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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.

The 3rd base has it out for the Atlanta Braves!  Shortstop Andrelton Simmons is still out from after tripping over 3rd base a few Tuesdays ago, and third baseman Juan Francisco received a similar blow to his ankle in last Friday’s loss against the Mets at Turner Field. At Crofton Podiatry between Bowie and Annapolis Maryland, we see and treat ankle sprains yearlong. While we don’t know why 3rd bases seem to have it in for the ankles of Braves players, it certainly seems like between summer sports and winter ice, there is no time in the year in which our ankles are safe from harm!

In the past, we have blogged about ways to prevent ankle sprains during sports and in winter conditions, but we haven’t talked about some of the long-term damage that can occur as a result of frequent sprains. One of these long-term complications is known as an osteochondral defect, or OCD for short.  OCD’s may be common after multiple ankle fractures or sprains, and can be significant sources of pain. This pain is caused when bones in the ankle bang together, causing damage to the protective cartilage and underlying bone. This causes a ‘pot hole’ type effect in the bone, and is often described by a sharp, shooting pain elicited by certain motions during a patient’s walk. Additionally, because the damage is a local area, excruciating pain can typically be found by pressing on the area of defect.

Treatment for OCD’s typically starts with imaging by X-ray, MRI, or CT. Once the physician is familiar with the extent and location of the damage, they may suggest treatments such as steroid or anesthetic injections, bracing and exercises, or custom shoes and orthotics. If pain continues, surgery may be required. 

With OCD’s in particular, it is important to remember that delaying treatment may only be continuing damage to your bone and cartilage. Comprehensive evaluation by a foot specialist is the best way to understand the extent of your damage and the appropriate options for treatment. Short-term relief may not be the whole picture!  If you have experienced multiple ankle sprains or fractures and are still having significant pain months after the injury, it is important you see a local specialist for consultation and definitive treatment.  

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.

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.




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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