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Thursday, 19 October 2017 00:00

Common Childhood Foot Problems

Children and adolescents are more than just “little adults.” When it comes to their health care, we take them to pediatricians and family care practitioners -- physicians who are specially trained to meet their unique needs. Similarly, they experience foot and ankle issues of their own, and are best served by podiatrists like Dr. Boris Abramov and Dr. Tatyana Abramova, who bring years of specialized training and experience to diagnosing and treating young people.

Warts and Fungal Infections

Kids spend even more time in places where people are barefoot, such as locker rooms and public pools, than adults do. This puts them at high risk of plantar warts and fungal nail infections. Encourage your child to keep a pair of inexpensive shower shoes in his or her bag, and to wear them at all times. Remind your child never to share socks or shoes, even with friends or family members.

If you notice symptoms of a wart or a nail infection, call your foot doctor right away. Both situations are easier to resolve when caught in their early stages.

Ingrown Toenails

Anyone with an ingrown toenail, whether an adult or a child, is likely to experience uncomfortable swelling and tenderness. There may even be pus present if the problem continues. The most common causes of ingrown toenails are poorly fitting shoes and improper trimming. Be sure to take your child for a proper fitting each time he or she needs new footwear. It’s likely that he has grown since you bought the last pair. Until your child is old enough to handle the job reliably, trim his or her toenails yourself. Always use a clipper rather than scissors, and trim straight across without rounding the corners.

If you’re concerned that your child has an ingrown toenail, don’t try to address the problem yourself. It’s time to see the podiatrist.

Foot and Ankle Injuries

Foot and ankle injuries are common in children due to their high levels of physical activity. Schedule an appointment with your podiatrist immediately if you notice a decrease in your child’s interest in sports or other physical activities or if you observe:

$1·      ankles turning in more than usual

$1·      foot arch flattening

$1·      cramping

$1·      pain

$1·      limping

Gait Abnormalities

Until a child is approximately 3 years old, their normal way of walking is different from an adult’s. Initially, there is a wide-based stance with rapid, short steps. Eventually your child should develop a more mature way of walking. The most common types of gait abnormalities in young children are turning the toes in, turning the toes out, walking on the toes, and limping. If you are still seeing any of these by the time your child is ready for preschool, a consultation with your podiatrist is in order.

If you have a concern about the health of your child’s feet or ankles, Boris Abramov, DPM and Tatyana Abramova, DPM can help. Every week, they examine and treat kids, making sure that they are comfortable and at ease through the process. Call Abramov’s Comprehensive Foot Care at 443-872-7052 or click here today to schedule an appointment in our conveniently located Pikesville office. 

Thursday, 19 October 2017 00:00

Common Childhood Foot Problems

Children and adolescents are more than just “little adults.” When it comes to their health care, we take them to pediatricians and family care practitioners -- physicians who are specially trained to meet their unique needs. Similarly, they experience foot and ankle issues of their own, and are best served by podiatrists like Dr. Boris Abramov and Dr. Tatyana Abramova, who bring years of specialized training and experience to diagnosing and treating young people.

Warts and Fungal Infections

Kids spend even more time in places where people are barefoot, such as locker rooms and public pools, than adults do. This puts them at high risk of plantar warts and fungal nail infections. Encourage your child to keep a pair of inexpensive shower shoes in his or her bag, and to wear them at all times. Remind your child never to share socks or shoes, even with friends or family members.

If you notice symptoms of a wart or a nail infection, call your foot doctor right away. Both situations are easier to resolve when caught in their early stages.

Ingrown Toenails

Anyone with an ingrown toenail, whether an adult or a child, is likely to experience uncomfortable swelling and tenderness. There may even be pus present if the problem continues. The most common causes of ingrown toenails are poorly fitting shoes and improper trimming. Be sure to take your child for a proper fitting each time he or she needs new footwear. It’s likely that he has grown since you bought the last pair. Until your child is old enough to handle the job reliably, trim his or her toenails yourself. Always use a clipper rather than scissors, and trim straight across without rounding the corners.

If you’re concerned that your child has an ingrown toenail, don’t try to address the problem yourself. It’s time to see the podiatrist.

Foot and Ankle Injuries

Foot and ankle injuries are common in children due to their high levels of physical activity. Schedule an appointment with your podiatrist immediately if you notice a decrease in your child’s interest in sports or other physical activities or if you observe:

$1·      ankles turning in more than usual

$1·      foot arch flattening

$1·      cramping

$1·      pain

$1·      limping

Gait Abnormalities

Until a child is approximately 3 years old, their normal way of walking is different from an adult’s. Initially, there is a wide-based stance with rapid, short steps. Eventually your child should develop a more mature way of walking. The most common types of gait abnormalities in young children are turning the toes in, turning the toes out, walking on the toes, and limping. If you are still seeing any of these by the time your child is ready for preschool, a consultation with your podiatrist is in order.

If you have a concern about the health of your child’s feet or ankles, Boris Abramov, DPM and Tatyana Abramova, DPM can help. Every week, they examine and treat kids, making sure that they are comfortable and at ease through the process. Call Abramov’s Comprehensive Foot Care at 443-872-7052 or click here today to schedule an appointment in our conveniently located Pikesville office. 

It’s autumn. Temperatures are cooling, leaves are changing colors, and many people are outside, taking in the beauty of the landscape by hiking and camping. These active pastimes are healthy and good for your whole body, but can be rough on your feet and even lead to ankle sprains. Here are some tips from podiatrists Boris Abramov, DPM and Tatyana Abramova, DPM to make sure that your feet and ankles stay safe and comfortable while you’re outside.

Prepping –Trim Toenails and Practice Good Hygiene

Too-long toenails can make hiking uncomfortable and can become ingrown after hours on the trail. Prep for your hike by trimming your toenails. Remember to use a clipper, rather than scissors. Trim straight across; never round the corners, which can cause them to grow into the skin.  Make sure your feet are clean and dry before slipping on your socks and shoes.

Shoes and Socks

If you hit the trail often, invest in a pair of quality boots made just for hiking. Never take a long hike in brand new hiking shoes. Break your new shoes in over a period of shorter walks, alternating new shoes with the old comfy pair. Hiking boots should be replaced after 500 miles.

Wool socks will do the best job of keeping your feet dry, minimizing your risk of many issues including fungal infections and blisters. There are even lightweight options for warm weather. Toss an extra pair in your backpack in case your feet get sweaty and dampen your socks.

Blisters

Be sure to add some moleskin and some bandages to your first aid kit. Both are important in preventing and treating blisters. Be alert to hot spots, places where your shoes may be rubbing your feet and a blister may be forming. If you notice a particular spot of contact becoming uncomfortable, prevent a blister by applying a bandage. If you’re too late and a blister occurs, cover it with a bit of moleskin. Don’t pop your blister! It will heal on its own soon enough.

Snacks and Water

Every part of your body will benefit from hydration and nutrition on the trail. Make sure that you pack plenty of water for your day in the outdoors. Avoid caffeinated beverages and those containing sugar, both of which can ultimately contribute to dehydration. Snack-wise, stick to foods high in protein and natural sugars, which will contribute to stable blood sugar levels. Hard-boiled eggs and trail mix are both good options.

Coming Home

When you get home, change out of your hiking gear, wash and dry your feet once more, and put your feet up for a little while. You’ve earned it!

Are you having any kind of problem related to your feet, ankles, or lower legs? With decades of experience, Dr. Boris Abramov and Dr. Tatyana Abramova can help. They will carefully examine your feet to accurately diagnose the source of your discomfort, work with you to create a unique treatment plan using the most-up-to-date methods available, and provide thorough follow up to make sure you keep feeling great. Call Abramov’s Comprehensive Foot Care at 443-872-7052 or click here today to schedule an appointment in our comfortable and convenient Pikesville office.

Thursday, 05 October 2017 00:00

Learning More About Psoriasis

Psoriasisis a chronic autoimmune condition that affects as many as 7.5 million Americans. The most common type of psoriasis causes plaques — red, raised patches on the skin that are covered by a silvery layer of dead skin. These plaques typically occur on the elbows and knees, but they can also be found on the feet where they are particularly itchy and uncomfortable.

There are two forms of psoriasis that can be seen on the soles of the feet and the palms of the hands. The milder form causes dry, scaly patches, and a more severe form causes the formation of pustules. This severe, rare form of podiatric psoriasis is called palmoplantar pustulosis. Psoriasis symptoms on the feet include dry, cracked, irritated skin and — in the case of palmoplantar pustulosis — pus-filled blisters.

More women than men are affected and the disease is more commonly seen in adults than in children. About 10 percent of people are born with genes that could cause psoriasis, but only about 2 percent of people actually get it.

If you suspect that you’re noticing symptoms of plaque psoriasis on your feet, a visit to your podiatrist is in order. If you are, in fact, dealing with psoriasis, your foot doctor will almost certainly recommend medical treatment. Some common options include:

$1·       topical steroids, both over the counter and prescription

$1·       topical ointments containing vitamin A and vitamin D to slow down skin cell growth

$1·       ultraviolet light treatment  therapy

$1·       prescription oral medication

To contribute to your psoriasis management plan, you should:

$1·       Stop smoking. Along with being dangerous for your overall health and wellbeing, smoking is also a psoriasis trigger.

$1·       Limit alcohol intake. Studies indicate that alcohol may make your psoriasis worse.

$1·       Wear comfortable shoes and socks that allow feet to breathe.

$1·       Take good care of your feet. Avoid risky activities that could hurt them. Injury is known to trigger psoriasis outbreaks.

Twice a day, try this routine to keep the skin on your feet looking and feeling great:

$1·       Soak your feet in warm water and pat them dry.

$1·       Cover feet with an effective moisturizer.

$1·       After moisturizing, cover your feet with cotton socks for a few hours or overnight.

Podiatric psoriasis is uncomfortable and can make everyday activities difficult. Dr. Boris Abramov and Dr. Tatyana Abramova can help. Call Abramov’s Comprehensive Foot Care at 443-872-7052 or click here to schedule an appointment in our comfortable and convenient Pikesville office. Boris Abramov, DPM and Tatyana Abramova, DPM will examine your feet, diagnose the source of your discomfort, and work with you to create a unique and effective treatment plan.

Haglund’s deformity is a bony enlargement on the back of the heel. The enlargement rubs against the back of the shoe, irritating the soft tissue near the Achilles tendon. Bursitis often follows, a painful inflammation of the bursa, a fluid-filled sac between the tendon and bone.

Causes of Haglund’s Deformity

Haglund’s deformity is casually known as “Pump Bump” because, simply put, the most common cause is the long-term daily wearing of rigid shoes, especially those with high heels. The backs of these shoes create the protrusion and make it worse after formation. This is why the deformity is seen more often in women that in men. However, men are not immune: any shoes with rigid backs can cause the deformity, including men’s dress shoes.

Whether you are male or female, you may also be at increased risk for Haglund’s deformity if you:

$1·      are someone with a naturally high foot arch

$1·      have a tight Achilles tendon

$1·      tend to walk on the outside of your heel

Symptoms of Haglund’s Deformity

Haglund’s deformity can occur in one foot at a time, or both feet may be simultaneously affected. Be alert to changes including:

  • redness or swelling at the back of the heel 
  • a visible or palpable bump on the back of the heel
  • pain or discomfort at the site where the Achilles tendon attaches to the heel

Preventing Haglund’s Deformity

So much of podiatric health boils down to the same good advice: Save your dress shoes for special occasions. In addition to Haglund’s deformity, they can contribute to bunions, hammertoes, and plantar fasciitis.

Treating Haglund’s Deformity

Your podiatrist may offer a variety of treatment options for Haglund’s deformity, including:

  • Over the counter and prescription anti-inflammatory medications
  • Regular application of ice
  • Exercises to stretch the Achilles tendon
  • Custom orthotics, heel lifts or heel cushions
  • Physical therapy
  • New backless or soft backed shoes to minimize irritation during and after treatment

If these approaches do not solve the problem, surgery may be needed.

With decades of education and experience, Dr. Boris Abramov and Dr. Tatyana Abramova are experts at treating Haglund’s deformity or any other issue you may be facing in your feet and ankles. At Abramov’s Comprehensive Foot Care, you will receive a meticulous examination, careful diagnosis, state of the art treatment, and thorough follow up. Stop living with foot pain. Click here or call us at 443-872-7052 to schedule your appointment in our comfortable and convenient Pikesville office today.

Thursday, 21 September 2017 00:00

Osteoarthritis and Your Feet

Learning More About Osteoarthritis

 

As we age, wear and tear on the joints can lead to osteoarthritis. Many people develop this common degenerative joint disease after age 50 and it worsens slowly over a period of several years. Inflammation and injury cause cartilage to break down, which can lead to swelling, discomfort, difficulty standing and walking, and even a change in the shape of the toes and foot.

Osteoarthritis in the Feet and Ankles

Did you know that there are 26 bones and more than 30 joints in your foot? That makes them especially prone to osteoarthritis.  Symptoms of foot and ankle osteoarthritis often include pain, stiffness, or swelling in the joints. Difficulty walking, moving, or bearing weight are also common indications that the disease has developed or progressed.

It’s not always easy to identify osteoarthritis. Some symptoms mimic those of other illnesses. For example, if you find yourself with sharp pain in the big toe, that could be arthritis but it could also be an attack of gout. Only your podiatrist can properly diagnose the source of your discomfort.

Treating Podiatric Osteoarthritis

Foot and ankle osteoarthritis can be treated in many ways. You’ll need to begin with a visit to your foot doctor. He or she will examine your feet and determine if your problem is actually osteoarthritis. The first methods of treatment might include over-the-counter and prescription medications including NSAIDS such as ibuprofen, custom orthotics prescribed by your podiatrist, steroid injections or a newer, more comfortable pair of shoes. Usually, surgery is only required in extreme cases.

 

Are your feet swollen or painful? Is it getting harder to stand or walk? You might be dealing with a case of osteoarthritis. Help is available! Click here or call Abramov’s Comprehensive Foot Care’s friendly staff at 443-872-7052 today. We’ll schedule an appointment for you to see Dr. Boris Abramov and Dr. Tatyana Abramova in our comfortable and convenient Pikesville office.

The doctors will draw on their decades of education and experience and will use state of the art equipment and technology to examine your feet and determine whether you’re dealing with arthritis or another condition. They’ll work with you to create an effective treatment plan that will have you feeling better soon.

Thursday, 14 September 2017 00:00

Learning More About Corns and Calluses

Did you know that corns and calluses affect more people than any other kind of foot issue? Both corns and calluses can make walking painful and should be treated by a podiatrist upon first appearance.

Corns are hard, thickened areas of skin on your feet. There are three different common kinds of corns:

$1·      A hard corn is a small patch of thickened, dead skin with a small, dense plug of skin in the center. Hard corns generally occur on the tops and sides of the toes.

$1·      A soft corn has a much thinner surface and smooth center, appears whitish and rubbery, and usually occurs between the toes.

$1·      Seed corns are clusters of tiny corns that tend to occur on the bottom of the feet. They can be very tender if they are on a weight-bearing part of the foot. Seed corns may the result of blocked sweat glands.

Other corns, including fibrous corns, Durlacher’s corns, neurovascular corns, and subungual corns are rarer.

Like a corn, a callus is a patch of compact, dead skin that is subject to repeated friction over an extended period of time. Calluses can develop anywhere on your body. The most common podiatric callus is called a plantar callus and is found on the bottom of the foot.

Preventing Corns and Calluses

Corns and calluses are preventable. Here are some tips from Boris Abramov, DPM and Tatyana Abramova, DPM to keep your feet looking and feeling their best:

$1·      Always have both feet professionally measured when buying shoes, and only wear properly fitting shoes.  If you can't wiggle your toes in your shoes, they are too tight.

$1·      Avoid shoes with sharply pointed toes and high heels. If you need to wear them for work, commute in well-fitting flat shoes and then change them at the office.

$1·      Replace worn shoes – especially worn out athletic shoes – often. Sneakers should be replaced after 6 months or 500 miles.

$1·      Worn heels increase any uneven pressure on your heel bone. If the soles or heels of your shoes tend to wear unevenly, talk to your podiatrist.

$1·      If you have hammertoes, make sure that the shape of your shoes offers plenty of room to accommodate the affected toes.

Treatment for Corns and Calluses

The best way to treat your corn or callus is with a visit to your foot doctor. Your podiatrist will diagnose the source of your discomfort, and then painlessly remove the corn or callus using state of the art technology. Dr. Boris Abramov and Dr. Tatyana Abramova discourage the use of at-home remedies or over-the-counter corn removal pads containing any sort of acid. These can be dangerous for all patients, and especially so if you have diabetes, peripheral vascular disease or other chronic health conditions.

After your corn or callus is removed, follow up treatment is recommended. Your podiatrist will work with you to prevent recurrence. Preventative measures may include new footwear or custom orthotics to relieve pressure and irritation.

Are you dealing with uncomfortable corns or calluses on your feet? Click here or call Abramov’s Comprehensive Foot Care today at 443-872-7052 to make an appointment. Dr. Boris Abramov and Dr. Tatyana Abramova will see you in our comfortable and convenient Pikesville office. You’ll be back on your feet in no time.

Friday, 08 September 2017 00:00

How to Identify and Manage Toenail Fungus

When a fungus enters and reproduces in a fingernail, a toenail, or the nail bed, an infection occurs. Fungal nail infections are common reasons for visits to the podiatrist’s office and should be treated promptly and thoroughly to prevent lasting damage from occurring. While for most patients such infections are unattractive but relatively harmless, for patients with compromised immune systems or chronic illnesses including diabetes they can be more serious.

Causes

A wide range of yeasts, molds, and fungi can lead to infections of the toenails and nail beds. Many are caused by t. mentagrophytes, the same type of fungus that causes athlete's foot. Others are caused by t. rubrum and other strains.  Small cuts and tears in the skin near your nails create pathways for the fungus to enter your system.

Symptoms

An infected nail may turn yellow or white, become thicker than usual, separate from the skin, and/or crumble and split. You may notice the fungus spread to other nails or your skin.  If you have a fungal infection, it may become uncomfortable to walk or stand for long periods of time, or even to wear shoes.

  

Prevention

Fungi grow best in warm, moist places, and are highly contagious. Here are some tips from Dr. Boris Abramov and Dr. Tatyana Abramova to keep infections at bay:

$1·      Always wear shoes in public places such as showers, locker rooms, and pools.

$1·      Never share personal items such as razors, towels, and nail clippers.

$1·      Be sure to bring your own tools to the nail salon.

$1·      Get treatment for athlete’s foot promptly and completely, as the fungus can quickly and easily spread from your skin to your nails.

 

Diagnosis and Treatment

Seek diagnosis and treatment as soon as possible if you suspect that you have a fungal nail infection. Left unaddressed over time, the infection can cause permanent damage to your nail or nail bed. With years of specialized training and experience, your podiatrist is the most qualified medical professional for the job. He or she can determine whether you in fact have a fungal infection and then work with you to decide on an effective course of treatment.

Boris Abramov, DPM and Tatyana Abramova, DPM  treat patients with fungal nail infections every week. They can help you too. If you are concerned about fungal nail infection or anything else related to the health of your feet, ankles, or lower legs, call Abramov’s Comprehensive Foot Care at 443-872-7052 or click here to make an appointment at our convenient and comfortable Pikesville office.

Thursday, 31 August 2017 00:00

Learning More About Morton’s Neuroma

A neuroma is a thickening of nerve tissue. Neuromas can occur anywhere in the body. In the feet, the most common type of neuroma is a Morton’s neuroma, which develops between the third and fourth toes. Neuromas may also occur in other locations in the foot.

A neuroma is the result of compression and irritation of the nerve tissue. This compression creates swelling and enlargement of the nerve. If left untreated, it can lead to permanent nerve damage.

Anything that compresses or irritates the nerve can lead to the development of a neuroma. Common causes of neuromas include:

$1·      Repeated, frequent wearing of high heeled shoes with pointed toe boxes

$1·      Pre-existing foot deformities such as bunions, hammertoes, and flat arches

$1·      Long-term engagement in activities involving repetitive irritation to the ball of the foot, such as running or court sports

$1·      Injury or other trauma

If you are developing a Morton’s neuroma, you may notice one or more of these symptoms, especially in the area between your third and fourth toes:

$1      Tingling, burning or numbness

$1      Persistent discomfort

$1      A feeling like there is something inside the ball of your foot

$1      A sensation like there is something in your shoe or a sock is bunched up under your foot

The symptoms of a Morton’s neuroma typically begin gradually. At first, you may notice them only occasionally when wearing certain shoes or engaging in particular activities. They get better when you take off your shoes or massage your foot. In time, the symptoms worsen and may persist for days or even weeks at a time. The symptoms will become more intense as the neuroma enlarges and the temporary irritation to the nerve becomes permanent damage.

The treatment for your Morton’s neuroma will depend on the severity of the problem. The sooner your neuroma is diagnosed, the more like it is that non-surgical options – including icing, orthotics, activity restrictions, practical shoes, over the counter or prescription medications, and injection therapy – will be effective.  Surgery is sometimes necessary for patients whose neuromas have not responded to nonsurgical treatments.

If you notice Morton’s neuroma symptoms, or any other changes in the look and feel of your feet, it’s best to visit the podiatrist’s office as soon as possible. With years of specialized training and experience, your podiatrist is the best-qualified professional to diagnose and treat issues of the feet, ankles, and lower legs.

Is foot pain interfering with your ability to stand or walk? Click here or call Abramov’s Comprehensive Foot Care at 443-872-7052 to schedule an appointment in our comfortable and convenient Pikesville office. Dr. Boris Abramov and Dr. Tatyana Abramova will examine your feet, diagnose your issue, and work with you to create an effective plan for treatment.

Thursday, 24 August 2017 00:00

Oh, Baby! How Pregnancy Affects Your Feet

Pregnancy is a pleasant, joyful experience for most women, but there can be uncomfortable changes in the legs, ankles, and feet. Even modest weight gain due to pregnancy can add pressure, alter your center of gravity, create a new stance and produce a new gait, leading to a variety of common problems.

Leg and Foot Cramps

Muscle cramps are harmless but painful. They can occur at any time of the day or night, even sometimes waking you from a sound sleep. Here are some tips from podiatrists Dr. Boris Abramov and Dr. Tatyana Abramova to prevent and stop cramps:

$1·      Extend your leg while gently pulling your toes back toward your body.

$1·      Be careful to flex, not point your toes while stretching; pointing can contract the muscle and make your cramp more severe. 

$1·      Massage the muscle and walk around for a few minutes after stretching to let the muscle relax.

$1·       One folk cure for leg or foot cramps is to eat a banana every day. This is because bananas are high in potassium, and cramps can be a symptom of low potassium levels.

Varicose Veins

Your blood volume will increase by 50% during pregnancy, stressing the blood vessels in your legs. Further, the entire lower body is under pressure from the increased weight of the uterus. These factors can lead many women to experience unattractive and uncomfortable varicose veins -- large, swollen blood vessels that present as distinctive purplish lumps – in their third trimesters. Varicose veins occur most often in the legs, although they do occasionally appear in the rectum or vulva. Varicose veins may itch or ache, but they are typically a cosmetic issue. They usually shrink or vanish within a few months after birth. 

Edema

Edema is the medical term for swelling. Some women experience edema, especially in the legs and feet, during the later stages of pregnancy. This is a result of the extra blood accumulated and/or water retained by the body. Edema is also caused by the enlarged uterus, which puts pressure on the blood vessels in the pelvis and legs and decreases circulation in the lower body.

Be sure to stay hydrated, eat a balanced diet, and get off your feet as often as possible to minimize edema.

Boris Abramov, DPM and Tatyana Abramova, DPM are well-versed and highly experienced in treating the unique needs that women experience during pregnancy. Call Abramov’s Comprehensive Foot Care at 443-872-7052 or click here today to schedule a convenient appointment in our Pikesville office. Our doctors will examine your feet to diagnose any current or potential issues and then work with you to determine the best course of treatment. They’ll make sure that you’re feeling great both before and after your baby is born.

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