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william-van-marelWilliam Van Marel, Jr. had a rather atypical hobby as a teenager growing up in Orange City, Iowa.  Under the tutelage of shoemaker Wilhelm Jansen, he spent his free time carving traditional Dutch shoes out of wood.

Jansen moved from the Netherlands in 1956.  He distributed his shoes, called klompen, throughout the country, but also provided footwear locally and fine-tuned his shoes for anyone who walked in with specific foot problems.  Jansen could assess whether the problem was caused by bunions, high arches, etc., and carve out appropriate modifications.

Jansen has long since passed away and The Old Factory is now a coffee shop, but Van Marel is doing his best to keep the tradition alive.

Proper foot support is critical to keep your feet healthy.  For questions about appropriate footwear, see podiatrist Dr. Boris Abramov's of Abramov's Comprehensive Foot Care. Dr. Abramov will treat your podiatric needs.

The Importance of Proper Foot Support

Walking is an everyday function for both men and women, and in order to keep your body’s balance in order, you are going to need shoes that provide the proper kinds of support. 

Poor foot support can cause pain and discomfort in the lower back, hips, knees, neck and shoulder. It also can lead to emotional stress, and physiological changes in the body. In order to avoid these problems, you must have proper foot support.

The arch is the most important part of the foot, which is where most of the support and balance of your feet lies. The arch of your foot varies in height, and as you age, this height can change. Proper foot support will help musculoskeletal issues, which causes inactivity or disability.

When looking for shoes that give proper support to your feet, you should refrain from wearing ill-fitting shoes.  If footwear is too tight, this can affect the body’s posture, stress, bone deformities, and other foot and back pain. Therefore, it is important that shoes fit well in order to avoid these complications.

For more information about the Importance of Proper Foot Support, follow the link below.

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

Read more about Proper Foot Support

ciara-capezioWhen the Iowa State University Cyclones began getting ready for their Spring debut this year, they weren’t sure if one of their best players would be ready to participate or not.

Sophomore and former All-Big 12 player Ciara Capezio recently had a case of Morton’s neuroma in her foot surgically corrected, and her coaches were unclear on whether or not she would need more time to recover. But fortunately Capezio was able to return to the court and aid the Cyclones in defeating Nebraska-Kearney, Nebraska-Omaha, and Northern Iowa.

Morton’s neuroma is a painful condition that arises from straining certain areas of the foot. If you are experiencing foot pain and think it might be from a neuroma, call podiatrist Dr. Boris Abramov, DPM of Abramov's Comprehensive Foot Care. Dr. Abramov will determine how severe your injury is and recommend a suitable treatment method.

Morton’s Neuroma

Also called Intermetatarsal Neuroma or Plantar Neuroma is a condition that affects the nerves of the feet, which targets the toe between the third and fourth toe. Neuroma is a growth that can occur in various areas of the body. Morton’s Neuroma causes the nerves around the feet to become enlarged causing pain in the feet.

Morton’s Neuroma can be caused by injury or pressure, many times no visible signs will indicate that you may have this. Instead, a tingling sensation along with pain will be present.  If this condition is left untreated, pain is likely to continue and worsen.

Foot pain should be treated immediately. Paying close attention to your feet, will less likely mean that you will have to undergo surgery.

How Does It Occur?

  • Wearing ill-fitting shoes
  • High impact exercise
  • Sustaining injuries
  • Walking incorrectly (bunions, flat-feet)


Treatment for the affected feet can help tremendously. A podiatrist will help identify the issue and prompt the patient to a treatment plan. In many cases the doctor will recommend the following: 

Apply padding to the arch
Ice packs on the affected area to reduce swelling
Reduce strenuous activities
Provide wider shoes


Surgery will be a last option if the podiatrist decides nothing else seems to working.


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


Read more about Morton’s Neuroma.

kent-bazemoreThere has been an unusually large amount of Lakers’ players that have been injured in the 2014 season; Kobe Bryant, Pau Gasol, Xavier Henry, and now Kent Bazemore.

A recent medical examination revealed the Lakers shooting guard has a tendon tear in his right foot that will require surgery to repair. That surgery was immediately scheduled to repair the injured ligament. The injury occurred, according to Bazemore, as he was dribbling along the edge of court during a game against the Clippers. He felt a pop in his foot and he collapsed. The rest of the 2014 season will not have Kent Bazemore in it.   

Suffering a sports related foot or ankle injury is never good news. If you have a sports related foot or ankle injury, see podiatrist Dr. Boris Abramov, DPM of Abramov's Comprehensive Foot Care. Dr. Abramov can provide your injury with the care it needs.  

Sport Related Foot and Ankle Injuries 

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports-related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

Read more about Sports Related Foot and Ankle Injuries

Monday, 21 April 2014 00:00

Young Swimmer Has no Need for Flat Feet

C.J. Kopecki, of the South Florida Aquatic Club (SOFLO) surges ahead during the Boys 13-14 Division 200-yard butterfly event at the recent Florida Gold Coast 14-Under Junior Olympics in Coral Springs. Kopecki helped SOFLO win is fourth consecutive combined team championship.Fourteen-year-old C.J. Kopecki could be considered a “Junior Olympian” in swimming. He’s a valuable team member of the South Florida Aquatic Club (SOFLO) and was just awarded third place in his division at the Florida Gold Coast 14-Under Junior Olympics. In a strange twist, Kopecki’s original aspiration was actually to be a soccer player.

Unfortunately, he has flat feet, and when he was ten he found out that he would probably never be able to run as well as his teammates. So he considered swimming as his next option. "I decided to try it out,” Kopecki said. “I went to a practice and … got taught all of the strokes and learned to swim. I have loved it ever since then.”

Flat feet are a nuisance. If you have questions about living with this condition, call podiatrist Dr. Boris Abramov, DPM of Abramov's Comprehensive Foot Care. Dr. Abramov can teach you how to avoid as much of the discomfort brought on by flat feet as possible.

Flat Feet

Flat feet is the name of a condition in which the arch of the foot is lowered or fails to develop all together. Flat feet are common among babies and small children, but arches are generally formed as the child grows. However, flat feet can become problematic if the arch never develops.  Adults may develop flat feet after an injury or from the increased weight of a pregnancy.

Diagnosis

The wet footprint test can help diagnose flat feet. The individual places their feet on a wet surface, and then walks across a dry surface to create an impression of their footprint. If there are no indentations or arches in the footprint, the individual may have flat feet. In all cases, it is best to consult with a podiatrist to confirm the diagnosis.

Types of Flat Feet

Rigid – this is when someone’s arch of the foot is not present when sitting or standing.
Treatment may be necessary if pain is present, and orthotics may be prescribed.

Flexible – the arch shows when someone is sitting, but then goes away when they are standing.
Treatment may not be necessary.

Surgery

In some instances surgery may be recommended if exercise and orthotics do not work.

If you have any questions, feel free to contact our office in Pikesville, MD. We offer the latest in diagnostic and treatment technologies to give you the best care options available.

Read more about Flat Feet.

runnersRunning experts have lately been locked in an intense debate about whether it’s better to avoid injuries by running in shoes with a lot of cushioning, shoes with minimal cushioning, or no shoes at all. But according to some scientists, the shoe you wear doesn’t matter at all, and what’s really important are each runner’s unique biomechanics and exercise habits.

“The best shoe for a runner is highly individualized,” Allison Gruber, a researcher at the University of Massachusetts at Amherst’s biomechanics laboratory, told Outside. “What may prevent or ‘cure’ injuries for one person may cause them or make them worse for another.”

Barefoot running is a relatively new trend, and its advantages are still being widely scrutinized. If you have questions about barefoot or minimalist running, visit podiatrist Dr. Boris Abramov's of Abramov's Comprehensive Foot Care. Dr. Abramov can teach you the facts about this technique and help you decide if it’s something you’d like to pursue.

Barefoot Running

The Impact of Barefoot Running

-Running without shoes changes the motion of your running, as most running is done by landing on the heel of the feet.
-Running barefoot requires a different way of running; the landing is done on the front part of the feet.

The Advantages of Barefoot Running


-When running and landing on the front feet, the impact on the feet and ankle is reduced, this can reduce stress injuries.
-It strengthens muscles in the feet and ankles and the lower legs.
-Balance of the body is improved and there is a greater sensory input from the feet to the rest of the body.

The Drawbacks of Barefoot Running

-No protection while running, makes it likely that runners will land on sharp objects and scrapes, bruises and cuts on the feet will result.
-Blisters may form.
-Possibility of plantar fascia problems.
-Risk of getting Achilles tendonitis.

So what can runners do to make barefoot running safe? It’s best to make a slow transition from running shoes to barefoot running. Once the feet begin to adjust, try walking, then jogging and gradually increasing the distance. Minimalist running shoes may also be an option.

If you have any questions feel free to contact our offices in Pikesville, MD. We offer all the latest in diagnostic and treatment technologies to meet your needs.

Read more about Barefoot Running.

wartsMany people are going barefoot, a practice that is becoming more common year-round. Nevertheless, by doing this you can be placing your feet in serious vulnerability. According to Hudson Valley podiatrist Clifford Toback, having your feet bare can make them liable to moveable objects on the ground and also increase the danger of plantar warts.

By putting your bare feet on unprotected ground, you can become more prone to athlete’s foot, plantar warts and other disturbing conditions. It is recommended to should avoid flip-flops and keep your toenails properly trimmed and maintained.

If your or someone you know suffers from plantar warts, it is advisable to seek professional medical advice from a podiatrist like Dr. Boris Abramov of Abramov's Comprehensive Footcare. Dr. Abramov can advise you on how best to treat a number of foot conditions; including plantar warts.

About Plantar Warts

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

  • Some pain while standing
  • Tenderness in the foot’s sole
  • Cosmetic discomfort (embarrassment)


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 a biopsy.

Several methods for treating plantar warts exist. They include:

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over the counter medications
  • Apple Cider Vinegar Soak

To avoid plantar warts, refrain from walking barefoot in public areas and avoid direct contact with warts.

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

Read more about Plantar Warts.

matt-wietersOrioles’ catcher Matt Wieters left the game after his ankle rolled in the bottom of the fourth inning during a 6-5 loss against the Red Sox.  "Just precautionary," manager Buck Showalter said of the move. "He's fine. [He] went in and got some ice on it."

The foot injury was sustained as Wieters walked with the bases loaded to drive in a run in the fourth inning; he moved to second on a wild pitch, and then ran to third rolling his ankle on Ryan Flaherty’s inning ground out.

Wieters will have some days off which will help him heal and rest his feet. "[Head athletic trainer] Richie [Bancells] said during the season he would have continued to play," Showalter said. "Just wanted to get some ice on it make sure it doesn't turn into something worse."

You must take care of your injuries to be getting back into the game. If you sustained a sports related foot or ankle injury, see podiatrist Dr. Boris Abramov's of Abramov's Comprehensive Foot Care. Dr. Abramov can help treat your foot related injuries.   

Getting Back into Sports after Foot and Ankle Injuries

Sprained ankles are a frustrating and painful ordeal many athletes go through. Recovery from a sprained ankle usually involves the RICE method. This includes:

• Rest
• Ice
• Compression
• Elevation


In addition, athletes should consider wearing an ankle brace in order to keep the ankle stabilized and alleviate any pain as it heals.


Stress fractures that occur in the foot and ankle come in two types. This includes stable and displaced. Stable stress fractures do not consist of any shifting in bone alignment while displaced stress fractures involve bone ends that do not line up.

Learn more about getting back into sports after foot and ankle injury by following link below.

If you have any questions feel free to contact our offices in Pikesville, MD. We offer all the latest in diagnostic and treatment technologies to meet your needs.

Read more on Getting Back into Sports after Foot and Ankle Injuries.

foot-care4A University of Colorado event called the Underserved Interprofessional Health Training and Education program invited homeless people to come to the St. Francis Center shelter to have their feet cared for and examined for illnesses. Six university faculty members and 18 medical students were on hand to clip toenails, provide toiletries, and check for diseases for 75 homeless men and women.

One of the project’s goals was to help prepare the aspiring doctors for work in impoverished urban areas. “These students are really mission-driven and motivated,” said Jan Beezley, one of the facilitators. “They’ve added this on top of med school.”

Many people underestimate the importance of everyday foot care. For advice on how to care for your feet, consider visiting a podiatrist like Dr. Boris Abramov of Abramov's Comprehensive Foot Care. Dr. Abramov can take a look at your lower limbs and offer his professional opinion about what changes need to be made.

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. Also make sure that the socks fit properly and are not uncomfortably tight.

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

Read more about Everyday Foot Care.

heel-painWhen Pueblo fitness instructor Tammy Moore first starting feeling heel pain, she thought that she just needed a new pair of shoes. But eventually her feet started to hurt so badly that she could barely stand when she woke up in the mornings.

“When I’d wake up and take a step, it felt like the arches were cramped,” Moore said. “I would have this whole process of waking my feet up in the morning.” She visited a doctor and was diagnosed with plantar fasciitis, a very common heel problem among athletic individuals.

Moore’s condition took over a year to heal, and she had to spend over $1000 on insoles, new shoes, and physical therapy. Frequent stretching alleviated her pain considerably, and she found she was able to run on treadmills without aggravating the injured ligament. “At the first signs, if you think you have it, start (treatments),” she said. “If I felt it coming back, I think I’d do all these things.”

Heel pain is often a sign of plantar fasciitis. If you suspect you might have this condition, speak with podiatrist Dr. Boris Abramov of Abramov's Comprehensive Foot Care. Dr. Abramov will examine your feet and help determine the source of your comfort.

The Condition Known as Plantar Fasciitis

An inflammation of the connective tissues on the bottom of the foot, Plantar Fasciitis can cause a great deal of pain in the arch and heel of the foot.

Treatments That Can Help Plantar Fasciitis

• Shockwave Therapy- works by sending sound waves to the sites where pain is being experienced. Commonly used for chronic cases of plantar fasciitis, shockwave therapy usually requires multiple sessions
• Ultrasound-guided technique with steroid injections into the plantar fascia. This is from a relatively smaller new study but shown to be effective in most cases treated
• Conservative Measures- ice packs, stretching exercises, orthotic devices, physical therapy and/or anti-inflammatory medication.

What Can Cause Plantar Fasciitis?

• Excessive running
• Lack of adequate footwear
• Bad foot support
• Overpronation
• Obesity


For more information about Plantar Fasciitis, please follow the link below.

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

Read more about Plantar Fasciitis.

Jordan Spieth during the PGA Tour's 2014 Farmers Insurance Open at Torrey Pines.The Farmers Insurance Open proved frustrating for Jordan Spieth, the man who won last year’s John Deere Open, faring poorly in the weekend portion of rounds and ultimately finishing at T-19.

He’s stated that he somehow injured his ankle there, which he believes might be the cause of his subpar performance. “I felt it in the second day on the back nine…my ankles pretty messed up; ….from there I just stopped loading as well on it and I [missed] fairways.”

While the 20-year old didn’t want to directly blame the injury for his performance, he’s said it caused a loss of control for sure. He has no idea when he got hurt and hasn’t been diagnosed yet either.

Playing sports with a foot or ankle injury, can be potentially career-ending and dangerous without proper recovery time. If you have suffered a foot or ankle injury, it is highly recommended you see a podiatrist like Dr. Boris Abramov of Abramov's Comprehensive Foot Care before returning to the field. Dr. Abramov will diagnose and lay out all your treatment options you will work together to get you back in shape. 

Playing Sports with Foot Injuries

Many types of foot injuries affect athletes over the course of their athletic career. Despite their setbacks, many of these athletes will continue to play with mild foot injuries and attempt to ‘push’ through the pain. In order to be able to prevent injuries, it is important to stretch before any activity, wear proper footwear and replace shoes as needed. Some of the foot injuries athletes are at risk for include:

• Turf toe- upward bending of the big toe outside normal range of motion
• Stress Fractures
• Overpronation- excessive foot movement during gait
• Plantar Fasciitis- swollen ligament in the foot’s base
• Strains

There are many types of treatments that are necessary to keep the injury from becoming more serious. Ice is often used to reduce swelling and inflammation while applying a compression bandage can help reduce pain and stress on the foot. For more serious injuries it is recommended to consult with a podiatrist or orthopedic specialist as fractures and other serious conditions may require surgery.

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

Read more about Playing Sports with Foot Injuries.

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