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Monday, 19 October 2020 00:00

What to Do During a Gout Attack

Excess levels of uric acid in the blood may lead to the medical condition that is known as gout. Crystals can form in the joints of the big toe, and this can cause severe pain and discomfort. Additional symptoms that patients experience may consist of swelling, heat and redness, and it may become difficult to walk. Gout is considered to be a form of arthritis and it can develop for a variety of reasons. These can include genetic factors, eating foods that have high purine levels, or from taking certain medications. When a gout attack occurs it can be beneficial to rest and elevate the affected foot, as well as apply ice packs and take anti-inflammatory medication, and the pain may be reduced. Gout can be a debilitating foot condition, which is why you should consult with a podiatrist as quickly as possible so correct treatment options can be discussed.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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 Everything You Need to Know About Gout
Tuesday, 13 October 2020 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.

Monday, 12 October 2020 00:00

Where Is the Tarsal Tunnel Located?

The tibial nerve is located in a small tunnel surrounded by tendons in the inner side of the ankle. Tarsal tunnel syndrome can develop when this specific nerve becomes compressed, and is often accompanied by pain and swelling. It may happen as a result of enduring an ankle injury, such as a sprain or fracture, or from having bone spurs. Mild relief may be found when the affected foot is elevated, and it may help to take anti-inflammatory medication. In severe cases, surgery can be a viable option to permanently reduce or eliminate the pain that is associated with this condition. If you have developed this ailment, it is strongly recommended that you speak with a podiatrist who can help you choose the correct treatment option.

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 Treating Tarsal Tunnel Syndrome

Plantar fasciitis, a condition that causes pain in the heel and bottom of the foot, is common and has many different treatments. Resting the foot limits its movements and allows time for healing. Icing the foot can decrease pain and swelling, as can taking nonsteroidal anti-inflammatory medications. For when you need to be on your feet, orthotic shoe inserts can help cushion and support your foot. Doing certain stretches and strengthening exercises can increase the flexibility of your feet and make the plantar fascia stronger, thereby decreasing pain. In rarer cases, when conservative treatments have failed and pain interferes significantly with daily activities, surgery may become an option. To discover the best treatment options for you, seek the care of a podiatrist.

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
Monday, 28 September 2020 00:00

Can Blisters Be Prevented While Hiking?

People who enjoy hiking often experience blisters on their feet. The most common cause of this ailment is excess friction, and this often occurs from wearing shoes and socks that do not fit correctly. Many hikers choose to wear boots, and it is helpful to break them in before beginning a hike. Wear the boots around your home or work with the socks you intend to hike with, and your feet will thank you later. Keeping the feet as dry as possible may also help in preventing blisters from developing. It is beneficial to pack extra socks, which can be swapped out immediately if the first pair becomes moist or wet. Please confer with a podiatrist if you would like additional tips on how to prevent blisters on the feet.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, 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.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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 Blisters on the Feet
Monday, 21 September 2020 00:00

Common Risk Factors of Cuboid Syndrome

When the joints or ligaments surrounding the cuboid bone in your foot are injured or torn, it’s possible you may develop cuboid syndrome. Certain forms of arthritis may increase your chances of getting cuboid syndrome, such as osteoarthritis and gout. Common risk factors for this condition may include obesity, wearing footwear that is too tight or lacks support, not stretching before working out, partaking in physical activity on uneven surfaces, and a lack of rest between physical activities. Pain on the lateral side of your foot is a common indicator of cuboid syndrome, along with tenderness and redness towards that area. If you believe you have developed cuboid syndrome, please consult with a podiatrist for advice on treatment options.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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 Cuboid Syndrome
Monday, 14 September 2020 00:00

Possible Prevention Techniques for Falling

Falling can be a life-threatening experience for older adults. Injuries may occur, and it may evoke a fear of performing daily activities, which can limit self confidence. Many falling episodes can be avoided when proper prevention techniques are implemented. These can include installing grab bars in the shower and toilet areas, improving lighting in the living environment, and removing loose rugs. It is beneficial to have routine medical exams, as this may be helpful in monitoring existing medications. Patients may experience a fractured toe, a sprained ankle or a broken foot as a result of falling, and it is suggested that you confer with a podiatrist who can help you to prevent unwanted injuries as a result of falling.

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 Julie Jurd-Sadler, DPM from Progressive Podiatry. 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 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 Falls Prevention
Sunday, 13 September 2020 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 08 September 2020 00:00

Why Do the Bottoms of My Feet Hurt?

If the bottom of your feet are experiencing pain, it could be because you’ve developed plantar warts. A common symptom of plantar warts is experiencing tenderness when putting pressure on the soles of your feet, or feeling a discomfort or pain while walking. Plantar warts appear as circular, flat, depressed spots that can appear yellow-ish in color and may have a black dot at their centers. They are caused by the human papillomavirus, or HPV. This virus thrives in warm, moist environments such as swimming pools and locker rooms, so it’s important to wear proper footwear in these locations to help with preventing its spread. For more information on how to treat plantar warts, please seek the care of a podiatrist.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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 What Are Plantar Warts?
Monday, 31 August 2020 00:00

What Causes Ingrown Toenails?

Ingrown toenails occur when the nail grows into the skin surrounding it. While they generally occur on the big toe, they can affect any toe. One common cause of ingrown toenails is the shape of the nail. This can be hereditary. Nails that become more broad at the top of the toes or nails that are naturally curly have a tendency to push into the skin. Trauma to the toenail or wearing shoes that are too tight can also lead to ingrown toenails. Signs of an ingrown toenail include redness around the side of the toe near the nail, swelling of the toe, and liquid seeping from the side of the nail. Because ingrown toenails are prone to infection, it is important to visit a podiatrist especially if an ingrown toenail persists.   

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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 Ingrown Toenails
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