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Tuesday, 02 May 2023 00:00

Types and Causes of Flat Feet

Having flat feet, medically known as pes planus, is the result of collapsed arches that absorb the shock of each step you take. The three main types of flat feet are flexible pes planus, posterior tibial dysfunction, and a tight Achilles tendon. Flexible flat feet is the most common type, indicated if the arch disappears when the foot bears weight. It is generally not painful, and with proper arch support can be contained. If the posterior Achilles tendon is torn, swollen, or has become injured, flat feet can result. This type can be caused by obesity, hypertension, or diabetes. When the tension between the calf muscles and the Achilles tendon is too tight, it may cause arch pain when you are active. Most babies are born with flat feet, and the arches develop as the baby grows, so it should not be a cause for alarm. In adults, however, it may be harmful to ignore flat feet, because the pain from overpronation can spread to the legs, knees, hips, and back. For help with any type of flat feet, it is suggested that you make an appointment with a podiatrist who can provide proper treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Julie Jurd-Sadler, DPM from Progressive Podiatry. 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 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 Flat Feet
Tuesday, 25 April 2023 00:00

All About Gout Crystals

An arthritic condition known as gout is primarily caused by having an excess amount of uric acid in the system. This buildup produces uric crystals that form in the joints, frequently in the big toe. The result is extreme pain, swelling, redness, and tenderness to the touch. Gout crystals, also known as monosodium urate crystals, accumulate in the joints when the body is unable to remove excess uric acid through the digestive system or kidneys. People with diabetes, weakened kidneys, or metabolism issues may be more likely to experience a buildup of gout crystals. The likelihood of developing them increases if you eat foods that contain high levels of purines. These include seafood, fish, alcoholic drinks, shellfish, and red meats. Other factors that can produce gout crystals are obesity, heart disease, certain types of medication, and genetics. Men tend to be more at risk for gout, especially those between the ages of 30 and 50. In women, symptoms are more likely to develop after menopause. For help with recurring gout flare ups, it is suggested that you consult with a podiatrist who is trained to deal with this condition.

Gout is a foot condition that requires certain treatment and care. 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 type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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 Gout
Tuesday, 24 January 2023 00:00

Flip-Flops and Walking Distance

Flip-flops are an incredibly popular form of summer footwear. However, despite their popularity, flip-flops have a well-documented list of potential health defects. For example, flip-flops have a notable lack of support or cushioning both in the heel and arch areas. Additionally, there is another reason why the use of flip-flops may be problematic for those who wear them. Namely, walking with flip-flops negatively impacts one’s walking style. When someone wears flip-flops, they must essentially take a more significant number of steps than they would if they had worn supportive footwear. Therefore, it takes an individual a larger number of steps to travel the same distance than someone who is wearing supportive sneakers. Although the reason for this phenomenon is not immediately clear, it may have something to do with the negative impact that flip-flops can have on your feet. If you typically wear flip-flops, consider contacting a podiatrist who can teach you more about their adverse effects as well as recommend appropriate footwear. 

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Julie Jurd-Sadler, DPM from Progressive Podiatry. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

  • Ankle problems
  • Hip problems
  • Lower back problems
  • Pain in the balls of the feet
  • Problems with foot arches
  • Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

  • Sprained ankles
  • Blisters
  • Infections
  • Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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.

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There is a bone in the foot known as the cuboid bone. An injury may cause this bone to shift out of alignment, possibly causing cuboid syndrome to develop. The pain is generally felt on the outer edge of the foot and can be a common injury among dancers and athletes. Usual symptoms that are often experienced with cuboid syndrome can include difficulty in bearing weight on the foot, a reduced range of motion, and the foot may be swollen. Additionally, the pain may begin as a dull ache and gradually sharpen, increasing discomfort on the overall foot. People with flat feet may experience this condition, or it may come from those who frequently engage in running and jumping activities. Mild relief may be found when the affected foot is elevated and the activity that caused the injury is temporarily stopped. If you have pain in this part of your foot, it is suggested that you confer with a podiatrist who can effectively diagnose and treat cuboid syndrome.

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.

 

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A bunion can be unsightly. It is a bony protrusion that forms on the side of the big toe, and a severe bunion can cause the other toes to shift toward each other. It is a common foot deformity and affects women more than men. A callus may form on top of the bunion as it touches the shoe, and larger shoes may need to be purchased for a better fit. A bunion generally develops gradually, and it may form because of the shoes that are worn. Wearing high heels frequently can cause a bunion to grow and this may be due to the limited amount of room in the toe box. Medical conditions such as arthritis and flat feet may contribute to the development of a bunion. Some patients may be more at risk from genetic factors. Some of the symptoms that are often associated with bunions can include chronic toe pain, redness, and the bump may be shiny. Relief may be found when the symptoms are managed, the shoes are changed, or custom-made orthotics are worn. If you have a bunion, it is strongly urged that you consult with a podiatrist who can offer treatment options which may include surgery for permanent removal.

If you are suffering from bunions, 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 Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • 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 care needs.

Read more about Bunions
Tuesday, 11 April 2023 00:00

When Are Custom Orthotics Needed?

Many people are confused by the many types of inserts that can be used in shoes to alleviate foot pain. In certain cases, however, such over-the-counter items do not solve the problem and custom insoles are needed. A major use of custom orthotics is to correct arch problems that often lead to pain, not only in the feet but also in other parts of the body. Low arches or flat feet, high arches, and overpronation call for different and specific solutions that can only be corrected with a custom insert. In addition, deformities such as bunions or hammertoes, as well as heel spurs, may benefit from specially made orthotics. A podiatrist can examine your feet, the way you walk, and your posture to determine if custom orthotics will be best for you. Then this foot doctor can measure your feet, create a mold to see which areas need to be corrected and make a pair of orthotics that will specifically address your foot problems. It is suggested that you consult a podiatrist for an exam and effective treatment solutions.

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please 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 Orthotics
Thursday, 06 April 2023 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.

Tuesday, 04 April 2023 00:00

Why Does My Big Toe Hurt When I Run?

Pain in the joint of the big toe, termed hallux rigidus, is a form of osteoarthritis caused by the wearing away of cartilage between the base of the big toe and the first metatarsal bone of the foot. This condition often affects runners, as the big toe takes the brunt of the continual pounding with each step. Hallux rigidus often develops in runners between the ages of 30 and 60. Some possible causes include having flat feet or overpronation, which is when the foot rolls inward 15 percent or more with each step. Overtraining, a stubbed toe, gout, a toe deformity, or genetics may also play a role in the development of hallux rigidus. Limited mobility and stiffness in the big toe joint are early symptoms of this disorder. In addition, a runner may experience pain and swelling on top of the big toe. Changing to footwear with a larger toe box and stiffer sole can help relieve the pressure on the big toe. Certain medications may also help. A podiatrist can examine the toe, determine the cause of the joint pain, and offer appropriate treatment solutions. It is suggested that you make an appointment today.  

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, 28 March 2023 00:00

Facts About Hammertoes

A hammertoe is a deformity that usually develops on the second or third toe. It is caused by an imbalance between the muscles and tendons in the toe joint. This results in the middle joint rising up to form a peak. In and of itself, a hammertoe is not generally painful. The problem of pain arises when wearing shoes that may cause the raised knuckle of the toe to rub against the top of a shoe. Wearing shoes that do not fit properly along with genetics are the main contributors in the formation of a hammertoe. Shoes with a narrow toe box can force the toes into a flexed position. And the higher the heel, the more the toes are subject to increased pressure. After a while, the toes can no longer extend and they become rigid. This can result in painful corns or calluses. Besides changing your footwear, many patients with hammertoe deformities use orthotics to counteract the toe joint imbalance. In severe cases, surgery may be needed to correct the problem. It is suggested that you consult a podiatrist for an exam and suggested treatment options.

Hammertoes can be a painful condition to live with. For more information, contact Julie Jurd-Sadler, DPM of Progressive Podiatry. 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 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 Hammertoe
Tuesday, 21 March 2023 00:00

Pain From Tarsal Tunnel Syndrome

There is a narrow passageway in the ankle that is called the tarsal tunnel. The tibial nerve runs through this tunnel and can become damaged if an injury has occurred or if there is consistent pressure on it. Some of the symptoms that are associated with this condition can include a numbing sensation, or it may feel like it is burning with sharp, shooting pains. Existing medical conditions may lead to getting tarsal tunnel syndrome. These can include arthritis, flat feet, or diabetes. The pain is often felt in the ankle, and a diagnosis is needed to properly confirm tarsal tunnel syndrome. In addition to examining the affected foot, a test may be performed which is called Tinel’s test. This is done by gently tapping on the tibial nerve which will tingle if this condition is present. There may be an MRI that is taken that is successful in determining if there is a bony growth or mass that can cause tarsal tunnel syndrome. Effective treatment methods can include frequently elevating the feet, and possibly wearing a brace or a splint that can limit mobility. If you have this type of pain in your ankle, please consult a podiatrist for a correct diagnosis and treatment plan.

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
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