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2411 Crofton Lane, Suite 25
Crofton, MD 21114

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Posts for tag: foot and ankle specialist

‘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
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!

 

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.

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.

Pumpkin Spice and Everything Nice!         

Here is Crofton, Maryland as the leaves begin to turn, and the summer festivities come to a close, many of us are excited to see the return of fall.  Colorful foliage overhead and underneath the Ugg boots, jeans, and cozy hoodies has been the picture perfect fall image for quite some time. However, the newest edition to this fall image seems to be a Starbucks Pumpkin Spice Latte in every hand.  The seasonal drink originally introduced in 2003, seems to have attracted an almost cult-like following and has attracted thousands of fans nationally since its re-introduction this year on August 25th. Though nearly everyone is falling in love with the famed fall latte, its recurrence is an important reminder to the dangers of falling during this autumn season.

Accidental falls are a leading cause of death in the elderly, a situation that may be exacerbated by slick wet roads and decaying leaves on the sidewalks. Central to the prevention of falls is to stay active and flexible. Activities such as tai chi, yoga, and simple stretching have been shown to significantly improve balance and reduce the likelihood of falls. Additionally, many patients don’t realize that they are wearing either the wrong size, or type of shoes which may be significantly increasing their risks of falling.

Fall prevention begins with a thorough analysis of your shoe wear, assistive devices, living space, and goals for activity levels, all well within the realm of your local foot and ankle specialist. If you are having concerns about your or your loved ones’ balance, it is important to see a medical professional to analyze and resolve any risks before they become serious health concerns and if you’re in the Odenton, Gambrills or Bowie areas, stop by our office at Crofton Podiatry sometime.

By Brad Toll.




Call Today (410) 721-4505

2411 Crofton Lane, Suite 25
Crofton, MD 21114

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