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2411 Crofton Lane, Suite 25
Crofton, MD 21114

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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.

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.

‘Tunnel vision’ seems to have set-in again for the potential 2016 presidential candidate Chris Christie. New Jersey Governor Christie is once again considering a plan to increase commuter access between New Jersey and Manhattan by expanding tunnel access across the Hudson River. To the residents of New Jersey this on-going saga couldn’t seem like more of a pain, however, tunnels of a different sort are causing very real pain and misery all over the U.S. These tunnels, such as the infamous carpal tunnel in our hand or the tarsal tunnel just behind our ankles, act as small passages for nerves, arteries and tendons into our periphery, and when trapped can cause significant pain to the extremity.

 

For those unfamiliar with the tarsal tunnel, it is a small passage behind the inside of our ankles. This particular tunnel holds the posterior tibial nerve, a nerve primarily responsible for the muscle control and sensation to parts of our feet. Ankle injuries, systemic disease, biomechanical problems, and many problems can all cause this tunnel to become compressed, placing excessive pressure on the nerves and vessels which pass through. This entrapment is what causes the numbness, tingling, and sometimes even shooting pain in our feet.

 

If you ever feel these symptoms in your feet, it is imperative that you see a local foot specialist immediately, as a compressed tarsal tunnel may cause irreversible nerve damage. Following examination and diagnosis, your local physician may try a multitude of options to reduce this compression, orthotic shoe devices, physical therapy, corticosteroid injections, and custom footwear.  In severe situations, ankle surgery may even be required.

 

While tunnel issues may be a pain in the necks of citizens of New Jersey, don’t let tarsal tunnel pains become a problem in your feet! No matter where you live in the Crofton, Gambrills, or Annapolis area of Maryland, pain in your ankles or feet is not normal and should be checked by a local specialist before any permanent damage can set in and if you’re in the area don’t hesitate to call Crofton Podiatry for an appointment.

 

By Brad Toll.

By Brad Toll
December 06, 2014
Category: Shin Splints

While football is busy taking most of the attention in the States, its international competitor futbol is catching some recent headlines. Recently, Manchester United’s Phil Jones has picked up yet another injury, with this time being shin splints! Jones had only been back on the field less than a week after being forced to miss four games due to a hamstring injury. While Jones was thought to have recovered from the previous injury, and was training for a past Sunday’s Premier League game against longtime rival Chelsea. However, on the Saturday before the game, Jones started to feel soreness in the front of his legs and was unable to play in both the Sunday game against Chelsea and the Monday Old Tafford clash vs. the Blues. Unfortunately for now, the team’s managers are still unsure how long it will take Jones to recover.

As many of my patients in the Crofton and Gambrills area of Maryland know, you don’t have to be a professional athlete to get shin splints. In fact, many of my patients who present with this horrible pain are just trying to get started in a running routine. Unfortunately, the severe pain we feel in our shins is actually caused by small tears in the area where our lower leg muscles attach to our shin bone (or tibia).  These tears occur because of over-use and overstretching of these muscles, especially following periods or inactivity, or during extended use.

Some of the best ways we can prevent or reduce the occurrence of shin splints is making sure we have the right shoes for our body type, and making sure to stretch our calves and legs regularly even when we aren’t involved in exercise. Additionally, always being sure to use warm up and cool down exercises, and to take breaks when you start feeling shin splints coming on. Taking these necessary precautions may reduce the severity and recurrence of these muscle pains. Ultimately, anytime you have longstanding pain that isn’t easily resolved, it is vital that you see a local specialist. They will be able to study your body type to truly get to the bottom of what is causing your pain, and can focus on finding the true source of your pain, rather than just treating the symptoms itself. And if you’re in our neck of the woods don’t hesitate to call us Crofton Podiatry!

By Brad Toll.

Investigators say they used footage from 2014 Miss Toyota Grand Prix contest in Longbeach, CA to catch insurance fraud in the act. A 22 year-old beauty contestant was arrested after authorities discovered her featured in an online video competing in the competition, all while allegedly collecting disability from a reported foot injury.  Little did the 22 year old know that the cameras she was so eagerly posing for would be the same cameras capturing the evidence needed to book her on 3 counts of serious insurance fraud.

The contestant was Shawna Palmer, a clerk at a nearby grocery store who had recently filed for workman’s comp after allegedly injuring her toe during work hours. However, within two days after leaving her doctor’s office in crutches, Palmer was seen competing in a beauty contest in little but high heels.  To make matters worse, Palmer was seen competing in high heels in yet another beauty competition, less than a week after telling physicians that she ‘could not place any weight on her foot, move it in any direction, or wear a shoe for any length of time’.  If convicted, she will face a possible a year in prison and repayment of the $24,000 in benefits she has collected on disability leave so far.

However, true cases of workman’s compensation is nothing to joke about.  Unlike this contestant, most of my patients in the Crofton and Gambrills area who see me for far an evaluation want to reduce the amount of work time lost as a result of a foot injury.  This is why I work with all of my patients with work related foot injuries to get them back into regular shoes as quickly yet safely as possible.  If you have any foot pain or injuries that are keeping you from doing what you want to, it is important you seek the consultation of a foot and ankle specialist and if you’re in the area click here to schedule a visit with me at Crofton Podiatry.

 

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