While the exact cause of a bunion is not always apparent, their bony disfigurement is hard to miss. Genetics are believed to sometimes play a role in the development of a bunion. Many consider gout and rheumatoid arthritis as a possible link to certain bunions that have formed, as well as abnormal foot structures such as flat feet, flexible joints, loose ligaments, and more. Tight, pointy high heels and other types of ill-fitting footwear may worsen a structural abnormality and increase the likelihood of a bunion forming. Standing for prolonged periods of time can also worsen bunion symptoms. Podiatrists deal with bunions every day and have various techniques for correcting them, depending upon how far along the deformity has progressed. Don’t delay in making an appointment with a podiatrist to have your feet examined if you have redness, swelling, soreness, an existing bony bump, or a bump that’s beginning to form at the joint of your big toe.

If you are suffering from bunions, 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 Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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.

Toenail fungus is a common and contagious fungal infection that occurs when fungi get between the toenail and the toenail bed. This condition is more common as one ages, as well as for those with other conditions like athlete’s foot, diabetes, nail injuries or poor circulation. Fungi is attracted to dark, moist, warm places. One can get toenail fungus by walking barefoot in public areas, especially wet areas, such as swimming pools, public locker rooms, and showers. Toenail fungus may not be painful, but it can change the appearance of the toenails in terms of discoloration, thickening or misshapening, and/or cause separation from the nailbed. Toenail fungus can spread to the other toes or surrounding skin as well. This condition can typically be diagnosed by observation but is often tested to confirm the infection. It can take several months and repeated attempts at treatment to get rid of toenail fungus. If you suspect you have toenail fungus, please consult with a qualified podiatrist for proper diagnosis and treatment.

For more information about treatment, 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.

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

While at first glance, you may assume that there is no difference between over-the-counter (OTC) insoles and custom orthotics, a closer look reveals several key distinctions. OTC insoles are a “one-size-fits-most,” generic approach to supporting your feet. Custom orthotics are customized, prescription medical devices. Your podiatrist starts by reviewing your medical history, examining your feet and diagnosing your condition. Custom orthotics are then created from molds or 3D images of your actual feet. They are designed to specifically treat your medical condition: from arthritis, flat feet and hammertoes to bunions, high arches, deformities, plantar fasciitis and more. Custom orthotics can also help correct certain gait abnormalities and restore function in your feet and ankles. OTC, or prefabricated insoles, are typically made of rubber, flexible plastic or gel which can often lose integrity quickly. Custom orthotics are constructed with superior materials that are durable, light weight, moldable, and cushioning. If you are suffering from foot or ankle pain, or have difficulty walking, see a podiatrist. They will evaluate and diagnose your condition and discuss if custom orthotics can provide the relief you seek.

If you are having discomfort in your feet and would like to try orthotics, 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.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our office located in Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Warts on the sole of your foot or toes, known as plantar warts or verrucas, are caused by a viral infection of the skin. The virus enters your body through a cut, scrape, or other small opening in the skin and produces one or more grainy, flesh-colored warts with small black dots in the center. Most warts are painless, though some may be uncomfortable if they are located on a weight-bearing area, like the heel or ball of the foot. Fortunately, most plantar warts go away on their own, but this can take quite some time, ranging from months to years. To speed up recovery, you may wish to seek treatment from a podiatrist. It is also a good idea to consult with a podiatrist if you have a medical condition like diabetes or immune insufficiency, which can make plantar warts a more serious concern. 

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

There are many reasons your child may be experiencing foot pain. If your child plays a sport, you’ll want to find out if they’ve recently had an accident or injury. Physically active children are more at risk for obtaining an ankle sprain or strain, Achilles tendonitis, fracture, or other injury. Children between 9 and 14 years old can go through growth spurts where the growth plate at the heel becomes stressed and inflamed (Sever’s disease). This condition can be exacerbated by physical activity. Your child may have outgrown their footwear or are wearing shoes without proper support and cushioning. Perhaps your child has never developed arches, which can cause pain throughout the feet, ankles and calves. Does your child trim their own toenails? If so, they may have developed a painful ingrown toenail from cutting their nails too short. Has your child been walking differently? Check the bottom of their feet for plantar warts. These contagious growths can be very painful when walking or running. To get to the bottom of your child’s foot pain, it's a good idea to have a podiatrist perform a thorough examination.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of 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.