Tuesday, 04 March 2025 00:00

Finding Relief From Foot Ulcers

A foot ulcer is an open wound that develops on the bottom of the foot, often affecting individuals with diabetes or poor circulation. These ulcers are typically caused by nerve damage, prolonged pressure, and poor blood flow, which slow down the body’s natural healing process. Symptoms include pain, redness, swelling, and sometimes drainage or a foul odor, particularly when the ulcer becomes infected. Keep the wound clean and dry, and avoid putting pressure on the affected area for mild relief. Wearing proper footwear and using padded insoles can also help reduce pressure. If you have a foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can treat foot wounds and help you manage any contributing underlying condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Plaza Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

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Tuesday, 25 February 2025 00:00

How Fibromyalgia Affects the Feet

Fibromyalgia can cause persistent foot pain, often affecting the heels, arches, toes, and ankles. This chronic disorder heightens sensitivity in the nervous system, making weight-bearing activities uncomfortable. Many patients experience aching, burning, or stabbing sensations in their feet, which can fluctuate in intensity. Stiffness, swelling, and tenderness are also common, particularly in the morning or after prolonged standing. Poor circulation, common in fibromyalgia, may contribute to cold feet or a tingling sensation. Wearing ill-fitting shoes or prolonged pressure on the feet can worsen symptoms, making everyday movement difficult. While fibromyalgia does not directly damage the foot’s structure, ongoing pain and discomfort can alter walking patterns, leading to strain in the ankles and an increased risk of imbalance. A podiatrist can assess your foot mechanics, recommend supportive footwear, and provide custom orthotics to ease discomfort. They may also suggest additional treatments to improve mobility and alleviate pain. If you have foot pain connected to fibromyalgia, it is suggested that you schedule an appointment with a podiatrist for treatment options.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly. If you have any concerns about your feet and ankles contact one of our podiatrists from Plaza Podiatry. Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet.

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

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Tuesday, 25 February 2025 00:00

Systemic Diseases of the Foot

There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis, among others.

In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.

Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.

There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.

Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.

All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.

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Tuesday, 18 February 2025 00:00

Common Foot Problems in Children

Foot problems in children are more common than many parents realize, and addressing them early can prevent long-term problems. One of the most common issues is toeing, where a child may walk with their toes pointed inward, known as in-toeing, or outward, referred to as out-toeing. Both conditions are typically caused by alignment issues but may resolve with time. Athlete's foot is another frequent issue, caused by fungal infections that can lead to itching, redness, and peeling skin. Ankle sprains are common in active children and occur when the ligaments in the ankle stretch or tear during physical activities. Ingrown toenails, which form when the edges of nails grow into the skin, can be painful and lead to infections. Additionally, plantar warts, caused by a viral infection, can also affect children’s feet, causing growths on the soles. If your child has foot pain, it is suggested that you consult a podiatrist who can treat various foot conditions.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of Plaza Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

Make sure their shoes fit properly
Look for any signs of in-toeing or out-toeing
Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
Cut toenails straight across to avoid ingrown toenails
Keep your child’s foot clean and dry
Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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Tuesday, 18 February 2025 00:00

How to Care for Your Child's Feet

It is never normal for a child to experience pain in his or her feet. Foot pain that lasts more than a few days and limits a child’s ability to walk should be examined by a podiatrist. Many adult foot ailments originate in childhood and may be present at birth. Common foot issues that are experienced by children are pediatric flat foot, Sever’s disease, ingrown toenails, and plantar warts.

A child’s foot grows rapidly during the first year, allowing it to reach almost half of their adult foot size. Consequently, foot specialists consider the first year to be the most crucial point in the foot development process. There are ways you can help ensure that your child’s foot develops properly. One way is to carefully look at your baby’s feet. If you notice any deformities, you should immediately seek professional care. You should also loosely cover your child’s foot, since tight coverings may prevent movement and inhibit normal development. Another tip is to change the baby’s positioning throughout the day. If your baby lies down in one spot for too long, it may put an excess amount of strain on the feet and legs.

It is best that you try not to force a child to start walking. Children will begin to walk when they are both physically and emotionally capable to do so. You should also avoid comparing your child’s walking progress with other children because the age range for independent walking may range. When your child’s feet begin to develop, you may need to change both their shoe and sock size every few months to allow room for their feet to grow.

Kids are sometimes prone to splinters, cuts, and severe injuries because they tend to walk around barefoot. This also makes them more susceptible to developing plantar warts which is a condition caused by a virus that invades the sole of the foot through breaks in the skin. These ailments can be avoided by making sure your child wears shoes in unsanitary environments. You should also wash any minor cuts or scrapes on your child’s feet. It is a myth that exposure to fresh air will heal injuries; fresh air will only expose your child’s cuts to germs.

As a parent, you should ensure that your child’s feet are developing properly and are being properly maintained. Consequently, it is important that you perform routine inspections on his or her feet to detect any injuries or deformities in their early stages. Early detection and treatment will help to ensure that your child does not develop any serious foot conditions.

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Tuesday, 11 February 2025 00:00

Ankle Exercises After a Sprain

Recovering from an ankle sprain requires specific exercises to restore strength, mobility, and stability while reducing the risk of reinjury. Range-of-motion exercises, such as tracing the alphabet with your toes, can help promote gentle movement in the early stages of healing. As the ankle improves, incorporating exercises like the towel stretch can enhance flexibility in the Achilles tendon, which connects the calf muscles to the heel. Ankle strengthening exercises, such as pressing the foot against resistance bands, help rebuild stability in the ankle joint. Balance exercises, including standing on the injured foot, are valuable for improving coordination and preventing future sprains. A podiatrist can assess your ankle sprain, recommend the appropriate exercises, and monitor your recovery to ensure the ankle heals correctly. For severe sprains, surgery may be necessary if other treatments are not effective. If you have sprained your ankle, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact one of our podiatrists from Plaza Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

Pain at the sight of the tear
Bruising/Swelling
Ankle area is tender to touch
In severe cases, may hear/feel something tear
Skin discoloration

Preventing a Sprain

Wearing appropriate shoes for the occasion
Stretching before exercises and sports
Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

Ankle Sprains

Ankle sprains occur when ligaments that support the ankle stretch beyond their limits and tear. These types of injuries are very common and can occur in people of all ages. Sprains may range from mild to severe, depending on how much damage is done to the ligaments. If a sprain goes untreated, a more severe sprain may occur which can further damage the ankle. Repeated ankle sprains can lead to chronic ankle pain.

There are some risk factors that can increase your risk of suffering a sprained ankle. Those who participate in sports, walk on uneven surfaces, have a prior ankle injury, are in poor physical condition, or wear improper shoes are more likely to get a sprained ankle.

There are a few symptoms to look out for if you suspect you are suffering from a sprained ankle. Some common symptoms are swelling, bruising, tenderness, and instability of the ankle. In cases where the tearing of the ligaments is severe, there may be a “popping” sound when the strain occurs.

The RICE method is proven to be effective in treating ankle sprains. RICE stands for Rest, Ice, Compression, and Elevation. Rest is important for treatment, especially within the first 24 to 48 hours. You should also ice your sprained ankle for the first 48 hours for 20 minutes at a time. A small piece of cloth should be placed between the ice and the affected area. For the compression step, you should wear a brace that is snug, but not too tight that it cuts off circulation. When choosing a brace, be sure to choose one that is suitable for the type of ankle sprain you have. Lastly, you should elevate your foot above the heart as often as possible.

After you treat a sprain, you should go through rehabilitation to prevent the injury from occurring again. There are three phases to the rehab process. The first phase involves resting, protecting, and reducing the swelling of the injury. The second phase consists of restoring the ankle’s flexibility, range of motion, and strength. The third phase consists of slowly returning to activity and maintenance exercises.

If you suspect you have an ankle sprain, you shouldn’t hesitate to consult with your podiatrist. Your podiatrist will be able to give you a proper diagnosis and a suitable treatment option for your condition.

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Friday, 07 February 2025 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

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Tuesday, 04 February 2025 00:00

Understanding Achilles Tendon Bursitis

Posterior Achilles tendon bursitis is caused by inflammation of the bursa located between the skin and the Achilles tendon at the back of the heel. This often occurs due to repetitive pressure or irritation from footwear, particularly shoes with rigid heel counters or high heels. A heel counter is material that stiffens the back of a shoe. People with a bony prominence on the heel, called Haglund deformity, are at higher risk of developing posterior Achilles tendon bursitis. Symptoms include pain, redness, swelling, and warmth in the affected area, which may progress to the formation of a tender, fluid-filled nodule that may harden over time. A podiatrist can diagnose this condition through a thorough examination and suggest footwear modifications to reduce pressure on the heel, along with custom orthotics to stabilize the foot and limit friction. In severe cases, surgery may be needed to address underlying structural issues. If you have pain in the back of the heel, it is suggested that you schedule an appointment with a podiatrist.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Plaza Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

Inflammation
Dull to severe pain
Increased blood flow to the tendon
Thickening of the tendon

Rupture Symptoms

Extreme pain and swelling in the foot
Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

Thorough stretching of the tendon before and after exercise
Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

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Finding Relief From Foot Ulcers

Wound Care

How Fibromyalgia Affects the Feet

Systemic Diseases of the Foot

Common Foot Problems in Children

How to Care for Your Child's Feet

Ankle Exercises After a Sprain

Ankle Sprains

Wounds That Don't Heal Need to Be Checked

Understanding Achilles Tendon Bursitis

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