Items filtered by date: December 2023

A toenail turning black could be more than just a cosmetic concern. Discoloration, particularly a black toenail, is often a sign of an underlying issue that may require attention. One of the primary reasons for a black toenail is a bruise beneath the nail caused by trauma or pressure, also called a subungual hematoma. This common occurrence can result from stubbing your toe or dropping a heavy object on it. It also is common among runners as a result of the repetitive impact of the toenail against the front of the shoe. Shoes that are too tight or poorly fitting may create friction, causing damage to the nail and leading to subungual hematomas. Further, fungal nail infections, particularly in individuals with compromised immune systems, diabetes, or vascular disease, can cause toenail discoloration. These infections thrive in moist environments, making sweaty feet more susceptible. Ingrown toenails, a painful condition where the nail grows into the surrounding skin, can also cause discoloration. This may lead to bacterial infections, contributing to the darkening of the nail. In rare cases, a black toenail may be a sign of subungual melanoma, a type of skin cancer. Although uncommon, it is essential to seek medical attention if you notice persistent discoloration that is not linked to trauma or fungal infections. Certain medications can lead to toenail discoloration, including cancer drugs, antibiotics, retinoids, and drugs used to treat autoimmune conditions. If you have noticed your toenail changing in color, it is suggested that you make an appointment with a podiatrist who can determine the cause, and offer treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact Jeffrey L. Bober, DPM of Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Hyperhidrosis is characterized by excessive sweating at any time. The two main types are primary focal hyperhidrosis and secondary generalized hyperhidrosis. Distinguishing them is vital for proper care. Primary focal hyperhidrosis often starts in childhood and is possibly linked to genetics. It results in localized sweating in areas like the feet. Regardless of activity or temperature, excessive sweating occurs, impacting daily life and possibly causing skin issues. Secondary generalized hyperhidrosis is typically diagnosed later in life and may relate to other health conditions or medications. Sweating affects the entire body, including night sweats, unrelated to exercise or anxiety. Complications of hyperhidrosis can include social and emotional challenges, such as embarrassment, social isolation, and anxiety. Psychological impacts affect confidence, work performance, and relationships. Skin related issues like maceration and fungal infections are common due to continuous moisture. If you or your child suffers from hyperhidrosis of the feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis so that appropriate treatment can be administered, and possible complications can be avoided.

If you are suffering from hyperhidrosis contact Jeffrey L. Bober, DPM of Maryland. Our doctor can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

If you have any questions please feel free to contact our office located in Glen Burnie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Bunions are bony protrusions that form at the base of the big toe due to prolonged stress on the metatarsophalangeal joint. Detecting them is relatively straightforward through visual inspection, often supplemented by X-rays to assess their severity. For runners, bunions can pose significant challenges, exacerbated by poorly fitting running shoes. Many running shoes, characterized by tapered toe boxes and raised heels, can contribute to bunion development over time. Treatment options range from the simple act of changing shoes and employing pain management techniques, such as medication, to using toe spacers and performing bunion massages. If conservative approaches fall short, surgical intervention may be an option, although it is not always a permanent fix. If you are a runner and have a bunion that is causing you pain, it is suggested that you make an appointment with a podiatrist to discuss pain management techniques that might help you.

If you are suffering from bunions, contact Jeffrey L. Bober, DPM of Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact our office located in Glen Burnie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Engaging in high-impact sports can be exhilarating, but it is also essential to recognize their potential consequences on the feet. The repetitive stress and force associated with activities such as running, basketball, or soccer can lead to various foot-related issues. The constant pounding on hard surfaces can contribute to stress fractures, impacting the bones in the feet. Additionally, the intense footwork involved in high-impact sports may lead to conditions like plantar fasciitis, where the connective tissue along the bottom of the foot becomes inflamed. Ankle sprains are another common occurrence, as sudden stops or changes in direction can sprain the ligaments. The pressure exerted during high impact activities can also contribute to the development of bunions, calluses, and neuromas. Wearing proper footwear, regular stretching, and attentive foot care are vital for athletes participating in high-impact sports, allowing them to enjoy the thrill of these activities while minimizing the risk of enduring long-lasting foot repercussions. If you are interested in learning more about how high-impact activities can affect the feet, it is suggested that you consult a podiatrist who can offer you additional information on foot protection.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Jeffrey L. Bober, DPM from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact our office located in Glen Burnie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.