Rheumatoid arthritis, abbreviated RA, is a chronic autoimmune disorder that primarily targets the joints, often causing inflammation, pain, and stiffness. When it comes to the feet, RA can manifest in various ways, affecting both the joints and surrounding tissues. A common symptom is morning stiffness, where the feet feel tender and stiff upon waking or after periods of inactivity. Swelling, redness, and warmth around the joints, particularly in the toes and ankles, are common indicators of inflammation associated with RA. As the disease progresses, deformities such as bunions or hammertoes may develop, altering the alignment and structure of the feet. Additionally, RA can lead to persistent pain and discomfort during movement, impacting mobility and overall function. If you are experiencing symptoms of RA in your feet, it is suggested that you are under the care of a podiatrist who can help you manage this condition.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. Mark Spier of Maryland. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.

Caring for a diabetic foot wound demands meticulous attention and specialized techniques to promote healing and prevent complications. Begin by gently cleansing the wound with mild soap and lukewarm water, ensuring thorough yet gentle removal of any debris or bacteria. Pat the area dry with a clean towel, taking care not to rub or irritate the skin. Apply a prescribed antibiotic ointment or cream to safeguard against infection, and cover the wound with a sterile dressing or bandage to maintain cleanliness and moisture balance. Monitor the wound closely for any signs of infection, such as increased redness, swelling, warmth, or drainage, and promptly seek medical attention from a podiatrist if such symptoms arise. Refrain from applying adhesive bandages directly to the wound, as they may cause further trauma or hinder healing. It is important to prioritize weight-bearing off the affected foot to alleviate pressure and promote optimal recovery. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can properly treat diabetic foot wounds.

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 Dr. Mark Spier from Maryland. 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 one of our offices located in Columbia and Reisterstown, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Effective circulation is essential for maintaining optimal foot health and overall well-being. Poor foot circulation, often overlooked, can lead to various discomforts and complications if left unaddressed. Common signs of inadequate circulation in the feet include persistent coldness or numbness, particularly in the toes and lower extremities. Individuals may also experience tingling sensations, known as paresthesia or pins and needles, indicative of reduced blood flow. Swelling, discoloration, and slow-healing wounds or ulcers on the feet are additional signs that circulation may be compromised. Cramping or muscle weakness in the legs and feet, especially during physical activity, can also signal poor circulation. In severe cases, individuals may develop peripheral artery disease, abbreviated PAD, which is a condition characterized by narrowed arteries that restrict blood flow to the extremities. If you are experiencing poor foot circulation, it is suggested that you are under the care of a podiatrist who can help you to manage this condition.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. 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

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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 care needs.

During infancy, a child's feet are pliable and mostly made of cartilage, gradually ossifying into bones over time. Until the age of six, children's feet are still forming, with the arches gradually developing. It is normal for children to have flat feet during this period, as the arches develop and muscles strengthen. Additionally, children's feet grow rapidly, often requiring new shoes every few months during growth spurts. As they become more active, ensuring proper footwear fit is essential to support their growing feet and prevent discomfort or injury. Children's feet may appear pigeon-toed or have other gait abnormalities as they learn to walk and run. Most of these issues resolve on their own as they develop coordination and muscle strength. Regular monitoring of children's foot health and providing adequate support through appropriate footwear can contribute to their overall well-being and comfort. If you have questions or concerns about your child’s feet, it is suggested that you contact a podiatrist who can provide you with the information you are seeking.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Mark Spier of Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Our feet, the unsung heroes of our daily activities, are intricate structures that enable mobility and support our entire body weight. Comprising numerous bones, joints, muscles, ligaments, and tendons, the feet work in unison to provide stability, balance, and the ability to walk, run, and stand. Maintaining optimal foot health is essential for overall well-being. To keep our feet in top condition, it is important to choose footwear that provides proper arch support and cushioning, and fits well. Regularly cleaning and inspecting the feet, especially between the toes, can help to prevent infections. Stretching exercises promote flexibility while strengthening exercises help maintain the foot's arch and stability. Alternating shoe choices, wearing moisture-wicking socks, and allowing feet to breathe can prevent issues like fungal infections. Paying attention to any discomfort or pain and seeking timely medical attention ensures prompt intervention. By understanding the marvel of how our feet function and adopting simple yet effective tips, we can prioritize our health and continue to move through life with comfort and ease. If you are seeking additional information about foot function and care, it is suggested that you confer with a podiatrist.

If you have any 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.