Gait describes the pattern an individual uses to walk, while a gait deviation is a change from a balanced walking pattern. A person may limp, shuffle, or take uneven steps, and the body may place more weight on one side. Some patients lift one foot higher because the toes do not clear the ground. Others lean to reduce pressure on a painful foot or ankle. These changes can affect stability and increase strain on other joints. They can make movement tiring and raise the risk of falling.

Gait deviations can begin with foot pain, weak muscles, or limited joint motion. Arthritis, an injury, or a difference in leg length can also change the way a person walks. Nerve problems may reduce feeling or muscle control in the feet. Shoes that fit poorly can contribute by restricting movement or failing to support the foot correctly. A deviation may develop suddenly after an injury or appear gradually as a condition progresses. Warning signs include repeated tripping, uneven shoe wear, or pain that travels into the knee. Hip or lower-back discomfort can develop when the body shifts weight to compensate.

A podiatrist can watch how the feet, ankles, and legs move when walking. The evaluation includes checking joint motion, muscle strength, and balance. The podiatrist may also examine shoe wear and foot alignment. X-rays or other imaging can help identify a bone or joint problem. Treatment depends on the cause and severity of the deviation. A podiatrist may recommend properly-fitted shoes, custom orthotics, or a brace to improve support. A shoe lift can help when one leg is shorter than the other. Care for corns, calluses, or painful joints may also make walking more comfortable. When a serious foot deformity causes ongoing pain, surgery may be considered. If you have deviations in gait that are causing pain, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

If you have any concerns about your feet, contact Dr. Richard Silverstein from Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our office located in Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Excess body weight can place pressure on the feet and ankles with each step. Obesity is defined as having a body mass index, or BMI, of 30 or higher. This number is based on height and weight. Research links higher BMI levels with more foot problems. Extra weight can strain joints. This increases the risk of heel pain, arthritis, and tendon irritation. It can also raise the risk of type 2 diabetes, which can affect foot health. Even routine activities can become uncomfortable when the feet must support added pressure.

The effects of excess weight become noticeable when climbing stairs or walking uphill. These movements can place several times your body weight on the ankles. Foot pain may then make staying active more difficult, creating a frustrating cycle. Some patients develop soreness that limits how far they can walk. Others notice stiffness after standing for long periods. A podiatrist can evaluate foot structure, identify painful areas, and explain how body weight affects movement. This examination helps distinguish weight-related strain from other problems that need attention. Addressing discomfort makes it easier to pursue activity goals safely.

A podiatrist helps patients manage foot pain while working toward better mobility. Treatment options include recommendations for shoes with proper support, custom shoe inserts, and guided stretching. Custom shoe inserts, also called orthotics, help distribute pressure more evenly across the feet. A podiatrist can assess walking patterns and recommend changes to reduce strain. Weight management plays an important role in reducing stress on the ankles and feet. Because pain can interfere with exercise, a treatment plan should consider each patient's comfort and abilities. If you have symptoms of obesity-related foot pain, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned about your feet, contact Dr. Richard Silverstein from Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.

Problems & Complications Stemming from Obesity

• When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
• Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
• Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.

If you have any questions please contact our office located in Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel spurs are bony growths that develop on the heel bone. They can form where the plantar fascia, a strong band of tissue along the bottom of the foot, attaches to the heel. Repeated strain on this tissue and the foot muscles can contribute to spur formation. Heel spurs are also linked with plantar fasciitis, which causes irritation in the plantar fascia. However, a heel spur does not always cause pain. Some people have a spur that is discovered on an X-ray even though they have no heel symptoms.

When heel spurs do cause symptoms, patients can feel pain and tenderness on the bottom of the heel. Discomfort can become more noticeable when standing, walking, or running. Some people describe the pain as feeling like pins pressing into the bottom of the foot. Because several foot problems can cause heel pain, identifying the source is important. A podiatrist can examine the heel, ask about activities that trigger discomfort, and evaluate foot structure. Imaging can also show whether a bony growth is present and help confirm the diagnosis.

A podiatrist can develop a treatment plan based on the cause and severity of heel pain. Treatment can focus on reducing pressure around the heel and improving the way the foot functions. Options can include custom orthotics, supportive shoe recommendations, and targeted stretching. A podiatrist can also evaluate whether plantar fasciitis or another foot problem is contributing to the symptoms. When pain continues despite conservative treatment, other treatment choices can be discussed. If you have symptoms of heel spurs, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Richard Silverstein from Union Foot Care. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions, please feel free to contact our office located in Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Falling at home is a common concern for older adults, and a simple stumble can cause injury. A fall happens when balance, vision, or footing is disrupted. Common symptoms after a fall include pain, swelling, or bruising. Tenderness, difficulty walking, or reduced movement may also be common. Persistent discomfort deserves attention. Falls can result in sprains, fractures, or damage to the toes and midfoot.

Several factors can increase the risk of falling at home. Loose rugs, cluttered walkways, and stairs can create hazards. Weakness, vision problems, and medications may also contribute. Seniors can reduce these risks by keeping pathways clear and securing or removing loose rugs. Installing brighter lighting and sturdy handrails can make movement around the home safer. Wearing supportive, properly fitted shoes instead of walking in socks can also improve stability.

Fall-proofing the home is especially important in areas used every day. Keep frequently used items within easy reach to avoid climbing or stretching. Use non-slip mats in areas where floors may become wet. A bathroom grab bar can provide additional support near the shower or toilet. After a fall, avoid putting weight on a painful foot or ankle. A podiatrist can examine the foot, check swelling and tenderness, and determine whether imaging is needed.

Treatment depends on the injury and its severity. A podiatrist may recommend rest, protective footwear, or temporary immobilization as needed. Bracing or supportive devices may help protect an injured area while it heals. A walking boot may protect a fracture while it heals. Follow-up visits can monitor healing and help determine when normal activity can safely resume and reduce the chance of another fall. If you have sustained a foot or ankle injury from falling at home, it is suggested that you consult a podiatrist for effective relief, treatment, and additional fall prevention tips.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Richard Silverstein from Union Foot Care. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our office located in Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.