May 2022

The foot condition that is known as plantar fasciitis has been known to be similar to policeman’s heel or jogger’s heel. The pain that is associated with this condition is felt in the heel, and can become unbearable while walking or standing. The pain may intensify in the morning after arising. The plantar fascia is found on the bottom of the foot, and connects the heel to the toes. It is a shock absorber, and supports the arch in the foot. Plantar fasciitis occurs when this portion of tissue becomes irritated, and this can happen from wearing shoes that do not fit correctly. Additionally, it may happen from standing on hard surfaces for the majority of the day. The risk of developing plantar fasciitis may increase in patients who are overweight, or in people who frequently run. Some people have a tight Achilles tendon, which is the tendon that connects the heel to the calf muscles, and this can lead to plantar fasciitis. There are specific stretches that can be practiced which may help to diminish the pain. If you are afflicted with plantar fasciitis, it is suggested that you speak with a podiatrist as quickly as possible so correct treatment can begin. 

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Mark Spier from Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best 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.

Gout is an extremely painful form of arthritis. The pain and discomfort that many gout patients experience are the result of uric acid crystals that are caught between the joints of the feet. The big toe is generally affected by gout, and the pain that is associated with this condition can be debilitating. Gout may develop from genetic factors, or from eating foods that contain high levels of purines. These types of foods and drinks include red meat, shellfish, excess alcohol, and drinks that are made with large amounts of sugar. It is important to eat foods that are healthy and to engage in a regular exercise regime that may help to prevent painful gout attacks. Additionally, when blood pressure and weight are kept at a normal range, gout attacks may be reduced. Relief also may be found when adequate rest is gotten daily and the weight of blankets and sheets is kept off of the affected foot. If you suffer from gout, please seek the counsel of a podiatrist who can effectively treat this condition.

Gout is a foot condition that requires certain treatment and care. 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 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 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.

Flexing the foot is not something most people spend a lot of time thinking about until they can’t flex their foot. The process of raising the foot in the direction of the shin, known as dorsiflexion, comes naturally as you learn to walk. It happens as you push off the ground whenever you take a step. Dorsiflexion is the result of using the muscles and tendons in the front of the leg and depends on the deep peroneal nerve. If this nerve is damaged, you may be unable to flex your foot. Other possible causes of poor dorsiflexion include a tightened ankle joint, tight calf muscles, or an ankle injury that has not properly healed. Further, injuries to other parts of the body such as the knee, hip, or back, can affect dorsiflexion. Conversely, any problem with dorsiflexion can cause problems moving upward through the body, all the way to the shoulders. Exercises to stretch the calf muscles and strengthen the ankle joint are ways to improve dorsiflexion. If you are unable to flex your foot fully, or at all, please see a podiatrist for an examination, diagnosis, and treatment options.              

If you have any 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

The arch of the foot is critical in dispersing body weight throughout the foot. It also helps a person balance and propel themselves forward when they walk. This important structure made of tendons, bones and ligaments is a combination of three separate arches forming a triangular shape. The transverse arch spans the ball of the foot from side-to-side. The two other arches run from the ball of the foot to the heel: the lateral arch on the outside and the medial arch on the inside of the foot. If you feel pain in your arch it may be due to an inflammation of the plantar fascia tissue which supports the arch (plantar fasciitis). Or, you may have flat feet, which can cause your feet to roll excessively inward when you walk (overpronation) and flatten your arches. An abnormally high arch can also stress your ankle and cause pain. Even an inflammation of the posterior tibial tendon, which connects the inner area of the foot to a calf muscle, can cause pain in the arches. If your arches are painful, it's wise to call a podiatrist who will be able to properly diagnose and treat the area and discuss treatment options. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Mark Spier from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Arthritis in the first metatarsal phalangeal (MTP) or big toe joint is common, particularly as one begins to age. We use our feet to get us through life and normal walking, other movements, and wearing high heeled or improperly fitting shoes can stress the main joint of the big toe. Osteoarthritis or Hallux Rigidus is the most common arthritic condition affecting this joint and it can be quite painful and limit movement. The big toe may also become stiff and swollen. The best treatment for this condition is a fusion of the joint. The procedure fuses or welds together the two bones that make up the aching joint. It does not make the toe less stiff or restore motion, but it relieves the pain. An alternative procedure is a joint replacement of the big toe, but it is not ideal because the use of metal and plastic has not been successful in this type of joint replacement. It is not predictable in relieving pain, and repeated force on the joint with each step makes it less long-lasting than bigger joints, like the knee and hip. Options for treatment of a failed replacement are limited and may be replaced with bone grafting and joint fusion. If you suffer from pain in the joints of the big toe, consult with a podiatrist for the best treatment plan for you.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Dr. Mark Spier from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

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.