November 2023

Tuesday, 28 November 2023 00:00

What Are Hammertoes?

Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity. Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.

Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.

Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.

For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.

If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.

Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.

Tuesday, 28 November 2023 00:00

Types of Hammertoe Surgery

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.

Tuesday, 21 November 2023 00:00

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.

Tuesday, 21 November 2023 00:00

An In Depth Look at Bunion Surgery

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.

Tuesday, 14 November 2023 00:00

What is a Podiatrist?

The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.

To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery, or set fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.

When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.

Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise. Referrals will then be made to specialists that handle the greater health problems.

Some podiatrists have their own independent, private practices or clinics where they have a small staff and administrative personnel. Many podiatrists work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals, or visit patients in nursing homes. Podiatrists typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.

Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that results from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes.

Tuesday, 14 November 2023 00:00

Pediatric Podiatry

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.

Tuesday, 07 November 2023 00:00

Stress Fractures of the Foot and Ankle

Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.

The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.

Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.

Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.

It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture. Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.

The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.

Tuesday, 07 November 2023 00:00

Risk Factors for Foot Stress Fractures

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.