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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.

Kevin Durant of the Oklahoma City Thunder recently broke the ice regarding the Jones fracture that has been keeping him off the courts. “It's definitely a different experience for me," Durant said Tuesday as he addressed the press conference, “Everything is progressing, and I'm looking forward to these next few weeks of getting better." Additionally, Kevin called the injury ‘basically a win-win, because I'm learning a lot while I'm out about the game, and my teammates are getting lots of opportunities because there are a lot of minutes out there to help the team."

Last season, Durant averaged 32 points, 7.4 rebounds and 5.5 assists in 81 games and played the most minutes in the league since 2007 (20,717).Durant first noticed pain in his right foot earlier this month. After seeking medical attention physicians were quick to notice that Durant had broken the base of his small toe, something that we call a ‘Jones Fracture’. Typically these require surgery, and as in the case with Durant, a screw is typically inserted to reconnect the dislocated piece of bone. Due to the nature of the operation, being non-weight bearing is a must during the postoperative course. However, Durant was quick to continue his optimism stating, "If I would've kept playing on it without surgery, it could (have become) worse."

Our feet make up over 25% of our body’s bones, and as a result, can lead to many many different types of injuries. In total there are 26 bones, 33 joints, and over 100 muscles, tendons and ligaments in each foot. While our feet may not seem like much, they are truly very complex structures that have are the basis of mobility and livelihood. Any pain in our feet is an indicator that something isn’t right and if continued, may lead to significant injury. So today we could all learn a little from Durant – if you’re feeling pain in your feet, it is best to get it checked out by a foot and ankle specialist before it becomes worse! If you’re in the Anne Arundel or PG county areas, don’t hesitate to give us a call for more information about how we can serve you at Crofton Podiatry.

 

By Brad Toll.

By Brad Toll
July 05, 2014
Category: Feet Safety

2014’s 4th of July weekend celebrations are upon us – and it is time to celebrate!  In honor of celebrating our 238th birthday as a free nation, millions of Americans will be joining in on the whirlwind of parades, beaches, boating, fireworks displays and backyard grilling.  However, the easiest way to ruin the festive fun is through a surprise trip to the emergency room. If swimming, boating, or many other outdoor activities are part of your 4th plans, consider the following suggestions to stay safe and out of the doctor’s office this holiday season.

When fireworks or grilling are part of your plans make sure everyone is wearing full coverage shoes at all times. All too often, the enjoyment of the outdoors tempts our companions into going barefoot, a dangerous proposition when hot coals or embers may be unknowingly scattered across the ground.  Additionally, to prevent blisters, cuts or calluses, proper shoe wear is even more important during the holidays, when sharp objects such as bottle caps, broken glass, or metal trash may be lurking under every step. If sandals are a must for you – consider switching to sandals like Keens or other brands which have protective toe-guards.

Additionally – while your feet are important, so is the rest of your body too!  Hopefully with a few simple ‘steps’ to stay safe, we can ensure that everyone’s 4th of July around Crofton, Gambrills, and Annapolis Maryland is enjoyable and memorable.

  • To prevent heat exhaustion and dehydration, bring and drink plenty of water.  Oftentimes – much more than you would expect to need.
  • Every part of the body is at risk for sunburn.  Bring plenty sunscreen, apply it liberally and frequently, and make sure to spend time in the shade when possible.
  • Make sure to supervise all children, and be sure that everyone has adequate flotation devices when near the water.  Don’t rely on water wins or inflatable toys!
  • Make sure all food is well-cooked and not spoiled by the summer heat.

Remember – the worst way to celebrate the 4th is in the emergency department. Be safe, think critically before every activity, and most importantly…enjoy!

Dr. Brad Toll and the staff at Crofton Podiatry wishes everyone reading this a happy 4th July Celebration!

By Brad Toll
June 25, 2014
Category: Diabetes

People often think that type 2 diabetes strikes only the overweight and sedentary, or unhealthy eaters. But anyone can be diagnosed with diabetes, even world-class athletes or the rich and famous.  Surprisingly enough, celebrities such as Tom Hanks, Halle Berry, Larry King, Salma Hayek, Nick Jonas, Paula Dean, Drew Carey, Oprah Winfrey, Randy Jackson, and Billie Jean King have all been diagnosed with diabetes.  While they’ve been outspoken about it, there are more than 22.3 million other American who are now living with diabetes, and it is believed that an additional 6.3 million Americans are living undiagnosed.  Currently, the prevalence of adult diabetes in Maryland grew from 6.8% in 1999 to 8.7% in 2008.

Uncontrolled diabetes has been well linked to other illnesses, especially breaks in the skin known as ulcers, a very serious health risk.  Did you know that the average cost of healing a diabetic foot ulcer can range from $2,000-$60,000 per ulcer? Even more staggering, diabetic foot ulcers have a very high likelihood of becoming infected, usually requiring an amputation to resolve.  This is exactly why we stress to every patient with diabetes that they check their feet daily, and see a foot specialist at least once a year.  I see many patients with diabetes at my office at Crofton Podiatry in Crofton, Maryland, and I always strongly advise my patients to regularly check their feet for corns and calluses, blisters, ingrown toenails, warts, or overly dry and cracked skin.  All of these are problem which should not be ignored, and require the attention of a specialist for prompt resolution.

The following are my top tips to keeping your feet healthy!

·         Check your feet every day for cuts, sores, blisters, redness, calluses, infected toenails, or other problems.

·         Engage in regular physical activity, but check your feet daily for problems.

·         Protect your feet from hot or cold conditions. Yes this includes electric heating blankets!

·         Wear shoes that fit well – if you need help, come in and see me!  Secondly, wear shoes and socks at all times,                 and making sure to change your socks daily!

·         Trim your toenails regularly, and have a podiatrist check them every 6 months.

·         Wash your feet every day in warm, but not hot water.

·         Keep your blood glucose numbers as close to your target as possible.

·         If you smoke, get help to quit.

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