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Tuesday, 23 July 2024 00:00

How Psoriatic Arthritis Affects the Feet

Psoriatic arthritis, or PsA, can significantly affect the feet, leading to symptoms like swelling, soreness, and stiffness. Walking or standing for prolonged periods may become uncomfortable, and shoes might feel tight due to swelling. Common issues resulting from psoriatic arthritis can include swelling of the ankle and big toe, plantar fasciitis, and pain in the Achilles tendon. Symptoms can fluctuate, so it is important to monitor and address them early. This can help to prevent long-term problems, such as an elongated big toe and stiff toe joints. A podiatrist can play a key role in managing symptoms of psoriatic arthritis by providing a treatment plan, which may include specific exercises and stretches that protect and maintain joint flexibility. A podiatrist also can recommend proper footwear and prescribe custom shoe orthotics to relieve pressure and offer stability. If you are experiencing foot pain resulting from psoriatic arthritis, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.


 

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

  • Exercises that stretch the foot can prevent further pain and injury and increase mobility
  • Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
  • Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions, please feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Arthritic Foot Care
Tuesday, 16 July 2024 00:00

Ankle Pain from Tarsal Tunnel Syndrome

Tarsal tunnel syndrome causes significant ankle pain, resulting from the compression of the posterior tibial nerve within the tarsal tunnel. This narrow space on the inside of the ankle acts as a passageway for nerves, tendons, and blood vessels between the foot and the back of the leg. Compression of the tarsal tunnel can lead to burning or tingling sensations, numbness, and sharp, shooting pain along the path of the tibial nerve. Causes of tarsal tunnel syndrome include trauma, systemic diseases, or other factors, though in many cases, the exact cause remains unknown. Diagnosis by a podiatrist typically involves a combination of patient history, clinical examination, nerve conduction studies, and imaging techniques to accurately assess the extent and origin of the nerve entrapment. Conservative treatment options include anti-inflammatory medications and rest. In more severe cases, surgery may be suggested as a way to alleviate the symptoms. Early treatment can help to prevent the progression of tarsal tunnel syndrome and avoid permanent nerve damage. If you are experiencing pain on the inside of the ankle, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Tarsal Tunnel Syndrome
Tuesday, 09 July 2024 00:00

Causes and Symptoms of an Infected Foot

An infected foot can result from various causes, each presenting specific symptoms. Blisters, often caused by friction or wearing poorly fitting shoes, can become infected if they rupture and bacteria enter. Fungal infections, such as athlete's foot, thrive in warm, moist environments and can cause itching, redness, and scaling. Diabetes is another significant factor, as it can impair circulation and immune response, leading to increased susceptibility to infections, often marked by slow-healing sores and numbness. Post-surgical foot infections may arise from bacteria entering the surgical site, causing redness, swelling, and pain. Common symptoms of foot infections include increased warmth, swelling, redness, and pus or drainage. If you have an area on your foot that has become infected, it is suggested that you consult a podiatrist who can offer you effective treatment remedies.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Julie Jurd-Sadler, DPM from Progressive Podiatry. 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 our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Relieving plantar fasciitis pain can be achieved through simple exercises that stretch and strengthen the foot. One effective exercise is the calf stretch, where you lean against a wall with one leg extended back and the other bent forward, stretching the calf muscles and reducing tension on the plantar fascia. The toe stretch involves sitting down and pulling your toes back toward your shin, helping to loosen the fascia. Rolling a tennis ball or frozen water bottle under your foot can massage and alleviate pain. Performing foot flexes by sitting with your legs straight and using a towel to pull your toes toward you can also provide relief. Consistently practicing these exercises can reduce pain and inflammation, promoting healing and preventing future flare-ups. If you have plantar fasciitis and are seeking additional effective foot stretches for relief, it is suggested that you visit a podiatrist, who can provide you with the information you are seeking.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Julie Jurd-Sadler, DPM  from Progressive Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis

Foot and ankle injuries are common among kids and adolescents who play sports, ranging from congenital variants to acute and chronic injuries. Congenital variants can include structural abnormalities present at birth. Osteochondroses, a group of disorders affecting the growth of bones in children and adolescents, can cause pain and swelling. Acute injuries, such as fractures and sprains, and chronic injuries, like stress fractures and tendonitis, are prevalent due to the repetitive stress of sports activities. Soft tissue injuries, including strains and ligament tears, are also frequent. Additionally, infections can complicate injuries if not properly treated. Podiatrists must consider systemic diseases such as inflammatory arthritis when a pediatric athlete presents with unexplained pain and swelling in one or more joints. Adolescents tend to sustain more injuries than younger children due to their increased participation in high-intensity sports and the physical changes during growth spurts. If your child has sustained a foot or ankle injury from playing sports or complains of associated pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Sports Related Foot And Ankle Injuries
Tuesday, 18 June 2024 00:00

Causes and Symptoms of Bruised Toenails

Bruised toenails, also known as subungual hematomas, typically result from trauma or injury to the toe. The sensitive nail bed can easily sustain damage from sudden impact or repetitive pressure, leading to discoloration and discomfort. Trauma, such as stubbing the toe or dropping a heavy object on it, can cause blood vessels beneath the nail to rupture. This leads to the accumulation of blood and the characteristic dark discoloration, usually dark blue or black. If left untreated, bruised toenails can lead to a spread of discoloration or even nail detachment, along with an increased risk of infection. Proper footwear, especially for runners, and caution in high-risk activities are key factors in reducing the likelihood of trauma to the toenails. Recognizing the symptoms of bruised toenails enables individuals to seek timely treatment, prevent potential complications and promote faster recovery. If you've experienced a problematic bruised toenail, it is suggested that you make an appointment with a podiatrist for treatment. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Tuesday, 11 June 2024 00:00

What Can Be Done About Broken Toes

Toe fractures can occur due to various reasons, such as stubbing, dropping heavy objects, or even sports injuries. The impact can cause the toe bone to break, leading to pain, swelling, and difficulty in walking. Individuals may experience tenderness, bruising, and sometimes even a visible deformity depending on the severity of the fracture. To evaluate toe fractures, podiatrists may perform physical examinations and order X-rays to determine the type and severity of the break. Treatment options range from simple rest and elevation to immobilization using splints, buddy taping, or wearing a special shoe. In severe cases or for fractures that involve displaced bones, surgery may be necessary to realign and stabilize the bones. If you have a broken toe, it is suggested that you schedule an appointment with a podiatrist for treatment to facilitate optimal healing and prevent complications. 

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions, please feel free to contact our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What to Know About a Broken Toe
Tuesday, 04 June 2024 00:00

Surgical Excision of a Plantar Fibroma

Plantar fibromas are benign growths that develop in the arch of the foot, often causing discomfort and difficulty with walking. When conservative treatments fail to provide relief, foot surgery may be necessary to alleviate symptoms and restore mobility. During the procedure, the patient is typically placed under local anesthesia, numbing the foot to minimize pain. The surgeon then makes an incision in the skin, carefully dissecting the fibroma from surrounding tissues and nerves. Once the fibroma is removed, the incision is closed with sutures, and a dressing is applied to promote healing. Recovery time varies, depending on the size of the fibroma and the individual's ability to heal, but most patients can expect to resume normal activities within a few weeks. While surgical plantar fibroma excision offers a permanent solution, it is essential to discuss the risks and benefits with a podiatrist. If you have a plantar fibroma that is causing you pain, it is suggested that you make an appointment with a podiatrist who can determine if this surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. 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 our offices located in Ijamsville and Mouth Airy, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot and Ankle Surgery
Sunday, 02 June 2024 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

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