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Tuesday, 22 March 2022 00:00

Why Pain From Plantar Fasciitis Is Worse in the Morning

Plantar fasciitis will affect 1 in 10 people, mostly between the ages of 40-60, or younger if they are runners, athletes or dancers. The plantar fascia is the web-like fibrous tissue connecting the heel bone with the toes on the sole of the feet. Stress, micro-tears or other damage to the plantar fascia can cause it to become inflamed, which results in plantar fasciitis. This inflammation, in turn, causes the plantar fascia to tighten during periods of rest or inactivity and typically produces a sharp, stabbing pain towards the middle of heel, where the plantar fascia attaches to it. Initially, once activity is resumed (after waking in the morning, for example), and the plantar fascia begins to stretch, the pain may subside, but will reoccur later in the day. Contributing factors to plantar fasciitis include obesity, foot structure disorders such as flat feet or high arches, having to stand for prolonged periods, and participating in sporting activities with repetitive stress on the plantar fascia (i.e., running and jogging). If you have heel pain, it is a good idea to make an appointment with a podiatrist who can determine if plantar fasciitis is the cause and create a treatment plan to reduce your pain and help repair the plantar fascia.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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.

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Tuesday, 15 March 2022 00:00

What Is Wound Debridement?

A diabetic foot ulcer (DFU) is a type of wound that can develop on the lower limbs of people with diabetes. These wounds typically heal slowly and poorly and are at an increased risk of becoming infected. Sometimes debridement is necessary to treat a DFU. Debridement is the process of removing dead or damaged skin, tissue, and debris from a wound to help it heal. During debridement, the podiatrist will clean and disinfect the wound, then probe it with a metal instrument to check how deep the wound is and if there are any foreign objects in it. The podiatrist will then cut away dead tissues and wash out the DFU. This is generally done under local or general anesthesia. Not all debridement involves cutting away dead tissues. Depending on the needs of the patient, it may also be possible to debride the wound with special enzymes, dressings, and more. If you have DFUs, it is suggested that you are under the care of a podiatrist.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

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Saturday, 12 March 2022 00:00

Arthritis Can Cause Pain in the Feet and Ankles

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 08 March 2022 00:00

Achilles Tendon Disorders

The Achilles tendon is a thick band of fibrous tissue that runs along the back of the lower leg, connecting the heel bone to the calf muscles. When the Achilles tendon is injured, resulting symptoms may include pain, aching, stiffness, soreness or tenderness in the heel or back of the leg, enlargement of the tendon, and damage to the surrounding tissues. There are two main types of Achilles tendon disorders – Achilles tendonitis and Achilles tendonosis. Tendonitis is a typically short-lived inflammation of the tendon. Tendonosis, which can evolve from tendonitis if the former is not treated promptly, can lead to tears in the tendon and degeneration over time. If you have symptoms of an Achilles tendon injury, it is suggested that you consult with a podiatrist.

Achilles tendon injuries need immediate attention to avoid future complications. 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 Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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, 01 March 2022 00:00

What Causes Bunions?

A bunion is a bumpy outgrowth that develops at the joint of the big toe as a result of a deformity known as hallux valgus. The most common symptom is the big toe pushing inward toward the second toe, thereby pushing the joint out of alignment and causing the bump. The main cause is wearing shoes that are pointy or too tight in the toe box. Tight shoes strain the MTP (metatarsophalangeal) joint where the big toe meets the foot. Women are more likely to develop bunions because they often wear high heels.  A bunion can also be the result of heredity or arthritis. If you have developed a bunion, it is wise to consult with a podiatrist earlier rather than later. The podiatrist can examine the area and help you decide the correct measures to take. Treatment ranges from elastic bunion pads or shoe inserts in minor cases to surgery in the most severe.

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.

Read more about Bunions
Tuesday, 22 February 2022 00:00

Exercising Your Feet Keeps Them Healthy

Exercising your feet can keep them healthy and in tip-top shape throughout your lifetime. One of the best forms of foot exercise is walking because this activity puts your feet through their entire range of motion. Gentle stretches can help improve the flexibility in your feet at any age, while also keeping them nimble to avoid injury. Strengthening your feet muscles will help you support and protect your feet and can be done with resistance foot exercises using resistance bands or weights. Before you embark on any foot exercise regimen, consult with a podiatrist who can provide specific exercises that will be beneficial, safe, and appropriate for your specific feet and level of fitness.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, 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.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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.

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Tuesday, 15 February 2022 00:00

Treatment for Foot Ulcers Caused by Diabetes

People with diabetes often develop peripheral neuropathy, caused by damaged nerves that make the feet numb. This condition often results in the inability of the diabetic to feel pain in the foot or toes. Cuts and sores that go unnoticed can take a long time to heal and eventually form into ulcers. When this happens, the health of the diabetic is at risk, as the ulcers can lead to gangrene or even limb loss in extreme cases. One way to treat the ulcers is with a total contact cast which is designed to protect the skin by placing a layer of foam between the foot and the plastic shell of the cast. As a result, the pressure is taken off the ulcer and gives it a chance to heal. This process can take up to 8 weeks. If you have neuropathy and notice sores on your feet that are not healing, it is suggested that you make an appointment with a podiatrist who can examine your feet and offer treatment options.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

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Thursday, 10 February 2022 00:00

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, 08 February 2022 00:00

The Importance of Foot Checkups for Older Adults

Taking care of your foot health is important at any stage of your life but becomes increasingly important with age. Older adults are more likely to have medical conditions that affect their feet, such as diabetes, poor circulation, neuropathy, or arthritis, and may also be at an increased risk of foot injuries, deformity, weakness, and pain. Poor foot health is often associated with a decrease in quality of life and lower independence in completing activities of daily living. Unfortunately, the feet are sometimes neglected when it comes to regular checkups. If you are an older adult, ignoring your feet could lead to problems. It is suggested that you consult with a podiatrist regularly to monitor your foot health and treat any existing conditions. 

If you need your feet checked, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

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.

Read more about Geriatrics and Podiatry
Tuesday, 01 February 2022 00:00

How the Feet Can Reveal Issues Throughout the Body

There are a variety of health issues that can occur throughout the body that podiatrists are often the first to discover. This is because foot related issues can be an indicator of a more severe issue. For example, if your feet are too cold or turning blue, it can mean that there are issues with how the blood is circulating throughout the body. Diabetes is another condition that can affect the feet by causing wounds to heal slower. Heart disease or high blood pressure is another issue that can present itself in the feet by causing the feet to swell. Frequently occurring fungal nail infections can also indicate an auto-immune disorder or a weakened immune system. Patients who notice anything unusual with their feet should visit with a podiatrist to have the issue examined. 

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 Julie Jurd-Sadler, DPM from Progressive Podiatry. 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 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.

Read more about Systemic Diseases of the Foot
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