High heel shoes disrupt the body's alignment, crowd the toes and force the body's weight onto the ball of the foot. Wearing heels can contribute to a variety of foot and ankle problems, including:

• Achilles tendonitis. The Achilles tendon and calf muscles tighten and shorten as the front of the foot moves down in relation to the heel. This causes stress and painful inflammation of the Achilles tendon.
• Bunions. Narrow-toed shoes can cause a bony growth on the joint at the base of the big toe. The bunion forces the big toe to slant in toward the other toes, resulting in discomfort, blisters, corns and calluses.
• Hammertoes. A narrow toe box crowds the smaller toes into a bent, claw-like position at the middle joint.
• Metatarsalgia. Continued high heel wear can lead to joint pain in the ball of the foot as a result of heels forcing the body's weight to be redistributed.
• Ankle injuries. Because heels impair balance and increase the risk of falling, ankle sprains and fractures are common.
• Pump Bump. The rigid back of a pump-style shoe can cause pressure that irritates the heel bone, creating a bony enlargement known as Haglund's deformity.
• Neuromas. A narrow toe box and high heel can compress and create a thickening of tissue around a nerve between the third and fourth toes, leading to pain and numbness in the toes.

Still not willing to ditch the heels? There are ways to relieve some of the damaging effects of high heels.

• Avoid heels taller than 2 inches
• Choose thicker, more stable heels. Thicker heels are still stylish, plus they lessen the stress on your feet and provide better shock absorption.
• If you must wear heels, wear your gym shoes or flats for commuting and change into your heels once you arrive to your destination.
• Stretch and massage your calf, heel, and foot muscles. This helps relax the muscles and tendons and prevents them from tightening and shortening.
• Avoid shoes with pointed toes

High heel shoes can cause pain and foot deformities that can last a lifetime. So the next time you go to slip on your heels for a long day at work or a night out, consider the consequences and rethink your options. If foot pain persists, don't attempt to treat it yourself, make an appointment with Honeygo Podiatry for proper evaluation and treatment.

Also known as onychomycosis, toenail fungus can be painful, irritating and embarrassing. When there is trauma to the nail, the nail bed is lifted allowing fungus to penetrate and invade the nail bed. Without treatment, the fungus can grow and spread in dark, warm, moist environments, such as socks and shoes.

Common signs and symptoms of toenail fungus include:

• Discoloring or yellowing of the nail
• Thickening or crumbling of the nail
• Swelling around the nail
• Disfigured nails
• Streaks or spots down the side of the nail
• Foul-smelling debris under the nail
• Pain and discomfort
• Complete nail loss

Prevention is key

Fungal infections can affect the fingernails as well as the toenails, but toenail fungus is more difficult to treat because toenails grow more slowly. Because removal of the fungus is challenging, prevention plays an important role in treatment.

• Keep nails neatly trimmed
• Practice good foot hygiene, including daily washing with soap and water; drying feet and toes carefully; and changing shoes regularly
• Always wear shoes in public areas, such as showers, locker rooms and pools
• Wear comfortable shoes that aren't too tight
• Avoid nail polish which can seal in fungus

Treatment of toenail fungus

If you do develop toenail fungus, especially if the infection becomes painful, visit Dr. Orman. People with a chronic illness like diabetes should always see a podiatrist if they notice changes in their nails as it may be an indication of more serious problems.

To eliminate the fungus, a podiatrist may remove as much of the infected nail as possible by trimming, filing or dissolving it. Oral or topical antifungal medications may also be prescribed to treat the infection. Only for severe, chronic infections will surgical removal of the nail be recommended. Our Perry Hall office can help diagnose the cause of your toenail problems and make the best recommendation for treatment.

What is tarsal tunnel syndrome?

The tarsal tunnel is a narrow space located on the inside of the ankle next to the ankle bones. Protected by the tarsal tunnel are many arteries, veins, tendons and nerves, one of which is the posterior tibial nerve- the main focus of tarsal tunnel syndrome.

Tarsal tunnel syndrome is caused from a compression on the posterior tibial nerve. Causes include:

• Injury to the ankle, which may produce swelling near the nerve
• Abnormal blood vessels or cysts that occupy space within the tunnel
• Scar tissue that press against the nerve
• Foot deformities, such as flat feet which increase strain on the nerve
• Systematic diseases, such as diabetes or arthritis

When patients visit us at our Perry Hall office with tarsal tunnel syndrome, they often experience one or more symptoms, usually felt on the bottom of the foot or the inside of the ankle. In some cases, the pain may extend to the heel, arch, toes and calf. Symptoms include:

• Pain
• Numbness
• Burning or tingling sensation

Dr. Orman can help

Whenever you experience pain, burning and tingling in your feet or toes, make an appointment with our Perry Hall office. Left untreated, tarsal tunnel syndrome could result in permanent nerve damage. Treatment for tarsal tunnel syndrome varies depending on the severity of your condition. Anti-inflammatory medications, cortisone injections, immobilization, rest and modifications in footwear are a few methods used to treat the damaged nerve and reduce the pain. When non-surgical treatments are unsuccessful, surgery may be recommended.

To prevent shin splints, warm up and stretch muscles before starting any work out activity and choose supportive footwear. Begin work outs gradually and avoid over-training. All of these methods will go a long way in helping to prevent many lower leg problems. Conservative treatment for most shin splint pain includes rest, ice, compression and elevation. Strengthening exercises, anti-inflammatory agents and custom foot orthotics may also be recommended to reduce symptoms.

Shin pain isn't always indicative of a shin splint. Lower leg pain may actually signal a more serious problem, including a stress fracture, partial muscle tear and tendonitis, all of which require special treatment. Always seek the professional care of a podiatrist if:

• Severe pain in your shin follows an injury
• Your shin is hot and inflamed
• Swelling in your shin increases
• Shin pain persists during rest

Proper diagnosis of the cause of pain is necessary in order to administer the most appropriate treatment. If you suffer from shin pain, visit Dr. Orman for an evaluation and proper treatment.

All footwear eventually shows signs of wear and tear. Inspect the condition of your own shoes, and if they appear stretched out or worn, you probably need a new pair. Creasing of the midsole is also a good indication that your shoes have lost their cushion and support.

Maximize Fit, Minimize Discomfort: How to choose the best shoes for your feet

The following tips can help you avoid purchasing a pair of shoes that may contribute to a long list of foot problems.

• Try on shoes late in the day, when the feet tend to be a bit larger due to natural swelling
• Women should opt for low, stable heels
• Try on both shoes to be sure that they fit comfortably on both feet
• Choose breathable shoe materials, such as leather to prevent excessive sweating and blisters
• Have your feet measured to ensure the best fit
• Avoid pointy-toed shoes which cause bunions and hammertoes
• Walk around the store with both shoes on to make sure the fit is comfortable
• For athletes, choose shoes that are specific to the sport you play
• Choose the right shoe for your foot type (e.g. if you have flat feet, select shoes with good arch support)

Still not ready to part with your favorite pair of sneakers or trendy heels? Not sure if the shoes you currently wear are right for your feet? Visit us at Dr. Orman. A professional podiatrist at our Perry Hall office can evaluate the condition of your feet and work with you to find the best pair of shoes for your feet.

One of the most common foot problems that occur during pregnancy is swelling, or edema, which results from the extra accumulation of blood. The natural weight gain and enlarging uterus puts pressure on the veins that lead to the legs, causing circulation to slow down and increasing fluid retention. The legs and feet may become swollen, making shoes tight, and in some cases causing pain and discomfort. Slight swelling during pregnancy is normal and usually subsides after giving birth. Women should pay close attention to edema symptoms. Swelling to the face or a sudden onset of swelling could be a sign of a more serious condition called preeclampsia and should be reported immediately.

Another troubling foot problem that can occur during pregnancy is over-pronation (flat feet) which is caused when a person's arch flattens out upon weight bearing causing the feet to turn in abnormally. This condition develops when the dense band of tissue in the arch of the foot called the plantar fascia becomes strained and inflamed due to increased flattening of the feet. Over-pronation is common in pregnancy due to the increased weight gain which stresses the feet and flattens the arches. Walking can become very painful, and women may experience increased discomfort and strain on the feet, calves and back.

There are various remedies available to help minimize and alleviate foot pain during pregnancy.

• Take short breaks during the day and elevate your feet to relieve pressure and swelling.
• Drink plenty of water.
• Wear shoes that are soft, comfortable and give your feet room to move.
• Wear seamless socks that do not constrict circulation.
• Exercise or walk regularly to promote overall health.
• Stretch legs frequently and avoid crossing your legs when sitting.
• To prevent arch pain, stretch daily, avoid going barefoot and wear supportive low-heeled shoes.

When foot pain persists, visit Dr. Orman. We'll work with you to find the best treatments for your foot pain. Pregnancy and pending motherhood should be a pleasant, enjoyable experience. Understanding the causes of foot pain and learning easy home remedies can help women step more comfortably throughout these special nine months.

Plantar warts most often develop on the weight-bearing areas of the foot -- the heel or the ball of the foot -- causing sharp, burning pain. They can appear as a single wart (solitary) or a cluster of warts (mosaic). Common symptoms may include:

• Pain or discomfort when walking or standing
• Thick, scaly skin that often resembles a callus
• Hard, flat growths with well-defined boundaries
• Tiny black specks (clotted blood vessels) that often appear on the surface of the wart

Most warts disappear with home care and do not require medical treatment. You can take steps to prevent and treat plantar warts, which include:

• Changing your shoes and socks daily
• Keeping your feet clean and dry
• Avoid picking at warts as the virus may spread
• Avoid direct contact with an individual who has plantar warts
• Checking your child's feet periodically
• Refrain from walking barefoot, especially in public areas like showers, swimming pools and locker rooms
• Never ignore skin growths or changes in your skin

You should always seek care from a podiatrist when warts interfere with your daily life, aren't responding to home treatments, or if you have circulatory disorders. Contact Dr. Orman if your warts:

• Change color or shape
• Cause unbearable pain and discomfort
• Interfere with activities
• Multiply or reappear

Without treatment, plantar warts can grow, spread and prompt new warts to grow as fast as the old ones disappear. If you can't confidently identify a growth on your foot, visit Dr. Orman to ensure a correct diagnosis. Early diagnosis and treatment can decrease the risk of the wart spreading and multiplying.

Repeated strain on the plantar fascia can cause tiny tears in the ligament. As tension and tearing increases, so does inflammation and irritation of the affected area. Risk factors of plantar fasciitis include foot arch problems (flat foot and high arches); excess weight; running; and a tight Achilles tendon.
The most common complaint of plantar fasciitis is pain in the bottom of the heel that develops gradually. The pain is usually worse in the morning and after sitting or standing for a long period of time. For some, the pain subsides after walking or stretching.
To reduce pain associated with plantar fasciitis:

• Rest. Limit and/or avoid activities that make your heel hurt.
• Ice. Reduce pain and swelling by icing the affected area each day.
• Stretch. Stretch your heel throughout the day, especially when you first wake up in the morning.
• Footwear modifications. Wear shoes that provide good arch support and a cushioned sole. Ask your podiatrist about pads and shoe inserts to relieve your heel pain.

When conservative treatments aren't effective or your pain persists for more than a few weeks, schedule an appointment with Dr. Orman to discuss your symptoms and treatment options. A podiatrist can recommend an appropriate treatment plan for your individual needs. This may include, stretching exercises, shoe padding, orthotic devices, night splints or therapy. Most patients respond to non-surgical treatments, but for pain that won't go away, surgery or a new nerve treatment, called radiofrequency nerve ablation may be considered.

With proper rest and treatment, recovering from plantar fasciitis can take just a few months. Visit us at Dr. Orman when you first experience pain for a proper diagnosis and an appropriate treatment plan for your individual needs.

There are typically no physical signs of Morton's neuroma, such as a lump or a knot. Instead, symptoms may include:

• A sharp, achy or burning pain in the ball of your foot
• Numbness, tingling, or cramping in the toes or forefoot
• Feeling as if you're standing on a pebble in your shoe

While the exact cause of Morton's neuroma is unknown, the growth of the neuroma seems to occur in response to injury, pressure or irritation to one of the nerves that lead to the toes. People with certain foot deformities - bunions, hammertoes and flatfeet- are at higher risk for developing a neuroma. Women are also more likely to develop this condition as wearing high-heels or narrow-toed shoes can increase pressure on the toes. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running.

Morton's neuroma can make walking and performing normal activities difficult and painful. Treatment options vary with the severity of each neuroma, and identifying the neuroma in its earliest stage of development is important to avoid more invasive treatments or surgical correction. Left untreated, neuromas tend to worsen, so it's always best to visit a podiatrist at the first sign of pain.

Early treatments aim to relieve or reduce pressure on the area around the affected toes. Depending on the severity of your neuroma, a podiatrist may recommend:

• Modifications to footwear. Wide-toed shoes relieve pressure on the neuroma.
• Shoe inserts, such as orthotics, or padding to provide support for the arch of the foot, which removes pressure from the nerve.
• Anti-inflammatory medications can help ease any pain and inflammation. Ask your doctor first.
• Icing to reduce inflammation.
• Rest to lessen repetitive pressure on the neuroma.

In cases that don't respond to more conservative treatment, surgery to remove the neuroma can be avoided by performing a minimally invasive procedure to relieve the pain from Mortan's neuroma called radiofrquency nerve ablation.  Nerve ablation can permanently deaden the neuroma without missing time from work. There is minimal risk and disability with this relatvely new procedure. It's performed in our Surgery Center under local anesthesia. Dr. Orman can help you determine the best approach for your specific condition.

• Sharp, aching or burning pain in the ball of your foot -- the part of the sole just behind the toes
• Pain that intensifies when you stand, walk or run
• Pain that radiates from the balls of the feet into the toes
• Numbness or tingling in the toes
• A feeling in your feet as if you are walking with a pebble in your shoe
• Pain that increases when walking barefoot

Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:

• Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
• Other foot disorders. High arches, hammertoes, bunions, stress fractures and Morton's neuroma can all trigger metatarsalgia symptoms.
• Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
• Excess weight. Extra weight places excess pressure on your metatarsals.
• Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.

Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain.

When conservative treatments aren't affective and pain persists, visit Dr. Orman for a full exam and a proper diagnosis. In most cases, metatarsalgia can be treated non-surgically. As an experienced podiatrist at Honeygo Podiatry, I may prescribe specially-designed orthotics or shock-absorbing insoles and arch supports to prevent and minimize future problems with metatarsalgia.

People develop ingrown toenails for various reasons. Poor nail-trimming is the most common cause, as this encourages the skin to fold over the nail. Other causes include trauma, such as stubbing a toe, or skin conditions, such as fungal infections or nails that are simply too large. In some cases, the condition may even be inherited. Poor-fitting shoes generally aggravate the condition, making it worse.

Many cases of ingrown toenails may be prevented by:

• Wearing well-fitted shoes and socks
• Protecting feet from trauma when possible
• Trimming toenails straight across and avoiding repeated trimming of the nail borders
• Keeping feet clean and dry to prevent infection

If an infection is not suspected of your ingrown, it can usually be safely treated from home by soaking your foot in warm water. Avoid "bathroom surgery" and repeated cutting of the nail as this will only make the condition worse.

When attempts to reduce your symptoms from home fail, or when pain, inflammation, swelling or discharge accompany your ingrown nail, the toenail is most likely infected and should be treated by a podiatrist. People with diabetes, nerve damage or poor circulation should always seek care immediately if an ingrown nail is detected, regardless of the severity.

A podiatrist can examine the affected toe and determine the best treatment for your condition. For an infection, an antibiotic may be prescribed. Other treatments may involve trimming or removing the infected nail with a minor in-office surgical procedure.

Ingrown toenails may be annoying, but rest assured that they can easily be prevented and treated with the help of your podiatrist. If you think you have an ingrown toenail, visit our office at Honeygo Poditry for quick and easy treatment.

The most common cause of hammertoe is a muscle imbalance. Tight-fitting and high-heeled shoes often aggravate the condition, crowding your toes forward. A hammertoe can also be the result of injury in which you break or jam the toe, or from conditions like arthritis or stroke that affect nerves and muscles. In some cases, hammertoes may even be inherited.

Because of their clenched, claw-like appearance, hammertoes will generally be visibly present. Other signs and symptoms include:

• Difficult or painful motion of a toe joint
• Redness or swelling at a toe joint
• Development of calluses and corns
• Open sores in severe cases

The foot and ankle professionals at Honeygo Podiatry recommend the following for preventing and reducing the symptoms associated with hammertoe:

• Wear comfortable, proper-fitting shoes that provide support and allow enough room for your toes
• Avoid high-heeled or narrow-toed shoes
• Stretch your toe muscles to relieve pressure and pain
• Apply splints, cushions or pads to relieve pressure
• Moisturize with cream to keep the skin soft

Generally, a modification of footwear will reduce the symptoms associated with hammertoe. Other non-surgical treatment includes padding to shield corns and calluses and orthotic devices that are placed in the shoe to help control muscle imbalance. Dr. Orman can help you determine the best treatment for your symptoms. Severe cases that don't respond to conservative measures may require surgery to restore your toe's flexibility and eliminate the pressure.

Hammertoes are progressive - they don't go away by themselves and the condition usually gets worse over time. Once Dr. Orman has evaluated your hammertoe, a treatment plan can be developed that is suited to your needs.

Growing pains are often characterized by a sharp, throbbing pain in the leg muscles, usually occurring during the night and sometimes late afternoon without an apparent cause. The nighttime pain can be so intense that it is enough to wake the child from sleep. While there is no evidence that a child's growth is painful, these pains often occur during an active day of running, jumping or swimming.

Whenever a child is afflicted by episodes of recurrent leg pain, it is always best to have them evaluated by a physician or podiatrist. Other foot and leg conditions should be ruled out before a diagnosis of growing pains is made. If the examination is normal, with no redness, tenderness, swelling, or limitation of movement, then it is generally safe to say the child is suffering from growing pains.

Consult with a physician or a podiatrist if aching legs are a chronic complaint or if the pain is so severe it interferes with the child's daily activities. Persistent pain and other unusual symptoms may indicate a more serious problem. The following symptoms are not due to growing pains and should be evaluated by a doctor:

• Persistent pain
• Swelling or redness in one specific area or joint
• Limping
• Fever
• Loss of Appetite
• Weakness
• Fatigue
• Abnormal behavior

There are no treatments or medications available for growing pains, but parents can help ease the pain with simple home remedies.

• Massage and rub the child's ache until the pain passes
• Stretch your child's legs throughout the day and before bed
• Heating pads or warm baths can help soothe sore muscles
• Over-the-counter pain relievers (always consult with physician first)

While growing pains are commonly seen in young children during the growth and development years, lower extremity pain can also be caused by mechanical misalignments and structural imperfections. A thorough evaluation is crucial in order to determine the exact cause of your child's leg pain. If growing pains are the cause of your child's discomfort, rest assured that the pain is only temporary and will pass with time.

A Runner's Road Block

While many running-related foot injures can result from a fall or twisted ankle, most running injuries are caused by overuse, meaning the majority of runners experience foot and ankle pain because they do too much for too long or too quickly. Runners should be aware of the signs of foot problems that can slow them down if not treated promptly. Common foot and ankle injuries experienced by runners include:

Achilles Tendonitis: Achilles tendonitis and other calf-related injuries are prevalent in runners. Poor training, overuse and improper footwear are the three most common reasons for this condition. A sudden increase in distance or pace can strain the muscles and tendons in the foot and ankle, causing small tears within these structures that result in pain and inflammation. Appropriate shoes and training are the most important steps to preventing Achilles tendonitis. Conservative treatment includes, rest, ice, stretching, and sometimes orthotics or physical therapy.

Heel Pain: Runners develop heel pain more than any other foot-related injury. Plantar fasciitis is the most common cause of heel pain, which is the result of excess stress placed on a ligament in the bottom of the foot. Rest, stretching and support are the best ways to ease the pain and inflammation. Reduce your mileage and avoid hill and speed workouts. Stretch before and after you run, and ice your heel after each workout. Special splints and shoe inserts, available through our office, may also provide support and relief for your heel pain.

Stress Fractures: Stress fractures are small cracks in the surface of a bone. Runners generally notice gradual muscle soreness, stiffness, and pain on the affected bone, most often in the lower leg or the foot. Early diagnosis is critical as the small fracture can spread and eventually become a complete fracture of the bone. Stress fractures are typically caused by an increase in training that occurs more quickly than the body's ability to build up and strengthen the bone. If you have symptoms of a stress fracture, you should stop running immediately and see a podiatrist. This injury can keep a runner off the roads for several weeks and is not an injury that you can run through. Depending on the severity of the stress fracture, a cast may be necessary.

If you experience chronic foot pain from running, make an appointment at our Perry Hall/White Marsh in Baltimore County, Maryland or our Fallston/Bel Air office in Harford County, Maryland. Leaving foot injuries untreated could result in more serious conditions, ultimately keeping you from your best performance. Keep in mind that these are not the only foot ailments caused by running, and when at-home foot care isn't effective, you'll need to be evaluated by a podiatrist. As in most cases, prevention is your best treatment. Good footwear, proper training and recognizing a problem before it becomes serious are your keys to staying on the road and avoiding foot injuries.

One common type of flatfoot is adult-acquired flatfoot. It is caused by overstretching the tendon that supports the arch. Flexible flatfoot is also common and occurs when the foot is flat when standing, but returns to a normal arch in non-weight-bearing positions.

Factors than increase your risk of flat feet include:

• Excess weight
• Age
• Injury to your foot or ankle
• Rheumatoid Arthritis
• Pregnancy

When to See Your Honeygo MD Podiatrist

Most adults with a fallen arch experience little to no pain. For these patients, treatment is rarely necessary. A painful flatfoot, however, may be the sign of a congenital abnormality or an injury to the muscles and tendons of the foot. Pain can be severe, making it difficult to walk, wear shoes and perform simple every day tasks. More than achy feet, flatfoot can also lead to other, more serious problems and pain for your ankles, knees, back and hips.

Common symptoms associated with flat feet include:

• Swelling along the inside of the ankle
• Feet that tire easily or ache after standing for an extended period of time
• A lack of mobility in your foot and difficulty standing on your toes
• Sore, swollen feet; especially in the heel or arch of your foot

Steps Away from Flatfoot Pain Relief

If you are experiencing pain caused by flatfoot, visit Dr. Orman for an evaluation. We can identify the cause of your pain and recommend the best treatments for your type of arch.

Talk with your podiatrist about the following treatment options:

• Shoe inserts/ Orthotics
• Shoe modifications
• Rest and ice
• Stretching exercises
• Non-steroidal anti-inflammatory medications
• Surgery

Whether you were born with flat feet or you acquired fallen arches over time, if your flat feet are causing you pain or interfering with your day to day activities, visit Dr. Orman. We can work with you to determine the best treatment options to eliminate the pain, improve your mobility and get you back to the activities you love.

Achy Feet Factors:

• Age
• Gender
• Dehydration

Causes
When you are constantly on your feet, a significant amount of stress is put on your legs and feet. Strenuous walking or standing for long periods has an obvious effect on your feet. Other factors include ill fitting, poorly padded shoes, tight socks or stockings and tight garters. Reduced blood circulation to the ankles and feet also causes tired aching feet.

5 Simple Ways to Relieve Tired, Aching Feet

There are ways to relieve pain associated with sore feet and legs.

1. Elevate your feet for 15-20 minutes.
2. Soak your feet in warm water or warm a towel with hot water and wrap it around your feet and legs.
3. Massage your feet or have someone massage your feet for you.
4. Exercise your feet, as it can help to keep them healthy - it tones muscles, helps to strengthen the arches and stimulates blood circulation.
5. Wear Orthotic insoles in your shoes. Ask a podiatrist at Honeygo Podiatry if an orthotic device is a good fit for your lifestyle

When foot pain persists, it's important to visit our Perry Hall, Maryland or Harford County, Maryland podiatric offices for a thorough examination. The cause of your foot pain may be more serious than simple stress and over work. Dr. Orman can identify serious problems and work with you to determine a treatment plan that will put an end to your tired, achy feet once and for all.

Foot odor is a common problem, especially among those who perspire excessively, but it can be both embarrassing and physically uncomfortable. If you suffer from foot odor, rest assured that simple lifestyle changes and improved personal hygiene can help reduce and eliminate the smell.

Easy Ways to Eliminate Foot Odor

Since most foot odor is caused from excess sweat and the growth of odor-causing bacteria, it's relatively easy to control and reduce foot odor on your own. Start by taking the following preventative steps:

• Keep your feet clean by washing them with an antibacterial soap on a regular basis to minimize bacteria.
• Keep feet dry as moisture enables the growth of bacteria.
• Alternate shoes and avoid wearing the same pair for multiple days in a row.
• Choose open shoes such as sandals when possible, allowing air onto the feet which evaporates sweat and slows the growth of bacteria.
• Wear moisture wicking synthetic socks which wisks away moisture from the skin. Avoid cotton socks as they only absorb moisture which stays against the skin, keeping the skin wet or damp.
• Apply foot sprays and powders to the feet. Ask Edward Orman, DPM for recommended products.
• Disinfect, wash and discard foul smelling shoes as necessary.

The causes of foot odor are typically not harmful to your health, but do create an environment for the growth of fungus and bacteria. It's not unusual for infections such as toenail fungus and athlete's foot to develop as a result.

When improving your foot hygiene doesn't help reduce the smell, you may need to visit Edward Orman, DPM, as persistent foot odor can indicate an infection or a severe case of hereditary sweating. In these cases, a prescription ointment may be required to treat the problem. Visit our Honeygo MD office and we'll work with you to determine the cause and most effective treatment for your condition.

Identifying a Corn or Callus

Corns and calluses are similar in nature, but differ in size and location. Corns are smaller than calluses and usually have a hard, thickened center surrounded by red, inflamed skin. They typically develop on the tops and sides of your toes and can be painful when touched. Calluses generally develop on your heels and balls of your feet. They vary in size and shape, although almost always larger than corns.

For most people who develop calluses or corns, eliminating the source of pressure is usually enough to make the thickened skin disappear. Edward Orman, DPM recommends the following for treating corns and calluses:

• Wear comfortable shoes and socks. When footwear fits properly, there is less opportunity for friction and rubbing to occur.
• Soak your feet in warm, soapy water to help remove corns and calluses. Rub the thickened skin with a pumice stone to remove toughened layers more easily.
• Keeping your feet moisturized with foot cream or lotion will help improve the quality of your skin and rid your feet from calluses or corns.

When to Seek Care from Edward Orman, DPM

When corns and calluses don't respond to conservative care, contact our [location] office for a careful evaluation. We can investigate the possible causes of your corn or callus, safely remove the thick, hardened area of skin, and recommend appropriate footwear and treatment, including padding and inserts. Never attempt to cut away a corn or callus on your own, especially if you have diabetes or poor circulation. Instead, seek advice from Edward Orman, DPM for careful removal and proper care.

Bunions develop due to prolonged abnormal pressure or motion on your big toe joint, most often caused by inherited structural defects, poor-fitting shoes, foot injuries, or congenital deformities. Women are generally more prone to bunions because of the shoe types typically worn, such as high-heels and narrow-toed shoes.

Bunion pain can range from mild to severe, often making it difficult to wear shoes and perform normal activities. You should contact our Perry Hall/White Marsh or Harford County, Maryland office if you notice the following symptoms:

• An enlarged, visible bulge on your big toe joint
• Restricted movement of your big toe or foot that prevents you from performing normal activities
• Irritation, corns or calluses caused by the overlap of the first and second toes
• Frequent pain, swelling or redness around your big toe joint

Treatment for a bunion will vary depending on its severity. Identifying the condition in its early stages is important to avoid surgery, with the main objective of early treatment being to relieve pressure and stop the progression of the deformity. Many times conservative treatments, such as padding, modified footwear or orthotic devices can be highly effective for preventing further growth and reducing the pressure and pain.

Edward Orman, DPM recommends the following for reducing pressure and pain caused by bunions:

• Wear comfortable shoes that don't cramp or irritate your toes and avoid high-heeled shoes
• Apply ice to reduce inflammation and pain
• Our podiatrists can show you how to apply padding to your foot to place it in its normal position and reduce stress on the bunion

When early treatments fail or the persistent pain associated with your bunion is interfering with your daily activities, a surgical procedure may be recommended as a last resort to realign the toe joint and alleviate the pressure. Edward Orman, DPM can advise you on the best treatment options available to relieve pressure on the bunion and slow the progression of the joint deformity.

Causes of Bone Spurs in the Feet

When your feet are repeatedly exposed to excessive pressure and stress, a bone spur can form as a result of the body's normal response to repair itself. The following activities and conditions are also common causes of bone spurs in the feet:

• High-impact activities, such as running
• Excessive weight
• Poor-fitting footwear
• Tightening of the plantar fasciitis due to excessive stress
• Aging

Because there are no obvious symptoms associated with bone spurs in the feet, diagnosing the disorder can be difficult. Some people experience unbearable pain in particular areas of their foot when exposed to pressure, which prompts them to seek medical care. Other people can go long periods of time without realizing they even have a bone spur. An x-ray can identify a bone spur in your foot, but if it isn't causing you pain, damaging other tissues or restricting your movement, treatment probably won't be necessary.

Identifying the cause of your bone spur, such as poor-fitting shoes or weight gain, is often times enough to reduce the pressure that is causing the pain.

Conservative treatments for bone spurs include:

• Change in footwear
• Weight loss
• Padding or insoles
• Deep tissue massage and stretching

If you're experiencing chronic foot pain, schedule an appointment at our Perry Hall or Harford County, MD location. At Edward Orman, DPM, PA we'll carefully examine your feet and evaluate your symptoms to better understand your condition. If you've developed a bone spur, we can work with you to create a treatment plan that best fits your needs and puts an end to your frustrating foot pain.

Tips from Edward Orman, DPM for avoiding Athlete's Foot:

• Keep your feet dry, allowing them to air out as much as possible
• Wear socks that draw moisture away from your feet and change them frequently if you perspire heavily
• Wear light, well-ventilated shoes
• Alternate pairs of shoes, allowing time for your shoes to dry each day
• Always wear waterproof shoes in public areas, such as pools, locker rooms, or communal showers
• Never borrow shoes due to the risk of spreading a fungal infection

Treatment

A mild case of athlete's foot will generally clear up on its own with over-the-counter antifungal creams and sprays. But since re-infection is common due to its contagious nature, many people require prescribed anti-fungal medication to effectively treat the infection. Generally, it's always best to consult with a podiatrist before choosing a treatment.

Mild cases of athlete's foot can turn severe and even cause a serious bacterial infection. If you notice your rash has become increasingly red, swollen and painful or you develop blisters and sores, call our office right away. Athlete's foot left untreated could eventually spread to other body parts and infect other people around you.

With the right treatment, you'll be cured of your athlete's foot in no time, which means the sooner you can enjoy the activities you love without pain and irritation!

As we move forward with our blog, we hope to promote podiatric awareness as a vital part of your healthy, active lifestyle. Here you will find a variety of articles and topics including the latest developments in podiatry, podiatric treatments and helpful foot care advice from Dr. Orman and his staff.

We hope you find our blog to be helpful, engaging and informational to ensure the long-term health of your feet.

As always, feel free to contact us with any questions or concerns.

The basic kind of walking -- often called healthwalking -- can be done almost anywhere and at any time, year around. And for individuals with a long history of inactivity or problems with obesity, walking is an excellent way to begin an exercise program.

If the Shoe Fits- Get Walking

Footwear plays a vital role in the duration and achievement of your walking routine, and shoes that don't fit properly or that lack support can lead to foot pain or injuries, such as blisters, corns, calluses, nail fungus and plantar fasciitis.

Not sure which shoe will offer you the most support? Come to our Perry Hall/White Marsh or Fallston office for an examination. We can help determine the best shoe for your feet based on your arch, walking experience and foot mechanics. Your shoes should be well-cushioned and stable, offering you comfort and fit that enables you to walk smoothly and without discomfort.

Keep Your Feet Healthy

To gain the most health benefit from walking, it's important to pay close attention to your feet. Trim your nails regularly, keep your feet clean and dry, and inspect your feet for signs of sores, blisters, corns, calluses or other infections. Serious foot ailments, such as bunions or hammertoes should be checked before you begin your exercise regimen.

Once you're ready to hit the road, you'll want set appropriate goals based on your overall health and walking experience. Start slow and build upon your distance gradually. And don't forget to stretch in order to prevent injury and keep muscles loose.

Walking is meant to be safe, easy and fun, but in order to do so, you must have healthy feet. Experiencing foot pain and discomfort isn't normal. Talk with a podiatrist at Honeygo Podiatry if you encounter any problems while walking. Every step you take is one step closer to a healthier lifestyle. So what are you waiting for? Take a stroll in the mall, walk your dog in the park, or grab a friend and go for a leisurely walk around your neighborhood. It's easy and fun, and when done regularly can lead to a healthier you!