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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.

 

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SeaHawkRussell Okung had to have surgery to fix his injured toe recently, meaning that he’ll have to spend part of the summer resting so that he’ll be ready to participate in training camp. According to Pete Carroll, head coach for the Seattle Seahawks, the team plans to replace their left tackle with Alvin Bailey until they’re sure Okung is ready to play again.

 

“Russell will be fine, and it’s just something we had to do when the season was over,” Carroll said. Okung has had to sit out of 16 games over the course of the last four years, a trend the Seahawks hope will cease when he finishes recovering.

 

There are a multitude of factors to consider before deciding whether or not to treat your foot or ankle disorder with surgery. If you are considering having an operation and want an experienced medical opinion, consult with podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov will thoroughly examine your injury or condition and make sure that you are informed enough to make an appropriate decision.

 

When Surgery is Necessary

 

Foot and ankle surgery are reserved in cases when less invasive procedures and treatments do not help with the problem.  Although surgery is generally considered to be a last resort, when undertaken it can provide a permanent pain relief than before and allows you to resume the activities your foot problem has prevented you from enjoying otherwise. This includes:

 

  • Foot deformities (bunions, bone spurs)
  • Painful nerves
  • Congenital deformities
  • Misaligned bones

 

The type of surgery you will undergo is dependent on the problem at hand. For painful bunions, you may undergo a bunionectomy. Surgical fusions can help realign bones while nerve removal can help get rid of painful nerves and the tissues that surround them.  With advancing, evolving technology and surgical techniques becoming more sophisticated, many procedures are now being performed with small incisions and more precise instruments, allowing for faster recovery times.

 

For more information about Foot Surgery, please 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.

 

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According to a new study, adults over the age of 65 who were fitted for new extra-depth shoes experienced reduced pain and improved function. While extra-depth footwear is often marketed for people with diabetic foot conditions, lead author Hylton B. Menz stated that the structure and function of the foot changes greatly with age regardless of diabetic status. “With advancing age, there is a general tendency for the foot to exhibit increased soft tissue stiffness, decreased range of motion, decreased strength, and a more pronated posture,” said Menz. Many of the elderly also do not wear proper fitting shoes that accommodate to the changed shape of the feet. Those in the study wearing extra-depth footwear were more likely to report their foot pain had moderately or markedly improved and developed fewer podiatric skin conditions than the comparison group.


Maintaining proper foot care is essential for the older adult. For more information about foot care for the elderly, consult with podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov will assist you with all of your foot and ankle concerns and provide you with quality treatment.


The Elderly and their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away.  Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly. 


Common Conditions 
Neuropathy – can reduce feeling in the feet, and can hide many life threating medical conditions.
Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
Gouging toenails affecting nearby toe
Shoes that don’t fit properly
Pressure sores
Loss of circulation in legs & feet
Edema & swelling of feet and ankles 


Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue. 


For more information about Elderly and Feet, 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.


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chocolateScientists at Sapienza University conducted a study with some rather delicious results. The university’s scientists discovered that polyphenols found in dark chocolate can increase blood flow. This increased blood flow happens to be quite beneficial for patients suffering from peripheral artery disease (PAD).

 

 Half of the study’s subjects were provided 1.5 ounces of dark chocolate and the other half given 1.5 ounces of milk chocolate by researchers. Researchers observed the effects as patients walked on treadmills for a set period of time. The results showed that the group that had been given the dark chocolate was able to walk 11% farther and demonstrated improved circulation in their extremities.



Poor circulation in the feet is often very uncomfortable. If you are struggling with poor circulation, contact podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov can treat your foot and ankle needs.

 

Poor Circulation in the Feet

 

Poor blood circulation in the feet and legs is caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

 

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. It usually restricts the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

 

Causes

 

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development.
It can also cause:

 

-muscle pain    -numbness in legs
-cramps            -skin discoloration
-weakness        -slower nail & hair growth
-stiffness         -erectile dysfunction

 

Those who have diabetes and or smoke are at greatest risk for poor circulation, or who are over 50.


If you have poor circulation in the feet and legs it may be caused by PAD, and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintain a healthy lifestyle will dramatically improve conditions.

 

As always see a doctor as they will help try and fit a regime that suits you. A doctor will also prescribe you medication which will help for PAD. 

 

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

 

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Blistered feetAmy Clapp, 34, and Emma Wilson, 38, are two sisters known as ‘Sisters got Blisters.’ The pair will be participating in the 2015 London Marathon, which is to be held this coming April. The two are aiming to raise 4,000 British pounds in support of charity Help the Hospice. Their local hospice was extremely supportive of the pair and their family when their father lost his battle to cancer sixteen years ago, making the charity extremely important to the pair. Both are hoping to raise awareness as well as money for the cause and will be organizing several fundraising events leading up to the marathon. “The first run was quite comical; we only did about three miles running and walking,” said Wilson. “It was a bit of a shock and we realized how much work we have got to do.”

 

Blisters are more likely to persist in athletes who are always on their feet, such as marathon runners. To learn more, speak to podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov can assist you with all of your foot and ankle concerns.

 

Foot Blisters

 

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

 

What are Foot Blisters?

 

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

 

How do Blisters Form?

 

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

 

Prevention & Treatment

 

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a band-aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek a doctor.

 

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

 

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A woman from Chongqing, China works as a waitress despite being born with backwards feet. While she was born with the rare condition, Wang Fang has lived a normal life. Doctors have previously worried about the possibility that Wang Fang may find trouble walking. But the Chinese woman has shown otherwise by walking normally and even working on her feet as a waitress. “I can run faster than most of my friends and have a regular job as a waitress in the family restaurant. There is no reason to class me as disabled,” said Fang. “I can walk as well as anyone else and even run faster than them. I’m like everyone else—except of course that I put my shoes on backwards.”

There are several different effects that come with constantly working on your feet. If you are finding difficulty working on your feet, consult with podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care will can treat your foot and ankle needs.

 

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

 

Positive Changes

Negative heeled shoe – choosing this shoe places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – our feet were not designed to be enclosed for hours, or all day. Try allowing yourself to expose your feet to air.

 

Eliminate Pain

Foot Exercises – performing simple exercises, incorporating yoga and stretches is beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – stretching the foot out flat on the floor, will relax the calf muscles and tendon. These exercises can be performed almost anywhere.

Foot stretches and proper footwear will help with pain and prevent further issues.

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

 

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Thursday, 16 October 2014 21:32

High Heels Special Designed for Comfort

It might seem like a contradiction, but 47 year old Dr. Taryn Rose aspires to create high heels that are both fashionable and comfortable. An ex-orthopedic surgeon, Dr. Rose has a $40 million business with her footwear collection. Dr. Rose has also launched a Kickstarter campaign to fund what she calls ‘wing shoes’.  

 

Enrico Cuini for DRESR, the name of the collection, consists of special constructed carbon fiber ‘wings’ built into the insoles, which support and cushion all three arches of the foot. “The wings ‘flutter’ as you walk to provide a pumping action, which helps blood flow back to your heart from your feet,” Dr. Rose says, “This provides comfort and decreases swelling in your feet. “

 

High heels can negatively affect your feet if they do not offer enough support. If you would like to learn more, speak to podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care will can treat your foot and ankle needs.

 

Effects of High Heels on the Feet
High heels are popular shoes among women because they are associated with femininity.  Despite their appeal, they can cause many health problems if worn too frequently.

 


What parts my body will be affected by high heels?

  • Ankle Joints
  • Achilles Tendon – may shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – heels cause the knees to bend constantly, creating stress on them
  • Back – they decrease the spine’s ability to absorb shock, which may lead to back pain.  Also, the vertebrae of the lower back may compress.

 

What kinds of foot problems can develop from wearing high heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

 

How can I still wear high heels and maintain foot health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work. 

 

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

 

 

Read more about the Effects of High Heels

At the University of Central Lancashire, a study that consisted of twelve adult male participants by Dr. Jonathan Sinclair was conducted. Dr. Sinclair’s study has found that wearing orthotic insoles may lower the chances of an Achilles tendon injury.


The study’s participants ran on a mat equipped with special sensors that measure the foot’s biomechanics. It was found that while wearing the insoles, pressure placed on the men’s Achilles tendons was significantly lighter compared to those not wearing insoles. The peak ground reaction of the runners had no difference whether wearing orthotic insoles or not. Sinclair believes this could be that certain running shoes already having cushion around the midsole.

 

Achilles tendon injuries can be very painful and a huge nuisance. If you are suffering from an Achilles tendon injury, consult with podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care will attend to all of your foot and ankle needs and provide you with quality treatment.

 

What is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body, and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can cause severe difficulties and should immediately be presented to a doctor.

 

What are the symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common are Achilles tendinitis and ruptures of the tendon.

 


Achilles Tendinitis Symptoms
- Inflammation
- Dull to Severe Pain
- Increased blood flow to the tendon
- Thickening of the tendon

 

Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility

 

Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation. Often the doctor will order an MRI to confirm the diagnosis. Treatment will involve rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries.

 

For more information about Achilles Tendon Injuries, follow the link below.

 

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

 

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When it comes to patients contending with bunions, The Daily News’s Running Doc discusses various treatments and options sufferers may want to look into before opting for surgery. Bunions are identified along the inner portion of the big toe’s first joint as large bumps on the bone.


To prevent the growth of bunions, opt for looser fitting shoes around the toes or flexible full-length orthotics while running. Avoid wearing high heels often. Utilize thin foam or silicone toe separators to prevent toes from rubbing together. Anti-inflammatories and corrective devices can be implemented if the aforementioned methods do not work. Only consider bunion surgery as a last resort.  


To prevent exacerbation and extended pain, treatment for bunions should be implemented quickly. To learn more, see podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care


What is a Bunion?
A bunion is an enlargement of the base joint of the toe that connects to the foot. The enlargement is formed of swollen tissue or boney growth. This swelling is caused by a shifting of the bones in the big toe inward, impacting the other toes of the foot. The area around the base of the big toe may become inflamed, red, and/or painful. 


Formation
Genetics – people who are susceptible to bunions are often genetically predisposed.
Stress on the feet – wearing improperly fitting shoes or running and walking with improper form may cause stress on the feet. Wearing high heeled shoes puts the weight from the body onto the toes, causing further stress and bone displacement. 


Diagnosis
A podiatrist who specializes in foot structure and bio-mechanics will be able to diagnose bunions.
Blood Tests - testing the blood for gout or arthritic conditions can help identify the causes.
Radiological Exam – a podiatrist will request an exam to identify the bunion by taking a look at the bone structure. If the x-ray shows an enlargement of the joint near the base of the toe, this usually indicates a bunion. 


For more information about Bunions, follow the link below.

 

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

 

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http://2-ps.googleusercontent.com/x/www.broadwayworld.com/images.bwwstatic.com/columnpic6/250xNxicon-fitness.jpg.pagespeed.ic.GKYM9vkZCR.jpgThe Annual Scientific Conference of the American College of Foot and Ankle Surgeons (ACFAS) put together a presentation that honed in on active women affected by neuromas in their feet. Women, generally speaking, are more likely to sustain podiatric-related conditions, especially neuromas, as a result of  the choice of footwear.

 

Kris DiNucci, who presented at the event, stated that active women who are flat footed or habitually wear narrow shoes develop a higher chance in developing neuromas. Morton’s Neuroma, which occurs between the third and fourth toe, happens to be most common neuroma in the feet.

 

Morton’s neuroma can be a difficult condition to contend with. If you are experiencing symptoms of Morton’s Neuroma, talk to podiatrist Dr. Boris Abramov, D.P.M. of Abramov's Comprehensive Foot Care. Dr. Abramov can diagnose and treat your feet accordingly.

 

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the third and fourth toe and the ball of the foot, although other areas of the foot are also susceptible to this condition. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.  Women are more likely than men to have an occurrence of this foot condition.


What Increases the Chances of having Morton’s Neuroma?

-Ill-fitting high heels or shoes that add pressure to the toe or foot area.
-Jogging, running and any sports that involve constant impact to the foot area.
-Flat feet, bunions, and any other foot deformity may put you at a higher risk for developing Morton’s neuroma.

If you suspect that you may have this condition, you should visit your podiatrist. A podiatrist will first conduct a thorough physical examination to check for palpable masses between the bones of the foot. 


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

 

For more information on the treatment of diabetes, visit our link below.


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