Monday, April 30, 2012

Plantar Fasciitis Patient - Podiatrist - Frederick, Germantown and Hagerstown, MD

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Plantar Fasciitis Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

Patient discusses the treatment she received for Plantar Fasciitis from Dr. Brenna Steinberg of Frederick Foot & Ankle Specialists.

 

http://www.mynewfeet.com

Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.

Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications. In persistent cases, Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.

 

Visit our website: http://www.mynewfeet.com

 

 

 

 

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Podiatrist, Frederick, Germantown and Hagerstown, MD - Community Outreach Coordinator

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Community Outreach Coordinator - Podiatrist, Frederick, Germantown and Hagerstown, MD

Meet Community Outreach Coordinator Kevin Wu of Frederick Foot & Ankle as he discusses foot care education.

http://www.mynewfeet.com

 At Frederick Foot & Ankle Specialists, founded in 1999 by Dr. Brenna Steinberg, we are committed to providing the highest quality of podiatric medicine and surgery for each and every patient. It is our goal to exceed your expectations. We treat any and all problems involving the foot, ankle, and soft tissue below the mid calf. From pediatrics to geriatrics, all ages are welcome.

We are an on-site durable medical equipment provider:

  • custom and pre-fabricated lower leg braces
  • over-the-counter and custom diabetic shoes
  • custom orthotics for all levels of activity
  • in-house and on-line store

Our superior service is accomplished by using latest and most effective technologies/procedures available to the podiatric profession. From the minute you place a call to us or walk through our door, you will see that we are a first-class health care facility. From our friendly, knowledgeable staff, to our paperless medical records, to our fully stocked shoe/medical products store you will know that you have chosen the right place for your lower extremity needs!

Our doctors are all Board Certified/Qualified Foot Surgeons by the American College of Foot & Ankle Surgery. This is the highest level of training and recognition by peers that a podiatric foot and ankle surgeon can receive. It is a credential that you can trust.

All of our physicians are on staff and Frederick Memorial Hospital and Shady Grove Adventist Hospital. We are on call to both emergency rooms 24 hours a day, seven days a week. We are also the on staff Podiatric Limb Salvage Specialists at the hospitals' wound care centers.

We strive to satisfy the individual foot care needs of each patient. At Frederick Foot & Ankle Specialists, our first priority is to treat your foot care needs in a manner that is most effective and most convenient for you. We offer on site x-rays and a wide variety of casts, ankle braces, splints, pads, and medications.

We want your experience to be a positive one. For those who are fearful of foot treatments, we offer needle-less cortisone therapy as well as several other pain-free treatment options. You also have the option of having your procedure performed at an outpatient facility under the care of an anesthesiologist.

Informed Patients

Frederick Foot & Ankle Specialists believes that informed patients are better prepared to make decisions regarding their health and well-being. That is why we have included an extensive section on this web site covering a full array of topics associated with podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet. 

Comfortable, Convenient Setting

We want everyone to have access to the best care available. At Frederick Foot & Ankle Specialists, we strive to make our Frederick office as efficient and convenient as possible. Included in these web pages is information about our offices, including maps, directions, hours, insurance policies and appointment scheduling. You can even email a request for an appointment right here!

We hope you find this web site useful, and we invite you to contact us with your questions at any time.

 

 

 

Visit our website: http://www.mynewfeet.com

 

 

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Frederick Foot & Ankle - Podiatrist - Frederick, Germantown and Hagerstown, MD - Office Manager

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Frederick Foot & Ankle - Frederick, Germantown and Hagerstown, MD - Podiatrist - Office Manager

Meet Office Manager Bevin Kitson of Frederick Foot & Ankle as she discusses foot care.

http://www.mynewfeet.com

 At Frederick Foot & Ankle Specialists, founded in 1999 by Dr. Brenna Steinberg, we are committed to providing the highest quality of podiatric medicine and surgery for each and every patient. It is our goal to exceed your expectations. We treat any and all problems involving the foot, ankle, and soft tissue below the mid calf. From pediatrics to geriatrics, all ages are welcome.

We are an on-site durable medical equipment provider:

  • custom and pre-fabricated lower leg braces
  • over-the-counter and custom diabetic shoes
  • custom orthotics for all levels of activity
  • in-house and on-line store

Our superior service is accomplished by using latest and most effective technologies/procedures available to the podiatric profession. From the minute you place a call to us or walk through our door, you will see that we are a first-class health care facility. From our friendly, knowledgeable staff, to our paperless medical records, to our fully stocked shoe/medical products store you will know that you have chosen the right place for your lower extremity needs!

Our doctors are all Board Certified/Qualified Foot Surgeons by the American College of Foot & Ankle Surgery. This is the highest level of training and recognition by peers that a podiatric foot and ankle surgeon can receive. It is a credential that you can trust.

All of our physicians are on staff and Frederick Memorial Hospital and Shady Grove Adventist Hospital. We are on call to both emergency rooms 24 hours a day, seven days a week. We are also the on staff Podiatric Limb Salvage Specialists at the hospitals' wound care centers.

We strive to satisfy the individual foot care needs of each patient. At Frederick Foot & Ankle Specialists, our first priority is to treat your foot care needs in a manner that is most effective and most convenient for you. We offer on site x-rays and a wide variety of casts, ankle braces, splints, pads, and medications.

We want your experience to be a positive one. For those who are fearful of foot treatments, we offer needle-less cortisone therapy as well as several other pain-free treatment options. You also have the option of having your procedure performed at an outpatient facility under the care of an anesthesiologist.

Informed Patients

Frederick Foot & Ankle Specialists believes that informed patients are better prepared to make decisions regarding their health and well-being. That is why we have included an extensive section on this web site covering a full array of topics associated with podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet. 

Comfortable, Convenient Setting

We want everyone to have access to the best care available. At Frederick Foot & Ankle Specialists, we strive to make our Frederick office as efficient and convenient as possible. Included in these web pages is information about our offices, including maps, directions, hours, insurance policies and appointment scheduling. You can even email a request for an appointment right here!

We hope you find this web site useful, and we invite you to contact us with your questions at any time.

 

 

 

Visit our website: http://www.mynewfeet.com

 

 

Diabetic Amputee Patient - Podiatrist in Frederick, Germantown, Hagerstown, MD

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Diabetic Amputee Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

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Patient discusses the treatment she received for amputation and diabetes from Dr. Brenna Steinberg of Frederick Foot & Ankle Specialists.

 

http://www.mynewfeet.com

 According to the American Diabetes Association, about 15.7 million people (5.9 percent of the United States population) have diabetes. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands.

Foot problems are a big risk in diabetics. Diabetics must constantly monitor their feet or face severe consequences, including amputation.

With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can cause a lot of damage. Diabetes decreases blood flow, so injuries are slow to heal. When your wound is not healing, it's at risk for infection. As a diabetic, your infections spread quickly. If you have diabetes, you should inspect your feet every day. Look for puncture wounds, bruises, pressure areas, redness, warmth, blisters, ulcers, scratches, cuts and nail problems. Get someone to help you, or use a mirror.

Here's some basic advice for taking care of your feet:

  • Always keep your feet warm.
  • Don't get your feet wet in snow or rain.
  • Don't put your feet on radiators or in front of the fireplace.
  • Don't smoke or sit cross-legged. Both decrease blood supply to your feet.
  • Don't soak your feet.
  • Don't use antiseptic solutions, drugstore medications, heating pads or sharp instruments on your feet.
  • Trim your toenails straight across. Avoid cutting the corners. Use a nail file or emery board. If you find an ingrown toenail, contact our office.
  • Use quality lotion to keep the skin of your feet soft and moist, but don't put any lotion between your toes.
  • Wash your feet every day with mild soap and warm water.
  • Wear loose socks to bed.
  • Wear warm socks and shoes in winter.
  • When drying your feet, pat each foot with a towel and be careful between your toes.
  • Buy shoes that are comfortable without a "breaking in" period. Check how your shoe fits in width, length, back, bottom of heel, and sole. Avoid pointed-toe styles and high heels. Try to get shoes made with leather upper material and deep toe boxes. Wear new shoes for only two hours or less at a time. Don't wear the same pair everyday. Inspect the inside of each shoe before putting it on. Don't lace your shoes too tightly or loosely.
  • Choose socks and stockings carefully. Wear clean, dry socks every day. Avoid socks with holes or wrinkles. Thin cotton socks are more absorbent for summer wear. Square-toes socks will not squeeze your toes. Avoid stockings with elastic tops.

When your feet become numb, they are at risk for becoming deformed. One way this happens is through ulcers. Open sores may become infected. Another way is the bone condition Charcot (pronounced "sharko") foot. This is one of the most serious foot problems you can face. It warps the shape of your foot when your bones fracture and disintegrate, and yet you continue to walk on it because it doesn't hurt. Diabetic foot ulcers and early phases of Charcot fractures can be treated with a total contact cast.

The shape of your foot molds the cast. It lets your ulcer heal by distributing weight and relieving pressure. If you have Charcot foot, the cast controls your foot's movement and supports its contours if you don't put any weight on it. To use a total contact cast, you need good blood flow in your foot. The cast is changed every week or two until your foot heals. A custom-walking boot is another way to treat your Charcot foot. It supports the foot until all the swelling goes down, which can take as long as a year. You should keep from putting your weight on the Charcot foot. Surgery is considered if your deformity is too severe for a brace or shoe.

 

Visit our website: http://www.mynewfeet.com

 

Bunion Surgery Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

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Bunion Surgery Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

Patient discusses the treatment she received for Bunions from Dr. Brenna Steinberg of Frederick Foot & Ankle Specialists.

 

http://www.mynewfeet.com

Bunions are progressive bone deformities of the foot that often cause recurring or chronic inflammation, irritation, and pain that require surgical correction. Surgical removal of a bunion is called a bunionectomy. However, there are multiple types of bunionectomies, each designed to resolve different structural changes caused by the deformity.

Bunion surgeries fall into two major categories:

  • Head procedures that treat the big toe joint. In a head procedure bunionectomy, the bone is cut just behind the joint, moved into its proper position, and fixed in place with a screw or pin. Head procedures are often used for patients who cannot be immobilized for long periods of time.
  • Base procedures concentrate on the bone near or behind the big toe joint. Different types of base procedures are conducted depending on the nature of the deformity. These range from cutting a wedge out of the bone and splitting it so that it can be moved into its proper position; making a semi-circular cut and rotating the bone into its correct position; or fusing the joint. Ligaments inside and outside the toe may also be treated during a base procedure.

There are three important factors that impact the success of bunion surgery:

  1. Choose a surgeon with extensive experience with bunionectomies. Because a deep understanding of the biomechanics of each patient's foot as well as the intricacies of each surgical option is needed, surgeons with more experience at doing bunionectomies are better able to help each patient achieve the best outcome.
  2. Be realistic in your expectation about what a bunionectomy can accomplish. No physician can guarantee that a bunion won't recur or that a patient will be absolutely pain free. Additionally, because of the complexity of the foot structures impacted by a bunion, patients may never be able to wear normal or slender shoes. Bunion surgery can reduce or eliminate the bone deformity, improve foot alignment and function, and prevent damage to other toes, but it does have its limitations. Be sure you understand all the possibilities before opting for this surgery.
  3. Bunion surgery is not a magic bullet.  Surgery alone may not be all that is needed to achieve your best outcome. After surgery, many patients experience long healing and recovery times and often have to spend time in physical therapy. Additionally, you may need a corrective orthotic device on an ongoing basis.

What To Expect

Most bunions surgeries today are performed on an outpatient basis at a surgical center or hospital. Set aside the entire day for the surgery, although you may only be at the facility for a half day.

Prior to the surgery, patients will need to make some preparatory arrangements. These include:

  • Seeing your Primary Care Physician (PCP) to make sure any other health conditions are stabilized prior to surgery and to document your complete medical history, which can then be given to the foot surgeon.
  • Arranging your schedule to make sure you don't need to take any long trips for at least two to three weeks following the surgery.
  • Lining up another person to drive you home and stay with you for the first 24 hours after the surgery.
  • Stopping the use of any anti-inflammatory medications, such as aspirin, ibuprofen, or acetaminophen, for five to seven days before the surgery.

The night before the surgery, you will not be able to eat or drink anything after midnight. You should also wash your foot the night before and morning of the procedure to help reduce surrounding bacteria and prevent infection.

Bunion surgery is usually performed with a local anesthetic and is administered by an anesthesiologist. This may be combined with sedation medication to put you into "twilight" so that you are fully relaxed. After the surgery, patients are often given a long-acting anesthetic and pain medication, which is why someone else must drive the patient home.

The type of procedure you have will determine the degree to which you can put weight on the foot immediately after the surgery. Some patients, particularly those having base procedures, may have to use crutches; others may be sent home wearing a surgical shoe. The foot will be covered in a dressing, which you will need to keep dry for up to two weeks or until the sutures are removed.

During the first week after surgery, you will need to keep the foot elevated as much as possible. Ice packs also should be applied for the first three to four days to reduce swelling. Limited ambulation or walking is required over the first two weeks to promote healing. Most patients also are instructed on some basic exercises that need to be performed daily.

Sutures are generally removed about two weeks after the surgery in the doctor’s office. Once the sutures are removed, you can bathe and shower normally, but will still need to wear a dressing over the wound to keep it clean and prevent infection.

By the third or fourth week post surgery, swelling generally subsides enough for the patient to begin wearing a wide athletic shoe. It is important to continue daily exercises. If recommended, physical therapy may be initiated at this time. Once the wound has completely closed, you can use lotions to soften the skin in the surgical area.

By week five after the surgery, you will be able to walk short distances and do mild fitness activities. Continue following your surgeons instructions for increasing exercise and activities until you are back to normal.

Visit our website: http://www.mynewfeet.com

 

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Ankle Fracture Patient - Podiatrist in Frederick, Germantown and Hagerstown, MD

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Ankle Fracture - Podiatrist in Frederick, Germantown and Hagerstown, MD

 

Patient discusses the treatment he received for Ankle Fracture from Dr. Brenna Steinberg of Frederick Foot & Ankle Specialists.

http://www.mynewfeet.com

 According to the American Academy of Orthopaedic Surgeons, doctors have noticed an increase in the number and severity of broken ankles since the 1970s, due, in part, to the Baby Boomer generation being active throughout every stage of their lives.

The ankle has two joints, one on top of the other, and three bones. A broken ankle can involve one or more of the bones, as well as injury to the surrounding connecting tissues or ligaments.

There are a wide variety of causes for broken ankles, most commonly a fall, an automobile accident, or sports-related trauma. Because a severe sprain can often mask the symptoms of a broken ankle, every ankle injury should be examined by a physician.

Symptoms of a broken ankle include:

·        Bruising.

·        Swelling.

·        Immediate and severe pain.

·        Inability to put any weight on the injured foot.

·        Tenderness to the touch.

·        Deformity, particularly if there is a dislocation or a fracture.

The treatment for a broken ankle usually involves a leg cast or brace if the fracture is stable. If the ligaments are also torn, or if the fracture created a loose fragment of bone that could irritate the joint, surgery may be required to secure the bones in place so they will heal properly.

 

Visit our website: http://www.mynewfeet.com

 

 

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Saturday, April 28, 2012

Laser Treatment for Fungal Toenails - Jacksonville, FL - Podiatrist Vimal Reddy, DPM

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Laser Treatment for Fungal Toenails - Podiatrist in Jacksonville, FL

Dr. Vimal Reddy of First Coast Foot and Ankle Clinic discusses Laser Treatment for Fungal Toenails.

http://www.firstcoastfootclinic.com

 Fungal nails refers to any number of fungal nail infections that can occur on the foot. Since fungal nails are usually more resistant and more difficult to treat than Athlete's Foot, topical or oral antifungal medications may be prescribed. Note: Please consult a physician before taking any medications. Permanent nail removal is another possible form of treatment for tenacious fungal nails.

Preventing Fungal Nail Infections

After a fungal nail infection has cleared up, take steps to prevent the infection from recurring. Keeping fungi at bay will help prevent a fungal infection of the skin from reinfecting the nail. Before bed, thoroughly wash and dry your feet, and apply a nonprescription antifungal cream to the entire foot from the ankle down. Use the cream every night, then gradually apply it less often. Keep your feet dry. Dry feet are less likely to become infected. Apply powder to your dry feet after you take a shower or bath.

Other suggestions for preventing fungal nails include:

  • Don't share nail clippers or nail files with others.
  • Don't share shoes or socks with others.
  • Try not to injure your nail, such as by cutting it too short (trauma to the nail may lead to infections).
  • Wear dry cotton socks and change them two or three times a day if necessary.
  • Wear dry shoes that allow air to circulate around your feet (tight, enclosed, moist shoes contribute to fungal toenail infections).
  • Wear shower sandals or shower shoes when you are at a public pool or shower.

Prevention

Follow basic foot care guidelines and, more than likely, you can head off most common foot fungus problems.

 

Visit our website: http://www.firstcoastfootclinic.com

 

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