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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.

At Crofton Podiatry we spend a lot of our time talking with our patients about the damage that can result from decades of wearing high heels. However, what we spend less time talking about is how shoes without any raised arches can also hurt our feet. These shoes more colloquially known as ‘flats’, have found their way into every woman’s wardrobe across the nation, and are expected to make a big comeback in spring 2015. 

Wearing these shoes for extended lengths of time can put significant strain on our body’s natural anatomic arch and cause tearing of the fibrous bands which support these arches. This tearing can be extremely painful, and is the primary cause for what we call plantar fasciitis.

If you absolutely cannot imagine a life without regular use of your flats, there may be a way you can wear them without experiencing regular pain of plantar fasciitis. While there are many stretching, icing, and other inflammation reducing exercises that may temporarily relieve the pain of plantar fasciitis, these will not address the underlying cause of the problem. The best way to relieve the arch or heel pain associated with flat shoe use is to wear orthotic inserts. Orthotics will help support the arch in your feet, and reduce the forces which cause the fibrous bands in your feet from tearing.

If you or someone you know is having persistent pain in the bottoms of their feet after wearing flats, there is no need to prolong the suffering. A visit with your local foot and ankle specialist will help you understand the nature of your pain and what can be done to prevent it in the future. If you’re in the Crofton, Gambrills or Bowie area, consider giving us a call and one of my staff members will get you set up. There we can discuss what type of treatment may be best to resolve your symptoms and get you out of the flat shoe blues and back to pain free living!

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 30, 2014
Category: Removable Boot

A new fad is popping up across social media outlets such as Pinterest, Facebook, and Twitter. Hundreds of photos tagged with the likes of #celebsinsurgicalboots are popping up online as more and more debutants hit the red carpet wearing the least fashionable item in the medical armory. It seems the trend is nearly inescapable, with its most recent additions to membership including: Shia LaBeouf, Reese Witherspoon, Kobe Bryant, David Beckham, and even ex-PODUS daughter Chelsea Clinton. While many fashion critics are lauding the new statement, medical practitioners across the nation are rejoicing as celebrities unofficially endorse the most effective (yet least patient appreciated) treatment for the foot and ankle.

Before you begin to ‘burn the boot’ it is important that you put into perspective just why your foot and ankle specialist put you into one in the first place. For starters, no – your doctor does not want to keep you from looking cute, and this is not (typically) a punishment for being a bad patient.  However, it is one of the most fundamental modalities for protecting your feet following an injury like sprains, fractures, plantar fasciitis or even surgery. Walking boots are specifically designed to evenly disperse the pressures of walking below your feet, providing open wounds or soft tissue injuries the time and environment they need to heal. Many physicians also suggest stretching and exercise techniques to maintain muscle strength during use. These are also critical to your recovery, as they increase blood flow to the injured area and prevent muscle atrophy.

Oftentimes at my clinic in Crofton Maryland, I’ll see patients who want quick healing, but aren’t willing to wear their boot. Trust me - we wouldn’t put you into these devices if it wasn’t absolutely critical to your healing. Ultimately –a walking boot may be one of the many components of an effective treatment plan; however, in many cases strict adherence to its use is quintessential to success. Following the instructions from your doctor (and respecting the boot!) is a crucial step in getting back into the shoes you actually want to be wearing.

By Dr. Brad Toll of Crofton Podiatry

Here's one of our wonderfully positive patients embracing the boot!

 

President Obama has found himself a new nagging pain, and this time it isn’t coming from politicians or pundits. At his latest physical health examination, Mr. Obama was reportedly diagnosed with ‘recurrent plantar fasciitis’ something, he has apparently been dealing with for quite some time. 

President Obama now joins the barrage of high-visibility celebrities who have experienced foot injuries this month. Earlier this month Cher had to be rushed to a hospital for foot pain experienced during rehearsals for her ongoing tour. Harrison Ford was also forced to undergo foot surgery following an accident near his character’s long-beloved Millennium Falcon on the set of the new Star Wars movie. 

However, while Cher and Harrison Fords’ injuries may have been more serious than the President’s, that doesn’t make them any less painful. Plantar fasciitis is one of the most common causes of heel pain I see in my clinic outside of Annapolis, Maryland. It is a result of inflammation and micro-tearing of the protective ligaments that stretch across the bottom of our feet.

Normally, this problem is particularly common in basketball players, runners, and patients that don’t participate in regular exercise. Additionally, many shoes that are currently in vogue (like flats or flip flops) offer very little arch support, exacerbating existing conditions during long periods of walking or standing.

If pain on the bottom of your feet is bringing you down and making work absolutely miserable, there are steps you can take. Visit your local foot care specialist for the most up-to-date answers to your questions and if you’re in Crofton, Bowie or Greenbelt come check us out at Crofton Podiatry. In the meantime, try my best tips below:

Putting your foot down on plantar pain:

  • See your local foot care specialist for tailored Achilles tendon and plantar fascia stretching exercises.
  • Wear shoes that are supportive and well-cushioned.
  • While seated, cross your affected foot on the opposite thigh, grasp your toes to stretch the arch area and give the arch a good massage to ease the severity of the pain.
  • Try to drop some pounds if you’re overweight, to relieve pressure on your feet.
  • Take pain relievers such as ibuprofen (which the president takes) or naproxen as suggested by a podiatric physician consult.

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