Items filtered by date: December 2021

Most people have heard of shin splints, which affect the lower leg bone as the result of hard pounding while running. But this same activity can also affect the metatarsals of the foot, resulting in stress fractures. Metatarsals are the five long bones in the foot that connect the heel and arch to the toes. The second and third metatarsals are those most likely to develop stress fractures, which are tiny cracks in the bones. This makes sense because this is the area of the foot that takes the brunt of pounding during activity. Stress fractures are thought to be more common in women and older people. Participating in certain activities – including running, playing basketball, dancing, and marching – also increases the likelihood of developing stress fractures. In addition, osteoporosis, arthritis, diabetes, and calcium deficiency can be contributing factors. It may be hard to tell if you have stress fractures, because often the pain subsides after you stop the activity. However, if you begin to feel the pain even when you are not exercising, it is suggested that you seek the care of a podiatrist, who can properly diagnose your condition and suggest an appropriate treatment plan.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Howard Horowitz from Bowie Foot & Ankle . 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 our office located in Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Your gait is the manner in which you walk. When a patient has a unique walking style or an abnormal gait, a podiatrist will often conduct a gait analysis to study their walking habits. Gait analysis can tell a lot about a person's body movements. This can help to determine what is causing imbalances in areas such as the hamstrings, glutes, quads, or calves. The analysis can take place on a treadmill or by simply walking down a hallway. In even more complex analyses, sensors and video recordings may be used to diagnose any areas of concern as the patient walks. Anyone struggling with pain as they walk should consult with a podiatrist to receive a proper gait analysis, and to customize a treatment plan that is specific to their walking pattern.

If you have any concerns about your feet, contact Dr. Howard Horowitz from Bowie Foot & Ankle . 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 our office located in Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Diabetic foot ulcers (DFUs) are open sores or wounds that often occur on the feet of people with diabetes. There are three main types of DFUs. Neuropathic ulcers constitute 90% of DFUs. They are associated with diabetic neuropathy and involve damaged nerves leading to a loss of sensation in the feet. Without sensation, it can be difficult to detect a wound until it has progressed. Ischemic ulcers are associated with peripheral artery disease (PAD), which causes poor circulation. Without adequate circulation, DFUs heal slowly and poorly. The third type of DFUs, neuroischemic ulcers, are caused by a combination of diabetic neuropathy and PAD. If you suffer from DFUs, it is strongly suggested that you are under the care of a podiatrist. 

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 Dr. Howard Horowitz from Bowie Foot & Ankle . 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 Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Heel Spurs are calcium deposits that form on the bottom of the heel near the arch. This area of the foot is referred to as the plantar fascia. Heel spurs can occur when the heel bone and plantar fascia are exposed to repeated stress. This type of stress can be due to over-stretching the plantar fascia, habitual tearing of the heel bone’s thin lining, and straining ligaments and muscles in the feet. The stress in this area usually also causes plantar fasciitis (an inflammation of the plantar fascia). Because heel spurs are not always painful, and usually occur along with plantar fasciitis, they can often go undetected. Symptomatic heel spurs can create a sharp pain, inflammation and tenderness, and feel warm to the touch. People who are obese, older, or who wear improper footwear, are more at risk of developing heel spurs, as well as those who participate in activities such as running and jumping repeatedly, or who suffer from osteoarthritis. A podiatrist will typically use X-rays to identify and diagnose heel spurs. If you believe you may have heel spurs, make an appointment with a podiatrist for an examination and analysis of your condition.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Bowie, MD . We offer the latest in diagnostic and treatment technology to meet your needs.