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Sunday, 12 November 2017 00:00

Shockwave Therapy Explained

A noninvasive option for chronic heel pain is known as ESWT, or Extracorporeal Shock Wave Therapy. This treatment involves shock waves, which originate from outside of the body, and are directed onto the heel of the foot. These are sound waves, and are intended to accelerate the body’s own healing process. It has been associated with helping to heal the pain that comes from plantar fasciitis. During the relatively short procedure, the patient reclines and waves are sent to the heel of the foot. Typically, ESWT is suggested when the patient has suffered for long periods of time from chronic heel pain. This treatment has been FDA approved since 2000 and is highly effective for the treatment of pain. Consult a podiatrist to see if this procedure might be right for you.

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with Dr. Richard Silverstein from Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

If you have any questions, please feel free to contact our office located in Havre de Grace, MD. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Heel Pain with Shockwave Therapy
Monday, 06 November 2017 00:00

Toenail Care for the Elderly

Geriatric (elderly) people may be prone to foot problems, which may include ingrown toenails, corns, and calluses. A reason for this may be their inability to cut their own toenails due to poor eyesight or loss of mobility. A qualified caregiver should be able to cut toenails properly. Ideally, toenails should be kept short, as more problems tend to arise if the nails are too long. The shorter they are, the less risk there is of breaking a nail. As we age, it’s beneficial to stay healthy and active. However, it’s important to remember to practice proper foot care. A podiatrist should be consulted to learn the best options for correct maintenance and treatments.

If you need your feet checked, contact Dr. Richard Silverstein  of Union Foot Care. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

If you have any questions, please feel free to contact our office located in Havre de Grace, MD. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Geriatrics and Podiatry
Monday, 30 October 2017 00:00

Causes of Flat Feet

Flat feet, also known as fallen arches, is a common condition in infants, and typically disappears by age three as the foot grows. In adults, this condition can be caused by illness or injury. Being overweight can also be a contributing factor. Therefore, a change in diet may help alleviate symptoms of the condition. Sometimes flat feet are caused by a short Achilles tendon, resulting in pain. A rare cause can be if bones become fused together. When the tendon that connects the inside of the ankle to the calf muscle is injured, flat feet may occur. While flat feet are common, it is a good idea to consult with a podiatrist to avoid any potential complications.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Richard Silverstein from Union Foot Care. Our doctor will treat your foot and ankle needs.

What are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms:

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment:

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact one of our office located in Havre de Grace, MD. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flat Feet
Monday, 23 October 2017 00:00

Elderly Persons Should Always Be Moving

Aging experts say that telling the elderly to take it easy and not exercise is bad for their long-term health. Many believe that aging causes a loss of strength and fitness, but some experts say it is actually the opposite. The elderly have an increased risk of falling due to slower reaction times and decreased fitness. Encouraging the elderly to find activities that promote exercise and to follow a good diet can help decrease the risk of falls. If you are older and wish to start exercising, check with a doctor to see if it is right for you.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Richard Silverstein from Union Foot Care. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our office located in Havre de Grace, MD. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Falls Prevention

Basketball player Sheldon Mac of the Wizards has recently torn his left Achilles tendon and will need to undergo surgery to repair it. He will very likely be out for the rest of the season. His recovery timetable is around six to eight months. If there is any good news for Mac, it's that his contract guarantees him 1.3 million dollars. Of course, that doesn't really give much solace to the fans.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Richard Silverstein of Union Foot Care. Our doctor 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 office located in Havre de Grace, MD. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about What are Achilles Tendon Injuries

A new study conducted by the University of Oregon, and with the participation of Stanford University, the University of Southern California, and the University of Colorado Boulder, seeks to identify athletes who are likely to develop stress fractures. With newly known risk factor indicators available, athletes who are at risk for stress fractures can be alerted and allowed to rest to prevent them. Stress fractures, or tiny hairline fractures in the bone, most commonly occur from overuse and lack of rest. The study is still in its early stages and will take several years to produce conclusive results. Researchers are hopeful that this will help prevent athlete's injuring themselves and allow them to keep playing.
 

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Richard Silverstein from Union Foot Care. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please feel free to contact our office located in Havre de Grace, MD. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Dealing with Stress Fractures of the Foot and Ankle

Baltimore Ravens defensive end Brent Urban sprained his foot during a game against the Jacksonville Jaguars. As if the injury wasn’t already bad news, his return this season is questionable. Urban’s injury also puts the Ravens defensive line into a precarious situation, with Brandon Williams, Chris Wormley, and Bronson Kaufusi all inactive. The Ravens’ loss of 44 to 7 is a poor showing this early in the season.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Richard Silverstein of Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please feel free to contact our office located in Havre de Grace, MD. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sports Related Foot And Ankle Injuries
Monday, 25 September 2017 00:00

What to Do About Foot Pain

Foot pain can be a very debilitating condition to experience. First, however, it is important to figure out what is causing it. Plantar fasciitis is one of the most common causes of heel pain. Standing for long periods of time and overuse can cause the plantar fascia to become inflamed. Plantar fasciitis can affect anyone. Thankfully there are a number of treatments available for heel pain, with many of them being very easy to do. Keeping pressure off the feet, resting, and avoiding overuse can improve the condition of many who suffer from plantar fasciitis. Another method for treating heel pain includes buying a new pair of well-fitted shoes. Look for a pair that is not too tight or loose for your feet. Shoes should also have enough space in the toe box for your toes to wiggle around. Finally, look for a pair that is comfortable and that would be fine to wear for long periods of time. If you have heel or general foot pain that will not go away, see a podiatrist for a diagnosis and proper treatment.

Many people suffer from bouts of heel pain. For more information, contact Dr. Richard Silverstein of Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Havre de Grace, MD. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Monday, 18 September 2017 00:00

Exercises for Plantar Fasciitis

Plantar fasciitis and heel pain can both be very painful and uncomfortable. While stretching won’t eliminate the pain, it can help mitigate it. Some stretches that you can perform include the quadruped stretch, isolated calf raise, and even a foot massage. Before you do these, ask your podiatrist whether stretching is right for you. To do a quadruped stretch, get on all fours and spread your toes on the floor. Next, lean back slowly and sit on your heels while holding this position for 30 seconds. For isolated calf raises, lunge with your left leg forward and right leg back. Then, with your right foot flat, lift up onto the ball of your right foot. Do this for 10-15 reps on each side and for three repetitions. To massage your foot, push down on the center of the bottom of the foot and use a circular motion while applying pressure. These stretches will not eliminate plantar fasciitis and are only meant to temporarily reduce pain. If you have heel pain, it is recommended that you see a podiatrist who can offer effective treatment strategies.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Richard Silverstein  from Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our office located in Havre de Grace, MD. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
Monday, 11 September 2017 00:00

Diabetes and Foot Care

While the relationship between diabetes and the feet may not seem important to most people, it is of the utmost concern. Diabetics generally suffer from poor blood circulation and neuropathy, or nerve loss. Due to the loss of sensation associated with neuropathy, diabetics may not realize when they have a foot ulcer. The wound may also become infected due to the poor blood circulation and improper healing. Amputations are not uncommon because of diabetes, and awareness of this issue is vital to those who have the condition. Diabetics should inspect their feet daily for wounds, splinters, or any abnormalities. If you have diabetes, avoid going barefoot and wear well-cushioned footwear that provides optimal foot support and wiggle room for the toes. Finally, it is highly recommended to see a podiatrist for a foot examination at least once a year.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Richard Silverstein from Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our office located in Havre de Grace, MD. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Diabetic Foot Care
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