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Monday, 23 April 2018 00:00

Surgery for Bunions

If you experience a bony growth on the side of the big toe, you may have what is referred to as a bunion. This condition may require surgery to be performed, which will generally provide permanent relief. This surgical procedure typically involves removal of the bony protrusion or possibly a restructuring of the toes, which will depend on the severity of the bunion. Surgery will involve undergoing general or local anesthesia, which is determined based on each individual. There may be several ways to perform this type of operation, and it can typically depend on other factors involving the foot, such as any arthritis that may be present. Recovery includes utilizing a bandage or splint so the foot is protected and can rest comfortably. Crutches may be beneficial to use, which can aid in keeping weight off the toe. If you have a bunion and would like additional information about how surgery can be effective for you, please schedule a consultation with a podiatrist.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Richard Silverstein of Union Foot Care. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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 Foot Surgery
Monday, 16 April 2018 00:00

Symptoms of an Achilles Tendon Injury

If you have severe pain in the back of your heel, you may have an Achilles tendon injury. It is the body’s thickest tendon, and it connects the back of the heel to the calf muscles. When the foot pushes forward while running, the Achilles tendon absorbs the force necessary for this to be accomplished. The beginning of an injury is typically represented by a dull ache in the back of the heel, and the pain will increase in severity if the running activity continues. There may be several causes for this type of injury to occur, including a poor range of motion in the ankle, calf muscles that are weakened, and having flat feet. Specific exercises that are practiced may aid in the healing of an Achilles tendon injury, and it’s recommended to see a podiatrist for a proper examination.

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
Monday, 09 April 2018 00:00

What is Gout?

Gout is a form of arthritis, and there are several causes for this condition. If an excess amount of alcohol is frequently ingested, in addition to being overweight or having a predisposed inherited gene, gout may become a painful ailment to contend with. Food containing a large amount of purines, which may cause excess crystals to form and lodge in the joints, may be a source for this condition to occur. Extreme pain may become evident during an attack, accompanied with redness and swelling. Additional symptoms may include difficulty in moving the toe as a result of being stiff and tender. Bouts of this type of arthritis typically fade in 10 days, and recent research has suggested that there’s inconclusive evidence if and when another attack will reappear. If you are suffering from this affliction, please consult your podiatrist for prevention techniques, which may include dietary changes that are beneficial for you.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Richard Silverstein from Union Foot Care. Our doctor will treat your foot and ankle needs.

What Is Gout?

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

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

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

If you have any questions please feel free to contact our 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 Everything You Need to Know About Gout

There is a thick band of tissue that runs along the bottom of the foot connecting the heel to the toes. If this tissue should become torn and inflamed, it is referred to as a condition called plantar fasciitis. There are several functions of the plantar fascia, including maintaining the foot’s balance and how the walk is controlled. If this portion of tissue should become injured, the discomfort and pain that’s experienced may be disabling. One of the earliest signs of a tear or injury is pain that’s felt after sleeping when the first step is taken. There are preventative stretches that can be performed to strengthen the foot, which may help to avoid injury. It’s equally important to cease all activities that cause any discomfort, in addition to wearing the right running shoes with adequate arch support. If you suffer from this ailment, it’s suggested to consult with a podiatrist for additional information about plantar fasciitis.

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

Maintaining proper foot care is essential at any age, and it’s especially important for the elderly population to pay close attention to their feet. Commonly, assistance is often needed to properly trim the toenails because of eyesight concerns or experiencing difficulty in bending down. There are several steps to correctly trimming the toenails, and it’s suggested to start by soaking the feet in a warm bath to aid in softening the nails. It’s wise to thoroughly dry the feet, especially between the toes, and apply a moisturizer that will prevent the skin from cracking. Trimming the toenails straight across the nail bed can prevent ingrown toenails and infections from developing. Please schedule a consultation with a podiatrist for additional information on how to care for elderly feet.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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 Elderly and their Feet
Monday, 19 March 2018 00:00

Common Symptoms of Sesamoiditis

If you experience pain under the ball of your foot, you may have a condition that is referred to as sesamoiditis. There are small bones that exist within the sole of the foot, and a possible injury can cause inflammation to the tendons that connect the big toe to these bones. If this should happen, common symptoms may include pain being present while walking and running, in addition to experiencing difficulty standing on tiptoes. The skin typically does not show any signs of being swollen or red because the injured bones and tendons are deep within the foot. It generally stems from beginning any new activity that may involve running and jumping, typically indicative of a new sport. If you feel you are suffering from this ailment, it’s suggested that resting the foot by reducing the activity will be beneficial in promoting healing. Please consider a consultation with a podiatrist for more information about sesamoiditis.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If think you’re struggling with sesamoiditis, contact Dr. Richard Silverstein of Union Foot Care. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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 Sesamoiditis

If you choose to wear high heels frequently, you may experience pain that’s common among those selecting to wear this type of shoe. Typically, when high heels are worn, the ankles bend forward, often affecting the circulation in the feet. Most runners are aware of how the arches are affected from wearing high heels and may experience aches and pains in the calves. There are several options available that may help the feet feel their best while running, one of which is limiting the time high heels are worn. It’s important to rest your feet between runs, and this is often accomplished by wearing supportive shoes. Performing proper exercises that stretch and strengthen the feet is beneficial in keeping the feet healthy and may allow the sport of running to be enjoyed to its full potential.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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 Effect of High Heels on the Feet

Recent research has shown that a strong connection exists between conditions concerning the feet and obesity. The feet and ankles experience excessive stress from bearing the body’s additional weight, and concerns such as arthritis and heel pain can be commonplace. The tendons and ligaments may also be affected, and this may possibly cause the desire to exercise to gradually diminish as the weight increases. When foot pain exists, mobility may lessen, and this is often a result of the added pressure the bones of the foot must endure. Being obese may cause a multitude of foot issues, including fallen arches, gout, and tendonitis. If you are affected by this condition, wearing the correct shoes may aid in maintaining comfort. These may include choosing shoes that are wide enough and have ample support, in addition to having proper flexibility and cushioning. It’s advised to schedule a consultation with a podiatrist if you are affected by obesity and have foot or ankle pain.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned 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.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

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 How Obesity Affects Your Feet
Monday, 26 February 2018 00:00

What Are Flat Feet?

Flat feet is a common foot condition where young people typically have no painful symptoms, but may develop as they age. Flat feet may also be referred to as fallen arches, and commonly develop due to an inherited gene. The arch in the foot is not present or minimal, which causes the foot to lie flat against the floor while standing. The foot is comprised of 26 bones, in addition to numerous muscles and tendons. While walking, gravity from the weight of the body may cause pressure, often resulting in muscle imbalance, which may affect the arch of the foot. Age may also play a role in developing flat feet because the tendons surrounding the ankles may weaken, possibly causing the arches to fall. If you experience this condition, there are stretching exercises that can be performed to aid in preventing future foot issues from occurring. Please consider a consultation with a podiatrist if any pain is experienced for a proper diagnosis and treatment.

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 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, 19 February 2018 00:00

Exercises to Help Plantar Fasciitis

If you have flat feet, or a loss of the instep in your foot, you may experience heel pain that’s referred to as plantar fasciitis. Severe pain in the heel is often the result of inflammation of the ligament that runs along the bottom of the foot, known as the plantar fascia. This can be caused by wearing shoes that fit poorly or from an injury that damages the tissues. The Achilles tendon, which connects the heel to the foot, may also be affected, and it’s beneficial to incorporate stretching exercises into your daily routine. This will enhance the healing process and possibly relieve any discomfort associated with this ailment. There are several effective exercises which can accomplish this when performed daily. Some of these include standing on a step with the heels slightly hanging off and raising and lowering the leg. Additionally, rolling the arch of the foot over a tennis ball or a similar object will aid in helping the plantar fascia to become stronger.

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

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