Nerve pain in the ball of the foot, often associated with a condition known as Freiberg disease, can be particularly distressing. This condition entails the necrosis of parts of the bones in the ball of the foot, typically affecting the second metatarsal head beside the big toe. Freiberg disease is common among girls experiencing rapid growth during puberty or others with specific bone length discrepancies. It is further aggravated by activities such as dancing, jogging, or running. Symptoms include pain during weight-bearing, especially when pushing off the foot, and stiffness and swelling in the affected joint. Diagnosis involves X-rays to reveal the necrotic changes in the bones. Treatment options for Freiberg disease range from non-invasive to surgical interventions. Changes in footwear, such as opting for low heeled shoes with thicker soles or rocker sole modifications, have proved beneficial. Additionally, custom orthotics that alter foot movement, can relieve pressure on the affected joints. In severe cases, surgery may be necessary. If you have pain in the ball of your foot that impedes your mobility, it is suggested that you schedule an appointment with a podiatrist for a thorough exam and diagnosis, followed by an appropriate 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.

Gait analysis is a valuable tool for runners, regardless of their experience level. It helps runners understand their running style, which is essential for selecting the right shoes. The primary focus of gait analysis is assessing pronation, which is how the foot rolls during walking and running. Pronation acts as a natural shock absorber, distributing impact forces. Gait analysis matches pronation type with appropriate shoe types to counterbalance overpronation or under pronation, reducing injury risk and enhancing running efficiency. It helps choose between neutral or stability, supportive running shoes and identifies inefficiencies in foot, leg, and body movements that may lead to injuries or affect performance. Gait analysis can also identify other issues, such as slow cadence, heel striking, lack of core strength, and flexibility problems. Addressing these issues through strength-building, flexibility work, and proper shoe selection can prevent injuries and improve efficiency. If you are a runner or plan on embarking on running as a new sport, it is suggested that you schedule an appointment with a podiatrist for a gait analysis and recommendation for the proper type of running shoe for you.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, 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.

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 Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pregnancy brings about numerous changes in a woman's body, and foot discomfort often becomes a notable concern. One primary cause is the increased weight and pressure exerted on the feet due to the growing baby. This added stress can lead to swelling, commonly known as edema, making shoes feel tighter. Hormonal changes during pregnancy affect ligaments, potentially resulting in flat feet or overpronation, which can cause discomfort. Additionally, fluid retention can contribute to a feeling of heaviness and puffiness in the feet. As the pregnancy progresses, the body produces a hormone called relaxin, which loosens ligaments in preparation for childbirth, potentially impacting foot arches and stability. Common symptoms include swelling, aching, and changes in foot shape. Choosing supportive footwear, elevating the feet when possible, and staying physically active can help alleviate these discomforts and promote overall foot health during pregnancy. If you are experiencing foot pain during your pregnancy, it is strongly suggested that you seek the advice of a podiatrist who can guide you toward effective relief tips.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

Achieving a beautifully pointed toe is a hallmark of grace in ballet, and dedicated foot stretches can significantly contribute to this desired aesthetic. Begin by sitting with your legs extended and gently flex and point your toes, emphasizing the extension of each digit. A towel stretch proves effective, which is done by looping a towel around the ball of your foot and gently pulling it towards you, feeling the stretch along the arch and toes. Rolling a tennis ball beneath the arches and toes massages and improves flexibility. Additionally, the seated toe stretch involves sitting back on your heels, elongating the toes, and fostering a deep stretch. Practicing these stretches regularly enhances the flexibility and strength of the foot's intrinsic muscles, contributing to a more refined toe point. Incorporating these targeted stretches into your ballet warm-up or cool-down routine can cultivate the suppleness necessary for achieving that coveted, elegant toe point on stage. If you would like additional information about effective foot and toe stretches, it is suggested that you confer with a podiatrist.

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with 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.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

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, once associated with excess and opulence, is making a modern resurgence, affecting nearly 4 percent of adults in the US. Gout, a painful inflammatory arthritis, can be found in both men and women, although men are three times more likely to develop it. Caused by the crystallization of uric acid within joints, gout can be both debilitating and chronic. Uric acid, a byproduct of cellular processes, accumulates when the body produces too much or doesn't excrete enough. Gout attacks occur when uric acid levels become excessively high, forming crystals that trigger inflammation and intense pain. The initial gout attack typically targets one joint, often the big toe, with subsequent attacks potentially affecting various joints simultaneously. Joints in the foot, ankle, knee, and even fingers may be affected. During an attack, the affected joint becomes red, swollen, and extremely tender. Even the slightest pressure can induce severe pain. Gout attacks tend to occur suddenly, with nighttime flares being more common. The effect on daily life during a gout attack is significant. While there is no cure for gout, medications and self-management strategies may help to alleviate symptoms and prevent future flares. For help in managing gout, it is suggested that you consult 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.