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Thursday, 29 January 2015 02:49

FDA approves New Nail Fungus Treatment Jublia

study 2The U.S. Food and Drug Administration have approved a new nail fungus treatment called Jublia, and is the first treatment that can be applied directly to the nail. Jublia is a topical treatment specifically for people with the condition onychomycosis, which is a nail infection caused by a fungus that typically occurs under toenails. Made by Canadian company Valeant Pharmaceuticals International Inc., Jublia (efinaconazole) comes in a liquid form and is applied directly to the nail. The pharmaceutical company states that the treatment’s FDA approval was based on two studies involving over 1,600 people with onychomycosis. In one study cure rates were about 18 percent for patients, whereas rates were about 15 percent in the other study.
While toenail fungus is troublesome to eradicate, it is not impossible. For more information about treatment, consult with Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov will attend to all of your podiatric needs.

 

Toenail Fungus Treatment

 

Toenail fungus is a problem which affects many people and is hard to get rid of. Fortunately, there are several methods to go about treating toenail fungus.

Antibiotics & Treatments 

Lamisil – is the most commonly effective treatment for toenail fungus. It is available as an antibiotic Terbinafine tablet and cream. Terbinafine is a chemical component which kills fungal growth on the body.  Applying regular doses will gradually kill the fungal growth. It is important to keep the area clean and air free. 

 

Talcum powder – applying 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

 

Alternative Treatments

 

There are always surgical procedures that are available for toenail fungus. Some people would like immediate quick removal of toenail fungus. Surgeons will be able to cut through and remove the growth using laser surgery. It is important not to try and remove it yourself. Once removed, your old shoes will need to be replaced to avoid reinfection.  

 

For more information about Toenail Fungus, follow the link below.

 

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

 

Read more about Toenail Fungus

Thursday, 22 January 2015 00:00

Runners can benefit from a Post-run Stretch

Runners who exercise daily will often suffer from sore or painful feet. While a daily foot massage is ideal, it is also not always possible. After their daily run, runners should instead consider removing their sneakers and socks to perform foot stretches, which can help soothe the muscles in their feet. While kneeling on a yoga mat or carpet, tuck the toes toward the knees and slowly lower the pelvis to the heels. This position should be held for at least thirty seconds before slowly lifting the hips off the heels. The toes should then be pointed away from the knees before sitting back down on the heels to stretch the tops of the feet. This can be repeated two or three more times to optimally stretch the feet.


Stretching the feet is an important part of any runner’s exercise routine. To learn more, consult with  Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov will attend to all of your foot and ankle needs.


Stretching Your Feet

 

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.


Good ways to stretch your feet are:

  • Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
  • Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
  • Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

 

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

 

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


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Friday, 16 January 2015 16:37

Post-holiday Foot Care

cracked After a busy Christmas and New Year’s out and about, the feet are often left sore and run down. Ill-fitting shoes are often the cause of pain in the lower extremities, which can include the calf as well as localized pain in pressure points, swelling, and even cuts and bruises. For some post-holiday foot care and to help ease soreness, apply heat and/or ice to swollen areas, which will help numb pain and cause the blood vessels to constrict. Simple stretches can also help alleviate pain. Pampering the feet at home with a home pedicure and moisturizing can also help comfort worn down feet. Take special care to watch out for blisters, which should be covered and kept clean to promote healing.   

 

Regardless of season or weather, everyday foot care should be practiced year round. For more information about everyday foot care, consult with podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov will provide you with the foot- and ankle information you seek.

 

Every Day Foot Care

 

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. After all, without our feet, we would not be able to perform most daily tasks. It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before, for example.

 

For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops.

 

Also, wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent athlete’s foot, fungi problems, bad odors, and can absorb sweat.

 

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

 

Read more about Everyday Foot Care

Thursday, 08 January 2015 12:12

Treatment for Plantar Wart Sufferers

study 2Plantar warts are typically hard and grainy growths that appear on the heels and balls of the feet. Warts occur when the human papilloma virus (HPV) enters your body through cuts or weak spots on the bottom of the feet. Once plantar warts start to grow, they can take as long as two years to go away if not treated. Luckily there are plenty of treatments to reduce, remove, and prevent the inconvenience. Cryotherapy, also known as freezing therapy, is the most widely used method is removing warts, but it may not always work if the treatment does not reach the entire wart. Over-the-counter salicylic acids and prescription medications are also available aid wart removal process. If a plantar wart is particularly thick, a mixture of cryotherapy and salicylic acid treatments may ultimately do the trick.

 

Plantar warts can be painful and can worsen if not treated properly. If you would like to be treated for plantar warts, consult with Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov will attend to all of your foot and ankle needs and provide you with quality treatment.

 

About Plantar Warts

 

Plantar warts are found on the feet. These warts are caused by the human papillomavirus (HPV) getting into open wounds on the feet. You can recognize plantar warts by a hard bump on the foot. They are usually found on the heels or balls of the feet. Plantar warts are usually not a sign of anything dangerous but do not ignore them if they do cause pain or embarrassment.

 

If you do have a plantar wart, you may notice some pain when standing but since these warts are not cancerous or dangerous, a podiatrist only needs to be seen if there is excess pain. Although plantar warts don’t often call for treatment, there are options available. They can be frozen off, removed by an electric tool or burned off using laser treatment.

 

Home remedies are also available to help with plantar warts. An apple cider vinegar soak can help remove the wart. You can soak your feet in the vinegar for 20 minutes before using a pumice stone to remove any loose skin from the wart.

 

For more information about Plantar Warts, follow the link below.

 

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

 

Read more about Plantar Warts

Thursday, 01 January 2015 00:52

Avoid Running Injuries with Proper Training

Walking and Exercising Improper training is the cause of about 56 percent of running injuries each year, reports Jason Fitzgerald, a 2:39 marathoner and USA Track & Field certified coach. Contrary to popular belief, proper running requires proper technique—similar to the way a football tackle or deadlift requires practice and skill.

 

According to Fitzgerald, there are three general methods in avoiding injury: Avoid repeated use of the same part of the body and add variety to your training and distances, practice proactive recovery by adjusting your workouts by how you’re feeling day-to-day, and perfect your running form by counting your steps, avoiding over-striding, and standing up tall.

 

Running injuries, even with proper precautions, can still occur in many runners. If you are suffering from a running injury see Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov will provide you with quality treatment and assist you with all of your foot and ankle concerns.

 

How to Prevent Running Injuries

 

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

 

What Are Some Causes of Running Injuries?

 

- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.



Best Ways to Prevent Running Injuries

 

- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber, this will help you gain better flexibility.

 

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

 

Read more about How to Prevent Running Injuries

courtA Korean worker with the last name Yoon was recently awarded a state subsidy by a Seoul court for a nerve condition he sustained while working on a waste pipe at a Samsung semiconductor plant in 2012. He wasn’t wearing protective equipment at the time, so his hands and feet were exposed to hydrofluoric acid in the liquid waste he was handling.

 

Afterward the nerves in Yoon’s extremities stopped functioning correctly, so he applied for welfare from the government. However, his case was originally rejected because his limbs looked fine on the outside. He appealed his claim to the Seoul Administrative Court, which acknowledged the fact that hydrofluoric acid often causes nerve damage and ruled in his favor.

 

As Yoon discovered, nerve complications in the feet can make life quite difficult. For assistance with a nerve disorder in your lower extremities, visit podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov can provide you with a specific diagnosis and work with you to alleviate your symptoms.

 

Nerve Disorders of the Foot and Ankle

 

There are two nerve disorders of the foot and ankle called Interdigital Neuroma and Tarsal Tunnel Syndrome. These conditions affect the hands as well, and are caused by stress and genetics. People who suffer from Interdigital Neuroma and Tarsal Tunnel Syndrome are prone to serious pain and inflammation in the area.

 

Pain that is associated with Interdigital Neuroma is often from local inflammation in the nerves in the front of the foot. Symptoms include pain, burning, and/or tingling sensations of the toes.


There are several steps a doctor will take to determine if one has Neuroma such as: radiographs, MRIs, and bone scans. Surgery is not required in many instances, and should only be considered when the patient is suffering from persistent pain.

 

Tarsal Tunnel Syndrome is a condition that is less common than Interdigital Neuroma. It only seems to affect patients who have severe ankle pain which begins in the bottom of the foot extending all the way to the calf.  In other instances one may encounter partial numbness and atrophy if the cases are extreme.

 

For more information about Nerve Disorders of the Foot and Ankle, follow the link below.

 

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

 

Read more about Nerve Disorders of the Foot and Ankle

Walking and ExercisingNew replacement joints could be in the works. A team of scientific researchers working at the University of Pittsburgh has been looking at how 3D printers can transform a person's stem cells into a replacement joint. This research would be a boon to arthritic patients who often require joint replacements as a last resort, but the current models are made from metals or plastic and can wear out. Rocky S. Tuan, a cellular engineering expert, and his team hope to help those with osteoarthritis and wounded military members with this new creation that could herald a new future in treatment options.

 

The feet are one of the most common sites for arthritis to occur in the body. If you are struggling with arthritis in your feet or ankles, call Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov can examine your lower extremities and do everything he can to help alleviate your joint pain.

 

Arthritic Foot Care



In an average lifetime, we walk approximately 75,000 miles. This can put a great deal of stress on the 26 bones and 30 joints that we have in our feet. As we get older, our feet lose flexibility and elasticity. Our shock absorbers weaken, and if arthritis comes into play, the joints become inflamed and distorted. Arthritic foot care and treatment would become imperative at this point.

 

It is best to take care of your feet by wearing well-fitted shoes. Certain conditions may develop when you wear shoes that don’t fit properly, for example hammertoes, neuroma, and bunions. Wearing shoes that have a lower heel and extra room in the shoe can help your feet be comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with arch support will help; it is also a good idea to buy shoes that contour to your foot.

 

Alleviating Arthritic Pain

 

-Specific exercises may help; stretching the Achilles tendon can prevent further pain and injury. Stretching can also increase your mobility.



For more information about Arthritic Foot Care, follow the link below.

 

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

 

Read more about Arthritic Foot Care

Friday, 12 December 2014 10:54

Steps to Keep Diabetic Feet Healthy

custom orthoticsAccording to the Centers for Disease Control and Prevention’s 2014 National Diabetes Statistics Report, about 60 percent of non-traumatic lower-limb amputations occur for people ages 20 and older who are living with diabetes. It is very important for diabetics to be aware of whatever cuts or wounds they may have on their feet; due to nerve damage related to diabetes, diabetics often do not realize they even have them. The American Podiatric Medical Association (APMA) has offered some advice to help diabetics protect their foot health.

 

Inspect the feet daily for cuts, bruises, or sores, and treat wounds immediately. Exercise by walking, which can help you maintain a healthy weight and improve circulation. Keep feet covered and avoid going barefoot if possible. Have a podiatrist safely remove any calluses, warts, or corns.

 

Diabetics must pay special attention to their feet to help prevent infection. If you are diabetic and have any concerns, visit podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov can treat your diabetic feet.  

 

Diabetic Foot Care

 

Diabetes affects millions of people of all ages each year. Diabetes damages blood vessels in many parts of the body, including the feet. When damage occurs to nerves in the feet, they may be unable to send the proper signals to the peripheral nervous system, resulting in a condition known as neuropathy. Once a diabetic patient develops neuropathy, it is imperative that the feet are well taken care of to avoid possible amputation of the feet.

 

The Importance of Caring for Your Feet

 

- Regularly check your feet for bruises or sores.
- Wear socks that fit your feet; socks shouldn’t be tight.
- Wear properly fitting shoes that are comfortable.

 

Patients with diabetes should have their doctor monitor their Hemoglobin A1C levels as this test lets the physician know how well the blood sugar levels have been controlled during the past 3 months. It is important to keep the blood sugar levels in a normal range (70-110mg/dl). It is advisable to visit a podiatrist if the diabetic patient is experiencing any conditions involving the feet.

 

For more information about Diabetic Foot Care, follow the link below.

 

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

 

Read more about Diabetic Foot Care

professionalAccording to Kim Kyle Morgan of Chron, customers with conditions like diabetes or a weak immune system can put themselves at risk when dealing with the procedures done to their feet during a basic pedicure. In fact, research shows that pedicures can even increase the likelihood of unhealthy foot problems such as toenail fungus.

 

"Fungus can get caught up in the motor of whirlpool basins, releasing it again every time the motor revs up,” explains physician Esther Jonas. However, it is still possible to get a pedicure safely. "The ones without the whirlpool effect are much safer, and adding a disposable liner offers double protection" Jonas says.  

 

If you are suffering from fungal toenails, seek the care of Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov will provide appropriate treatment options for your feet.  

 

Toenail Fungus

 

Toenail fungus is a persistent problem that can be not only difficult to be rid of, but also embarrassing for the one affected. Fortunately there are several different options when it comes to treating toenail fungus.

 

  • Soaking toenails in a gentle bleach solution made with vinegar and Listerine
  • Applying anti-fungal treatments containing terbinafine on a regular basis can be very effective. Lamisil is considered to be the most effective but any anti-fungal treatment may be used
  • Applying talcum powder inside shoes or wearing quick-dry wick socks
  • Topical products manufactured specifically for toenail fungus
  • Laser surgery
  • Natural methods such as tea tree oil, alcohol, Vicks VapoRub or hydrogen peroxide

 

Fungus requires air, moisture, and skin to live. Be sure to wash and dry the affected area thoroughly on a routine basis. Never cut fungal toenails with any sort of scissor.

 

Once fungal nails are treated, throw away any old pairs of shoes in order to avoid the possibility of reinfection.

 

To learn more about Toenail Fungus and alternative treatments, follow link below.

 

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



Read more on Toenail Fungus

HighMany fashion-forward women are aware of the painful consequences that come with wearing high heels for extended periods of time. What women often forget, however, is that flat shoes—especially those with little to no foot support—can cause just as many foot problems as heels. 41-year-old teaching assistant Michele Crow learned this the hard way after being diagnosed with plantar fasciitis following a vacation in Portugal. Crow had worn a pair of wooden-soled flip-flops that left her with burning, stabbing pains. When the pain did not improve, a consultation with her doctor told Crow she had plantar fasciitis. “He said that wearing flat, unsupportive shoes, such as flip-flops and old trainers, had caused my arches to drop and the ligaments and tendons in the base of my foot to overstretch or tear,” said Crow.

 

Plantar fasciitis is a painful condition. If you are experiencing heel pain, see Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov will provide you with quality foot and ankle treatment.

 

What is Plantar Fasciitis?

 

Plantar fasciitis refers to heel and arch pain caused by an inflammation of the connective tissues on the bottom of the foot.

 

What Causes Plantar Fasciitis?

 

  • Ill-fitting shoes
  • Weight change
  • Excessive running
  • Non-supportive shoes
  • Overpronation

 

How Can It Be Treated?

 

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices. 
  • Shockwave therapy – sends sound waves to the areas where pain is experience.  Requires multiple sessions.  This is used for very persistent cases of plantar fasciitis. 
  • Ultrasound-guided technique with steroid injections into the plantar fascia.  This is from a relatively new and small study, but was shown to be effective in most cases treated.

 

New Studies on Treatment

 

According to groundbreaking treatment option studies, Luca M. Sconfienza, M.D. says that ultrasound with steroid injections was effective in over 95% of cases that involve plantar fasciitis. This process involves anesthesia and is a single process, out-patient treatment that was discovered to be highly effective. Luca M. Sconfienza M.D. presented her study at an annual meeting for the Radiological Society of North America (RSNA). Be sure to speak with your podiatrist about different methods that can be used, as well as finding out what treatment options they offer.

 

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

 

Read more about Plantar Fasciitis

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