December 2024

Gout is a form of arthritis that results in sudden, severe pain, swelling, and redness, often affecting the big toe. It is more common in men, particularly those over the age of 40, although it can affect women, especially after menopause. Gout occurs when excess uric acid builds up in the bloodstream, forming sharp crystals that accumulate in the joints. This typically happens due to dietary factors, such as consuming high-purine foods like red meat, shellfish, and alcohol. Additionally, obesity, dehydration, or certain medical conditions like high blood pressure or diabetes can significantly contribte to developing gout. During a gout attack, the affected joint becomes intensely painful, swollen, and inflamed. While medication can help control symptoms, recurring gout attacks can lead to joint damage over time. A podiatrist can help manage gout by providing treatments like anti-inflammatory medications, dietary guidelines, and customized footwear to reduce joint stress. They can also assist in preventing future flare-ups. If you are experiencing gout symptoms, it is suggested that you schedule an appointment with a podiatrist.

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.

Stress fractures are a common injury among first-time marathoners, often caused by the repetitive impact of running long distances. These small cracks in the bones, typically found in the feet or lower legs, occur when the body is not given enough time to recover between runs. First-time marathoners are particularly susceptible due to a sudden increase in training intensity or from wearing inadequate footwear. Repetitive striking of the ground with each step, combined with poor running form or weak muscles, can lead to these microfractures. The primary cause of stress fractures is overuse, but factors like improper shoes, running on hard surfaces, or inadequate nutrition can contribute. Symptoms include localized pain, swelling, and tenderness that worsens with activity. Early intervention is key to preventing further injury. A podiatrist can diagnose the fractures, provide a treatment plan, and offer advice on proper footwear, running techniques, and rehabilitation exercises to prevent future issues. If you are a first-time marathoner experiencing pain, it is suggested that you schedule an appointment with a podiatrist.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Mark Spier from Maryland. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.

Drop foot, often referred to as foot drop, affects a person's ability to lift the front of the foot, which causes challenges with walking and balance. Foot drop commonly results from weakness or injury to the tibialis anterior muscle and tendon, which are essential for ankle and toe movement. Strengthening and stretching exercises that target these areas can significantly improve both mobility and stability. Movements like resisted ankle flexion and seated toe raises focus on building strength in the ankle. Certain stretches can help increase flexibility and reduce tightness. Consistently engaging in such targeted exercises may restore a more natural gait and reduce the risk of further complications in the foot and ankle. A podiatrist can assess the severity of foot drop and ensure that certain exercises and treatment methods are safe and effective for your specific needs. If you have problems with drop foot while walking, it is suggested that you schedle an appointment with a podiatrist for a gait evaluation and diagnosis.

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.

Rucking is an activity that involves walking or hiking while carrying a weighted backpack, often over long distances and challenging terrain. Originally a military training exercise, it has become a popular fitness activity that combines cardio and strength training. The repetitive stress from carrying heavy loads over varying terrain can lead to a variety of issues, including blisters, calluses, or foot pain. Selecting appropriate footwear is vital for reducing these risks. Look for durable, supportive shoes with good arch support, cushioning, and traction suitable for the terrain and weather. Properly fitted shoes that allow toe movement and accommodate your foot shape are essential. Additionally, keeping feet clean and dry during rucking is key to avoiding blisters and fungal infections. If discomfort persists, a podiatrist can assess your feet and recommend custom orthotics for added support. If you experience unusual or chronic foot pain after rucking, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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.

A Lisfranc injury refers to damage to bones in the midfoot, specifically the joint complex where the bones of the foot meet. This type of injury often occurs from a traumatic event, such as a car accident, sports injury, or a fall from height, where excessive force is applied to the foot. It can also happen in lower-impact scenarios, like twisting the foot awkwardly while walking or running. Symptoms of a Lisfranc injury include pain, swelling, bruising, and difficulty bearing weight on the affected foot. In severe cases, there may be visible deformity. Treatment depends on the severity of the injury. Minor injuries may be treated with immobilization, while more severe cases may require surgery to realign the bones and stabilize the joint. A podiatrist can accurately diagnose a Lisfranc injury through a physical exam and imaging, and develop a treatment plan to help restore function and alleviate pain. If you suspect a Lisfranc injury, it is suggested that you schedule an appointment with a podiatrist for the right care.

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.