Our office hours are currently Monday, 10am-5:30pm, and Tuesdays and Thursdays, 10am-5pm.

If you would like to come in for care, please call the office at (301) 330-5666 and leave a voicemail with our answering service.

  • Avoiding Fungal Nails

    Toenail fungus is a foot condition that many people can fall prey to. Symptoms of the condition include yellow or brown nails, nails that split or crumble, or nails that lift up from the nail bed. To avoid developing this uncomfortable and often unsightly condition, professionals recommend the following tips. Keep the toenails trimmed short to avoid debris from building up beneath the nails. Wear shoes that properly fit and that are breathable, as fungus thrives in warm and moist environments. Use antifungal sprays or powders when needed, avoid going barefoot in public facilities, and never share shoes or nail clippers.

    For more information about treatment, contact Dr. Jon M. Sherman of Kentlands Foot & Ankle Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

    Toenail Fungus Treatment

    Toenail fungus is a problem which affects many people and is hard to get rid of. Fortunately, there are several methods to go about treating toenail fungus.

    Antibiotics & Treatments

    Lamisil – is the most commonly effective treatment for toenail fungus. It is available as an antibiotic Terbinafine tablet and cream. Terbinafine is a chemical component which kills fungal growth on the body. Applying regular doses will gradually kill the fungal growth. It is important to keep the area clean and air free.

    Talcum powder – applying powder on the feet and shoes helps keep the feet free of moisture and sweat.

    Sandals or open toed shoes – wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well

    Alternative Treatments

    There are always surgical procedures that are available for toenail fungus. Some people would like immediate quick removal of toenail fungus. Surgeons will be able to cut through and remove the growth using laser surgery. It is important not to try and remove it yourself. Once removed, your old shoes will need to be replaced to avoid reinfection.

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

    Read more about Toenail Fungus

  • Toenail Fungus

    Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.

    The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

    Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

    Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

  • How to Prevent Running Injuries

    Overtraining and overusing the feet are the main causes of common running injuries. A number of these common injuries are caused by overrunning. Runner’s knee is a condition that is characterized by the back of the kneecap beginning to wear away and cause pain in the knee. This frequently occurs due to either a decrease in strength in the quadriceps muscles or ill-fitting shoes that are lacking in proper support for the inside of the forefoot. Strengthening exercises focusing on the quad muscle and sports orthotics are the usual treatments for those suffering from runner’s knee. Prevention of the condition lies in a focus on hip strengthening and quad-strengthening to keep the kneecap aligned. To help learn the best exercise to heal runner’s knee, one can also undergo physical therapy.

    One common injury, called iliotibial band syndrome, is often caused by overtraining. This condition occurs when the iliotibial band gets irritated, creating pain and discomfort in the outside knee area. Plantar fasciitis, another common running injury, also occurs as a result of inflammation and irritation. Plantar fasciitis is an inflammation and irritation of the bone in the foot. A large amount of pain is often experienced due to plantar fasciitis. The condition can be caused by a high arch, improper footwear, tight muscles, or flat feet. It can best be avoided by stretching and wearing appropriate footwear that supports the foot.

    Another common injury for runners is stress fractures. These injuries occur due to running style, overtraining, or a lack of calcium. Stress fractures most often occur in several locations in runners, including the inner bone of the leg, the thighbone, the bone at the base of the spine and the bones of the toes. Stress fractures are best prevented by wearing proper footwear and by running on flat and hard surfaces; this will absorb some of the shock created during running.

    Aside from overtraining, other causes of common running injuries include ill-fitting footwear, a lack of flexibility and strength, and irregular biomechanics. The best way to avoid running injuries is to prevent them from even occurring. Both iliotibial band syndrome and stress fractures are preventable. The first step that should be taken to prevent running injuries is to only wear footwear that fits properly and that is appropriate for whatever activity you are doing. Running shoes are the only protective gear available to runners that can safeguard them from sustaining injuries. Choosing the right pair of shoes is therefore extremely important. While running shoes are an important factor, it is also important to consider other facets of your running routine such as training schedules, flexibility, and strengthening. These elements should be considered and altered according to your running needs to best maximize your run and minimize the possibility of injury. Careful stretching before and after a run should also be considered to help prevent running injuries. Stretching muscles enables greater flexibility and a lesser chance of sustaining injury.

  • Strengthening Your Soles to Prevent Running Injuries

    About 79 percent of runners experience some type of foot injury each year. It requires a bit of extra work to keep your feet in top running order, however it is necessary in order to prevent injury. If you want to make your feet less susceptible to injury, you should focus on strengthening your soles. According to clinical director Luke Bongiorno, “When your feet are stronger, you’ll have better propulsion, which can help you run faster and more efficiently.” You should also be more selective when it comes to buying a new pair of running shoes. Recent studies have shown that minimalist sneakers may be more effective in preventing injury compared to running sneakers with high arches.

    Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Dr. Jon M. Sherman of Kentlands Foot & Ankle Center . Our doctor will treat your foot and ankle needs.

    How to Prevent Running Injuries

    Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

    What Are Some Causes of Running Injuries?
    – One cause of a common running injury is called iliotibial band syndrome.
    – Plantar fasciitis is also another common injury.
    – Stress fractures can occur from overtraining, lack of calcium, or even your running style.

    Best Ways to Prevent Running Injuries
    – Wear footwear that fits properly and suits your running needs.
    – Running shoes are the only protective gear that runners have to safeguard them from injury.
    – Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
    – Stretching keeps muscles limber, this will help you gain better flexibility.

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

    Read more about How to Prevent Running Injuries

  • Truck Driver Lifestyle Problematic for Gout Sufferers

    Gout , a form of arthritis that causes intense pain in the body’s joints, can be a particularly problematic condition for truck drivers due to their lifestyle and eating habits. While sedentariness is not a cause, eating purine-rich foods, such as meats, gravy, and beer, certainly is. Other factors include being overweight, diabetic, over the age of 45, having high cholesterol, hypertension, taking certain medications for said hypertension, and not drinking enough water. Prevention is key in combating gout, and this can be achieved by avoiding risk foods and staying hydrated.

    Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Jon M. Sherman of Kentlands Foot & Ankle Center . Our doctor will treat your foot and ankle needs.

    What is Gout?

    Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

    People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

    Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

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  • Everything You Need to Know About Gout

    Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

    The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.

    This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

    Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

    Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

    Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

    Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

  • Hard Surfaces Contribute to Foot and Ankle Injuries

    Athletes who play on hard surfaces, such as basketball players or tennis players, typically participate in sports that often give their feet a harsh workout. Fast and rough movements can contribute to foot and ankle injuries such as plantar fasciitis, ankle sprains, stress fractures, bone spurs, and Achilles tendon issues. Many of these injuries can be prevented by proper stretching, wearing proper footgear appropriate for the sport, and wearing orthotics as needed. For younger athletes, heel pain should be monitored. The heel growth plate is especially vulnerable to injury for growing children. If pain persists, activity should be stopped immediately.

    Sports related foot and ankle injuries need proper treatment before players can go back to their regular routines. For more information, contact Dr. Jon M. Sherman of Kentlands Foot & Ankle Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

    Sport Related Foot and Ankle Injuries

    Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

    • Plantar Fasciitis
    • Plantar Fasciosis
    • Achilles Tendinitis
    • Achilles Tendon Rupture
    • Ankle Sprains

    Sports-related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

    Read more about sports related injuries.

  • Sport Related Foot And Ankle Injuries

    Foot and ankle injuries are common among people who participate in sports. Several factors contribute to this. They include failing to stretch or warm up properly, not wearing the proper type of shoe and not taping or providing other types of support for the ankle or foot. The most common foot and ankle injuries suffered by people involved in sports are plantar fasciitis, ankle sprains and Achilles tendon damage or ruptures. If not treated properly, they can lead to permanent disability.

    Treating these injuries is relatively simple if they are identified and addressed early. Many athletes dismiss the initial aches and pains associated with injury as just soreness or tired muscles. Their first response is usually to try to work through it. This can lead to serious problems. Many minor injuries are made far more serious when athletes continue to put strain and pressure on them. That attitude can change a mild strain into a serious strain and a minor tear into a rupture. Athletes should have unusual aches and pains evaluated by a skilled medical professional.

    Plantar fasciitis is a painful injury. It is inflammation of the plantar fascia, the thick band of tissue running from the heel to the base of the toes. If left untreated, it can lead to a degenerative disease called plantar fasciosis. There are several effective treatments for this ailment. Doctors often prescribe rest, massages, stretching, night splints, physical therapy, anti-inflammatory medication, corticosteroids or surgery, usually in that order. The most effective treatment for plantar fasciitis is orthotics, which offers foot support. Surgery is occasionally used as a last resort, but it comes with the risk of nerve damage and infection and often does not stop the pain.

    The Achilles tendon is the largest tendon in the body. It connects the calf muscles to the heel bone. Running, jumping and walking all impact this tendon. Two common injuries to the Achilles tendon are tendonitis and a rupture of the tendon. Tendonitis is inflammation in the tendon often caused by an increase in the amount of stress placed on it. Non-surgical treatments include rest, ice or anti-inflammatory medication. A rupture (tear) of the Achilles tendon can be treated by placing the lower leg in a cast for several weeks or with surgery. Many physicians feel surgery is the better option because it lowers the risk of re-ruptures. Both methods require 4 to 6 months of rehabilitation.

    Ankle sprains are the most common sports related foot and ankle injury. A sprain occurs when the ligament holding the ankle bones and joint stretches beyond its normal range. It can be treated non-surgically with a combination of rest, ice wrapped around the joint for 30 minutes immediately after injury, compression by a bandage and elevating the ankle above the heart for 48 hours. This combination is referred to as RICE. Severe ankle sprains in which the ligaments are torn may require reconstructive surgery followed by rehabilitation.

  • Preventing Ingrown Toenails

    An ingrown toenail is one of the most common foot conditions to develop, particularly among adolescents, though for unknown reasons. In more common cases, an infection caused by an ingrown toenail may be treated by prescription antibiotics. But while this may clear the immediate infection, if the nail continues to cut into the flesh the infection can return. In extreme cases, the entire toenail may need to be removed. Consult with your podiatrist to determine the best treatment for your case.

    Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Jon M. Sherman of Kentlands Foot & Ankle Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

    Ingrown Toenails

    Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

    Causes

    • Bacterial infections
    • Improper nail cutting such as cutting it too short or not straight across
    • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
    • Ill-fitting shoes that bunch the toes too close together
    • Genetic predisposition

    Prevention

    Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

    Treatment

    Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

    Read more about Ingrown Toenails

  • Ingrown Toenail Care

    An ingrown toenail is a toenail that grows sideways into the nail bed, causing pain and swelling. Ingrown toenails can worsen and cause drainage, turning into a serious infection.

    Several factors affect whether a person is at risk from an ingrown toenail. The many causes include being overweight, diabetes, participating in sports, having a fungal infection of the toe, and cutting your nails too short. Ingrown toenails also have a genetic predisposition, causing some people to be more prone to receive the condition than others. Other causes include improperly fitting shoes and shoes that keep the feet damp.

    Ingrown toenails can be preventable with certain measures. For starters, allowing your toe nails to grow slightly longer in length will help prevent them from becoming ingrown. If you have already developed an ingrown toenail, soak the affected toe in warm water. This will alleviate the pain and help prevent an infection from forming. Antibiotic soap or Epsom salts may be added to further help the relieving process and avoid infection. Placing cotton beneath the affected area is also suggested, as this may help the toenail grow upwards and not into the nail bed. Swelling and redness can be reduced by resting with your feet elevated.

    A podiatrist should be seen if the pain becomes so serious that it prevents you from doing your everyday activities. If a red streak running up your leg appears or if you suspect your infection has spread, contact a podiatrist immediately. Fast treatments can be undertaken to lessen your pain and have you walking comfortably.

    An ingrown toenail can be easily treated with a Band-Aid. Simply wrap the affected toe with a Band-Aid to prevent infection and keep the nail from growing out at a painful angle.

    In more serious cases, your podiatrist may decide to make a small incision to remove a portion of your toenail. To prevent the nail from growing back, medication will be placed directly into the nail bed. This procedure would be performed under local anesthesia and is a faster method to alleviate discomfort from an ingrown toenail. Post-procedure directions will have you stay off the affected foot for a day. Afterwards, normal activities can be resumed.