Swollen feet and ankles can result from various causes. Prolonged standing or sitting, particularly during travel, can lead to fluid accumulation in the lower extremities. Injuries such as sprains or strains often cause localized swelling as part of the body's natural response to trauma. Medical conditions like heart disease, kidney problems, and liver disorders can also lead to swelling due to fluid retention. Additionally, pregnancy frequently causes swollen feet and ankles from increased pressure on the veins. Certain medications, including those for high blood pressure or diabetes, may have swelling as a side effect. Lifestyle changes like regular exercise, elevating the legs, and wearing compression socks may help to manage and reduce swelling. Swollen feet and ankles also may indicate an underlying health condition. If you have swollen feet and ankles that are causing discomfort, it is suggested that you schedule an appointment with a podiatrist who can uncover the reason and offer you relief remedies.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Dr. Howard Horowitz of Bowie Foot & Ankle . Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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

An ingrown toenail occurs when the edge of a toenail grows into the surrounding skin, causing pain and swelling. This often happens due to improper nail trimming, wearing tight shoes, or having naturally curved nails. When the toenail pierces the skin, it can create an entry point for bacteria, leading to an infection. Signs of an infected ingrown toenail can include redness, swelling, warmth, and pus. If the infection is not treated, it can worsen, leading to severe pain, increased swelling, and potentially serious complications such as spreading the infection or a bone infection. To treat an ingrown toenail infection, start by soaking the affected foot in warm, soapy water several times a day to reduce swelling and relieve discomfort. After soaking, apply an antibiotic ointment and cover the area with a clean bandage. Avoid wearing tight shoes and opt for open-toed footwear to reduce pressure on the toe. If the infection persists or worsens, it is suggested that you schedule an appointment with a podiatrist who can provide proper treatment, which may include minor procedures to remove part of the nail and prevent further issues.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Howard Horowitz of Bowie Foot & Ankle . Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Diabetic peripheral neuropathy is a common issue for individuals with type 2 diabetes, with nearly half experiencing this complication. This condition arises when prolonged high blood sugar levels cause damage to the nerves, especially in the feet and lower legs. Symptoms of peripheral neuropathy include numbness, tingling, burning sensations, and muscle weakness, which can progressively disrupt daily activities. A significant concern is “diabetic foot,” where the loss of feeling and poor blood flow can lead to ulcers, infections, and in severe cases loss of limb. Diabetic neuropathy also can increase the risk of falls and fractures due to lack of sensation in the feet, impaired balance and reduced coordination. Factors such as smoking, high blood pressure, obesity, and cholesterol issues can further increase the risk of developing this diabetic peripheral neuropathy. Early detection and proper management are of extreme importance. If you notice unusual sensations in your feet or lower legs, especially persistent numbness or pain, it is suggested that you make an appointment with a podiatrist who can conduct a thorough examination and recommend a personalized treatment plan. 

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

Gout is a form of inflammatory arthritis that causes painful flares typically lasting for a week or two. It most often affects the big toe, but also can develop in ankles. Gout is triggered by the accumulation of urate crystals in the joints, resulting from high levels of uric acid in the body, termed hyperuricemia. This can lead to crystal formation, though not everyone with elevated uric acid levels develops gout. The disease progresses through stages, including hyperuricemia, acute flares, periods of no symptoms, and, if untreated, crystal formation. Symptoms commonly include sudden intense pain, swelling, redness, and warmth in the affected joint. Gout attacks are often caused by certain foods, alcohol, medications, or other illnesses. Without proper management, gout can lead to complications, such as joint damage and associated health issues like hypertension, kidney disease, obesity, and heart problems. Risk factors for gout include genetics, diet, age, and gender. Menopause, alcohol consumption, and obesity may also be factors. Early diagnosis, diet and lifestyle changes, and treatment can significantly alleviate symptoms and prevent complications. If you are experiencing symptoms of gout in the big toe or ankle, it is suggested that you schedule a appointment with a podiatrist.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.

Golf, often perceived as a leisurely sport, can surprisingly pose risks of foot and ankle injuries, especially if proper precautions are neglected. One common cause of injuries is the repetitive motion of the golf swing, which can strain the muscles, tendons, and ligaments in the feet and ankles. Additionally, uneven terrain or poorly maintained golf courses can increase the risk of slips, twists, and falls, leading to sprains or fractures. To prevent foot and ankle injuries in golf, it is essential to prioritize proper warm-up exercises before hitting the course. Dynamic stretches targeting the lower body muscles can enhance flexibility and reduce the risk of strain during the swing. Wearing supportive golf shoes with ample cushioning and traction can provide stability and protect against injuries. It is also helpful to maintain good posture and technique while swinging can help distribute forces evenly across the body, minimizing stress on the feet and ankles. If you have endured a foot or ankle injury playing golf, it is suggested that you visit a podiatrist who can offer you treatment methods and injury prevention tips.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Howard Horowitz of Bowie Foot & Ankle . 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 our office located in Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.