The heel is an integral part of your foot, and it plays an important role in helping the foot function. The heel is located at the back of the foot, and it is situated just below the ankle. The heel also sits right behind the arch of the foot. The heel is primarily composed of the calcaneus bone, which has a rectangular shape, and it is supported underneath by a fat padding and thick skin. In terms of biomechanics, the heel has two interesting and critical functions. First, when standing upright on both feet, a person is aided by the heel because it serves as a kind of weight-bearing support unit. In other words, the heel is stabilizing and protective. Second, when an individual is engaging in physical activities that involve motion (such as walking, running, or jumping), the heel acts as a type of lever which engages muscles in the calf. Taking care of the heel is important. Not only can the skin surrounding the heel become damaged through a condition known as cracked heels, the heel bone can also suffer from afflictions such as heel spurs. If you want to learn more about heels and how you can protect them, contact a trusted podiatrist.

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.

Clubfoot is a congenital foot disorder and affects approximately one to two babies per 1000. The medical term for this condition is congenital talipes equinovarus, which occurs when the child is born with a foot that points the wrong way. Walking is often affected because the foot cannot be placed flat on the ground. Clubfoot happens as a result of shortened tendons that connect the bones to the muscles, which can cause the foot to turn inward. This condition may be diagnosed by having an ultrasound performed during pregnancy, and treatment can start immediately after birth. Common treatment procedures include stretching the feet, in addition to wearing braces and plaster casts. Research has indicated there are two categories of clubfoot. Isolated clubfoot occurs when there are no other medical issues present. If there are various health conditions or neuromuscular disorders present at birth, it falls into the non-isolated clubfoot classification. Some of the problems that may occur if clubfoot is not promptly treated include arthritis, limited range of motion and mobility, and poor self image as the child grows. If your child is born with a clubfoot, it is strongly suggested that a podiatrist's advice is sought so the correct type of treatment can begin.

Congenital foot problems require immediate attention to avoid future complications. 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.

Nursing care centers often have their staff take a course in how to prevent residents from falling. It is a common occurrence that can happen in nursing care centers, hospitals, or homes, and it can inflict serious damage to the body and feet. This can make patients afraid of falling, causing them to limit their daily activities. There are conditions that contribute to falling episodes, and these can include body weakness, vision and physical illness, and walking and maintaining balance may be difficult. Some people may be deficient in vitamin D, and may possibly take medications consisting of tranquilizers and sedatives which may increase the risk of falling. There are simple fall prevention methods that can be implemented in the home, which may help to prevent falling. These can include removing worn rugs, and improving lighting in the house. It is beneficial to have a grab bar installed in the shower and toilet area in addition to using a good bath mat. Falling can affect the feet, and if you would like more information on effective fall prevention methods, please consult with a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

Although it is rarely given much attention, the big toe plays an important role in carrying out many of our daily activities. The big toe joint, also known as the metatarsophalangeal (MTP) joint, connects the big toe to the foot, and supports the body with every step you take. When it is injured or sore, it can impede the ability to walk. Major causes of MTP joint pain are osteoarthritis, gout, bunions, injuries, and sesamoiditis. Osteoarthritis in the big toe causes the joint to become inflamed. The cartilage that connects the bones wears away, causing pain, tenderness, and swelling as the bones rub together. Gout is another form of arthritis, caused by uric acid crystals that often build up within the big toe joint. Intense pain, redness, and swelling are symptoms during a flare up. Big toe sprains and fractures cause pain, swelling, and bruising with any weight bearing activity. In the case of a fracture, please get immediate medical help. A bunion is a bone malformation of the big toe joint, often caused by wearing shoes that are tight around the toes. The top of the big toe moves toward the second toe, while the base of the toe bone shifts outward to form a bump. Bunions can be extremely painful, in addition to changing your gait and causing further problems in the feet. Sesamoiditis is an inflammation of two tiny bones wrapped within tendons at the base of the MTP joint. If you have any of the conditions, please consult a podiatrist for an exam, diagnosis, and treatment plan.

Toe pain can disrupt your daily activities. 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.

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 Bowie, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.