January 2022

There are many causes of heel pain, including bursitis. The retrocalcaneal bursa is a fluid-filled sac located between the heel bone and the Achilles tendon. It cushions and lubricates the tendon as it slides over the heel bone, while acting as a shock absorber during walking and other movements. Excessive walking, running, jumping or other stress inducing activities placed upon the ankle may cause this bursa to become swollen, irritated, and inflamed. The skin at the back of the heel may be warm or red. The affected area may also become very sensitive to the touch, and painful during physical activity or when standing on your toes. If you feel this type of pain at the back of your heel that does not improve with rest, it is in your best interest to schedule an appointment with a podiatrist. They will perform a physical examination and may recommend certain conservative treatments such as icing, anti-inflammatory medication, orthotics or heel wedges to reduce stress on the heel, ultrasound and/or physical therapy, or possibly even steroid injections if other methods do not work.

Many people suffer from bouts of heel pain. For more information, contact Dr. Mark Spier of Maryland. 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 one of our offices located in Columbia and Reisterstown, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

If you feel pain in the big toe that is accompanied with a burning sensation or reddened skin, you may be afflicted with a condition known as gout. The pain associated with gout tends to be the strongest when you are resting or lying down, but it may subside when you are actively moving around. Eventually, untreated gout can make it more and more difficult to perform everyday tasks that include standing, walking, or climbing stairs. Gout is a type of arthritis that occurs when there is too much uric acid in the body (hyperuricemia). Needle-like crystals form in the joints causing them to become red, swollen, or inflamed. This condition typically begins in the base of the big toe but can spread to other joints like the ankles and knees. Symptoms can last from one day up to a few months, but with the elimination of certain foods and other lifestyle changes, they can be managed. If you think you have gout it is suggested that you contact a podiatrist as soon as possible to receive a proper diagnosis and a medical treatment plan. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Mark Spier from Maryland. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

People with diabetes can often lose feeling in their feet and the ability to heal ordinary cuts, abrasions or pressure points. This can lead to the development of non-healing wounds and far more serious complications. Foot care can help the diabetic keep their feet healthy and protected. The best way for diabetics to take care of their feet is by wearing quality shoes that fit perfectly and refraining from going barefoot — even in the house. Daily foot inspections are also a must in order to spot anything unusual. If any abrasion, discoloration, redness or purple area is detected, it is suggested that you seek the treatment of a podiatrist as soon as possible to avoid it festering and turning into a wound. For detailed information on diabetic foot care as well as regular foot checkups, please schedule an appointment with a podiatrist.

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. Mark Spier from Maryland. 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 one of our offices located in Columbia and Reisterstown, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Cuboid syndrome occurs when the cuboid bone in the midfoot becomes partially dislocated (subluxes). This can occur during an acute injury such as an inversion sprain of the ankle, or over time from jumping, running, etc., which can place repetitive strain on the muscle which attaches to the lateral (outer) side of the foot. When the cuboid bone subluxes, this can prevent surrounding bones from moving properly. It is believed that having flat feet, or a gait where your foot rolls inward when you walk may put you at higher risk of developing cuboid syndrome. Symptoms of cuboid syndrome can include lateral foot pain which worsens in the morning or during activity, swelling and tenderness in the area, an overall feeling of weakness or difficulty when walking, running or jumping. If you believe you may have cuboid syndrome, make an appointment with a podiatrist as soon as possible. They will use a variety of imaging and physical tests to assess your condition and create a comprehensive treatment plan to guide the cuboid bone back into position and relieve pain and swelling.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Mark Spier from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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