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Tuesday, 17 October 2023 00:00
Foot Surgery
In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.
The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.
While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.
Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries.
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Tuesday, 10 October 2023 00:00
Alternative Therapies for Non-Healing Diabetic Foot Ulcers
Maggot therapy, also known as Maggot Debridement Therapy, MDT, or Larval therapy, has a long history in medicine and has gained recent recognition for its unique ability to save limbs. This biotherapy involves placing disinfected maggots, often the larvae of the greenbottle blowfly, on wounds, such as diabetic foot ulcers, to debride necrotic tissues. It is particularly effective when antibiotics fail to combat bacterial infections in non-healing wounds, potentially preventing limb amputations. Maggots work by secreting special enzymes, which break down necrotic tissue, making it easier to digest and absorb. They also produce antibiotic-like agents and release ammonia to inhibit bacterial growth in the wound. Administration involves placing sterile maggots within a dressing on the wound for 48 to 72 hours. This therapy has broad applications, including diabetic ulcers, vascular ulcers, pressure ulcers, and even malignant wounds. Studies have shown that maggot therapy accelerates wound healing, reduces necrotic tissue, and decreases wound odor. While this therapy is highly effective, it should not be used for wounds near vital organs or blood vessels and in septic patients. Additional research can further expand the applications of this therapy, however, it saves 40 to 50 percent of limbs when used as a last resort. If you have a non-healing diabetic foot wound and would like alternative treatments for healing, it is suggested that you make an appointment with a podiatrist to discuss this further.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Jeffrey L. Bober, DPM from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
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.
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Tuesday, 10 October 2023 00:00
Wound Care
Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.
Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.
To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.
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Tuesday, 03 October 2023 00:00
Types and Severity of Ankle Sprains
Ankle sprains are a common injury that can happen to anyone, from athletes to those simply walking down the street. Understanding the different types and severity of ankle sprains is necessary for proper diagnosis and treatment. Mild ankle sprains typically involve stretching or slight tearing of the ligaments. These sprains are characterized by minimal pain and swelling and usually recover with rest, ice, compression, and elevation. Moderate ankle sprains, on the other hand, result in more extensive ligament damage, leading to more pain, swelling, and difficulty bearing weight or walking. Treatment often requires immobilization of the ankle joint with a brace or cast and can take several weeks to heal. Severe ankle sprains represent a complete tear of one or more ligaments, causing extreme pain, swelling, and instability. Bearing weight is impossible. In such cases, treatment may involve surgery and a months-long recovery period. Prompt evaluation and appropriate care for ankle sprains are essential to prevent chronic sprains. If you suspect an ankle sprain, it's suggested that you make an appointment with a podiatrist for a full exam and appropriate treatment based on the severity of your injury.
Ankle sprains are common but need immediate attention. If you need your feet checked, contact Jeffrey L. Bober, DPM from Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
- Mild to moderate bruising
- Limited mobility
- Swelling
- Discoloration of the skin (depending on severity)
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
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.
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Tuesday, 03 October 2023 00:00
Three Grades of Ankle Sprains
An ankle sprain occurs when one or more ankle ligament gets overly stretched. Ligaments are strong bands of tissue that bind and support the bones and other structures that make up the ankle. In more severe ankle sprains, the ligament(s) tear—either partially or completely—and there may be an audible popping noise at the moment of injury.
Ankle sprains are quite common and can occur when the ankle rolls outwardly (eversion) or inwardly (inversion), causing the ligament(s) to stretch beyond normal limits, or even tear. Falls, twists, or blows to the ankle during sports or other activities can cause this injury, as well as wearing improper footwear, running on uneven surfaces, or having weak ankles.
Depending on the injury’s severity, an ankle sprain will be classified as Grade I, Grade II, or Grade III. Grade I sprains involve ligament(s) being overly stretched but not torn, with symptoms of mild pain, swelling, and ankle instability. There may also be some difficulty bearing weight. A Grade II sprain usually involves a partial tear of the ligament which brings more intensity in these symptoms, along with possible bruising. With a Grade III sprain, the ligament is completely torn, the symptoms are severe, and it may not be possible to put weight on the affected foot at all.
To diagnose and grade an ankle sprain, a podiatrist will perform a physical examination, checking for tenderness and range of motion in the ankle. For more severe sprains, X-rays or other imaging studies may be necessary.
It is vitally important to have an ankle sprain treated properly as improper healing often leads to future ankle sprains and possibly even chronic ankle stability. Treatment for an ankle sprain will vary, depending on its severity, and may include the RICE method (Rest/Ice/Compression/Elevation), physical therapy, bracing, medications, and possibly even surgery to repair a torn ligament. Rehabilitation is very important for the sprain to heal properly and to restore functionality.
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Sunday, 01 October 2023 00:00
We Can Treat Your Foot or Ankle Pain
Foot or ankle pain can negatively affect your day-to-day life and can occur due to several different conditions. Pain can also be an indicator of a more serious underlying condition, which is why you should seek professional help as soon as you notice any abnormalities in your feet.
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Tuesday, 19 September 2023 00:00
Dealing With Toenail Fungus
Toenail fungus, or onychomycosis, is a condition caused by dermatophytes, a group of fungi that thrive in warm, damp environments like your feet. It often begins as a white or yellow spot under the tip of the toenail and can progress to thickening, discoloration, and even nail detachment if left untreated. Ways to treat and subsequently prevent toenail fungus include washing your feet daily with soap and water, paying special attention to the toenails, and then drying your feet thoroughly, including the spaces between your toes to prevent moisture buildup. Wear shoes made of breathable materials, like leather or mesh, to reduce moisture accumulation and avoid wearing tight-fitting shoes for extended periods. In addition, change your socks daily, and opt for moisture-wicking socks if you sweat excessively. Use antifungal foot powder or spray to keep your feet dry and prevent fungal growth. Wear flip-flops or shower shoes in communal showers, locker rooms, and pool areas to minimize the risk of exposure to the fungus. If your toenail fungus persists or worsens despite these measures, it is suggested that you make an appointment with a podiatrist who can recommend prescription medications, laser therapy, or in severe cases, surgical nail removal.
For more information about treatment, contact Jeffrey L. Bober, DPM of Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
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.
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Tuesday, 19 September 2023 00:00
How to Treat Your Toenail Fungus
While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.
There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.
Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.
While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.
Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.
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Tuesday, 12 September 2023 00:00
How to Choose the Right Running Shoe
Selecting the right running shoe is crucial for a comfortable and injury-free running experience. This can begin by determining your foot type, which can consist of overpronator, supinator, or neutral. Overpronators need shoes with extra stability, while supinators benefit from cushioning and flexibility. Neutral runners require a balance between both. This is followed by considering your running terrain. Trail runners can choose shoes with durable outsoles and adequate grip, while road runners can go for lighter options with more cushioning. Pay attention to shoe size, ensuring ample room for toe splay, while preventing excessive movement. It is beneficial to try shoes on in the afternoon when your feet are at their largest. The fit can be tested by running or jogging in the store, if possible. Additionally, consider your running goals and any specific needs you have, such as arch support or wide widths. If you would like more information about the various types of running shoes and which one is best for you, it is suggested that you confer with a podiatrist.
You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Jeffrey L. Bober, DPM from Maryland. Our doctor can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.
Tips for Finding the Right Running Shoe
- Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
- There should be little to no slipping at the heel
- Don’t assume your size in one shoe brand will be your size in another
- Do not lace up your shoes too tightly
- Walk around in the store with your new shoes before you buy them
If you have any questions please feel free to contact our our office located in Glen Burnie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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Tuesday, 12 September 2023 00:00
Choosing the Right Running Shoe
Choosing the right running shoes for you is an important part of running. A good pair of running shoes will make the running experience more enjoyable for you and prevent potential injury.
Poorly-fitted shoes can increase the risk of injury in runners substantially. Common injuries from running with poor quality shoes include shin splints, sprained ankles, Achilles tendinitis, stress fractures, plantar fasciitis and more. This is due to the fact that bad shoes do not provide proper foot support, can increase pronation (how much the foot rolls when hitting the ground), have little to no cushioning, do not allow the feet to breath, and do not provide enough flex and rigidity in the right parts.
When looking for running shoes, first, determine where you will be running. If you are a trail runner, then pick trail shoes. If you run on concrete and asphalt, then regular running shoes are the best choice. When trying on shoes, its best to go at the end of the day as feet grow during the day and shrink after a night of sleep. Shoes should be more rigid towards the back of the foot while being more flexible up where the toes are. The toe box should provide enough room for the toes to move freely. The overall fit should be snug, not too tight but not too loose. A good pair of running shoes should also provide enough arch support for your foot type. If you experience overpronation or under-pronation while running, try to find a pair of shoes that will help correct this with different sole patterns. Finally, try to find a pair of shoes that allow the feet to breathe like nylon mesh or synthetic leather.
Don’t forget about the socks either. Socks that hold too much moisture can lead to athlete’s foot. Socks should be breathable so that your feet can air out and breathe. Synthetic socks wick away moisture like sweat. If you tend to run a lot, having a second pair of shoes that you can wear while you let the first pair air out is smart. Just don’t forget to replace your shoes after about every 300 to 500 miles.
Before you start running, it is advised to see a podiatrist to see if running is right for you. They can also offer good advice on how to run and what to look for in a pair of running shoes. If you have flat feet or poorly supported ones, they can also offer custom-made orthotics that will help give your feet the support they need.
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