December 2023

Hallux valgus, commonly known as a bunion, is a prevalent foot condition that affects many individuals, especially as they age. A bunion is characterized by the big toe bending towards the smaller toes, accompanied by a painful bony protrusion at the inside of the foot. Recent research shows the prevalence and factors associated with hallux valgus in an older adult population, and women in particular. The study revealed that the prevalence of bunion deformity was higher in women and increased with age. Family history, wearing high-heeled or narrow shoes, and having flat feet were identified as contributing factors. The severity of hallux valgus also significantly affected participants' quality of life. Additionally, participants reporting foot pain in the previous 12 months showed higher scores in both pain and decreased function, highlighting the substantial impact of bunions on daily activities. This research emphasizes the importance of proactive foot care, especially for older women who are more susceptible to the formation of bunions. Regular check-ups with a podiatrist, appropriate footwear choices, and early intervention can play an important role in preventing and managing this foot deformity. For help in managing the pain and side effects of bunions, it is suggested that you schedule an appointment with a podiatrist for the appropriate treatment option.

If you are suffering from bunion pain, contact Dr. Mark Spier of Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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.

A diabetic foot exam is a comprehensive evaluation essential for managing diabetes and preventing foot-related complications. During this examination, podiatrists visually inspect the feet for any cuts, sores, blisters, or signs of infection. They also check for changes in skin color, swelling, and redness. Another critical aspect of the exam involves assessing sensation in the feet. Podiatrists use tools like a monofilament or tuning fork to test for diabetic neuropathy, a condition that can reduce sensitivity in the feet. To evaluate blood flow, pulses in the feet are checked to identify any circulation problems that may slow down wound healing. Additionally, podiatrists look for foot deformities, such as bunions or hammertoes, which can increase the risk of pressure sores. An examination of the patient’s shoes will be done to ensure proper fit and support. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist for such exams, as well as to get vital education on how to take care of your feet to preserve their health.

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 Dr. Mark Spier from Maryland. 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 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.

Edema, characterized by swelling in the legs, ankles, and feet, can be influenced by various factors, including extended periods of standing while working. This condition also often occurs after standing for a prolonged time, as well as during long plane flights or car rides. The act of standing for extended durations can lead to several health concerns. It may contribute to muscle fatigue in the legs and feet, leading to discomfort. Poor posture while standing can result in back pain and musculoskeletal issues. Moreover, it can strain the cardiovascular system, potentially causing conditions like edema. While standing is associated with increased physical activity and alertness, it is essential to strike a balance. Incorporating breaks to sit, stretch, and walk can alleviate the negative effects. Ergonomic adjustments to your workstation, supportive footwear, and exercises targeting leg and core muscles can help mitigate the challenges of prolonged standing. It is important to monitor persistent swelling in the ankles and feet, especially if accompanied by other concerning symptoms, as it can sometimes indicate underlying health problems. If you have continued edema, it is strongly suggested that you schedule an appointment with a podiatrist for an examination and care.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Mark Spier from Maryland. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.

Effective blood circulation is vital for overall health, and when it comes to your lower extremities, poor circulation can have profound consequences. Several factors contribute to poor foot circulation. A primary culprit is atherosclerosis, a condition characterized by the buildup of fatty deposits in the arteries, restricting blood flow. Diabetes, with its potential impact on blood vessels, can increase circulation issues in the feet. Peripheral artery disease, or PAD, another common cause, involves the narrowing of arteries outside the heart, often affecting the legs and feet. Lifestyle choices, such as a sedentary routine or smoking, can contribute to poor circulation by impeding blood vessel function. Blood clots, whether originating in the legs or forming elsewhere and traveling to the feet, can obstruct blood flow. Nerve damage, often associated with conditions like neuropathy, may disrupt the signals that regulate blood vessel dilation and constriction. Additionally, varicose veins, characterized by enlarged and weakened veins, can impede efficient blood circulation. Aging also plays a role, as blood vessels may lose elasticity over time. If you have poor circulation in your feet, it is strongly suggested that you are under the care of a podiatrist who can determine the cause and offer effective treatment options.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Mark Spier of Maryland. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.