The Winograd Procedure is a common surgical treatment for chronic or recurring ingrown toenails that do not respond to conservative care. During this procedure, the podiatrist removes a small portion of the affected nail and surrounding tissue to prevent the nail from growing into the skin again. The goal is to eliminate pain, infection, and inflammation while preserving the natural shape of the toe. Most patients experience quick relief and can return to normal activities within a short time. However, as with any surgery, there are potential risks. These may include infection, delayed healing, minor bleeding, or temporary tenderness around the treated area. In rare cases, nail regrowth or persistent discomfort may occur. Following proper post-procedure instructions and keeping the site clean greatly reduces these risks. For safe, lasting relief from ingrown toenails, it is suggested that you consult a podiatrist experienced in this procedure.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

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 office located in Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

External fixation of an ankle fracture is a surgical treatment that uses a frame outside the leg connected to pins or wires that are placed into the bone. This method stabilizes the fracture and allows proper healing, especially when swelling or severe trauma prevents immediate internal fixation. Ankle fractures can result from falls, sports injuries, or accidents, leading to pain, swelling, and instability. During surgery, the podiatric surgeon places pins into the bone above and below the fracture, attaching them to an external frame to keep the bones aligned. A podiatrist helps guide recovery, monitor healing, and manage long-term function. If you have sustained an ankle injury, it is suggested that you contact a podiatrist who can provide you with effective treatment solutions, which may include this type of surgery. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Howard Horowitz of Bowie Foot & Ankle . Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Cracked heels can cause discomfort and even pain, if left untreated. They often result from dry skin that lacks proper moisture, leading to roughness and splitting. When moisturizer is not used regularly, the skin becomes less elastic and more prone to damage. Hard skin buildup or calluses around the heel can also increase pressure and deepen cracks. Irritation from wearing poorly fitting footwear may worsen the condition, creating painful fissures. A podiatrist can help by safely removing thickened skin, recommending appropriate creams, and offering advice on supportive shoes to prevent recurrence. Cracked heels can be painful. If you see the beginning signs of this condition, it is suggested that you consult a podiatrist who can provide treatment, which may include prescribed medication for relief. 

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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.

Ankle sprains are common injuries that occur when the ligaments are stretched or torn. They are classified into grades that indicate severity. A Grade 1 sprain is mild with slight stretching of ligaments, Grade 2 is moderate with partial tearing, and Grade 3 is severe with complete ligament rupture. Causes include sudden twisting, falls, or sports injuries. Risk factors include weak muscles, wearing improper footwear, or uneven surfaces. Symptoms range from pain and swelling to instability and limited mobility. A podiatrist can provide an accurate diagnosis and treatment to restore strength and prevent re-injury. If you have ankle pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Dr. Howard Horowitz from Bowie Foot & Ankle . Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

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

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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.