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Spring is here and the weather is warming up. Here in the Northeast, we’re putting away our wool socks and breaking out our sandals. But what does it mean if winter’s over and your feet are still cold? What if nothing seems to keep your hands and feet warm enough?

Keeping the hands and feet warm at the same temperature as the rest of the body is a hard job! Because the extremities are farthest away, it’s most difficult for the heart to pump blood to our hands and feet. This means that they often feel chilled first and most acutely. Typically, even in the winter, this not much more than an inconvenience, easily managed with not much more than some gloves and warm footwear. But when it’s hard to warm feet up – when they stay uncomfortable even in the spring and summer, look blue, or feel numb – they might be trying to tell you something. Cold feet can be the sign of an underactive thyroid gland.

Your thyroid is a small, butterfly-shaped gland located in your throat near your Adam’s apple. Among other things, the thyroid boosts and regulates your energy, warms your body, and activates your immune system. When everything is working as it should, you probably aren’t aware of your thyroid. But if the thyroid is malfunctions, you’ll likely feel unwell.

An underactive thyroid can lead to some of the following symptoms:

$1      Low energy or exhaustion

$1      Increased sensitivity to cold – especially cold feet!

$1      Pain, stiffness or swelling in your joints

$1      Muscle aches and pains

$1      Dry skin

$1      Constipation

$1      Unexplained weight gain

$1      Thinning hair

Does this sound familiar to you? Are you experiencing cold feet or some of the other symptoms described above? With more than 40 years of combined experience, Dr. Boris Abramov and Dr. Tatyana Abramova are experts in the care of your feet and ankles. They have diagnosed and treated the cold feet of many patients, and they’re ready to help you, too.  Call 443-872-7052 or click here to request an appointment at our conveniently located Pikesville office today.

Thursday, 13 April 2017 00:00

Ease the Morning Pain of Plantar Fasciitis

Have you been experiencing foot pain? Do your feet hurt as soon as you get out of bed in the morning? Are your heels especially tender? You might be living with plantar fasciitis. The plantar fascia ligament connects your heel to your toes and supports the arch of your foot. Small tears and inflammation in the plantar fascia ligament can cause pain in your heel, especially when you first wake up.

Plantar fasciitis pan can be minimized with some simple stretches that you can do before you even get out of bed. What a great way to start the day!

$1·      Remember: it’s always important to warm up before exercise, even stretching. Wake your feet up by “writing” the alphabet in the air with your toes.

$1·      Point your toes and flex each ankle 10 times.

$1·      Roll both ankles in one direction, then the other, 10 times.

$1·      Pretend you’re trying to pick up a pen with your foot. “Crunch” your toes toward the sole. Hold for 15 seconds and release. Repeat 10 times on each foot.

$1·      Sit on the edge of the bed with your heel on the floor. Use your hand to pull your big toe toward you. Hold for 15-30 seconds, then release. Repeat 4 times on each leg.

Wearing slippers when you get out of bed and supportive footwear during the day will help keep your feet comfortable all day long.  If your plantar fasciitis flares up, ice and anti-inflammatory medication such as ibuprofen can help.

Dr. Boris Abramov and Dr. Tatyana Abramova are board certified and trained in the treatment and surgery of all kinds of foot and ankle pain. Together with the dedicated staff at Abramov’s Comprehensive Foot Care, they use state of the art technology to diagnose and treat patients with plantar fasciitis and a variety of other foot and ankle issues every day. Call us 443-872-7052 or click here to make an appointment at conveniently located Pikesville office today.

Wednesday, 05 April 2017 00:00

Maintain Healthy Feet for Overall Well-Being

If you want to feel good and stay active, you’re going to need to keep your feet healthy. Neglecting your feet can lead to falls and unnecessary discomfort in other places in your body. Read on for some tips from Boris Abramov, DPM and Tatyana Abramova, DPM to keep your feet pain free so you can stay active and healthy.

Inspect your feet weekly. Take note of anything new, or unexpected changes that might indicate problems. Inspect your feet every other day if you have diabetes. Diabetics are more likely to experience foot sores and infections than others.

Avoid ingrown toenails by cutting toenails straight across and avoiding rounded corners.

If you enjoy the occasional professional pedicure, be certain that your salon employs excellent hygiene practices. Be on the lookout for an obviously clean environment and instruments that are sterilized between customers. Never, ever let the nail-tech use a razor on your feet! This can create tiny nicks and cuts that allow germs to enter and lead to warts and fungal infections.

Feet must be clean to be healthy.  Wash your feet with soap and water every day. Dry them well, and be sure to remember the spaces between the toes.

Don’t share shoes, socks, or other footgear. If you find yourself in a situation where you have to share, be sure everything is treated with an antibacterial spray such as Lysol.

Whenever possible, choose shoes made of leather. They allow air to circulate so feet can “breathe.” If your feet tend to get very sweaty, try a pair of the new shoes made of mesh fabrics.

Wear shoes that fit properly! Shoes that are too tight or too loose can cause long-term problems. Choose broad, wide shoes with wide, low heels. Pointy shoes and stiletto heels are fashionable, but they can cause a host of issues.

Wear shower shoes in locker rooms and public pools. Bacteria and fungi are common in these places.

Sweaty feet are hospitable environments for bacteria. Keep feet dry in socks made of wool or cotton. If your feet get damp, change your socks as soon as possible.

If you have a problem, see a podiatrist! Years of specialized training and experience make a podiatrist the best doctor to diagnose and treat all of your foot and ankle issues.

Are you concerned about your feet or ankles? Head to Abramov’s Comprehensive Foot Careand let Dr. Boris Abramov and Dr. Tatyana Abramova diagnose and treat the issue.  We are ready and able determine both the source of your discomfort and the best course of action for moving forward.  Call us at 443-872-7052 today. We’ll be happy to schedule a convenient appointment for you in our Pikesville office.

Friday, 31 March 2017 00:00

Cracked Heels

When the skin on the feet becomes very dry, cracked heels can occur. A tiny crack can cause a great deal of pain, as well as being embarrassing and unpleasant to deal with, but they are easily prevented and treated.

Heel cracks, also known as heel fissures, are very common. They can be caused by a variety of factors, including:

 Low humidity. Heel cracks are most prevalent in winter, when the air is dry.

Long periods of time standing at work or at home, especially on hard wooden or tiled floors.

Spending excessive amounts of time barefoot or in open shoes while indoors.

Poorly fitted shoes that don’t offer good support to the heel.

Excess weight, which can cause the heel to expand and the skin to split.

Circulation issues, including diabetes.

Hormonal imbalances.

Poor hygiene.

Poor nutrition.

Preventing heel cracks is often easier than healing them. Here are some suggestions from Boris Abramov, DPM and Tatyana Abramova, DPM:

Moisturize your heels twice daily. Use an exfoliating lotion weekly.

Use a pumice stone to reduce and remove the buildup of calluses.  You can get one at any drug store.

Keep yourself well hydrated inside and out.  Drink plenty of water and other non-caffeinated beverages.

Eat a balanced, healthy diet rich in vitamins and minerals.

If the skin on your feet gets very dry and a small crack develops, try this solution recommended by Dr. Boris Abramov and Dr. Tatyana Abramova: After taking a bath or shower, or soaking your feet in a tub of warm water, dry your feet well, apply a thin layer of heavy cream or petroleum jelly and wear pair of cotton socks overnight.

Are heel cracks or other foot health issues causing you concern? Dr. Boris Abramov and Dr. Tatyana Abramova and the staff at Abramov’s Comprehensive Foot Care are here to help! Call us at 443-872-7052 or click here to make a convenient appointment today. Our Pikesville office is equipped with state of the art equipment and our doctors have years of training and experience. They can remove calluses, heal those cracks, and get your feet feeling better right away.

Thursday, 23 March 2017 00:00

Is a Podiatrist the Right Doctor For You?

What Is a Podiatrist?

A podiatrist is a specialist who diagnoses and treats illnesses and injuries of the foot, ankle, and lower leg. When you see the letters DPM after your doctor’s name, it means that he or she is a podiatrist. It also means that he or she has gone through years of demanding training and is uniquely qualified to care for you.  According recent information released by the American Podiatric Medical Association, there are currently nearly 18,000 podiatrists practicing in the United States.

Should I See a Podiatrist?

If you are experiencing foot and/or ankle pain, or if you have noticed changes in the look or feel of your feet, you should make an appointment to see a podiatrist.  Even if nothing is currently problematic, you may want to visit a podiatrist anyway, especially if you have a chronic medical condition such as diabetes. These can lead to problematic situations.

 

What Does a Podiatrist Treat?

A podiatrist like Dr. Boris Abramov or Dr. Tatyana Abramova is the best doctor to care for your feet and ankles.  These specialists can diagnose and treat all manner of health issues related to your feet and ankles, including:

$1·      heel pain

$1·      hammertoes

$1·      warts

$1·      corns and calluses

$1·      sprains and fractures

$1·      toenail or foot fungus

$1·      ingrown toenails

$1·      sports injuries

$1·      diabetic foot care

$1·      bunions

 

Can podiatrists perform surgery?

Podiatrists can usually operate on the bones, ligaments, tendons and joints of the foot and ankle, depending on their credentials, certifications, state license, hospital affiliations. Boris Abramov, DPM often performs surgeries. After consultation and examination, he can help you with a wide variety of conditions.

What Are the Qualifications of a Podiatrist?

A podiatrist is the most qualified professional to care for your feet. It takes four years of training in a podiatric medical school and three years of hospital residency, similar to the training of other doctors, to become a podiatrist. 

Like other doctors, many podiatrists specialize in areas of care. These can include sports medicine, surgery, wound care, and diabetic care.

Caring for Your Feet at Abramov’s Comprehensive Foot Care

Every day, Dr. Boris Abramov and Dr. Tatyana Abramova diagnose and treat the feet and ankles of people just like you. Whether you have a specific concern or simply maintain the wellbeing of your feet and ankles, the staff at Abramov’s Comprehensive Foot Care is ready to help you. Call us today at 443-872-7052 or click here to schedule an appointment in our conveniently located Pikesville office. 

Friday, 17 March 2017 00:00

Preventing Warts

Almost everyone will get a wart at some point. Centuries ago, people believed that warts were caused by contact with frogs or toads but, of course, that’s not true. Warts are caused by contact with the Human Papilloma Virus (HPV).

Too small to be seen, the virus enters the body through the top layer of skin then causes a sudden and explosive growth of skin cells in the layer below, resulting in a small bump that we call a wart.

Exposure to HPV is inescapable. You come into contact with it at home and in public spaces. We encounter various strains of HPV when we touch objects, when we walk without socks and shoes, and when we touch others, for example by shaking hands. Most of the time, this contact is harmless and goes unnoticed.  Once in a while, a wart occurs but, with care, you can prevent them!

Here are seven simple steps you can take to minimize your risk:

Wash your hands often. Use warm water and soap and lather for at least 20 seconds. That’s the amount of time it takes to sing Happy Birthday in your head twice.

The virus thrives in warm, humid places. Avoid walking barefoot in public showers and on swimming pool decks.

Dry your feet if they get damp or wet.

The virus gets in through nicks and cuts.  Make sure your feet are healthy and well maintained.

Don’t share socks and shoes with others.

Regularly spray shoes with disinfectant. This kills any virus living there.

Never touch a wart, even on your own body.

If you have a wart, keep it covered with a bandage to prevent it from spreading. Never rub it or pick at it. Unfortunately, without intervention, your wart isn’t going to go. Over the counter remedies are not effective and the at-home solutions can do more harm than good. A podiatrist can help you get rid of that wart once and for all.

Do you have a wart that needs treatment? Dr. Boris Abramov and Dr. Tatyana Abramova are here to help you. Our convenient Pikesville office is equipped with state of the art technology to maximize effectiveness and minimize discomfort. Call us at 443-872-7052 or click here to schedule a convenient appointment at Abramov’s Comprehensive Foot Care today.

Wednesday, 08 March 2017 00:00

Stay Safe At the Nail Salon

Are you looking for a low-cost way to relax and pamper yourself for an hour or two? A salon pedicure is a terrific option! Most salons are clean and safe, but not all are.  Every time you hop into that massaging pedicure chair, you run the risk of infection. When sanitary practices are inadequate, transmission of bacteria, plantar warts, or nail fungus can take place.

Dr. Boris Abramov and Dr. Tatyana Abramova are specialists with over 30 years of experience in the diagnosis, treatment and surgery of all sorts of foot and ankle issues.  They recommend the following steps to minimize your risk at the nail salon:

Don’t shave your legs the night before or day of a pedicure.  Viruses and bacteria can enter your body through tiny cuts and nicks.

Look around! Do you see an up-to-date license on the wall? Does the salon look clean and well-maintained? Do you see employees sweeping and cleaning? Are the footbaths being scrubbed between customers or, better yet, are they covered with disposable plastic liners? If you are comfortable with the level of cleanliness at the salon, leave…even if it means walking out on an appointment.

Make sure that the nail technician is wearing disposable surgical-style gloves.

If possible, bring your own tools. It’s the best way to make sure that nothing touches your feet may have been contaminated by someone else.

If you can’t provide your own tools, investigate the salon’s sterilization techniques. UV sterilizers, which look like small toasters, don’t kill bacteria.  Soaking tools in a glass jar of turquoise-colored solution (a combination of water and tuberculoidal disinfectant) is preferred. Each station should have its own container.

Avoid sharp blades around your feet. Don’t let the nail tech use a razor or grater to remove calluses and ask her or him not to cut your cuticles.

Allow time for your nails to dry. UV light may save time, but it’s not good for your skin.

The infections that your feet might pick up at the nail salon can be unpleasant and unsightly. If left untreated, they can turn into real problems! Abramov’s Comprehensive Foot Care treats patients with these infections every day. If you are concerned that you have an infection, call us at 443-872-7052 right away. We’ll be happy to schedule an appointment for you to see Dr. Boris Abramov or Dr. Tayana Abramova in our Pikesville office at your convenience. Your feet will be back to perfect health in no time!

Wednesday, 01 March 2017 00:00

Give a Great Foot Rub

Deepen your relationship! Give your sweetheart the gift of touch with a foot massage. A good foot rub offers benefits to the body mind and spirit. Among its many benefits:

Massage can alleviate feelings of anxiety and depression.

PMS sufferers report decreased symptoms after a massage.

Massaging the feet provides relaxation and stress relief. Sleep improves after massage.

Circulation improves after massage. People with diabetes and Reynaud’s Disease especially benefit.

It can help improve circulation. This is especially important for people with diabetes.

Headaches, including migraines, can decrease with regular massage.

There’s the why of foot massage, but what about the how? Giving your first massage can feel intimidating, but don’t worry…you can’t do it wrong! Even a so-so massage feels great after a long day.

You’ll need some massage oil or lotion. These are easily and inexpensively purchased at any drug store. Start with a dime-sized dollop. You an always add more.

Rub the oil or lotion into the skin and nails of the entire foot.

Pull the toes apart and interlace your fingers between them. Wiggle them back and forth, toward the sole and the top of the foot.  Gently tug each one away from the foot.

Use both hands to massage the entire foot, covering the toes, arch and heel. Ask if the pressure is too light or too hard. Discover how it feels to use your thumbs, your fingers, and your knuckles.

Massage each foot one at a time and together.

Remember to cover feet with socks after massage – they can be slippery!

Is someone you love experiencing pain in his or her foot or ankle? Are you? Dr. Boris Abramov and Dr. Tatyana Abromova can diagnose and treat the source of your discomfort. Together they have more than 30 years of experience and they can get you back on your feet in no time!

Call the friendly staff of Abramov’s Comprehensive Foot Care at 443-872-7052 or click here to reach us via the web. We can make an appointment in our convenient Pikesville office and help you start feeling better right away.

It's a fact - growing pains can be real.

Has your child complained of heel pain or had trouble walking? He may be suffering from Sever's disease. With this condition, the heel bone grows too fast during a growth spurt, causing the tendons and muscles to stretch too far.

The pain can be aggravated by certain sports that involve a lot of running and jumping on hard surfaces including basketball, gymnastics and soccer. Also, because of the pronounced stiffness of soccer cleats, wearing this footwear can make the condition even worse.

Because Sever's disease occurs during a growth spurt, the risk of having this condition differs for boys and girls because their growth spurts happen at different ages. Boys have a greater chance of Sever's disease between ages 10-15, while girls' growth spurts appear earlier at ages 8-13.

Watch your child for:

  • Heel pain that worsens with running and jumping actions, then improves with rest.
  • Tenderness and tightness at the back of the heels that gets worse when squeezed.
  • Swelling, redness or pain at the heel.
  • Limping or difficulty walking or even walking on tiptoes.

The good news? Sever's disease disappears when the child is full grown because the foot muscles and tendons have caught up to the growth of the heel bone. Until then, equip your child with appropriate well-cushioned and supportive shoes for each sport and discourage over-training.

Diagnosing and Treating Sever's Disease

At Abramov's Comprehensive Foot Care, we'll discuss your child's sports activities along with the history of pain and other symptoms. We will confirm our diagnosis of Sever's disease by squeezing the heel area to observe if it is painful.

It's important to reduce stress on the heel bone. The child must rest and avoid sports until he is pain-free. Also:

  • Ice the inflamed area.
  • With a doctor's permission, ease the pain and inflammation with anti-inflammatory drugs like naproxen or ibuprofen.
  • Add inserts to supportive shoes to reduce stress on the heel bone, especially with other foot abnormalities present such as flat feet or high arches.
  • Perform regular stretching exercises or physical therapy.

If the pain is severe and these methods don't provide relief, a cast can force the heel to rest.

When the pain and inflammation have eased, the child can gradually resume regular activities.

We Can Help With Any Pediatric Foot and Ankle Concern

Dr. Boris Abramov and Dr. Tatyana Abramova, doctors of podiatric medicine, have extensive experience with pediatric foot and ankle problems of all kinds. Call us today at 443-872-7052 for an appointment at our Pikesville, Maryland office. You can also request an appointment at the website. Your child does not have to suffer from the pain of Sever's disease - we can help!

Thursday, 16 February 2017 00:00

Foot Cramps Can Be Prevented

46471114 S feet man barefoot

You may have had the painful experience of waking up in the night with severe pain in your foot or calf. A muscle cramp comes on quickly and unexpectedly and is extremely painful. Sometimes muscles will cramp up after a strenuous run.

A muscle cramp is an involuntary contraction of one or more muscles. Even though the pain is severe, muscle cramps are generally harmless.

What Causes Foot Cramps?

Sudden muscle contractions are commonly caused by overuse after lengthy periods of exercising or work. They appear even more frequently in hot weather. Holding your foot or leg in one position for too long can also bring on a cramp as can dehydration.

Muscle cramps may also signal other potentially serious medical conditions including:

Mineral depletion such as low levels of potassium, calcium or magnesium. Individuals taking high blood pressure medication that contains a diuretic are at risk of losing these vital minerals.

An inadequate blood supply caused by narrowing of the arteries. This can restrict the blood supply to your lower extremities and cause foot and leg cramps, particularly during exercise. The contraction usually eases with resting.

Nerve compression in the spine, called lumbar stenosis, can cause leg cramps that worsen as you walk. Individuals experiencing pain from nerve compression may find relief by walking while bending slightly forward.

Home Remedies Can Ease the Pain of Foot and Leg Cramps

At Abramov's Comprehensive Foot Care, we recommend trying one or more of the following to ease your cramp as soon as it starts:

  • Rub the muscle gently while stretching so it will relax.
  • Apply a warm towel or heating pad to ease tight muscles, or let warm water from a shower or bath flow directly onto the muscle.
  • Sometimes the opposite approach is helpful - massage the muscle with ice to relieve pain.
  • For a calf cramp, stand and put your weight on that leg with the knee bent slightly. A similar method is to sit on the floor with your leg extended and stretch your calf by pulling your toes toward your head.

Cramping pain that doesn't go away or that triggers muscle weakness, redness or swelling needs medical care, so call us right away if you observe these symptoms.

Avoid Foot Cramps With Smart Preventive Steps

  • Stay well hydrated. Fluids keep muscle cells hydrated and help them contract and relax. Replenish fluids both during and after exercise, especially in hot weather.
  • Avoid nighttime cramps with a gentle stretch before bedtime.
  • Talk to your doctor about the possibility that your body is depleted of certain minerals. Eating a banana every day is a simple way to replace potassium.

Let Us Know if Your Cramps Continue After Home Care

Dr. Boris Abramov and Dr. Tatyana Abramova, doctors of podiatric medicine, have the right experience to deal with persistent foot cramps and any other type of foot and ankle pain. Call us today at 443-872-7052 for an appointment at our Pikesville, Maryland office. You can also request an appointment at the website. Don't let cramping disturb your sleep or workouts - call us today!

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