MVS Podiatry Associates

Author: Richard Reed

  • Managing Bunions Before They Advance

    Managing Bunions Before They Advance

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    Managing Bunions Before They Advance: A Guide by MVS Podiatry Associates

    At MVS Podiatry Associates, we often diagnose and treat bunions – a common foot deformity. Bunions can be deceptive, often developing unnoticed in the beginning and progressing slowly. Consequently, many patients only realize the presence of a bunion when it’s considerably developed, causing pain and affecting mobility and shoe choice.

    Expert intervention is essential in addressing bunions. Yet, there are methods to alleviate bunion-related discomfort as you await professional consultation.

    Understanding Bunions

    Curious about bunions? Check the base of your big toe.

    A bunion emerges when the big toe deviates from its natural alignment at the metatarsophalangeal (MTP) joint, leading to a bony protrusion. This causes the big toe to lean towards the second toe.

    Since our big toe bears a significant portion of our body weight for walking, a misaligned joint due to a bunion can be notably painful. Bunions not only cause discomfort from this misalignment (arthralgia) but also due to shoes not fitting properly over the bony prominence, resulting in skin irritation, calluses, blisters, or bursitis.

    Common bunion symptoms are:

    • Noticeable bony prominence on the big toe’s exterior.
    • Inflammation, pain, and swelling at the big toe’s base.
    • Stiff or painful big toe joint.
    • Calluses, blisters, and other foot issues due to toe misalignment.
    • Pain during walking or when wearing shoes.

    What Causes Bunions?

    Bunions have various root causes, with genetics being a primary factor. It’s not the bunion that’s inherited, but the foot shape and walking patterns predisposing someone to bunion development. If your parents had bunions due to their foot shape, there’s a chance you might develop them too. Abnormal pronation and flat feet are commonly linked to bunions.

    That said, not everyone with bunions has a family history. Factors like wearing pointed or tight shoes, unsupportive footwear, or exposing the feet to excessive strain can cause the MTP joint to displace. For instance, dancers, particularly ballerinas, are at a higher risk.

    Bunion Treatment Recommendations

    When dealing with bunions, early intervention is crucial. Addressing a mild or moderate bunion is relatively easier than a pronounced one. If you suspect a bunion, promptly consult a podiatrist. While at-home remedies can provide relief, professional help is needed to resolve the condition.

    For temporary relief, consider:

    • Opting for supportive footwear with ample toe space.
    • Steering clear of high heels or tight-fitting shoes.
    • Using ice, elevating the foot, and considering anti-inflammatory medications.
    • Wearing toe spacers.
    • Applying protective bunion padding.

    For the best outcome, consult a podiatrist upon noticing bunion symptoms. If you need to book an appointment with our expert team at MVS Podiatry Associates.

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  • Diabetes and its Impact on Wound Recovery

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    Understanding the Link Between Diabetes and Slow Wound Healing

    Diabetes, a condition where the body struggles to regulate sugar levels, can lead to prolonged wound healing times. How? The continuous presence of high blood glucose levels impacts multiple bodily systems, leading to an array of complications.

    One of the primary issues with elevated glucose levels is that it can lead to arterial stiffening and blood vessel constriction. Additionally, diabetic neuropathy, a byproduct of high sugar levels, can result in nerve damage, predominantly affecting the extremities such as the legs and arms. These diabetes-induced conditions heighten the risk associated with foot ulcers and other wounds, and unfortunately, they also hinder the body’s healing mechanisms.

    For residents in Baltimore and nearby regions, expert diabetic foot ulcer care is readily accessible at our numerous podiatry clinics. Our accredited podiatrists specialize in diabetic foot ulcer management, ensuring patients receive the best and safest care. It’s imperative to remember that for those with diabetes, even minor injuries like small cuts, blisters, or ingrown toenails can escalate rapidly. Conditions such as skin ulcers and calluses might compromise tissue integrity, thereby raising the likelihood of infections. Hence, prompt and effective diabetic wound care is not just recommended—it’s essential.

    The Numbness Dilemma: Diabetic Neuropathy

    Diabetic neuropathy presents a unique challenge for patients, stemming from the havoc high blood sugar wreaks on nerves. This nerve degradation often results in reduced pain sensitivity, especially in the limbs. With diminished sensation, patients might unintentionally neglect early signs of blisters, injuries, or infections. Such oversight can lead to complications, as unnoticed wounds can deteriorate further, complicating the healing process once they are eventually identified.

    The Impact of Circulation Issues on Wound Healing in Diabetes

    Effective wound healing hinges on optimal blood circulation. However, diabetes introduces obstacles in this process, as circulation issues can hinder the necessary oxygen flow to wounds. The heightened glucose levels not only impair the efficiency of red blood cells—responsible for nutrient delivery to the wound—but also compromise the capability of white blood cells to combat infections. Consequently, the healing journey faces additional hurdles. With increased blood sugar levels, the body’s defense mechanisms against infections weaken, elevating the risk of potential complications.

    Navigating the Elevated Wound Risks of Diabetes

    Diabetes poses an increased risk for several health complications, including foot ulcers, gangrene, sepsis, and bone infections like osteomyelitis. These foot ulcers, in particular, are susceptible to infections, often becoming chronic and leading to severe outcomes such as limb amputation.

    For individuals with diabetes, proactive self-care is essential. Implementing daily self-checks for ulcers or wounds and actively managing diabetes can substantially improve the healing trajectory for any present injuries. Should you notice any signs of a developing wound, seeking prompt consultation with a podiatrist, especially one specializing in diabetic foot ulcer treatment, can make a significant difference.

    For those in Baltimore and its neighboring regions, our centers offer specialized care for diabetic foot ulcers. To explore your treatment options and ensure you receive the best care, reach out to schedule an appointment at our facilities. To discuss your unique needs, you’re welcome to contact our scheduling office directly at (833) 500-3338.

    Is it Time for Expert Care?

    If any of the aforementioned concerns resonate with you, it’s crucial to engage with a professional. The team at MVS Podiatry Associates is here to guide you. All our doctors have board certification or qualification, emphasizing our commitment to your foot health.

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  • Common Missteps Encountered by People Managing Ingrown Toenails

    Common Missteps Encountered by People Managing Ingrown Toenails

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    Typical Errors Made by Individuals Dealing with Ingrown Toenails

    Evident physical anomalies are usually immediately noticeable, but what about those conditions that remain concealed? Such hidden abnormalities are often disregarded, not least because they aren’t readily apparent. One such condition that often falls under the radar is an ingrown toenail. Given our feet are typically cloaked in socks or shoes for the majority of the day, it’s all too easy to miss this issue. Nevertheless, an ingrown toenail calls for prompt medical intervention and lifestyle modifications. However, many individuals persist in their everyday routines, often committing errors that should be avoided when managing this condition. Even upon recognizing an ingrown toenail, a significant number of people are uncertain about the next steps. Here are some of the prevalent missteps individuals with ingrown toenails often make:

    Wearing Tight Shoes

    Many people operate under the false belief that a pair of shoes that fits tightly equates to the perfect fit. The snug feel of tight shoes can create an illusion of a perfect fit as they encompass your feet closely. However, an ideal pair of shoes should offer ample room for your nails to rest comfortably and your toes to splay out freely. If you notice the signs of an ingrown toenail, it’s recommended to refrain from wearing tight shoes. As a preventative measure against future occurrences of ingrown toenails, select shoes that provide sufficient width. Particularly narrow shoes, such as those with a slim toe area or ‘toe box,’ or steel-capped shoes, could pose problems. These styles tend to exert excessive pressure on the toenails and surrounding skin, promoting the nails’ ingrowth into the skin.

    Incorrect Approach to Toenail Trimming

    Inadequate toenail trimming practices can lead to complications such as ingrown toenails. For instance, overly rounding the corners when trimming your toenails may prompt the nail to dig into the adjacent skin. If you’re already dealing with an ingrown toenail, tearing the nail off can exacerbate the issue. This often leaves behind a small, sharp piece of nail (a spicule), which is likely to develop into another ingrown toenail. Furthermore, it’s advisable to refrain from excessively shortening your toenails.

    Ignoring the Issue

    Toenails are a part of our body that we often overlook. This is the most common mistake that people make with ingrown toenails. Today, ingrown toenail removal surgery is quite common and could remove your abnormal toenails easily. Ingrown toenails won’t disappear overnight. For this reason, we must pay attention to our feet and act accordingly if we notice an ingrown toenail.

    Is It Time to Consult a Podiatrist?

    Should you experience any of the aforementioned problems, it’s essential to seek professional advice. Get in touch with MVS Podiatry Associates for a comprehensive assessment. Our team consists of board certified/qualified podiatrists, and we are deeply committed to maintaining the health of your feet.

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  • Why seek out a Podiatrist?

    Why seek out a Podiatrist?

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    Do you consider consulting a specialist for a heart issue? How about a problem with your back? Then why not give equal importance to your feet? Maintaining healthy and pain-free feet is crucial for an active and healthy lifestyle.

    Podiatrists undergo four years of podiatric medical school and a three-year, hospital-based residency to become experts in foot and ankle care. Therefore, if you encounter any discomfort, injuries, or alterations in the condition of your feet and ankles, it is advisable to seek specialized care from a podiatrist.

    Why should I invest more money to consult a specialist when my primary care doctor can take care of my feet?

    While it’s understandable to be mindful of expenses, healthcare is an area where cutting corners may not be wise. Issues such as pain or other complications in your feet and ankles can have significant implications for your overall well-being, especially if you have conditions like diabetes, vascular disease, or other chronic ailments. In such cases, it is crucial to seek specialized care. A podiatrist is well-equipped to efficiently diagnose and treat your foot or ankle condition, ultimately saving you time and money in the long term.

    While local urgent care facilities can be helpful for minor ailments or injuries, they may not be the best option for every foot problem. When it comes to chronic foot or ankle pain, fractures, or other traumatic injuries, it is advisable to consult a podiatrist—your dedicated specialist for foot and ankle care. A podiatrist can provide an accurate diagnosis and develop an appropriate treatment plan to help you recover and experience relief more efficiently. So, for a faster path to healing and overall well-being, it’s best to seek the expertise of a podiatrist.

    A variety of conditions should be treated by a podiatrist. Whenever you encounter foot or ankle pain, injuries, or observe changes in the condition of your feet or ankles, seeking specialized care from a podiatrist is appropriate. However, the following specific conditions certainly necessitate contacting your podiatric physician and surgeon:

    Peripheral Neuropathy: If you have diabetes and experience symptoms like painful prickling, heaviness, tiredness, or other discomfort in your feet, it could be a sign of peripheral neuropathy caused by nerve damage from diabetes. Given the potential complications associated with diabetes and the feet, individuals with diabetes should undergo regular annual examinations with a podiatrist and promptly reach out to their podiatrist upon noticing any changes in their feet.

    Neuromas: Are you experiencing pain, burning, or numbness between your toes or in the ball of your foot? It could be attributed to a benign growth of nerve tissue known as a neuroma. Visit a podiatrist for accurate diagnosis and relief.

    Skin Changes: While the skin on your feet may be tougher than other parts of your body, it is also more exposed to potential hazards such as foreign bodies or sun exposure when SPF is forgotten. Podiatrists possess comprehensive knowledge of the skin on the feet. If you notice any alterations in the skin of your feet or ankles, schedule an appointment with a podiatrist without delay.

    Injury: Initially, following the RICE protocol (rest, ice, compression, and elevation) is advisable for a foot injury. However, if your pain does not improve within 24 hours, you are unable to bear weight on the injury, or notice severe swelling or bruising, it is crucial to contact your podiatrist for an emergency appointment. Podiatrists offer specialized care for foot and ankle injuries, ranging from conservative treatments to surgical interventions.

    Schedule your consultation with MVS Podiatry Associates today by calling 833-500-3338 or visiting www.PodiatryAssociates.org. Don’t delay in getting specialized care for your foot and ankle needs.

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  • What exactly is Onychomycosis, also known as toenail fungus?

    What exactly is Onychomycosis, also known as toenail fungus?

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    At MVS Podiatry Associates in Columbia, we treat numerous patients annually who suffer from onychomycosis, or toenail fungus. Although this condition is typically not life-threatening, it can have a negative impact on self-esteem due to the unsightly changes it causes to toenails. For individuals with autoimmune disorders such as diabetes, it can pose a significant risk to health.

    Thankfully, effective treatment options are available for onychomycosis, and we utilize the PinPointe™ FootLaser® to provide relief. In most cases, patients experience visible improvement after a single 30-minute treatment.

    What Is Onychomycosis?

    Toenail fungus, also known as onychomycosis, is a common condition characterized by thickening, yellowing, and brittleness of the toenails. As the infection progresses, the affected toenails may become jagged and bark-like, and break off easily. If left untreated, onychomycosis can cause swelling and discomfort, particularly in individuals with underlying health issues.

    Early detection and treatment of onychomycosis is crucial, as it can cause minor damage to nail beds and lead to minimal pain. However, the condition can severely impact self-esteem and make wearing shoes and socks uncomfortable in severe cases.

    What Causes Onychomycosis?

    Onychomycosis is typically caused by various strains of fungi that thrive on keratin, the protein that makes up nails and hair. The fungi thrive in moist, warm, and wet environments like socks and shoes, making anyone susceptible to the condition. However, the following individuals are most at risk:

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

    Is Toenail Fungus Contagious?

    Toenail fungus is a contagious condition, but proper hygiene practices can help prevent most cases. To avoid contracting toenail fungus, it is recommended to:

    • Wear shower shoes in public gyms and locker rooms and thoroughly wash your feet both at the gym and when showering at home.
    • Dry your feet completely after showering, and consider using a foot powder to maintain dryness and cleanliness.
    • If you develop athlete’s foot from a gym, treat it with a topical cream as soon as possible. Use the treatment for the full recommended duration, and monitor your feet afterwards.
    • Refrain from sharing footwear with others, and if you have had toenail fungus or athlete’s foot in the past, use a sterilization spray to sanitize your shoes.
    • Seek professional treatment if OTC solutions do not work within the recommended treatment period.

    While there are various methods to treat toenail fungus, seeking professional treatment is the most effective way to address the issue. Over-the-counter sprays, nail polishes, and creams may be effective in some cases, but for a reliable solution, MVS Podiatry Associates in Columbia offers an effective treatment.

    We use the PinPointe™ FootLaser® to target and eliminate the fungus feeding on toenails. The procedure is painless and typically takes less than 30 minutes to complete.

    If you are suffering from onychomycosis, consider scheduling a PinPointe™ FootLaser® session at MVS Podiatry Associates in Columbia to eliminate your toenail fungus.

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  • Six Tips from Podiatrists to Help You Run Outdoors Safely and Effectively

    Six Tips from Podiatrists to Help You Run Outdoors Safely and Effectively

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    If you’re considering taking your workouts outdoors, you might want to incorporate running into your exercise routine. While starting can be overwhelming, following these podiatrist-recommended tips will help you overcome the initial challenges of running outdoors and prevent common injuries.
     
    Begin Slowly:
    Whether you’re a seasoned treadmill runner or a first-timer, the mistake many people make is doing too much too soon. Start with a brisk walk to get your heart used to the new routine, and gradually increase your pace as the weeks go by.
     
    Plan Your Runs:
    Before heading out, plan your route, so you can track your progress and avoid overexertion. Start with shorter routes and gradually increase them as you become more comfortable. Knowing where you’re going makes it easier to invite a friend along.
     
    Choose Your Surface:
    The repetitive motion of running can be tough on your feet, especially on hard surfaces. Consider natural trails for a softer landing and beautiful scenery. But be mindful of uneven surfaces and slippery rocks.
     
    Dress Appropriately:
    The spring weather in Maryland is beautiful but can be chilly. Layer up for colder days. When running near traffic, wear bright colors to remain visible.
     
    Warm-Up and Cool-Down:
    Easing your body into exercise with an appropriate warm-up is an essential part of injury prevention. Take the time to stretch your legs and body to get your blood flowing. Give yourself time to cool down, and stay hydrated.
     
    Make It Fun:
    Making exercise fun can increase your chances of sticking with it. Bring a friend or two to make it easier and more enjoyable. You’ll benefit from keeping each other accountable. And the outdoors is an excellent place to catch up with friends.
     
    At MVS Podiatry Associates, we are here to help!
     
    If you’re concerned about starting a new running routine or seeking additional ways to prevent foot and ankle injuries, seek advice from our experienced podiatrists at MVS Podiatry Associates. Our team uses state-of-the-art tools to evaluate your foot health and can prepare you with custom orthotics and recommended footwear. If you encounter any pain or discomfort due to injuries, tendinitis, or plantar fasciitis, contact any of our offices throughout Maryland to book a consultation today!
     
    Call 833-500-3338, or visit us online www.PodiatryAssociates.org
     
     

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  • Can wearing high heels lead to the development of bunions?

    Can wearing high heels lead to the development of bunions?

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    Can Wearing High Heels Result in Bunions?

    High heels are a staple of many women’s shoe collections, prized for their aesthetic appeal despite their often-uncomfortable nature. However, the potential long-term consequences of wearing high heels may include the need for bunions surgery.

    When choosing a new pair of heels, it’s common for women to prioritize appearance over comfort. But it’s important to consider the potential risks associated with high heels, including the development of painful bunions.

    While high heels can enhance one’s fashion sense, wearing poorly fitting high heels can lead to foot problems that may ultimately result in bunions and excruciating pain. In severe cases, surgery may be necessary to address the issue.

    Before delving further into the subject, it’s important to understand what bunions are and how they form.

    What Are Bunions?

    Bunions refer to the development of a bony protrusion, typically on the inside of the foot at the base of the big toe. This growth is a gradual process and worsens over time.

    In more technical terms, bunions occur when the bones of the metatarsophalangeal joint become misaligned due to excessive pressure on the big toe joint. The big toe, unable to bear this pressure, eventually leans on the second toe for support, leading to a change in the bone structure and the formation of a bump.

    While bunions usually develop at the base of the big toe, they can also appear on the outer edge of the pinky toe, referred to as a bunionette or Tailor’s bunion.

    What Leads to the Development of Bunions?

    Bunions are more prevalent among women than men, and often result from wearing ill-fitting shoes. The primary causes of bunions are:

    • Tight shoes with narrow toe boxes, such as high heels or shoes that are too small
    • Genetics or hereditary factors
    • Presence of underlying conditions such as neuromuscular disorders or rheumatoid arthritis, which are commonly linked to bunions.

    What Are the Ways to Alleviate Bunion Pain?

    Given that tight shoes and high heels are common culprits of bunions, the initial step in easing the discomfort is to switch to comfortable footwear that provides adequate toe space. To eliminate the pain, you must relieve the pressure on the affected toe. There are various shoe options available that are specifically designed to alleviate bunion pain. However, it’s advisable to consult with a podiatrist to determine the most suitable treatment for your feet.

    What Are the Treatment Options for Bunions?

    The initial step in treating bunions is to schedule an appointment with a foot doctor to determine the most appropriate course of action for your specific case. Here are some common methods used for treating bunions:

    • Wear shoes with a wider toe box
    • Utilize bunion-shield padding to alleviate pain
    • Apply ice regularly to reduce swelling
    • Wear custom orthotic devices designed to provide relief
    • Undergo bunion surgery to correct the issue if recommended by your podiatrist.

    Is it Time to Schedule a Visit with a Podiatrist?

    If you are experiencing any of the aforementioned foot problems, it is advisable to seek the guidance of a podiatry expert. Reach out to MVS Podiatry Associates to schedule an assessment. Our team of board-certified/qualified doctors is committed to safeguarding your foot health.

    Schedule your consultation today by calling us at (833) 500-3338

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  • Meet Dr. Ogechukwu Imonugo Mmagu

    Meet Dr. Ogechukwu Imonugo Mmagu

    It gives us great pleasure to introduce Dr. Ogechukwu Imonugo Mmagu as the latest addition to our medical practice. Dr. Ogechukwu Imonugo Mmagu will be available to consult with patients at our Columbia office. If you wish to book an appointment, please call 410-730-0970.

     

  • Welcoming Dr. Alexandra Spangler to the Washington D.C. Area

    Welcoming Dr. Alexandra Spangler to the Washington D.C. Area

    We’re excited to announce that Dr. Alexandra Spangler will be seeing patients in our new College Park office.

    MVS Podiatry Associates – College Park
    6201 Green Belt Road
    Suite L1-L2
    College Park, Maryland 20740

    To schedule your consultation with Dr. Spangler, please call us at 301-474-1933.

  • MVS Podiatry Associates Opens New Office in Westminster, Maryland

    MVS Podiatry Associates Opens New Office in Westminster, Maryland

    We’re excited to announce that our Westminster office is moving to a new location, just a short drive from our old site!

    535 Old Westminster Pike
    Suite 105
    Westminster, Maryland 21157

    All appointments starting October 24 will be seen at our new location. If you have any questions regarding the move, please call us at 833-500-3338.