June 2023

Toenail fungus is a stubborn and unsightly foot condition. It often begins on the nail of the big toe and may travel to the other nails if treatment is not received. It is caused by a fungus that lives in warm and wet environments, such as public swimming pools, gym locker rooms, and similar places. The fungus can enter the body through tiny cracks that are on the skin of the feet. It is easy to prevent this from occurring by wearing flip-flops or water shoes while in these areas. There may also be existing medical conditions that can lead to the development of toenail fungus. These can include diabetes, poor circulation, or illnesses that can affect the immune system. It is beneficial to limit wearing pantyhose, which may cause the feet to sweat and be at risk of developing toenail fungus. If you have this condition, it is suggested that you confer with a podiatrist who can offer prescribed medication or other viable treatment options.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Mark Spier of Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

A stress fracture is an injury that gradually develops. It is a common ailment among runners and can happen from overuse. The repetitive motion of running may cause the bones to weaken from the constant pounding on the running surface, causing the foot to become weak. Some of the symptoms that are associated with a stress fracture can consist of an aching pain in the affected area and can occur when training begins or intensity increases. The pain may also be present when the foot is rested, and after appropriate measures are taken for relief. It is beneficial to practice warm-up and cool-down techniques before and after running, in addition to slowly increasing speed and mileage. A stress fracture may be treated by temporarily stopping the activity that caused the condition, and wearing a protective boot may aid in mobility. If you have pain in your foot, and think you may have a stress fracture, it is suggested that you confer with a podiatrist who can properly diagnose and treat the problem.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Mark Spier from Maryland. 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 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.

Many diabetic patients realize the importance of maintaining proper foot care. This can be an overwhelming task to accomplish, and it is beneficial that small steps are taken that can simplify the process. It is important to engage in a gentle exercise program frequently, and this can help to improve blood circulation to the feet, as well as the overall body. Eating healthy foods that can comprise a healthy diet may help to monitor glucose levels, and existing nerve damage may be controlled. Stress can raise blood pressure, and elevating the feet at the end of the day may give them a needed rest and may help to reduce existing stress. Additionally, inspecting the feet daily can reveal any cuts and scrapes that have developed. Many people who are diabetic experience neuropathy, which is the inability to feel sensation in the feet. Family members or caregivers may help patients to see the soles of their feet by helping them to use a mirror. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

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.

We learn to walk at an early age, putting one foot in front of the other to get somewhere else. Unless you are on a trail or other uneven surface, most people have a smooth and even gait. When this normal pattern changes and the walking is less steady, it may be a sign of a problem termed ataxic gait. Symptoms include dizziness or vertigo, shuffling, loss of balance, and stumbling. Among the causes of an unsteady gait are cardiovascular disease, musculoskeletal or neurological disorders, infections, or certain medications. Someone with an unsteady gait may exhibit changes, such as standing or walking with the feet wider apart, walking more slowly, or falling more often. If you notice such changes in behavior around walking, it is suggested that you make an appointment with a podiatrist for a gait evaluation. You may be asked to walk toe to heel, and your stance, step length, and balance will be noted. At that point, the podiatrist can recommend the proper course of action for you to take to address the problem of an unsteady gait.  

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.