Foot Doctor Blog

It’s Nutcracker Season for the Ballerina!

It’s Nutcracker season for the ballerina which means more injuries and problems with more intensive rehearsals. As a former professional ballet dancer, I remember not only the festive joy of wearing holiday leg warmers, but also the long dress rehearsals the company endured for successful performances. Spending more time in pointe shoes meant a greater risk for foot and ankle injuries. Common injuries and problems include nail trauma, blisters, and muscle strains. Pointe shoes appear beautiful on the outside but on the inside can traumatize the nails making them loosen, bleed, change color or become infected. Blisters and corns can… Continue Reading

Lecture Series with Dr. Caitlin Madden – Part 2

Dr. Madden recently had the privilege of speaking at the Mid-Atlantic Podiatry Conference alongside many prominent names in the field. The three-day conference included lectures and workshops, and was co-sponsored by the Podiatry Institute and the Mid-Atlantic Podiatric Medical Association. Dr. Madden shared her knowledge, with a packed lecture hall of her medical colleagues, on topics including antibiotics prophylaxis, DVT (Deep Vein Thrombosis) prevention, and in-office ultrasound use. She proudly represented FASMA as a young physician and surgeon with a bright future. Part 2: Antibiotic Stewardship: When you really need them. Antibiotics Before Surgery: In Dr. Madden’s second lecture, she… Continue Reading

Lecture Series with Dr. Caitlin Madden – Part 1

Dr. Caitlin Madden recently had the privilege of speaking at the Mid-Atlantic Podiatry Conference alongside many prominent names in the field. The three-day conference included lectures and workshops, and was co-sponsored by the Podiatry Institute and the Mid-Atlantic Podiatric Medical Association. Dr. Madden shared her knowledge, with a packed lecture hall of her medical colleagues, on topics including antibiotics prophylaxis, DVT (Deep Vein Thrombosis) prevention, and in-office ultrasound use. She proudly represented FASMA as a young physician and surgeon with a bright future. Part 1: Facts About Ultrasound you may not know With regards to Ultrasound use in the doctors… Continue Reading

Don’t Let Your Ingrown Toenails Keep You From Wearing Your Favorite Fall Boots

Anyone that has suffered from an ingrown toenail knows how uncomfortable it can be. Ingrown toenails occur because the toenail, instead of growing straight, grows into the skin. This commonly occurs on the great toes but can occur on the lesser digits as well. Common causes include ill-fitting shoes where the toes are cramped within the shoe, trauma to the nail plate causing nail deformity, nail fungus that results in a thickened nail, and improper cutting of the toenail. Conservative therapies include properly fit shoes with a wider toe box, thin layers of cotton applied on the side of the… Continue Reading

How Doctors got Creative to Achieve a Nearly 70% Success Rate Treating Ulcers

The best care demands the best proof of both outcome and value. Trial and error is inherent when searching for the best new applications of healthcare, which is usually manifested by creative, outside of the box thinking. With over thousands of wound care products in today’s market, due diligence is a must in the search for which products work best for various types of wounds. In this particular study, we used a particular engineered matrix that was made up of a porous matrix of cross-linked bovine (bovine, meaning cattle) tendon collagen and glycosaminoglycan and a semi-permeable polysiloxane (Fancy term for… Continue Reading

What Being Active Means for Your Feet

Working at his prestigious position as team podiatrist of the Washington Wizards for 25 years and the Washington Mystics since their inception, Dr. Howard Osterman has treated a myriad of foot, ankle and lower leg injuries. Every sports doctor’s dream would be getting players back out doing what they do best while at the same time keeping them safe, mitigating to the highest-degree the chance of becoming re-injured. Featured in an article in this month’s issue of LER Foot Health, Osterman talks about conveying the benefits of orthotics to athletes using high-level data and medical imaging, which resembles heat maps… Continue Reading

Heel Pain in Children

Heel pain is a common complaint in adults. Heel pain can also occur in childhood but it is typically produced by a different mechanism. As children go through “growth spurts” between the age of 11 and 14, the muscles and tendons in their legs can become tight as they try to keep up with the rapid growth in the long bones. Heel pain in children typically is the result of a tight Achilles tendon. In children, there is a thin irregular shaped band of cartilage in the back portion of the heel bone called a growth plate (see x-ray image… Continue Reading

Sesamoid Injuries of the Great Toe Joint

Spring is upon us, and choices of shoe gear change, as well as increased levels of outdoor weight-bearing activities, which can set us up for sesamoid injuries of the great toe joint.  Sesamoid injuries are common, but often overlooked injuries to the great toe joint.  Proper diagnosis and early treatment intervention is essential.   Most people experience pain in their underlying great toe joint made worse with weight-bearing activity. So what exactly are sesamoids? Sesamoids are accessory bones found throughout the body.  They are found embedded in tendons and act as pulleys to increase the power and efficiency of those… Continue Reading

​Treating Bunions Conservatively

No matter what season it is, you may be thinking it’s time to do something about that large bump coming out of the outside of your big toe joint. In medical terms, that bump is called a bunion or hallux valgus. Bunions form when the metatarsal bone starts to shift out of place. Day after day, you walk thousands of steps on your feet. With years of this repetitive insult to your feet, it is not hard to imagine why bunions can cause such debilitating pain. The joint may even become so stiff, arthritic and sore that shoes are too… Continue Reading

Confusion Over Over-The-Counter Inserts and Prescription Orthotics

The ongoing confusion involving expensive prescription custom orthotics and relatively inexpensive over-the-counter arch supports lies not only in their purported efficacy but in the plethora of choices offered on-line and in retail stores as well as in medical offices.  Foam molds to make foot impressions are available from on-line marketers, and Amazon lists no fewer than twenty different arch supports, wraps, and braces proven to resolve your foot pain. A Parade Magazine advertisement touts a reflexology- like device guaranteeing weight loss with frequent use. CVS stores have partnered with Dr. Scholl’s to prescribe a specific arch device based on data… Continue Reading