July 2023

Anyone with a second toe longer than the big toe has a condition known as Morton’s toe. This abnormality is generally the result of a congenital condition or a genetic disposition. Girls are more likely to have a Morton’s toe than boys. Morton’s toe is a misnomer, as the problem in bone structure is not in the toe, but in the first metatarsal beneath the big toe. This condition brings with it a host of foot problems, the most important of which is overpronation. This, in turn, can cause further problems with the feet, such as pain in the ball of the foot, Morton’s neuroma, and stress fractures in the metatarsals. Morton’s toe may also be responsible for weak ankles, shin splints, or tight calf muscles. An orthotic device that offers arch support and a metatarsal pad can help to relieve the cascading effects of Morton’s toe as it keeps the foot aligned. A change in footwear to shoes with a wide and roomy toe box also can relieve some discomfort. A surgical remedy is considered to be a last resort. For help with problems associated with Morton’s toe, it is suggested that you make an appointment with a podiatrist.

If you have any concerns about your feet, contact one of our podiatrists from Plaza Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Baltimore, Lutherville, and Dundalk, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A lateral ankle sprain is considered the most common type of ankle injury. This can happen when the ankle rolls inward and can affect the anterior talofibular and calcaneofibular ligaments. These ligaments are on the outside of the body and may become injured when the ankle moves past its normal range of motion. The common symptoms many people experience with an ankle sprain often include severe pain, swelling, and difficulty moving the ankle. It is beneficial to have a proper diagnosis performed, which consists of having an X-ray taken. This is successful in ruling out a fractured ankle, and treatment can begin for the sprained ankle. The affected ankle can be wrapped in an elastic bandage, and existing swelling may be reduced when the foot is elevated. If you have sprained your ankle, it is suggested that you confer with a podiatrist who can provide you with treatment options that are right for you.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Plaza Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our offices located in Baltimore, Lutherville, and Dundalk, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The available array of running shoes is a positive thing but can be daunting. It is not easy to determine the right pair of running shoes for your feet and your needs. The shoes must fit well and be comfortable. Running shoes have different purposes and are designed to fit the foot of the runner in specific ways. Slight variations can impact one's running experience. Trying them on later in the day, with socks and insoles that will be worn while running, can help ensure a proper fit. Everything above the sole of the running shoe should lay smooth and not bind, chafe, or bunch anywhere. The heel should not slip or irritate the back of the Achilles tendon but should allow for comfortable ankle movement. The way the shoes lace and support the arch should feel secure and allow for the natural doming of the arch while running. The toe box should be wide enough to allow the toes to spread naturally and should not rub against them in any way. The soles of the running shoes should match the running surface and be made of materials that provide traction, stability, and durability, without adding weight or stiffness. The proper shoes should flex or roll in the way the foot moves, be cushioned to personal comfort, and be of a height that feels right and reduces stress on weak parts of the feet. If overpronation is a problem, the shoes purchased should have more stabilization features. If you have questions about the right running shoes for you, it is suggested that you consult with a podiatrist for help in this area.

If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Plaza Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact our offices located in Baltimore, Lutherville, and Dundalk, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ingrown toenails, or onychocryptosis, is a nail disorder that children and adults can get where the toenail grows into the skin surrounding the nail. Since the toenail pierces the skin, it can be a site for inflammation and infection. This can be painful and impact a child’s activities. Ingrown toenails often affect teenagers. They may get this from wearing shoes that are too tight and compress the nails, from cutting their toenails improperly, or from getting a fungal nail infection. Properly fitted shoes should have room in the toe box for the toes to move easily. Toenails should be cut straight across, not too short, and the edges should be smoothed with a nail file. Fungal nail infections can cause thickening of the toenails, which are more apt to break off in small spikes near the outer edge of the toenail causing an ingrown toenail. Teens who play a lot of sports often have sweaty feet and this can make the toenails tender and easier to penetrate surrounding skin. If your child has an ingrown toenail, it is suggested that you make an appointment with a podiatrist to have the nail examined and proper treatment administered.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Plaza Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our offices located in Baltimore, Lutherville, and Dundalk, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.