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Posts for: September, 2017

By Crofton Podiatry
September 28, 2017
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Psoriasis may be a common autoimmune disease, but not many seem to know about it. For those who do know the undesirable qualities that come with it, they know it all too well: embarrassing red rash, grayish-white or silvery-white scaly skin, painful blisters, and even painful arthritis.

While psoriasis can be found most commonly on the elbows and knees, there are some who suffer on the palms of their hands and on the soles of their feet as well. The mild form of psoriasis in the hands and feet make them dry and scaly, but the rarer, more severe form (palmoplantar pustulosis or pustular psoriasis) can cause pustules or blisters and affect the toenails.

Cause: The exact cause is unknown, but the disease is an autoimmune disease that is hereditary. Those with weakened immune systems tend to have worse symptoms, and stress and injuries can also make it worse.

What can you do for psoriasis on your feet?

Proper foot hygiene: Wash your feet each night, with soap and warm water. Allow feet to dry and then moisturize as needed. Cracked skin can make symptoms worse and take longer for rashes or scaly skin to heal.

Moisturize: with lotion, cream, and/or oatmeal baths (if they help to soothe the skin). Avoid alcohol and dry air, which can dehydrate skin and trigger psoriasis.

Stress management: Many who have psoriasis have experienced a correlation between increased stress and worsening symptoms of psoriasis.

Phototherapy/Light therapy (under doctor supervision): careful exposure to UV-B has been shown to be helpful for some patients.

Cushioning/Orthotics: Use blister pads or other cushioning to reduce pressure on painful pustules or blisters that may form. Those who are affected by psoriatic arthritis may benefit from orthotics that cushion and protect the feet and joints.

Medication (with doctor consultation): anti-inflammatory medications, topical steroid creams, oral steroids, and other prescribed drugs that depress the immune system or biologic drugs that are effective against psoriasis.

There are several different treatments available for psoriasis, and if systemic (whole body) oral treatment is necessary, your doctor can determine which may be best for you. Treatment of psoriasis usually requires health care by a team of physicians, which should include our podiatrist if psoriasis affects your feet.

Psoriasis can sometimes be confused with a fungal infection (i.e. Athlete’s foot) and/or fungal toenails (onychomycosis). For proper diagnosis, consult with our board-certified podiatrist, Dr. Brad Toll at Crofton Podiatry. Make an appointment by calling (410) 721-4505. Our team is ready to assist you at our Crofton, MD office, which also serves the surrounding areas of Gambrills, Odenton, and Bowie, MD.

By Crofton Podiatry
September 21, 2017
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When you’ve got adult-acquired flat feet, whether it be from Posterior Tibial Tendon Dysfunction (PTTD), Arthritis, Injury, Obesity or Charcot Foot from Diabetes, the symptoms can really affect your daily life. Foot pain can affect mobility and mood, especially due to the pain. Standing or walking for long periods of time, as well as vigorous exercise can make the pain worse. Compounded with the fact that some can develop bony spurs or swelling, flat foot deformities are no walk in the park (at least not a long one, anyway).

So what can you do about it?

Treatment: Treating adult-acquired flatfoot deformity depends on the stage at which it is noticed or diagnosed.

Stage I: Inflammation, swelling, and pain near the inside of the ankle. A fallen arch may not necessarily be visible.

  • At this stage, rest and immobilization is best to relieve and prevent worsening of pain. You should wear supportive shoes with arch and heel support so that your feet do not have to strain to keep you stable. Orthotics can help to relieve symptoms and also prevent progression of flattening feet.

Stage II: If it only affects one foot, the arch in that foot will be more visibly flat. The arch may still be flexible, and the arch may reform when the heel is lifted.

  • In Stage II, the tendon may be stretched, loosening and flattening the arch. In order to relieve symptoms, you may need immobilization in a cast, custom- orthotic shoes, a brace, and/or physical therapy treatment. Pain relief may require anti-inflammatory treatment, such as NSAIDs (non-steroidal anti-inflammatory drugs) and applying ice to the affected areas.

Stage III: The affected feet have rigid flat arches, which do not reform when heels are lifted. The ankle may be pronated, putting pressure toward the inside of the foot. The outside of the ankles may be strained and feel painful.

  • In Stage III, the deformity is usually severe and the feet can be visibly misshapen. An immobilization boot, followed by orthotics and a brace can help to reduce initial symptoms, but if they do not fix the problem, you may need surgery. Early Stage III treatment might include soft-tissue procedures like ligament lengthening or tendon transfers, but later Stage III treatments can require bone and/or joint fusions.

The best way to find out what treatments would work best for you would require a consultation with our board-certified podiatrist, Dr. Brad Toll at Crofton Podiatry. Make an appointment by calling (410) 721-4505. Dr. Toll will be able to properly diagnose the stage of your adult-acquired flatfoot deformity, as well as determine the best solution for your foot pain. Our team is ready to assist you at our Crofton, MD office, which also serves the surrounding areas of Gambrills, Odenton, and Bowie areas.

By Crofton Podiatry
September 14, 2017
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Over time, your feet can begin to give you signs indicating the state of your foot health. The most obvious issues usually start with symptoms of inflammation or pain. This is especially true for adult-acquired foot issues, like flat feet. Even those who weren’t born with flat feet can end up with them later in life. After years of wear and tear on the tendons, they can become inflamed, stretched, or torn to create a flattened foot.

Causes – The following are other issues with side effects that lead to flat feet:

●      Posterior Tibial Tendon Dysfunction (PTTD): This is the most common cause of adult-acquired flatfoot. This tendon connects the calf muscle to the bones on the inside of the feet and holds up the arch. When there is an issue with the tendon, such as inflammation or tearing, the arch can collapse. People who participate in high impact activity or sports are more likely to experience PTTD.

●      Arthritis: Rheumatoid arthritis, especially, can cause adult-acquired flat feet. The cartilage and ligaments in the foot and ankle joints can be affected, not only causing pain, but also deformity. The changes can cause the flattened arch.

●      Injury: Foot or ankle injuries can cause problems to the tendons, ligaments, and bones. The injuries can cause shifts, tears, dislocations, and fractures, which can lead to flat feet.

●      Charcot Foot from Diabetes: This condition causes weakening of the bones, which causes a worse injury because there is nerve damage (especially for those with diabetic neuropathy). Because nerve damage often leads to loss of sensation, pain is ignored and deformities can form or worsen.

●      Obesity: As your weight increases, more pressure is applied on the feet. It can cause the feet to flatten over time, especially if there is extreme excessive weight. It can lead to inflamed or injured ligaments, and flattened arches.


In addition to the physical appearance of flattening feet, you may experience the following symptoms (depending on the cause of adult-acquired flatfoot): pain and/or swelling along the inside of the foot and ankle; pain that gets worse with activity or long periods of standing; pain on the outside of the ankle bone; or pain from the development of bony bumps (or spurs).

If you experience any of these symptoms, they may point to issues developing on your feet. Consult with our board-certified podiatrist, Dr. Brad Toll at Crofton Podiatry. Make an appointment by calling (410) 721-4505. Our team is ready to assist you at our Crofton, MD office, which also serves the surrounding Gambrills, Odenton, and Bowie areas.

By Crofton Podiatry
September 07, 2017
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For those of you who live with hyperhidrosis, you know that it’s not only an uncomfortable condition; it can also be a very embarrassing problem in social situations. Shaking hands when meeting new people or trying to hold hands with a significant other can feel daunting. Going to someone’s house and taking off shoes can also cause anxiety as you’re more likely to have foot odor or drenched socks.


The underlying cause of hyperhidrosis is not well known, other than the fact that it is a hereditary condition. For some, the excessive sweating of the hands and feet, as well as of the rest of the body can get worse with stress or physical activity. For others, however, it can happen randomly.


While there are no major health-related side effects, the areas of excessive sweating are prone to skin breakdown, infection, and odor. That’s why it’s important to maintain good foot hygiene and healthy lifestyle practices:


●Wash your feet each day with warm water and soap. Also, take note of any changes in your skin and promptly take care of any infections.

●Never re-wear used socks. If your socks get drenched during the day, try using antiperspirant or foot powder to absorb some sweat. It can also help to change your socks in the middle of the day, and then again after work. You will go through more socks, but it will prevent other issues like odor and blistering.

●Additionally, wear different shoes each day so that they have time to fully dry out in between wears. That will reduce foot odor and any bacterial, viral, or fungal problems.


Because it is not fully understood, there is no permanent treatment solution for hyperhidrosis. However, there are some options to temporarily reduce sweating in your problems areas. There is iontophoresis, which uses water and a low electrical current. There’s also the option of botox injections, which are short term solutions. Finally, there’s sympathectomy, a surgical procedure in which nerves are interrupted/cut to reduce the signals that tell sweat glands to sweat.


We know that living with severe hyperhidrosis can have a big impact on your life. To figure out the best solution for you, consult with our board-certified podiatrist, Dr. Brad Toll at Crofton Podiatry. Please make an appointment by calling (410) 721-4505. Our staff is waiting to assist you at our Crofton, MD office, which also serves the surrounding Gambrills, Odenton, and Bowie areas.

Call Today (410) 721-4505

2411 Crofton Lane, Suite 25
Crofton, MD 21114

Podiatrist - Crofton, Crofton Podiatry, 2411 Crofton Lane, Suite 25, Crofton MD, 21114 (410) 721-4505