If trying on shoes isn’t as much fun as it used to be, it may be caused by the development of hammertoes, also known as claw toes. This condition is recognizable by an unsightly bump on the knuckle of the toe, which can rub against the top of your shoe and cause pain. Claw toes can also affect the tip of the toe as it curls under and rubs against the sole of your shoe. They can cause the ball of the foot to become painful, a feeling sometimes described as walking on marbles. Claw toes can be caused by a muscle imbalance, where the long muscles in the leg overpower the smaller foot muscles. Other causes include injury to a tendon, tight calf muscles, and family history. The four lesser toes often develop claw toes, with the second toe the most likely to be affected. Home treatments include wearing shoes with a wider and deeper toe box to relieve rubbing, toe spacers and hammertoe splints, and soft padding to cushion the affected toes. However, if these measures fail to reduce your pain and discomfort, it is suggested that you contact a podiatrist to determine a more advanced course of treatment. 

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Mark Spier from Maryland. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please 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.

Falls are a leading cause of injury among older adults. In fact, every year a third of all Americans aged 65 or older experience a fall. Falls among the elderly can cause serious injury and mobility issues, as well as damage to their self-esteem and independence. Falls are typically caused by muscle weakness, mobility or balance issues, the side-effects of a medication, or the fear of falling. The best way to prevent falls is to exercise regularly, implement specific measures to make the home environment safer, manage medications, and maintain proper foot and ankle health. For more information about preventing falls, please consult with a podiatrist. 

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.

The Ankle-Brachial Index (ABI) test is a non-invasive vascular screening that evaluates a patient’s risk of having peripheral artery disease (PAD), which causes poor circulation in the lower limbs. During this test, the doctor measures your blood pressure in both arms and both ankles and then compares those numbers to come up with a ratio. Each range of ratios is correlated with a level of risk of having PAD. A normal ABI range is from 0.9-1.4. A person with a mild-to-moderate risk of PAD has an ABI between 0.7-0.9. Someone with severe PAD could have an ABI between 0.3-0.5. Critical cases have ABI ratios of 0.3 or less. To learn more about peripheral artery disease or to get tested, schedule an appointment with a podiatrist near you. 

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Dr. Mark Spier from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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.

Discovering the cause of pinky toe pain can be challenging. Its strategic placement on the outside of the foot helps the pinky toe work in tandem with the heel and big toe to balance the body during movement. However, this very location and its petite size make the pinky toe more susceptible to injury. For instance, stubbing, or dropping something heavy on it can cause one or more of its three bones to break. Stress, or hairline, fractures may also occur from repeated motions and activities such as running and jumping. One of its bones may separate from the others, causing dislocation (complete separation), or subluxation (partial separation). If ligaments become damaged, this can result in a sprain. Other conditions that may cause pinky toe pain include tailor’s bunions (a bunionette that forms on the outside of the pinky toe), or deformities such as hammer toe, claw toe, or overlapping pinky toe. Any chronic pain, swelling, or malformation in your pinky toe should be diagnosed by a podiatrist, followed by an appropriate course of treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Mark Spier from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.