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2411 Crofton Lane, Suite 25
Crofton, MD 21114

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By Brad Toll
September 24, 2015
Category: High Heels

Following ‘on the heels’ of last fall’s post regarding pumpkin spice and fall prevention in the autumn season, it seems only fitting that our next post should be about Posh Spice’s function meets fashion shoe line. It wasn’t too long ago when Victoria Beckham, now wife of uber soccer pro David Beckham, went by her internationally known name ‘Posh Spice’ in the infamous 90’s group Spice Girls.  Shedding her 90’s image for a more modern and mature look, Victoria is still expressing some of her previous grandeur with a new line of designer shoes. 

High-fashion shoes are notorious for the damage the cause to women’s feet, and are well attributed to the development of painful bunion, Morton’s neuromas, Achilles.  Yet, Posh must be feeling the pains of wearing the designer stilettos, as her new shoes ditch the narrow heels for a lower and platformed shoe.  This marks a stark divergence in the functionality of the shoe, and goes a significant length in maintaining the foot’s normal anatomy.

While higher-heels are always going to increase the risk of falls, sprains, and damage to your foot architecture, shoes that have a wider toe-box or that feature a firmer platform are certainly the preferable option.  For once – it seems a designer has woken up to this concept, and is willing to blend fashion with a greater sense of function.  If you’re looking for a new pair of dress shoes to enter the fall season, shoes like Beckham’s which feature a wider and more supportive base will go a long ways in maintaining your comfort and reducing long-term damage. 

Dr. Google doesn’t always have the right answer, and may only delay the correct diagnosis and intervention.  If you or a family member has any questions about foot pain, deformity, or proper shoe wear they should seek out a local expert to prevent treatment delay. If you’re in the Crofton, Annapolis or Bowie areas come see us at Crofton Podiatry for expert foot an ankle care.

By Brad Toll.

A new report from the daily mail reports that famous James Bond actor Roger Moore has removed all alcoholic cocktails from his diet following a diagnosis of type 2 diabetes. Moore, who starred as James Bond in seven iconic flicks, was diagnosed with diabetes last year at age 85 after collapsing at his home in Monaco. Moore was rushed to the hospital where doctors confirmed his chronic high blood sugars had evolved into full-fledged diabetes.

The martini cocktail, famously ordered by Sean Connery in the movie ‘Goldfinger’ and iconically ordered as ‘shaken not stirred’, is made from a combination of gin and vermouth. These ingredients are both high in sugar, and make it very difficult for patients with diabetes to control their blood glucose levels. In an interview, Sir Roger Moore stated, “I make a very good dry martini but I’m not allowed to drink them anymore. No more sugar, no alcohol…I enjoy it much more”. 

Following his diagnosis Moore will have to adventure into a whole new world of personal– as diabetes will affect not only his martini intake, but also his overall health. Severe diabetics can develop peripheral neuropathy which can even lead to amputations in some cases. At Crofton Podiatry we see a multitude of patients whose foot health has been directly affected by their diabetic control.

We cannot stress the importance of diet, regular exercise, and overall health monitoring in protecting the quality of your feet. Proper diabetic foot care and protection may include custom extra depth shoes and proper nail care which may be done by your podiatrist every nine weeks or so. In a world where the phrase, ‘You only live twice’ isn’t even true for James Bond, it is ever important that we remain vigilant about our health! 

By Brad Toll.

By Brad Toll
February 27, 2015
Category: Ankle Sprain

The 2015 Grammy’s occurred this weekend with notable mentions to all sorts of stars. This year’s event featured performances from Katy Perry, Madonna, and a collaboration between Paul McCartney, Rhianna, and Kanye West.  While many were happy to see Sam Smith, Pharrell, and Beck take home some of the most notable Grammy wins, most people were just glad to see little mention of Justin Beiber.  However, the Grammy-nominated Beiber has other ways of making headlines. Just today the news media is saying that Justin has been unable to complete his court mandated community service due to what he is calling a ‘high ankle sprain’.

While this may seems like a joke to the judicial process, many of my patients in Crofton and around the Gambrills and Annapolis area know just how serious ankle sprains can be! Patients that suffer from frequent, debilitating ankle sprains may suffer from chronic ankle stability. This is a lifelong condition that may require a brace or custom shoe gear to maintain ambulation. Oftentimes, these strategies are only partially effective, and surgery may become the best option for definitive resolution. There are over 20 different surgeries for ankle instability or following significant ankle sprains, ranging from tendon repair and transfers, ligamentous repair, or bone work. Therefore, it is important to talk to a local specialist about which treatment may be right for you and if you’re in the area, I invite you to give us a call at Crofton Podiatry.

Like many things with our health, delays in treating injuries may only make them worse! If you have an ankle sprain which has not reduced in swelling, redness, or pain after a week it is important you see a local foot and ankle specialist for proper diagnosis. They can talk to you the severity of damage to your ankle, and through all of the available treatment options. Even if your sprain doesn’t require surgery or other more definitive interventions, be sure to ask your local practitioner about ways to prevent suture sprains. Don’t be like Beiber – get your ankle sprain treated today so you can get back to your life the way you want it!

By Brad Toll.

By Brad Toll
February 11, 2015
Category: Gout

Whether you were a Seahawks or Patriots fan it is undeniable that this year’s Superbowl will go down as one of the most memorable finishes in NFL’s history. While the Patriots were busy positioning themselves for the 28-24 surprise win over the Seattle Seahawks, football enthusiasts across the nation were positioning themselves for another round of snacks and drinks. During Superbowl Sunday, it was estimated that American’s ate approximately 1,083,333 football fields worth of wings, over 120 million pounds of avocados, 325 million gallons of beer (enough to fill an Olympic-sized swimming pool 1,938 times), over 29 million pounds of chips, 3.8 million pounds of popcorn, and 4 million pizzas!

While these stats are almost as amazing as the stats of the players themselves – they also bring more than just the misery of your favorite teams defeat. Many of these foods (and especially the beer that washes them down) may predispose us to a painful condition known as gout. Painful gout attacks occur due to the buildup of micro-crystals in our blood, something that can be exacerbated by diets rich in purines. These crystals deposit themselves in the joints of our peripheral extremities, and as a result affected joints will appear red, swollen, warm, and will be extremely painful to move or bend. 

If you think you or someone at your football party may be suffering from a gouty attack following this Sunday’s feast, it is important they see their local podiatrist right away. Untreated, gouty crystals will only continue to be painful, and may cause permanent damage to the joint.  Gout can be easily treated with medication, and a simple conversation regarding what foods may predispose to gouty flare-ups may significantly reduce the likelihood of future occurrence. If you live in the Crofton or Bowie area and suspect you may have gout – call my staff at Crofton Podiatry to make an appointment today!

By Brad Toll.

Food statistics courtesy: http://mashable.com/2015/01/28/super-bowl-food/

By Brad Toll
November 22, 2014
Category: Footwear

Recently Hollywood and the fashion industry has been abuzz with word of the latest fashion crime to appear on celebrities feet; the shower sandal. Made famous by the now infamous Adidas sandals that made their way into most people’s closets as a way to protect feet from locker-room floors over a decade ago, these nostalgic sandals are now making a big comeback in what’s being termed the ‘ugly-pretty’ market. Recently, high fashion shoe wear designers such as Celine and Chloe have revealed versions costing triple digits for the now infamous loungewear, which making its way into numerous celeb Instagrams and even a few red carpets (both with and without socks as well).

While it is our hope that this fad doesn’t make its way anywhere near the Annapolis and Crofton areas of Maryland, this does provide an excellent reminder of when old shoes (and even old styles such as shower sandals) should probably be thrown away and replaced. Old and worn shoes may aid to the development of overuse injuries, particularly those like stress fractures or tendinitis. These can be very painful conditions and may significantly set back your mobility and summer exercise routines, however, they are easily prevented by regular and proactive replacement of your shoe gear.

Many of my patients ask me how they should know when it is time to replace their summer running shoes.  For active runners, the golden rule I tell all my patients at Crofton Podiatry is to replace your shoes around every 500 miles or earlier if you begin feeling pain in your feet, ankles, or knees with wear. For non-strictly running activities such as CrossFit, replacing your athletic shoes at least every 12 months should be adequate depending on how hard you train.

If you’re unsure about the age or use of your shoes, the easiest way to determine their remaining longevity is by looking at the sole of each shoe. Shoes that are near the end of their life will show significant wear in the tread, perhaps even to the point where the bottom of the shoe is no longer flat. If you see any of these signs, or are still unsure on how the wear on your shoes may be affecting your health, it is important you see a knowledgeable shoe specialist to evaluate if your shoes are best for you and your health.

By Brad Toll.




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2411 Crofton Lane, Suite 25
Crofton, MD 21114

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