November 2023

Hammertoe is a condition where the second, third, or fourth toe bends at the joint due to muscle or ligament imbalance, often caused by factors like injury, wearing poor footwear, or arthritis. Surgery can be an option for severe cases causing pain or balance issues, but it may not be suitable for those with poor circulation, increased surgery risks, or infections. Successful treatment depends on the severity of the hammertoe. Options may include tendon transfer, joint resection, or fusion, with the latter two involving cutting tendons and ligaments to straighten the toe. Tendon transfer reroutes tendons to straighten the toe, while joint resection and fusion involve bone alterations and the use of pins or screws. If you have a hammertoe and it is causing discomfort, it is suggested that you schedule an appointment with a podiatrist to discuss whether surgery is an option for you.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Mark Spier of Maryland. 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 one of our offices located in Columbia and Reisterstown, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bunion surgery, or bunionectomy, is a medical procedure aimed at correcting a bunion, a painful and often unsightly deformity that affects the base of the big toe. Bunions develop when the metatarsophalangeal joint, where the big toe connects to the foot, becomes misaligned. This misalignment causes the big toe to lean toward the smaller toes and forces the metatarsal bone to protrude, forming a bony bump on the side of the foot. Bunion surgery is considered when conservative treatments, such as changes in footwear, orthotic devices, and pain management, fail to provide relief. The surgical procedure to address bunions typically involves realigning the metatarsophalangeal joint and removing the bony prominence. Surgeons may use various techniques depending on the severity and type of the bunion. The goal of the surgery is to reduce pain, improve foot function, and correct the deformity. After the surgery, a recovery period is necessary, during which patients are advised to follow post-operative care instructions diligently. Understanding bunion surgery and its potential benefits and risks is vital when considering this procedure to address the discomfort and limitations associated with bunions. If you have a bunion, it is strongly suggested that you are under the care of a podiatrist who can determine if bunion surgery is the correct treatment choice for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Mark Spier of Maryland. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Podiatrists are healthcare specialists trained to care for foot and lower leg issues. They assist in easing foot pain, enhancing mobility, and offering care before and after foot surgery. They are also skilled in handling foot-related sports injuries and wounds affecting adults as well as children. They work in various healthcare environments, including private practice, clinics, and hospitals. Podiatrists are important to visit for children who are experiencing foot pain from conditions such as Sever’s disease, arthritis, and sports injuries. Additionally, skin issues including warts, calluses, and ingrown toenails can warrant a visit to the podiatrist. This type of doctor can also help with balance and walking issues, such as frequent tripping or unusual gait, in addition to advising on suitable footwear. If your child is experiencing foot issues, it is suggested that you make an appointment with a podiatrist who will collaborate with you and your child, devise a plan to address the problems, and help your child remain active and healthy.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact Dr. Mark Spier from Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

• Diagnose foot ailments such as ulcers, tumors, fractures, etc.
• Use innovative methods to treat conditions
• Use corrective orthotics, casts, and strappings to correct deformities
• Correct walking patterns and balance
• Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

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

Stress fractures, which are generally attributed to overuse, primarily affect weight-bearing bones and are often triggered by a sudden increase in physical activity. This serves as a significant risk factor for microscopic bone fractures in the feet. Embracing a new sport or intensifying exercise routines can elevate the likelihood of stress fractures. Biomechanical issues, such as abnormal gait patterns like flat feet or high arches and poor running form can also heighten the risk. Wearing inadequate footwear, including ill-fitting or worn-out shoes that offer insufficient support, places added stress on the foot bones. Nutritional deficiencies, particularly in calcium and vitamin D intake, weaken bones and make them more susceptible to such fractures. Hormonal changes, especially in women, like amenorrhea, can disrupt hormone balance and reduce bone density, which further increases the risk of stress fractures. Pain that starts during physical activity and worsens with continued exertion is a common symptom. Swelling in the affected area indicates inflammation, and tenderness of the bone to the slightest touch is another indicator. If these symptoms persist for about a week, it is suggested that you make an appointment with a podiatrist for a full exam, which may include imaging tests, as a foot stress fracture may not be visible on an X-ray. 

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Mark Spier from Maryland. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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