July 2023

Peripheral neuropathy is a condition frequently associated with diabetes and is caused by damage to the nerves that send messages to the lower legs and feet. Symptoms include numbness, tingling, and a loss of sensation in the feet. Peripheral neuropathy can be caused by sustained high levels of sugar in the blood, from a viral infection, or by excessive smoking and drinking. In some cases, the effects of peripheral neuropathy can be reduced by treating the underlying condition. But in many cases, especially among diabetics, an unattended sore on the foot can become infected or develop into an ulcer. This complication is dangerous in that an ulcerated sore can turn into gangrene. If not treated, a foot ulcer that develops into gangrene may result in amputation. Peripheral neuropathy can also cause blood circulation problems as well as changes to heart rhythm. The main way to deal with peripheral neuropathy as it affects the feet is to inspect them carefully each day for cuts, sores, blisters, or any other abnormality that could become infected. For more information, it is suggested that you make an appointment with a podiatrist.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dr. Mark Spier from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then 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.

There is a disorder that attacks an individual's immune system that may result in rheumatoid arthritis, which is abbreviated as RA. It targets the cells in the lining of the joints, and will often affect both feet. This is a condition that causes severe inflammation and pain, and it can be difficult to walk and complete daily activities. Some of the beginning symptoms of RA can consist of having a slight fever, fatigue, or unexplained weight loss. There may be factors that can contribute to getting RA, including smoking, obesity, and it may be more prevalent among women. Practicing a gentle exercise routine may provide moderate relief for patients who are afflicted with RA, in addition to taking certain medications. If your feet are stiff and it is painful to walk, it is suggested that you contact a podiatrist who can effectively diagnose RA, and offer correct treatment solutions. 

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.

The risk of falling increases with age due to declining physical health, greater mobility issues, a more sedentary lifestyle, vision problems, hazards in the home, and side effects of medications. Falling can be serious for older people and is one of the leading causes of injury, disability, or even death in this age group. Stability and balance can be issues for seniors, which makes falling a risk. Because vision declines with age and older people have more eye-related diseases, seeing and judging distances becomes harder and it is easier to fall over obstacles in their environments. Issues with poor lighting, clutter, and improper maintenance in homes are more likely in this population, which also contribute to falling. Sadly, an elderly person is also more likely to fall for no obvious reason, but this can happen from a medical condition, such as a heart issue, circulation problems, or dehydration. To minimize falling and the consequences it might have, if you are a senior, it would be wise to assess and tend to home risks, get regular physical and eye exams, wear supportive and well-fitting shoes, use walking devices as needed, and try to stay as active as possible. Including a podiatrist among the health care professionals you see for routine foot exams and treatment of any current or brewing issues can increase your confidence that your mobility and independence will continue unharmed.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Mark Spier from Maryland. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

Adults who have flat feet may experience pain. It can happen occasionally or constantly, and often requires shoes that are worn to have adequate arch support. The majority of babies are born with flat feet, and an abnormal foot structure may cause the feet to remain that way through adulthood. Flat feet may also develop in people who become overweight, as a result of the added pressure the feet endure. Additionally, existing medical conditions such as diabetes, and rheumatoid arthritis may lead to getting flat feet, and it may also happen to people as the aging process occurs. The possibility of spraining or fracturing the ankle may increase as the ankle rolls inward while walking, often causing the gait to change. Many patients find relief when specific stretches are performed that target strengthening the arch, and wearing orthotics may help to diminish any discomfort from having flat feet. If you have this foot condition, it is strongly suggested that you are under the care of a podiatrist who can offer you relief options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Mark Spier from Maryland. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.