you consult a podiatrist for an exam and suggested treatment options.

Hammertoes can be a painful condition to live with. For more information, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

Painful and/or difficult toe movement
Swelling
Joint stiffness
Calluses/Corns
Physical deformity

Risk Factors

Age – The risk of hammertoe increases with age
Sex – Women are more likely to have hammertoe compared to men
Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pain From Tarsal Tunnel Syndrome

There is a narrow passageway in the ankle that is called the tarsal tunnel. The tibial nerve runs through this tunnel and can become damaged if an injury has occurred or if there is consistent pressure on it. Some of the symptoms that are associated with this condition can include a numbing sensation, or it may feel like it is burning with sharp, shooting pains. Existing medical conditions may lead to getting tarsal tunnel syndrome. These can include arthritis, flat feet, or diabetes. The pain is often felt in the ankle, and a diagnosis is needed to properly confirm tarsal tunnel syndrome. In addition to examining the affected foot, a test may be performed which is called Tinel’s test. This is done by gently tapping on the tibial nerve which will tingle if this condition is present. There may be an MRI that is taken that is successful in determining if there is a bony growth or mass that can cause tarsal tunnel syndrome. Effective treatment methods can include frequently elevating the feet, and possibly wearing a brace or a splint that can limit mobility. If you have this type of pain in your ankle, please consult a podiatrist for a correct diagnosis and treatment plan.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Moccasin-Type Athlete’s Foot

Athlete’s foot is a particular kind of fungal infection that impacts the feet. Individuals who have athlete’s foot may experience different symptoms. For example, patients may present a scaly rash that could be red. There are several different types of athlete’s foot that an individual could have. Moccasin-type athlete’s foot is one such type. Several things characterize this kind of athlete’s foot. Namely, moccasin-type athlete’s foot affects the soles of the feet, the heel, and the edges of the foot. As a result of having a moccasin-type athlete’s foot, an individual could experience soreness in the feet. The skin on the feet may even thicken in texture or crack. If you are struggling with athlete’s foot, it is suggested that you consult with a podiatrist today.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

Hydrate your feet by using lotion
Exfoliate
Buff off nails
Use of anti-fungal products
Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

Foot Problems Common in Seniors

As a person ages, problems involving the feet become more common. These issues among seniors can interfere with daily activity, increase the risk of falling, and adversely affect other body parts. Among the changes to the feet specifically linked to aging are dry skin, flat feet, hammertoe, toenail changes, and arthritis. Other potential problems include a shortened Achilles tendon, edema, and neuropathy. Dry skin, especially on the feet, can cause cracks in the skin that may result in fissures. Daily moisturizing is often a good preventative measure. Deep cracks in the skin can invite infection and in the worst cases develop into cellulitis. With age also comes a loosening of the ligaments, which can cause the arches of the feet to drop. This can negatively affect body mechanics, cause foot pain, and decrease stability. The Achilles tendon may begin to lose water as one ages, which can develop into drop foot. A decline in estrogen and testosterone production can affect the toenails, which may turn brittle and become thicker. Osteoarthritis, which is also termed wear and tear arthritis, may attack the major joints of the foot, big toe, and ankle. If any of these issues have begun to affect your feet, it is suggested that you schedule a visit with a podiatrist to find out more.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions

Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
Gouging toenails affecting nearby toe
Shoes that don’t fit properly
Pressure sores
Loss of circulation in legs & feet
Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 20 December 2022 00:00

Symptoms of Erythromelalgia

Various conditions can affect the feet, and erythromelalgia is considered to be a rare foot condition. Common symptoms that are often experienced with this ailment can include burning pain, increased skin temperature, and the affected area may be red. The reason this condition can occur is unknown, despite researchers discovering it may happen from abnormalities in the blood flow. Many patients who are afflicted with erythromelalgia may notice these symptoms gradually appear, and their frequency can increase over time. Patients have found mild relief when their feet are immersed in ice water, or by exposing them to cold air from an air conditioner or fan. People who are experiencing these symptoms are urged to contact a podiatrist as quickly as possible who can effectively diagnose this condition, and prescribe medication for possible relief.

Some foot conditions may require additional professional care. If you have any concerns, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist. Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care.

There are many rare foot conditions that can affect children. Some of these can include:

Freiberg’s disease
Kohler’s disease
Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp.

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking.

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 28 February 2023 00:00

Where Are Corns Located?

Corns are a condition of the feet that is primarily defined by hard layers of skin that develop in response to friction. Corns, importantly, are distinct from calluses. Many patients and novices to the field of podiatry often wonder where, exactly, corns can develop on the feet. The answer is slightly complicated. Corns are most commonly located on the soles, or bottoms, of the feet. However, they can also be found elsewhere on the feet. For example, corns can also be found on bony parts of the foot. This is to say that corns can be located on the toes, especially around the joints. You might also be most susceptible to developing corns wherever the skin is particularly thin. If you are someone that is concerned about developing corns on your feet, it is suggested that you contact a podiatrist today for more information. Schedule an appointment today.

If you have any concerns regarding your feet and ankles, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

Well-fitting socks
Comfortable shoes that are not tight around your foot
Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.