MVS Podiatry Associates

Author: Podiatry Associates

  • Do Hammer Toes Come Back After Surgery?

    Do Hammer Toes Come Back After Surgery?

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    Anyone who has dealt with a hammertoe understands how painful it can be.

    The condition goes beyond just a primary toe deformity. It can cause serious pain when wearing closed shoes, difficulty walking and unwanted corns and calluses.

    Unfortunately, hammertoes are not something that can go away on their own. Regardless of what causes the deformity, they may need medical treatment or surgery to correct the deformity.

    Another unfortunate fact is that while most hammertoes do not recur after surgery, some can. Here are some of the things you can do to try to prevent hammertoes from initially developing or from coming back after surgery.

    What Is A Hammertoe?

    Hammertoes are contracture deformities of the toes. When hammertoes occur, the toes assume a crooked or bent position. Hammertoes more often impact the lesser digits of the foot but may affect the big toe. Hammertoes may be caused by genetics, improper footwear, or trauma to the toe.
    Hammertoe deformities are categorized as flexible or rigid. A flexible hammertoe has a flexible, moveable joint. These are typically easier to fix than non-flexible hammertoes. A rigid hammertoe does not have mobility at the joint and is rigid or fixed in it’s contracture deformity. Rigid hammertoe deformities may develop over time, when patients have not sought treatment for their flexible hammertoes.

    Treating Hammertoes Without Surgery

    In some cases, hammertoes will ultimately need surgery to remedy the deformity. However, there are conservative measures people can take to help prevent hammertoes from forming or to slow the progression of hammertoes that may already be present. These include:

    • Changing your footwear. Footwear that restricts the toe (such as pointed-toe shoes or shoes with a shallow toe box) may exacerbate hammertoe pain and may encourage the deformity to worsen. Patients should wear shoes that are comfortable with a deep, roomy toe box.
    • Applying non-medicated padding to any corns or calluses. Hammertoes may develop corns and calluses resulting from hammertoes rubbing against footwear. Corns and callouses can cause severe pain and limit normal walking. Padding these areas can reduce the shoe rubbing and the resulting pain.
    • Using orthotics if necessary. If your hammertoe is influenced by genetic foot structure, your doctor may recommend prescription foot orthotics to prevent foot deformity such as hammertoes.

    What Is Hammertoe Surgery Like?

    Hammertoe surgeries are typically performed in an outpatient surgery center and patients recover at home. The surgery may be performed using local anesthesia or IV sedation anesthesia. Most hammertoe surgery is categorized as minor surgery. After surgery, pain is usually mild and usually only lasts for a few days. Pain is directly influenced by carefully adhering to post operative instructions. OTC analgesics may be adequate to control this discomfort. However, mild to moderate analgesic medication may be prescribed and taken for 1 or 2 days if needed. Patients coordinate post op visits at their doctor’s office.

    During the surgery, doctors will reduce the hammertoe deformity while operating on the bones and ligaments within the affected digits. After the surgery, the area around the incision may be swollen. Rest, elevation, anti-inflammatory medication, and other post-surgical medications may be prescribed by your doctor after surgery.

    What Can I Do To Prevent Hammertoe Recurrence?

    Prevention will focus on wearing correctly fitted shoes and shoe styles that do not compress the toes and encourage recurrent foot deformity. Dress shoes, including high heels, may be allowed for specific events and for short periods of time. But daily shoe gear should fit comfortably on the foot and around the toes. Treating issues related to your foot structure (such as flat feet, falling arches or pronation syndrome) will assist prevention.
    Finally, making regular appointments with your podiatrist will not only be beneficial but is necessary to prevent recurrence after hammertoe treatment. To meet with a podiatrist at Podiatry Associates, click here.

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  • How To Treat A Bunion Before It Gets Worse

    How To Treat A Bunion Before It Gets Worse

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    A podiatric problem we frequently see at Podiatry Associates is the common “bunion”. Bunions are often not noticed during the early stages of development. The deformity may slowly worsen over time without treatment. Because of this tricky onset, bunions may appear “to come out of nowhere”. Many times patients wait to come in until the deformity is much more severe with the onset of pain causing limited walking and limited wearing of shoes.

    Bunions need expert help. However, there are ways to stop the pain associated with bunions while you wait to see someone about them.

    What Is A Bunion?

    Wondering if you have a bunion? Look to the base of your big toe.

    Bunions form when your big toe slips out of its normal position at the metatarsophalangeal (MTP) joint, resulting in a bone prominence at the base of the great toe and the big toe leaning toward the adjacent second toe.

    The big toe is responsible for supporting a lot of your body weight, which is why we need it to walk correctly. Because of this, walking with a bunion can be very painful — the bunion essentially places a majority of your body weight on a joint that is misaligned.

    As well as pressure and pain from the unnaturally-aligned joint (arthralgia), most shoes do not reasonably accommodate the bone prominence of a bunion and it is easy to develop painful skin irritation/inflammation, calluses, blisters, or bursitis because of them.

    Symptoms of bunions include:

    • A firm bone prominence, “boney bump” on the outside of the big toe
    • Swelling, pain, and redness at the base of the big toe
    • A painful or stiff big toe joint
    • Calluses, corns, and blisters on other parts of the foot due to the big toe’s misalignment
    • Pain wearing shoes or walking

    Why Do People Get Bunions?

    Several factors contribute to bunions, but typically they are genetic. Bunions themselves are not passed down or contagious. Instead, they are due to inherited foot shape and incorrect walking mechanics that may lead to bunion development. In other words, if one or both of your parents suffer from bunions because of the way their feet are shaped, you might, too. Abnormal pronation and flat feet are often a culprit in bunion growth.

    Some people may not have family history bunions but get them anyway. Shoe type may influence the development of a bunion, as pointed toe shoes, shoes which are too tight or unsupportive shoes can encourage the MTP to slip out of place. Additionally, excessive work or pressure on the feet can cause trauma to the MTP, which in turn may cause bunion development. Dancers — especially pointe ballerinas — are prone to bunions.

    How Do You Fix Bunions (Before They Get Worse)?

    With bunions, time is of the essence. A mild or moderate bunion deformity is easier to treat or surgically correct, compared to a severe bunion. At the first sign of a bunion deformity, it is important to see a podiatrist. You can treat the symptoms of a bunion at home, but a bunion will not go away without professional help.

    Until your doctor can recommend a treatment plan for your bunion, some of the things you can do to alleviate the pain of a bunion include:

    • Wearing proper, supportive shoes with a wide toe box
    • Avoiding high heels or constrictive dress shoes
    • Apply ice, elevating the foot, and taking anti-inflammatory drugs to ease the pain
    • Wearing a spacer between your big toe and the second toe
    • Apply a bunion padding around the bump itself

    Your best chance for bunion recovery will be to see a podiatrist as soon as you recognize the signs and symptoms of a bunion. To schedule an appointment with one of our podiatrists, click here.

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  • Diabetic Foot Ulcers: Causes and Treatments

    Diabetic Foot Ulcers: Causes and Treatments

    [et_pb_section fb_built=”1″ _builder_version=”4.8.2″ custom_padding=”3px|0px|14px|0px|false|false”][et_pb_row admin_label=”Row” _builder_version=”4.8.2″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text admin_label=”Text” _builder_version=”4.9.4″]One common problem Podiatry Associates treats is diabetic foot ulcers. 

    For most people, a cut, scrape, or blister on the foot doesn’t cause much damage. It heals quickly and — though it might cause some pain — it doesn’t cause significant medical problems. However, for those living with diabetes minor cuts and skin wounds can evolve into more severe lesions known as diabetic foot ulcers. 

    Here are some frequently asked questions about diabetic foot ulcers that Podiatry Associates wants more people to understand.

    What Is A Diabetic Foot Ulcer?

    A diabetic foot ulcer is an open wound on the foot of people living with diabetes. 

    Foot ulcers impact up to 15% of patients with diabetes. Untreated diabetic foot ulcers can lead to complications such as local wound site infections. In severe cases, diabetic ulcers of the foot may lead to amputations.

    What Are The Symptoms Of A Diabetic Foot Ulcer?

    Diabetic foot ulcers are visible open skin wounds on the foot. 

    Often those with diabetic foot ulcers do not feel the skin wounds developing due to a loss of sensation or feeling in the foot. Pain isn’t typically associated with these types of ulcers. However, ulcers can become infected, and the infection can spread, which may cause pain and tissue damage.

    What Causes Diabetic Foot Ulcers?

    The cause of diabetic foot ulcers is often multifactorial. Foot ulcers are usually caused by a combination of factors such as: uneven gait, chronic pressure on bony prominences, poorly controlled blood sugar levels, poor circulation or decreased sensation in the feet. There are other causative factors possible.

    Risk factors for developing foot ulcers include:

    • Race: Foot ulcers are more common in those of Hispanic, Native American, and African American descent
    • Age: While foot ulcers occur in young adults, they are more common in older patients
    • Gender: Men are at higher risk than women
    • Insulin: Those who use insulin are at a higher risk. However, diabetics on diet control or oral diabetic medication are also at risk for foot ulcers
    • Diseases: Those living with kidney disease, heart disease, and eye disease are at a higher risk of diabetic foot ulcers
    • Sedentary lifestyle: Those who engage in regular exercise may control their body weight and glucose control. This may improve their circulation. Thus, they have an easier time preventing diabetic foot ulcers
    • Dietary choices: Eating healthy foods and following a healthy diet may help prevent diabetic foot ulcers
    • Alcohol use: Using alcohol raises the risk of diabetic foot ulcers
    • Tobacco use: Using tobacco raises the risk of diabetic foot ulcers

    How Are Diabetic Foot Ulcers Treated?

    Prevention of foot ulcers is ideal. Still, if a diabetic patient does develop a foot ulcer, they need to see a doctor right away. The podiatrist will initially perform a thorough examination. They may then prescribe a treatment routine including: wound cleansing, dressing changes, antibiotics, pressure relief and ulcer debridement. Monitoring and controlling blood sugar will greatly assist healing. A lifetime of preventative care and medical follow up will be ongoing steps in the process and will help prevent recurrence.

    Do You Always Need Surgery?

    No, diabetic foot ulcers do not always need surgery. Surgery is typically reserved for wounds that fail to heal with treatment, ulcers with severe infection and the most severe ulcer cases. 

    Do Diabetic Foot Ulcers Require Hospitalization?

    The large majority of diabetic foot ulcers will heal following treatment in the office. Similar to the need for surgery, only a small percent of foot ulcers with severe infection or ulcers unresponsive to standard treatment will require hospitalization.

    Can You Prevent Diabetic Foot Ulcers?

    Luckily, diabetic foot ulcers are preventable in most cases. Patients living with diabetes should be educated as to self care of their diabetes at home. This includes : 

    • Daily self inspection of the feet
    • Seeking immediate medical evaluation of any concerns or changes in the feet
    • Daily foot hygiene, followed by thorough drying of the skin on the foot
    • Applying moisturizing lotion or cream to excessively dry skin on the foot
    • Avoid barefoot walking
    • Wear high quality, well fit shoes 
    • Proper cutting of toenails to prevent self injury or seeking a podiatrist for foot care

    Finally, it will be important for those living with diabetes to stay on top of blood glucose control and preventative care for their diabetes. This includes maintaining visits with your primary care physician or endocrinologist and your podiatrist. Diabetics of every age should have an annual diabetic foot exam performed by a podiatrist and additional podiatry care as needed.

    Maintaining a doctor-patient relationship will go a long way toward prevention, and Podiatry Associates is here to help with your diabetic foot needs.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

  • Plantar Fasciitis – Why do my heels hurt when I get up in the morning?

    Plantar Fasciitis – Why do my heels hurt when I get up in the morning?

    [et_pb_section fb_built=”1″ _builder_version=”4.8.2″ custom_padding=”3px|0px|14px|0px|false|false”][et_pb_row admin_label=”Row” _builder_version=”4.8.2″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text admin_label=”Text” _builder_version=”4.9.3″]As we get older, we tend to wake up with more aches and pains. One common symptom many of us experience as we age is aching heels. Although pain in the heels may have several different origins, one common reason for this pain is Plantar Fasciitis.

    What Is Plantar Fasciitis?

    Plantar Fasciitis is inflammation of the thick ligament-like structure located on the bottom of your foot toward your heel. This fibrous band holds up the arch, supports body weight, and is known as the plantar fascia.  When it “acts up,” it can feel like anything between a slight stiffness to a stabbing pain when standing or walking. For younger, active people, plantar fasciitis can occur when they are on their feet for too long or don’t support their feet adequately.

    So, Why Do My Heels Hurt When I Get Up In The Morning?

    Plantar fasciitis pain tends to act up in the morning.  You have not used your feet throughout the night, so there is stiffness and pain when you first stand on the injured plantar fascia.  

    It can be hard to fix the pain associated with plantar fasciitis because we stand and walk each day and the feet seldom get enough rest to heal the injured plantar fascia.   However, wearing the right shoes, warming up the area with a bit of exercise, and visiting a podiatrist can lessen the symptoms associated with plantar fasciitis.

    What Causes Plantar Fasciitis?

    Plantar Fasciitis does not have one singular cause but instead it has several influencing factors. You may be at risk of plantar fasciitis if:

    • You spend a lot of time on your feet due to work or personal activities
    • You participate in specific sports or aerobic activities that strain the plantar fascia, such as running, dance, and soccer.
    • You have structural conditions with your feet, such as an abnormal gait or an arch that is too high or too low
    • You wear poorly supportive shoes or you go barefoot
    • You are overweight

    How Do I Treat Plantar Fasciitis?

    Plantar Fasciitis takes time to heal, but with targeted care and a podiatrist’s help, it will normally resolve. An approach to plantar fasciitis treatment typically looks like this:

    1. Your podiatrist will examine your foot and complete imaging of your foot to check bone structure and rule out heel spurs or other pathology.
    2. Your doctor may suggest taking ibuprofen or similar medication to ease pain and inflammation while you recover.
    3. Your doctor may recommend wearing supportive shoes or arch supports to correct your gait and support your arch and plantar fascia. Additionally, your podiatrist may recommend devices like a night splint to stretch out your calf and prevent morning stiffness.
    4. During the day, your podiatrist will often recommend exercises designed to stretch and strengthen your plantar fascia. 

    If your plantar fasciitis is unresponsive to these treatments, you may benefit from cortisone injections.  If you fail to improve, surgery may be considered.  Rest assured, these will be the last case scenario with plantar fasciitis.  

    Plantar Fasciitis isn’t always easy to deal with and often requires several weeks to several months to resolve.  Thankfully, working with Podiatry Associates can help resolve your pain. If you’ve been suffering from stiff or painful heels, give our office a call.  You can also make an online appointment request here.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

  • Why You Should Still See Your Podiatrist During A Pandemic

    Why You Should Still See Your Podiatrist During A Pandemic

    [et_pb_section fb_built=”1″ _builder_version=”4.8.2″ custom_padding=”3px|0px|14px|0px|false|false”][et_pb_row admin_label=”Row” _builder_version=”4.8.2″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text admin_label=”Text” _builder_version=”4.9.3″]Many of us have struggled to make the right decision when choosing to leave the house during COVID. To make things easier for our patients, Podiatry Associates has taken extra steps to protect our clients who come to our offices.  

    Here’s a little more about what we’ve been doing to keep everyone safe.

    If My Doctor Advised Me to Come to the Office, Should I Go?

    When in doubt, do what makes you most comfortable. 

    All doctors — including podiatrists — weigh the risks of seeing their patients during health crises and pandemics. If your doctor believes you need to come in for a visit, you have the ability to tell them whether or not you feel comfortable coming into the office.  Discuss your thoughts with your doctor.  As an alternative, consider making a virtual appointment.  Telemedicine is a popular option for patients who would rather stay at home, but still have the opportunity to talk to their provider. 

    Reasons You Should Go To The Podiatrist

    If you are referred to a medical specialist such as a podiatrist, you shouldn’t delay talking to your provider. We regularly see patients (even during COVID) for these reasons and much more:

    • Surgery
    • Calluses
    • Plantar warts
    • Corns
    • Joint pain
    • Diabetes referrals
    • Bunions
    • Exercise/Athletics referrals
    • Heel pain or plantar fasciitis
    • Ingrown toenails
    • Athlete’s foot
    • Toenail fungus

    Extra Patient Safety During COVID-19

    Like many of the places you frequent, Podiatry Associates has made increased efforts to keep patients safe during the COVID-19 pandemic. Before seeing the doctor for any podiatry-related illness, injury, or even a regular check-up in our offices, Podiatry Associates does the following:

    • Patients are required to have their temperature checked before being seen by a doctor
    • Podiatry associates calls all of their patients before appointments to screen them for COVID-19 symptoms
    • Before a patient is admitted to an exam room, that exam room is sanitized.
    • After the doctor sees each patient, the room is sanitized again to mitigate any chances of passing on the COVID-19 virus (despite the pre-visit screening and temperature checks).

    Is Treating My Condition A Good Reason To Leave My House?

    You might wonder if you should leave your house if you don’t have a life-threatening illness.  The CDC still doesn’t recommend being around other people unless you need to.  That being said, the CDC recognizes health appointments as necessary and valid reasons for going out amid the global pandemic.  If you feel comfortable enough to go to an in-person appointment, our pandemic guidelines have been put in place to make sure you have a safe visit. 

    What About Basic Office Visits Like Routine Foot Care & Diabetic Foot Care

    Basic office visits for normally benign conditions can become urgent or emergent at any time.  Some conditions include:

    Toenail fungus can spread. Toenail fungus can travel to other parts of the foot when left untreated, leading to itchy or painful athlete’s foot.

    For those with diabetes, untreated foot care can lead to diabetic ulcers of the foot. Cracks and sores on the skin caused by athlete’s foot (as the result of neglecting basic treatment) can worsen and become painful or infected. In severe cases, it might even lead to future amputations.

    If toenail fungus isn’t treated correctly, the toenail can thicken, become ingrown, ulcerate, become infected or eventually fall off. This goes beyond just being a cosmetic issue. It can cause pain and even throw off a person’s natural gait.

    All visits to your provider are important, even during these unprecedented times.  Some less emergent problems may be deferred.  However, neglecting treatment can lead to complications, pain, and may limit daily normal walking.  We do recognize that for some, a virtual visit may be adequate and is something that they would prefer.  Consider the benefit versus the risk of going out in public during the pandemic.  If needed, discuss this with your doctor. 

    So, if you are currently living with any podiatry-related issue, consider an in-person or virtual office visit.  With more than 10 MVS Podiatry Associates locations in the Mid-Atlantic area, there is sure to be an office convenient to you.  Our podiatric physicians are skilled in all aspects of foot, ankle, and walking diagnosis.  

    Don’t let COVID keep you away from optimal foot health. Contact Podiatry Associates today![/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

  • Toenail Fungus

    Toenail Fungus

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    Each year, our Podiatry Associates in Columbia, MD, treat hundreds of patients suffering from onychomycosis. Although this condition is rarely life-threatening for most, it can dampen self-esteem because of the way it alters toenails. For those with autoimmune disorders, like diabetes, it can also pose serious health issues.

    Luckily, onychomycosis treatment provides relief, and with the help of the PinPointe™ FootLaser®, most patients see results after a single 30-minute treatment.

    What Is Onychomycosis?

    Onychomycosis is more commonly known as toenail fungus. Symptoms of toenail fungus include nail thickness, yellowing, and brittleness. Over time, toenails may break off easily and appear jagged and bark-like. If left untreated for too long, and especially if the person suffering from onychomycosis also has an underlying health issue, toenail fungus can lead to swelling and discomfort. 

    When caught quickly, onychomycosis does minor damage to nail beds and causes little pain. However, it can cause those with the condition to feel extremely self-conscious, and it can make wearing shoes and socks difficult in extreme cases.

    What Causes Onychomycosis?

    Onychomycosis is typically caused by one of several fungi strains conditioned to grow and feed on keratin, which is the substance that makes up nails and hair. It thrives in moist, warm, wet environments like socks and shoes, which means anyone can get it. However, those who are most likely to get onychomycosis include:

    • Those who frequently wear nail polish on their toenails and do not allow their toenails to breathe
    • Those who do not adequately clean their feet and toenails regularly
    • Those who commonly wear ill-fitting or tight shoes or stockings
    • Those with circulation issues
    • Those with chronic immune disorders, such as diabetes
    • Those who frequent locker rooms, such as gym-goers, athletes, police, and military personnel

    Is Toenail Fungus Contagious?

    Toenail fungus is contagious, but toenail fungus sufferers can prevent most cases with good hygiene practices. To avoid catching toenail fungus, be sure to:

    • Wear shower shoes in public gyms and locker rooms, and wash your feet thoroughly at the gym and the next time you shower at home.
    • Dry your feet off thoroughly after showering, and consider a foot powder to keep your feet dry and clean.
    • If you do catch athlete’s foot from a gym, treat it with a topical cream as soon as you notice symptoms. Treat it for the entire suggested period, and then monitor your feet afterward.
    • Avoid sharing footwear with others, and if you have experienced toenail fungus or athlete’s foot in the past, purchase a sterilization spray to spray into your shoes.
    • If OTC solutions do not work effectively within the allotted treatment period, seek professional help right away.

    What Is The Most Effective Treatment For Toenail Fungus?

    There are several ways to treat toenail fungus, but the most effective treatment for toenail fungus is to seek professional help for the issue. OTC sprays, nail polishes, and creams sometimes do the trick, but Podiatry Associates in Columbia know how to combat toenail fungus each time it occurs effectively.

    We use the PinPointe™ FootLaser® to target and kill off the fungus feeding on your toenails. Better yet, the procedure is painless, typically takes less than 30 minutes to complete.

    If you’re suffering from onychomycosis, book a PinPointe™ FootLaser® session at Podiatry Associates in Columbia, MD, to get rid of your toenail fungus today.

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  • Diabetes & Your Feet

    Diabetes & Your Feet

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    Diabetes is a metabolic disorder that results in elevated glucose (sugar) levels in the blood.  The glucose circulates through the arteries, touching every tissue and part of the body.  Over time, the high sugar levels may cause damage to other parts of the body.  

    Common complications of diabetes include loss of vision (retinopathy), kidney failure (nephropathy), and foot/leg amputation (neuropathy).  Specific foot complications may include poor circulation, loss of feeling in the foot, foot ulcers, non-healing wounds, infections in the foot, bone infections, gangrene, and amputation.

    Prevention

    To prevent or minimize diabetic complications:

    • Keep an annual podiatry foot exam 
    • Examine the feet daily including: the top of the feet, the bottom of the feet and between the toes
    • Seek medical evaluation immediately if any visible changes or concerns with the feet or legs develop
    • Wash and dry the feet thoroughly, especially between the toes
    • Apply moisturizing cream or lotion to dry skin on the feet daily.  Do not apply moisturizer between the toes
    • Maintain good control of blood sugar levels using diet, exercise, and when recommended, medication
    • Schedule regular appointments with your primary care physician
    • This list is not inclusive for all recommendations and not specific for all patients. Ask your doctor or visit the ADA website for further specific home care information.

    Annual Podiatric Foot Exam

    The American Diabetic Association recommends every diabetic to have an annual foot exam.  The purpose of the exam is to prevent diabetic foot complications.  During the exam, four areas of the foot extremity health will be examined, including: the circulation, the sensation, the skin (including hair and nails), and the orthopedic (bones, joints, alignment, and deformity).  Electronic doppler devices may be used to evaluate the circulation in better details.

    A referral to a vascular specialist may be recommended if any deficiency is detected.  Both standard clinical exams and electronic doppler testing may evaluate the circulation in greater detail which enables a more accurate depiction of what is occurring.  

    MVS Podiatry Associates has treated diabetic feet since 1965. Our goal is to prevent diabetic foot complications.  However, when foot complications do occur, our providers have the training to treat many different diagnoses, such as diabetic foot ulcers.

    What is a Diabetic Foot Ulcer

    The definition of an ulcer is a hole in the surface or lining of a tissue.  A gastric ulcer is a hole or erosion in the lining of the stomach.  Similarly, a foot ulcer is an opening in the skin of the foot.  A foot ulcer may then allow bacteria to enter the foot causing an infection.   The infection may spread or deepen in the foot causing tissue damage, increasing the need for hospitalization and the risk for amputation.  

    Even a tiny skin wound or ulcer is a reason for medical concern and should have medical evaluation and treatment within 24-48 hours.  Early treatment will decrease the risk of non-healing and diabetic foot complications.  

    How Do You Treat a Diabetic Foot Ulcer

    Each patient will require a unique treatment plan.  Initially, a diabetic foot exam will be performed to establish the health of the patient’s extremity and foot wound.  The exam will help determine:

    • The extent of the foot ulcer
    • The apparent circulation and healing ability of the patient
    • If infection is present

    Additional tests that may be ordered by your provider are:

    • Foot x-ray
    • Culture & Sensitivity test
    • Doppler (circulation) test
    • MRI
    • Blood glucose

    Treatment of diabetic foot ulcers can vary based on the diagnosis and severity.  Treatment may include: 

    • Daily wound care
    • Off-loading the ulcer or foot
    • Antibiotics
    • Medical shoes and or custom insoles (orthotics)
    • Debridement
    • Surgery
    • Specific follow-ups with your provider

    How Long Does it Take Diabetic Foot Ulcers to Heal

    Prevention is the best medicine.  When applied to diabetic foot ulcers, this includes:

    • Maintaining good glucose control with diabetes
    • Keeping annual and other scheduled podiatry visits
    • Wearing appropriate shoe gear recommended by a podiatrist
    • Inspecting the foot daily for potential ulcers
    • Seeking immediate podiatric evaluation with any foot wound, foot concern, or any general change in the feet

    With prevention and proper medical treatment, most foot ulcers will heal without severe complications.  If you would like to request an appointment for a diabetic foot consultation, check out our website.

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  • Say Goodbye to Ingrown Toenails with Podiatry Associates

    Say Goodbye to Ingrown Toenails with Podiatry Associates

    [et_pb_section fb_built=”1″ _builder_version=”3.22″ custom_padding=”3px|0px|14px|0px|false|false”][et_pb_row _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.8.2″]Podiatry Associates is a high-quality medical and surgical treatment provider that primarily focuses on healing foot and ankle injuries and conditions in the Baltimore, Maryland area since 1965.

    Let’s shed light on ingrown toenails and ingrown toenail treatment provided by Podiatry Associates.

    So, what is an ingrown toenail? An ingrown toenail occurs when the toenail curves into the soft tissue of the foot. Although it can occur in any toe, the big toe is most commonly affected. When ingrown toenails are a concern, Podiatry Associates provides best-in-class ingrown toenail surgery and non-surgical treatment in Baltimore to cure the ingrown toenail. In general, ingrown toenails can be caused by a wide variety of circumstances, such as:

    • Wearing shoes that fit improperly
    • Improper trimming of toenail edges
    • Cutting down the toenails too short
    • Excessively curved toenails
    • Direct trauma to the nail
    • Changes in nail shape or character
    • Toenail fungus and fungal nail changes

    Conservative treatment may include oral or topical antibiotics, medicated foot soaks, proper nail trimming, treatment of nail fungus (if present), and shoe changes. If conservative treatment is not sufficient, minor surgical treatment may be performed. This course of action is often pain free or with minor discomfort.

    During the surgical treatment, podiatric surgeons may remove the ingrown portion of the nail and prescribe an oral or topical medication to decrease the likelihood of infection. If a patient suffers from chronic, recurring ingrown toenails, the podiatrist may recommend a procedure to permanently remove the ingrown nail.

    As suggested by experts, here are a few things that you can do to avoid an ingrown toenail.
    Following are the common symptoms that indicate the occurrence of ingrown toenails:

    • Ensure that you properly trim your nails – the nails should be cut straight across the tip of toe and then filed smooth.
    • Avoid cutting into the corners of the toenails
    • Avoid wearing shoes that touch, press or squeeze on toenails.

    Some patients may attempt self-treatment, such as trimming the nail, foot soaks, and topical antibiotics. However, at-home treatment might not bear results. It is best to visit a podiatrist in the event that conservative treatment fails to relieve pain, or if you notice drainage, redness or continued pain. Patients who suffer from health problems such as diabetes or poor circulation should always seek treatment immediately after recognizing signs of an ingrown toenail to avoid complications.

    Most foot and ankle conditions are treated in the office and at the Ambulatory Surgery Centers of Podiatry Associates. These centers offer quality and affordable treatments performed by experienced surgeons. There are 10 offices surrounding the Baltimore Metro area which in-office procedures are carried out for the treatment of ingrown toenails, corns, and plantar fasciitis with the help of podiatric surgery.

    The surgeons at Podiatry Associates are board qualified or board certified by the American Board of Podiatric Surgery. The success of Podiatry Associates is largely attributed to the doctors, administration, and staff who consistently ensure high-quality treatment for patients of all ages.

    Thus, if you opt for any kind of foot treatment or surgery in Baltimore, review the treatment options provided by Podiatry Associates. Our team of top surgeons provide the top-rate treatment in all aspects of toenail surgery.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ custom_padding=”3px|0px|14px|0px|false|false”][et_pb_row _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”3.29.3″]

    Time to See a Podiatrist?

    If you have any of the issues described above, it’s time to consult an expert. Connect with Podiatry Associates for an evaluation. All of our doctors are board certified/qualified and we’re dedicated to preserving your foot health.

     

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  • Can Tight Shoes Lead to Ingrown Nails?

    Can Tight Shoes Lead to Ingrown Nails?

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    The mere thought of something like ingrown toenail removal surgery is enough to send a shiver down our spines. Surgeries, even minor ones, are painful and a big hassle. We need to take adequate measures to avoid them. The same goes for ingrown toenail removal surgery too. The best way for you to prevent a surgery is to be aware of what causes lead to ingrown toenails and what you need to do to prevent them in the first place. One of the most effective ways to avoid toenail removal surgery is to wear shoes that fit properly. However, if this doesn’t help, you will need to consult a podiatrist who will examine your condition and recommend the best course of action.

    1. Dangers of Wearing Ill-Fitting Shoes
    We are all aware of the importance of wearing shoes that are comfortable, gentle, and fit properly. Wearing ill-fitting shoes can be a big mistake and should be avoided at all costs. Tight shoes, worn over an extended period of time, can cause a host of complications such as:

      • Bunions
      • Foot pain
      • Redness
      • Disfigurement
      • Hammertoe/ Mallet toe
      • Blisters and other problems.

    Another serious complication that can be caused by tight shoes is the occurrence of ingrown toenails. While some of us who love to wear stylish shoes that may fit too tight will naturally refuse to believe it, wearing tight shoes is known to result in ingrown toenails. It is a painful condition that occurs when the edges of your nails grow to pierce into the skin surrounding the nail. Your big toe is the most vulnerable to ingrown toenails.

    Medical experts always recommend wearing shoes that fit properly so you can avoid problems like ingrown nails. Ingrown toenails can become increasingly problematic, to the degree that an ingrown toenail removal surgery may be required in order to heal the condition.

    2. Symptoms of Ingrown Toenails
    Following are the common symptoms that indicate the occurrence of ingrown toenails:

    • Painfulness
    • Soreness
    • Swelling
    • Redness
    • Oozing pus
    • Odour

    If you experience any of these symptoms, it is advisable that you act fast and treat the problem in the early stages. Delaying a visit to an expert increases your chances of aggravating the condition, which in turn increases the extent of the treatment that would be required to solve the problem.

    3. Diagnosing Ingrown Toenails with Surgery
    If not treated in a timely manner, the condition may escalate to a degree in which the ingrown toenails cannot be treated by using common home treatments and remedies. If this occurs, an ingrown toenail removal surgery would be required to solve the problem. However, if you find yourself in this situation, there is no need to worry, as ingrown toenail surgery is a minor procedure. A podiatric surgeon usually performs this surgery, in which the part of the nail that is ingrown is removed. After injecting medication to numb your toe, the podiatric surgeon will cut the part of your toenail growing into the skin. There are several experienced and renowned podiatric surgeons that Baltimore residents can consult and receive treatment from to get rid of ingrown toenails.


    There are many reputed facilities offering podiatric surgery in Baltimore. The development and implementation of new ingrown toenail surgery techniques have made the process easier and comfortable. All you need to do is make an appointment for a diagnosis, during which the podiatric surgeon will address the problem.

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    Time to See a Podiatrist?

    If you have any of the issues described above, it’s time to consult an expert. Connect with Podiatry Associates for an evaluation. All of our doctors are board certified/qualified and we’re dedicated to preserving your foot health.

     

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  • 3 Ways You Can Prevent & Cure Hammer Toes

    3 Ways You Can Prevent & Cure Hammer Toes

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    Having a hammer toe is more common than you would think it is. Hammer toe is a muscle or orthopaedic deformity, occurring in the toe nails, in which the joint on one of the toes is pointed upward instead of lying flat. In most cases, the toe next to the big toe or next to the smallest one are affected.

     

    Why does hammer toe happen?

    Hammer toe occurs when the muscle of one toe becomes weak and creates pressure on the adjoining tendons and toe joints. This is why the toe becomes misshapen and points upward at the joint. This outgrowth can be painful. The situation gets worse when the toe is pressed against the shoe.

     

    Cure and prevention:

    Sometimes people do not pay attention to this kind of minor deformity, but if it is painful, it is best to seek out a hammer toe treatment in Baltimore. It not only cures your deformed toe, but also gives you a nice and shapely foot to show off in a nice pair of sandals. Even though hammer toe could be the result of genetics, there are some things you could do to prevent and cure it:

    1. Do not wear narrow shoes:
    If you do not want to go through hammer toes surgery in baltimore, start by wearing sensible shoes. It is obvious that there are a lot of stylish shoes for men and women. Whereas men’s shoes are comfortable to wear, shoes for women tend to be impractical. The width of women’s shoes can be very restricting to give the shoe a sleek look. Women cram their feet into narrow and ill-fitting shoes for fashion. However, remember that you must always wear shoes with a good arch support and a wide toe box to promote healthy feet. If you have hammer toes, you should always wear sensible shoes to start with. If you are confused regarding how to choose shoes, you can consult any good podiatrist.

    2. Foot exercises:
    Though the best option to get rid of this condition is to get a hammer toe surgery, podiatrists often suggest some efficient foot exercises that you can practise to remove a hammer toe or to prevent the development of one. The major cause behind hammer toes is the weakness of the toe muscles. Podiatrists prescribe exercises that help strengthen your toe muscles and keep your feet supple and active. Exercises such as curling the toes, extending the toes, moving, and spreading the toes are good exercises that could slow the process of hammer toe generation.

    3. Using a pumice stone to clean:
    On the top of the hammer toes, there might be a formation of corn or callus that could cause discomfort during shoe time. So, it is suggested by the top podiatrists, one can clean the corn formation with a pumice stone or file after a warm bath. This way, the size of the corn will be reduced, so will the discomfort.

    These are the three ways to cure and prevent hammer toes. If you are experiencing discomfort due to hammer toes, contact a Baltimore podiatrist for treatment today.

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    Time to See a Podiatrist?

    If you have any of the issues described above, it’s time to consult an expert. Connect with Podiatry Associates for an evaluation. All of our doctors are board certified/qualified and we’re dedicated to preserving your foot health.

     

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