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  • Nerve Disorders of the Foot and Ankle

    Similar to well known nerve disorders in the hands, such as carpal tunnel syndrome, nerve disorders that affect the foot and ankle occur in patients for reasons ranging from stress to genetics. Nerve disorders of the foot should be addressed right away because they may be immobilizing in serious cases. Two of the most common nerve disorders of the foot and ankle are Interdigital Neuroma and Tarsal Tunnel Syndrome.

    Interdigital Neuroma is caused by localized inflammation of one of the nerves that controls toe sensitivity in the frontal area of the foot. This inflammation is generally only found in the second or third interspace, and any other symptoms similar to Neuroma on other digits should be checked against other disorders. Symptoms include chronic burning or tingling sensations between the affected toes which can, at times, migrate to the toes themselves. This pain is often increased by walking, running, or by wearing shoes that compress the toes, such as high heels. A doctor should be consulted if this pain is chronic and if the symptoms get worse.

    Typical examinations to determine the presence of Neuroma include radiographs, MRIs, and even bone scans of the affected area. Bone scans are only required if degeneration of bone is suspected, however. Surgery is often not required to alleviate the symptoms of Neuroma, and in many cases functional orthotics can be used to alleviate the stress of constant weight on the affected toes. Surgery is recommended for those patients that suffer from symptoms for 6 months or more, so reporting symptoms early can increase the rate of non-surgical recovery.

    Tarsal Tunnel Syndrome, a condition that is less common than Interdigital Neuroma, is similar to Carpal Tunnel Syndrome in that it is caused by a compression of the nerve caused by any number of factors (mostly associated with excess pronation). Typically seen in those that have either flatfeet or valgus heel positions, Tarsal Tunnel Syndrome has patients complaining of moderate to severe ankle pain that starts along the bottom of the foot and often proceeds to the calf. Some more extreme cases occur with partial numbness and even atrophy of the foot and surrounding muscles.

    If there is a good chance that someone has Tarsal Tunnel Syndrome, an EMG test is often used to diagnose the condition. If the diagnosis is positive, an MRI can be used to identify the compression of the nerve. Treatment with NSAIDS, functional orthotics, and rest off of the feet is often prescribed, but again, long standing symptoms require surgery, as do exacerbated symptoms caused by lesions present between nerves.

  • Research Allows a Greater Understanding of Peripheral Neuropathy

    New research will create greater understanding of the underlying molecular mechanisms of peripheral neuropathy and hopefully lead to new treatments, Medical News Today reports. The new discovery involves the activity of the brain’s anterior cingulate cortex (ACC), thought to be the area often involved in pain processing. In peripheral neuropathy, the damaged nerve fibers have a heightened response to normal singers and send incorrect messages to pain centers in the brain. In diabetic neuropathy, one of the most common forms of peripheral neuropathy, pain often begins in the feet before moving up the legs.

    Nerve disorders of the feet and ankles can become very cumbersome. If you have any concerns about your feet and ankles contact Dr. Jon M. Sherman of Kentlands Foot and Ankle Center . Our doctor will treat your foot and ankle needs.

    Nerve Disorders of the Foot and Ankle

    There are two nerve disorders of the foot and ankle called Interdigital Neuroma and Tarsal Tunnel Syndrome. These conditions affect the hands as well, and are cau sed by stress and genetics. People who suffer from Interdigital Neuroma and Tarsal Tunnel Syndrome are prone to serious pain and inflammation in the area.

    Pain that is associated with Interdigital Neuroma is often from local inflammation in the nerves in the front of the foot. Symptoms include pain, burning, and/or tingling sensations of the toes.

    There are several steps a doctor will take to determine if one has Neuroma such as: radiographs, MRIs, and bone scans. Surgery is not required in many instances, and should only be considered when the patient is suffering from persistent pain.

    Tarsal Tunnel Syndrome is a condition that is less common than Interdigital Neuroma. It only seems to affect patients who have severe ankle pain which begins in the bottom of the foot extending all the way to the calf. In other instances one may encounter partial numbness and atrophy if the cases are extreme.

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

    Read more about nerve disorders of the foot.

  • Foot Therapy for Sports Injuries

    Whether in practice or in the game, athletes put their bodies through great stress. Some sports tax and demand more from the body than others, but every sport has an element of inorganic movement or unnatural motion. For ample, in softball, a pitcher winds up and flings her body with incredible amounts of dexterity in order to get the most ideal velocity out of her pitches. This motion, incredibly taxing on the body, can cause serious injury.

    With regards to athletic injuries, one of the most common issues resides in the feet. Whether a damaging fracture that leaves athletes sidelined or simple turf toe, foot injuries can be very frustrating and painful. Regardless of sport, athletes require use of their feet in some fashion. This is why foot therapy is so vital in order to get athletes back on the right track and training again to return to the field.

    No matter the injury, the best way to speed up the recovery period is to receive physical therapy. Physical therapy as a founded practice has proven to work for millions of people. Physical therapists are trained specifically to help people return to proper form from any injury, having gone through years of schooling in order to do so.

    During physical therapy, you will go through organized training in order to get back into form. Sometimes training can be quite difficult, especially in the beginning when there is more pain and the foot feels awkward. To alleviate that you will do basic twisting and stretching exercises in order to get flexibility and foot mobility back up. The therapist will also massage the injured area in order to activate and relax muscles. Over time you will eventually move up to strengthening exercises, designed specifically so that activation of the injured area is ensured.

    Foot therapy for sports is a modern science miracle. Devoid of fancy chemicals and terminology, physical therapy is an evidence based practice that is well designed as any other. Due to huge advancements and knowledge of muscles and joints, physical therapists can turn catastrophic injuries around so athletes can return to the game once more.

  • Preventing Blisters for Events Such as Ironman Kona

    With the return of fall weather , it is important to get the feet prepared for blister prevention during the boot weather months. When purchasing shoes it always best to make sure you are getting the correct size and fit of the shoe. A shoe that is too tight will definitely cause blisters on the feet. Rubbing a blister block or silicone based hair serum on blister prone parts of the feet can help reduce friction if you already have shoes that are too tight. On the chance that you are unable to take the proper measures to prevent a blister and get one anyways, make sure to keep durable band aids on you to allow it to heal properly.

    Blisters are prone to making everyday activities extremely uncomfortable. If you have any concerns with blisters on your feet contact Dr. Jon M. Sherman of Kentlands Foot and Ankle Center . Our doctor will treat your foot and ankle needs.

    Foot Blisters

    Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

    What are Foot Blisters?

    A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

    How do Blisters Form?

    Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

    Prevention & Treatment

    It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a doctor.

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

    Read more about blisters on the feet.

  • Blisters on the Feet

    Blisters are a common ailment of people who wear shoes that are either too tight or rubbed up against their feet in the wrong way while wearing them. In order to better understand how they are formed and what treatment should be used for them, you have to start with the basics of what a blister actually is.

    A blister on the foot, or any other part of the body for that matter, is a small pocket that is filled with fluid. It usually forms on the upper layer of the skin because these layers are loose enough to allow a blister to form. The most common fluid in a blister is just a clear, watery like fluid that should not cause any concern. However, blisters can fill up with blood if they are deep enough and even pus if they have become infected with bacteria.

    Blisters almost always form on the feet due to shoes rubbing up against the foot, where the friction causes blisters. These can occur after you have walked for a long period of time for example, or when your shoes simply do not fit you properly. They also form faster and easier if your feet are moist, so keeping them dry and clean is a preventative step you can take to avoid getting blisters.

    Preventing infection should be the number one concern when treating blisters, as well as alleviating the pain they can cause. Using a band aid to cover up the blister will help it heal and prevent bacteria from entering it. New skin will form under the blister and eventually cause it to pop, or you can take a pin and try to pop it yourself.

    If the blister is filled with pus or blood, seeking treatment from a doctor is ideal. Antibiotics might need to be taken in order to completely eliminate the bacteria inside the blister, and that needs to be prescribed by a doctor.

    However, one of the best ways to treat blisters is to prevent them all together. Keeping your feet dry and making sure that your shoes fit properly are just two of the steps you can take to prevent blisters. Shoes that are too tight or shoes that are too loose and allow your feet to slide in them will cause blisters. Applying a band aid to an area you think might get a blister before one pops up is another way you can prevent them.

  • Tour de France Winner Breaks Foot During Vuelta a Espana

    Tour de France winner, Chris Froome , will have to withdraw from the Vuelta a Espana after suffering from a broken foot. The injury occurred after Froome crashed during the rocky ride through Andorra. Although the French cyclist was looking to win both the Tour de France and Vuelta a Espana just like fellow cyclists Jacques Anquetil (1963) and Bernard Hinault (1978), the crash diminished those goals early. “Really appreciate all the messages of support, I did my best to hang in there today as best I could with the hop of continuing,” Froome stated on Twitter after the injury.

    A broken foot requires immediate medical attention and treatment. If you are seeking treatment for a broken foot, visit Dr. Jon Sherman of Kentlands Foot and Ankle Center . Our doctor will assess your injury and provide you with quality treatment.

    Broken Foot Causes, Symptoms, and Treatment

    A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury.

    Common Symptoms of Broken Feet:

    • Bruising
    • Pain
    • Redness
    • Swelling
    • Blue (foot)
    • Numbness
    • Cold
    • Misshapen
    • Cuts
    • Deformities

    Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

    Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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

    Read more about Broken Feet

  • Causes, Symptoms, and Treatment for a Broken Foot

    One out of ten broken bones is reported in the feet. When an object crushes, bends, or stretches the bone beyond acceptable ranges, bones break. A break in the foot is either a fracture or a straight break.

    The location of any break can tell you how the break happened. Toes, for instance, break typically as a result of something being kicked hard and with great force. Heel breaks almost always are as a result of an improper landing from great height. Twists or sprains are the other two frequent occurrences, and as with all usual breaks, result from unexpected accident or sudden injury. As with stress fractures, breaks form as a process over time—repeated stress on already present cracks. Runners, dancers, and gymnasts are the usual athletes who receive this type of break—stress fractures occur from incredible pressure on the feet. It is no surprise these athletes bear the majority of reported fractures.

    Pain, swelling, bruising, and redness are all indicative of the typical symptoms from a broken foot. Severe pain—to the point of not being able to walk—usually depends on the location of the break in the foot. Toes are on the lower scale of pain threshold, but heels are high—as are a few other particular bones. As the severity of the broken foot increases, symptoms like blueness, numbness, misshaping of the foot, cuts, or deformiti es will crop up and indicate the requirements of a medical professional with access to an x-ray facility.

    Prior to this severe point however, reduction of pain and swelling at home should be the first priority. Elevate and stabilize the foot, don’t move it. Immobilization of the foot is the next priority, so jury-rigging a homemade splint is acceptable. Keep in mind while creating a splint, any increase of pain or cutting off blood circulation means that the splint should be removed immediately. Use ice to decrease swelling and alleviate pain symptoms.

    When dealing with a medical center, the patient should note that the treatment will be different from what is stated dependent on which foot bone has been fractured and the cause of the break. Crutches, splits, or casts are common treatments while surgery has been known to be used in more severe cases in order to repair the break in the bone or bones.

  • Sneakers Becoming More Popular than High Heels due to Comfort

    When it comes to fashion, many people would assume that footwear such as high heels, sandals and espadrilles would always remain in style. In the past, sneakers had always been associated with sports performance; a realm beyond fashion. Trends appear to be changing, however, as sneakers are becoming more and more prevalent with the revival of casual comfort in fashion footwear. Jaime Barr, footwear and accessories editor at trend forecasting firm WGSN, shared, “Now that people are used to having comfort features worked into their shoes it’s going to be really hard to go back.”

    High heels have a history for causing foot and ankle problems. If you have any concerns about your feet contact Dr. Jon Sherman of Kentlands Foot and Ankle Center . Our doctor will treat your foot and ankle needs.

    Effects of High Heels on the Feet

    High heels are popular shoes among women because they are associated with femininity. Despite their appeal, they can cause many health problems if worn too frequently.

    What parts 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. Also, 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; you can buy either full inserts or metatarsal pads.

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

    Read more about the effects of high heels.

  • Effect of High-Heels on the Feet

    For hundreds of years, women have been wearing various kinds of high-heels for mostly aesthetic reasons. Women who wear high-heels appear to be taller and to have longer and thinner legs, and the wearer’s gait and posture changes. Though high-heels have had an association with femininity and have kept them popular over the years, there are definite health problems caused by wearing them too frequently.

    The motion of the ankle joints is limited when heels are worn. The ankle joint is very important to the body when it comes to walking. Because of their location, these joints have a great deal of weight put on them. Thus, it is very important to keep them as healthy as possible. The Achilles tendon is the main tendon in the ankle. Wearing high-heels too often, studies have shown, can cause the calf muscle and Achilles tendon to shorten and stiffen, which can cause problems when shoes without heels are worn.

    By putting a great deal of pressure on the ball of the foot, by forcing the toes into a small toe box, high-heels can cause or may worsen many foot problems, such as corns, hammertoe, bunions, Morton’s neuroma and plantar fasciitis.

    Not only does wearing very high-heels regularly have negative effects on the feet, the rest of the body can suffer as well. The knees, one of the most important joints in the entire body, can be affected by wearing high-heels. High-heels causes the knees to stay bent all the time. Also, it can cause them to bend slightly inward as well. Doctors believe that women can suffer from osteoarthritis later in life because of constantly walking like this. By limiting the natural motion of the foot during walking, high-heels also cause an increased in stress on the knees.

    Similarly, the back may also be affected by high-heels because it causes the back to go out of alignment. If high-heels are worn constantly, the spine’s ability to absorb shock can cause continued back pain. They can compress the vertebrae of the lower back, and can overuse the back muscles.

    However, this is not to say that high-heels can never be worn. If worn occasionally, they will not cause serious problems. They should not be worn every day in order to avoid the long-term physical health problems of the feet, knees, ankles, and back like mentioned above.

  • Diabetic Foot Care

    Millions of people are affected with diabetes each year. Diabetes damages blood vessels in all parts of the body, especially the feet. The legs and feet may develop slow blood flow, which causes neuropathy (nerve damage). Once a diabetic patient develops neuropathy, it is important that the feet are well taken care of, or else the lower limbs may have to be amputated. This only happens in drastic cases, but it shows how seriously diabetic foot care should be taken.

    It is very important to always wash and dry the feet thoroughly, especially in between the toes, when diabetic. Secondly, examining your feet and toes for redness or sores must be done, even if you do not feel pain. You may also want to examine your feet from the bottom. Try to avoid wearing colored socks to prevent infections that may occur from the die. Additionally, well-fitting socks are highly recommended.

    A diabetic’s physician should always monitor their blood levels to test how well the blood sugars are being controlled during the p. In addition to giving advice about everyday eating habits and foot care, a physician may prescribe medicine to help with neuropathy of a diabetic patient. It is also advised to see a podiatrist if experiencing any feet conditions. Toe nails may also need to be taken care of by a podiatrist, since some patients may cut too deep around the cuticles, causing infection.

    A person can take care of their feet at home by following the instructions of their physician. Using creams on one’s feet is also an effective way to heal dryness. When using tools to remove calluses, use caution, as severe diabetics may not be able to feel pain on their feet. If any complications arise do not hesitate to call a podiatrist.

    On a daily basis, diabetic feet must be checked. If you are ever concerned about something, contact your health care professional. You never want to wait until a wound gets too bad to treat. If left untreated, gangrene may develop. Gangrene is a serious infection that can cause in diabetics that can lead to sepsis or amputation. It is also important for diabetics to be on the lookout for ulcers. Ulcers are sores that develop from tissue loss on the skin. They can be quite painful and require intensive treatment. Early treatment and everyday inspection are imperative to staying healthy.