Items filtered by date: July 2020

The ankle-brachial index (ABI) is a quick and non-invasive form of vascular testing that your podiatrist may perform during a routine visit. It is frequently used to assess the presence or severity of peripheral artery disease, a potentially dangerous condition that results in poor circulation to the lower limbs. The ankle-brachial index test is performed in several steps. Similarly to typical checkups at your physician’s office, first, the doctor will measure your blood pressure around your upper arm. Then, the doctor will measure your blood pressure around your ankle. The two numbers are compared to find the ankle-brachial index value, a number that is used to determine the presence or severity of peripheral artery disease. The lower the ABI value is, the greater the chance that you have arterial disease. If you suspect you have poor circulation to your lower limbs, it is recommended that you visit a podiatrist, who can perform an ankle-brachial index test, as well as other vascular tests to assess blood flow to your feet and ankles. 

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

If you have any questions, please feel free to contact our office located in Bowie, MD. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Hammertoes, as its name suggests, may cause the affected toe to bend downward, resembling a hammer-like shape. Typically, this condition can affect the second, third, or fourth toes. Because hammertoes can be painful and cause a great deal of discomfort, it’s important that you seek professional help if you notice your toe’s appearance has become deformed. Common causes for a hammertoe’s development include a muscle imbalance, tightly-fitted footwear, a previous injury, and certain diseases such as arthritis or diabetes. Along with the noticeable change of appearance of the affected toe, some may also experience swelling, redness, a burning sensation, and the development of corns or calluses on the top of the middle joint of the affected toe. For more advice on how to treat a hammertoe, please seek the professional guidance of a podiatrist.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our office located in Bowie, MD. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

The medical term for a bunion is referred to as hallux valgus. It appears as a bony protrusion that forms on the side of the big toe and may cause wearing shoes to be uncomfortable. The big toe can become misaligned, and may affect the remaining toes. Some of the symptoms that are associated with this condition can include pain, inflammation, and the toe may appear red. If a bunion is left untreated, arthritis may develop, which can cause deeper joint pain. Genetic factors may play a significant role in developing a bunion, in addition to wearing shoes that do not have ample room for the toes to move freely in. If you notice a bump extending from your toe, it is suggested that you consult with a podiatrist who can properly diagnose and treat bunions.

If you are suffering from bunion pain, contact Dr. Howard Horowitz of Bowie Foot & Ankle . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Bowie, MD. We offer the newest diagnostic and treatment technologies for all your foot care needs.

The age group of people who are typically affected by Sever’s disease is between ten and fourteen. It impacts the growth plate in the heel and can cause severe pain and discomfort. It can happen as a result of participating in running and jumping activities, which can exert excess pressure on the heel. It is beneficial to perform stretches that can loosen the Achilles tendon which is connected to the heel. Additionally, many patients wear specific types of footwear that can help in the healing process. If you notice your child is limping or complaining of heel pain, it is strongly suggested that you schedule an appointment with a podiatrist who can diagnose and treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Bowie, MD. We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.