Foot Doctor Blog

What is Sports Medicine?

People hate going to the doctors, none more than athletes. For those individuals who try and incorporate athletics into their lives, it is difficult to admit one needs a doctor. By the time someone comes to my office, they have decided they need to see someone, have asked their friends and family and googled it on the internet. Their biggest fear is that we will send them to physical therapy and discontinue their exercise program. A good Sports Medicine doctor will understand the demands of the sport and design a program that can potentially cross-train, really not telling an athlete… Continue Reading

Lyme Disease is Back This Time of the Year

A bite from a deer tick that carries the organism that causes lyme disease is at the highest ever in the Mid-Atlantic area. So, if you are out doors whether for work or recreation, you are at risk. What to look for? Typically, a red rash (bull’s eye), fever, fatigue, headache. How is it diagnosed? An examination, review of a history of a tick bite and blood test. Not everyone gets the bull’s eye rash! What are treatment options? Oral antibiotics are necessary for several weeks is necessary. Don’t wait to get treatment.  Those that wait can end up with… Continue Reading

Radiofrequency Ablation for Morton’s Neuroma

A neuroma is a common foot condition treated by podiatrists. Conservative treatment includes rest, ice, non-steroidal anti-inflammatories, shoe modification, padding to alleviate pressure, orthotics, and injections (corticosteroid or alcohol). Most symptoms resolve, but those that do not may need surgical intervention. Historically, surgery consisted of excision (removal) of the neuroma or decompression of the neuroma by cutting a ligament. Both procedures are effective, but do require significant postoperative recovery. The surgeon may advise non-weightbearing to the operative foot for a period of time and stitches need to be removed. Delayed wound healing, painful scar, infection, and stump neuroma are possible… Continue Reading

Get to Know the Docs Series: Saylee Tulpule, DPM

GET TO KNOW THE DOCS SERIES People rarely discover anything about the professionals they receive services from beyond their interaction with them in the work environment. This week, Dr. Saylee Tulpule, a Podiatrist here at Foot & Ankle Specialists of the Mid-Atlantic, discusses various topics ranging from moments in her life that molded her journey into the field, to her favorite travel destination. Enjoy! 1) Why did you choose the field of podiatry as your profession? I chose the field of podiatry when my mother developed plantar fasciitis during my third year of college. My mother was a grade school… Continue Reading

New Balance vs Brooks

As Podiatrists, we are often asked for our recommendation on a good walking or athletic shoe.  Although there are many brands to choose from, the 2 brands with a long history that consistently impress are New Balance and Brooks Shoes.  New Balance vs. Brooks, which is really better? Since both brands have been around for a while, let us start with a history lesson….. New Balance first began business in 1906 producing arch supports. The small arch support company slowly evolved into the company it is today.  It goes without saying that New Balance has a vested interest in no… Continue Reading

Heel Pain: Not Always Plantar Fasciitis

People will often use the word plantar fasciitis interchangeably with heel pain.  Although this may not always be the case as heel pain can be due to other causes such as tarsal tunnel syndrome. The tarsal tunnel is a space along the inside of your ankle where nerves, tendons and blood vessels traverse through a small “tunnel” in your ankle. Pain stemming from tarsal tunnel usually feels like numbness, burning, sharp, shooting and/or tingling sensation on the bottom of the foot. This is a result of the nerve that is going through the tarsal tunnel getting compressed or irritated. Tarsal… Continue Reading

Form and Function Meet With Dress Orthotics

We at the Foot and Ankle Specialists of the Mid-Atlantic have written quite a bit about custom orthotics. They are very important to maintain the proper alignment and function of your feet. The style you may imagine is a sturdy, full-length device made for sneakers or tennis shoes. But what about the days when you’re wearing dress shoes, or even high heels? The good news is, there are orthotics for those shoes too. A dress orthotic is generally designed to be thinner, more narrow, and shorter- they often go to just the ball of the foot. They still contain the… Continue Reading

The Art of Lacing: Yep, It Matters How You Tie Your Running Shoes

Even if you’ve visited your favorite running store, analyzed your gait, and found the perfect shoe for you, how you lace your shoes can affect your performance and overall running experience. “I’ve had runners slip on a pair of running shoes and say they feel great, but when they stand up, or jog around the store or on the treadmill, they’ll tell me something just doesn’t seem right,” said Rob Voigt, who manages the Georgetown Running Company in Washington, D.C. “I’ll re-lace their shoes and ask them to take another jog around the store, and I already know by their… Continue Reading

Good Vibrations: Shockwave Therapy Demystified

Extracorporeal Pulse Activated Treatment (EPAT), also known as Shockwave Therapy, is an FDA approved non-invasive treatment for chronic, painful musculoskeletal conditions of the lower extremities including plantar fasciitis and Achilles tendinitis.   EPAT is performed through a handheld applicator, delivering subtle, painless shock waves into injured tissues while recruiting the body’s growth factors and promoting increased blood flow. This process requires no anesthesia or incisions while allowing immediate weight bearing and a quick return to activity. Treatment is performed in the office and usually requires 3-4 fifteen-minute sessions, spaced 7 days apart. Benefits are long-lasting, and are typically noticed after… Continue Reading

Pertinent Insights in Treating CrossFit-Related Injuries

This article was written by Erin Robles, DPM of the Foot & Ankle Specialists of the Mid-Atlantic, and published in Volume 29 – Issue 12 of the December 2016 issue of Poditary Today. Due to the intensity of CrossFit workouts, athletes can sustain injuries such as ankle sprains, metatarsal fractures and shin splints. This author offers a guide to diagnosing and treating common CrossFit injuries, and provides a couple of illuminating case studies. In a sports medicine-based private practice, patients with a host of injuries come through the door on a daily basis. The maladies range from chronic overuse to acute… Continue Reading