National Diabetes Awareness Month: Do’s and Don’ts

November is National Diabetes Month, so the time is right to emphasize how diabetes impacts both your overall health and your feet in particular.

Kentlands Foot & Ankle Center knows how overwhelming it can be to manage this chronic condition alone, so with that in mind, we’ve gathered some helpful hints and tips to make at-home management far easier. Keep reading to learn the “Do’s and Don’ts” of diabetic foot care, courtesy of our expert team!

DO: Practice Good Nutrition

What you eat directly affects your diabetes management and foot health: high blood sugar can damage nerves and blood vessels, leading to serious complications.

• Do: Load up on fiber-rich foods like whole grains, fruits, vegetables, and legumes. These help regulate blood sugar, promote good digestion, and keep you feeling full for longer.
• Do: Choose lean protein sources like fish, poultry, beans, and lentils for essential nutrients without excess saturated fat.
• Do: Include healthy fats from avocados, nuts, seeds, and olive oil to support heart health.

DON’T: Forget Daily Foot Checks

Early detection is key to preventing serious foot problems.

• Don’t: Skip your daily foot inspection! Look for cuts, blisters, redness, swelling, or any changes in skin color or temperature.
• Don’t: Hesitate to contact your podiatrist if you notice anything unusual! Early intervention makes a big difference.

DO: Schedule Regular Podiatrist Visits

Routine care and regular foot screenings allow for early recognition of problems like ulcers, which can reduce the risk of lower limb amputation by up to 85%.

• Do: See your podiatrist at least once a year for a comprehensive foot exam, even if you don’t have any noticeable problems.

DON’T: Wear Restrictive Footwear

Certain shoe styles can worsen foot problems or restrict circulation.

• Don’t: Wear high heels, tight shoes, or pointed-toe shoes that squeeze your toes.
• Don’t: Wear shoes without proper arch support, especially if you have flat feet.

Wondering what else you can do to manage the complications of diabetes? We’ve got one more “Do” for you, then: give us a call and get in touch today!

Schedule a comprehensive foot examination with Kentlands Foot and Ankle Center podiatrist Dr. Jon M. Sherman. To schedule your appointment, please contact our office at 301-825-9697.

Don’t Lose Your Mojo: Signs, Symptoms, and Treatments for Broken Toe

If you’ve ever dropped something on your foot or jammed it on something hard, you might have been close to breaking your toe. Broken toes are one of the most common breaks in the human body, and they can be seriously painful injuries that require prompt and careful rehabilitation.

That’s why at Kentlands Foot and Ankle Center, we are here to un-stub the toe fracture confusion, providing expert insight and advice along your path to better foot health.

Signs and Symptoms of a Broken Toe

Because a broken toe often causes immediate and severe pain, it’s helpful to distinguish it from other potential foot injuries like turf toe and toe sprains:

• Intense pain: Sharp and localized pain at the point of impact.
• Swelling: Rapid onset of swelling around the injured toe.
• Bruising: Discoloration may appear within a few hours.
• Deformity: The toe may appear visibly crooked or misshapen.
• Difficulty walking: Putting weight on the injured foot may be painful.

Prognosis for a Broken Toe

Most toe fractures typically heal within 4-6 weeks. However, the specific recovery time can vary depending on the severity of the fracture and the person’s overall foot health.

While most broken toes heal without complications, there is a small risk of developing arthritis in the affected toe in the future. Additionally, if the fracture is not properly aligned, it may result in long-term pain or deformity.

Treatment and Recovery

Most minor toe fractures can be treated at home with the RICE method (rest, ice, compression, elevation) and over-the-counter pain relievers prescribed by your podiatrist. In some cases, your podiatrist may recommend taping or splinting the toe to immobilize it and promote healing.

Crutches or boots are typically not necessary for a broken toe unless there are multiple fractures or associated injuries. However, it’s essential during recovery to avoid putting excessive weight on the injured foot. Physical therapy may also be recommended to gently regain strength and flexibility after the bone has healed.

Want to stay on top of your foot and ankle health this summer? We’re happy to help! Schedule a comprehensive foot examination with Kentlands Foot and Ankle Center podiatrist Dr. Jon M. Sherman. To schedule your appointment, please call our office at 301-825-9697.

Protect Your Feet from the Summer Sun

Just like the rest of your body, your feet are susceptible to sun damage. UV rays penetrate the layers of your skin, causing sunburn, premature aging, and increasing the risk of cancer. While the soles of your feet have thicker skin, the tops and ankles are vulnerable, especially for people who wear sandals or flip-flops regularly.

If we diligently protect our faces and arms with sunscreen, why should we neglect our feet? Here’s why you shouldn’t forget about protecting them from the sun’s harmful UV rays, according to our expert team at Kentlands Foot and Ankle Center.

The Risks of Sun-Exposed Feet

• Actinic Keratosis: These precancerous lesions appear as rough, scaly patches on skin exposed to the sun, especially during summer. While not cancerous themselves, they can develop into skin cancer if left untreated.
• Squamous Cell Carcinoma: This is a type of skin cancer that can develop on the sensitive areas of the feet. Early detection can decrease the risk of complications, so be aware of any changes in the appearance of your skin, such as new moles, persistent scaling, or bleeding.
• Age spots: These are flat, brown spots that commonly appear on sun-exposed areas, including the tops of the feet. While benign, they can be a cosmetic concern for some.
• Pre-existing skin conditions: Sun exposure can worsen existing skin conditions on the feet, such as eczema or psoriasis, leading to increased itching, inflammation, and discomfort.

Protecting Your Feet This Summer

• Sunscreen: Apply broad-spectrum sunscreen with SPF 30 or higher to the tops of your feet and ankles 15 minutes before sun exposure. Reapply every two hours, especially after swimming or sweating.
• Sun-Protective Footwear:  Wear closed-toe shoes or sandals with straps that cover the tops of your feet. Look for materials like canvas or mesh that allow for ventilation while providing some sun protection.
• Examine Your Feet Regularly: Pay attention to any changes in the appearance of your skin, such as new moles, discolored spots, or changes in texture. If you notice anything concerning, consult a podiatrist.

Want to keep your feet happy and healthy this summer? We’re eager to help! Schedule a comprehensive foot examination with Kentlands Foot and Ankle Center podiatrist Dr. Jon M. Sherman. To schedule your appointment, please contact our office at 301-825-9697.

For Foot and Ankle Pain, Tailored Treatments Offer the Best of Both Worlds

Foot pain can sideline even the most active individuals, but before you resign yourself to chronic discomfort, consider the wide variety of treatments available from your local podiatrist. With options ranging from the conservative to the innovative and everything in between, a DPM can restore balance and mobility while managing pain.

The key is finding the right approach for your specific needs! For this blog, the team at Kentland’s Foot and Ankle Center wants to keep you posted on a few of the most effective ones. Read on to learn more about the options available to you, from exciting newbies to tried-and-true standards.

Starting Simple: Rest, Therapy, and Orthotics

The first line of defense is often the simplest.

• Rest, ice, and pain medication might provide relief in the short term.
• Physical therapy strengthens supporting muscles and improves flexibility, addressing the root cause of pain and preventing future problems.
• Custom orthotics deserve special mention. By providing personalized support and correcting biomechanical imbalances, they can significantly improve comfort and function.

You can get the best of both worlds via a combined approach:  A 2023 study published in the Journal of the American Podiatric Medical Association (JAPMA) found that physical therapy combined with custom orthotics was highly effective in reducing pain and improving function in patients with plantar fasciitis.

• High-tech and low-tech can also complement one another. For example, our team utilizes 3D orthotic scanning technology to create orthotics tailored to your unique foot shape.
• This ensures a superior fit and function compared to traditional casting methods.

Stepping Up: Advanced Techniques for Persistent Pain

If conservative measures don’t provide lasting relief, your podiatrist might recommend more advanced interventions.

• Shockwave therapy, for instance, utilizes sound waves to stimulate tissue healing and reduce inflammation.
• Studies have shown promise for its effectiveness in treating plantar fasciitis and Achilles tendonitis.

Sometimes, a minimally invasive surgical procedure might be the best approach.

• Many podiatrists are skilled surgeons, able to perform procedures like bunionectomy or hammertoe correction with minimal scarring and downtime involved.

Are you interested in learning more? We’re always happy to help! Schedule a comprehensive foot examination with Kentlands Foot and Ankle Center podiatrist Dr. Jon M. Sherman. To make your appointment, please call our office at 301-330-5666.

Fungal Toenail Troubles? Spring Forward with KeryFlex!

Spring has sprung! Yet, as folks embrace open-toed shoes and footwear, some must struggle with a pesky podiatric problem – fungal nails.

Also known as onychomycosis, these fungal infections commonly affect both toenails and fingernails. While topical and oral antifungal medications are available for treatment, they can take months to show results and often require ongoing use. Meanwhile, discolored, thickened nails can be a source of discomfort and embarrassment, preventing those afflicted from enjoying the carefree feeling of spring footwear.

That’s where the KeryFlex Nail Restoration System comes in! This blog will cover the ins and outs of this confidence-boosting treatment method, courtesy of the team at Kentlands Foot & Ankle Center.

A Confidence Booster for Your Feet

KeryFlex restores the appearance of damaged nails via a safe, painless, and in-office procedure.

• A specially formulated resin is applied directly to the area, creating a durable yet flexible artificial nail that mimics the look and feel of a healthy, natural one.
• Unlike some medications, KeryFlex provides an immediate cosmetic improvement, so you can ditch the closed-toe shoes with confidence!

Beyond Aesthetics: Complements Fungal Nail Treatment

While KeryFlex doesn’t treat the underlying fungal infection itself, it’s a valuable complement to other fungal nail treatments.

• It provides a protective barrier over the affected nail, which helps prevent fungus from spreading and improves the effectiveness of topical medications.
• Additionally, it promotes healthy nail growth by creating a stable base for the new nail to form underneath.

A Multitude of Benefits

• Durable and Flexible:

KeryFlex can withstand everyday wear and tear by moving in tandem with your feet and toes, allowing you to participate in your favorite spring activities worry-free.

• Non-Irritating:

KeryFlex bonds securely to the nail plate, so it doesn’t irritate surrounding skin.

• Complementary and Affordable:

KeryFlex works alongside traditional antifungal therapies to promote healthy nail growth. It’s also cheaper than current oral antifungals.

Don’t let fungal nails steal your spring sunshine! If you’re struggling with discolored or damaged toenails, consult with your podiatrist to see if KeryFlex is the right solution for you.

Interested in learning more? We’re always available and happy to help! Schedule a comprehensive foot examination with Kentlands Foot and Ankle Center podiatrist Dr. Jon M. Sherman. To make your appointment, please call our office at 301-330-5666

5 Ways Physical Therapy Makes For Fitter Feet!

Kentlands Foot & Ankle Center understands the value of conservative treatments and natural remedies; in fact, Dr. Sherman was featured in Business Insider a few months ago discussing just that! It should come as no surprise, then, that our team places such a high value on the power of physical therapy, which can make a difference for a wide range of lower extremity ailments.

This blog will cover five different conditions and circumstances that PT alleviates, improves, or even prevents. Let’s kick things off!

1. Plantar Fasciitis:

This prevalent problem inflicts heel pain due to inflammation of the plantar fascia, the tissue connecting your heel to your toes. Physical therapists can design personalized plantar fasciitis stretches with a custom program that improves flexibility, reduces pain, and prevents future flare-ups.

2. Ankle Sprains:

Rolled ankles are frequent, painful injuries, stretching or tearing the ligaments that stabilize your joints. Physical therapy can provide an ankle sprain recovery regimen and ankle strengthening exercises to help you regain range of motion, strengthen supporting muscles, and improve proprioception (your body’s awareness of joint position). This, in turn, will reduce pain, swelling, and the risk of future sprains.

3. Achilles Tendinitis:

Overuse can inflame the Achilles tendon, causing pain in the back of your heel. Physical therapy focuses on reducing inflammation, improving flexibility, and strengthening the calf muscles to better support the tendon.

4. Arthritis:

Both osteoarthritis and rheumatoid arthritis can affect the foot and ankle joints, leading to pain, stiffness, and reduced mobility. Physical therapists can create an exercise program to maintain joint mobility, strengthening surrounding muscles while improving balance. This helps manage pain, maintain function, and potentially delay the need for surgery.

5. Post-Surgical Recovery:

After foot or ankle surgery, physical therapy is crucial for regaining strength, flexibility, and range of motion. A personalized program helps restore proper gait mechanics and function, ensuring a smooth and successful recovery.

As you can see, physical therapy can do all kinds of good for your feet and ankles, healing them when they’re hurt and maintaining them when they’re fit.

Interested in learning more? We’re always available and happy to help! Schedule a comprehensive foot examination with Kentlands Foot and Ankle Center podiatrist Dr. Jon M. Sherman. To make your appointment, please call our office at 301-330-5666.

Keep Your Feet Flowing: Blood Flow and Circulation in the Lower Extremities

February is American Heart Month, a timely reminder to prioritize our cardiovascular well-being. However, while most focus remains on the heart itself, its connection to our feet and lower extremities tends to go unnoticed.

The truth is that healthy blood flow and circulation are crucial for happy, healthy feet. Let the team at Kentlands Foot & Ankle Center delve into this vital relationship for you! Together, we’ll explore how to keep your feet flowing freely.

Heart Health Basics

Your heart pumps tirelessly and constantly, sending oxygen-rich blood throughout your body. But that doesn’t mean there aren’t any problems.

• In terms of distance, your heart works hardest to send blood to your feet, which are as far away from it as possible.
• When this intricate system functions well, your feet receive the nutrients they need to stay healthy and function optimally.
• When something goes amiss, your feet are typically the first to find out.

When the Flow Filters

Disruptions to your circulation tend to translate into problems for your feet.

• Conditions like peripheral artery disease (PAD) – which affects nearly 34 million Americans – narrow arteries, restricting blood flow to the lower extremities.
• This can lead to symptoms such as pain, numbness, and even tissue damage in severe cases.

Circulation Education

Fortunately, several measures can promote healthy blood flow and circulation in your feet:

• Regular exercise, including walking, improves circulation throughout your body, including your lower extremities.
• Avoid tight shoes that constrict blood vessels in your feet.
• If you have diabetes or high blood pressure, work with your doctor to manage these conditions effectively.
• Consult a podiatrist promptly for any concerns like pain, numbness, or changes in skin color or texture.

When in doubt, it never hurts to consult a DPM with a proven reputation for knowing how to handle all kinds of foot and ankle complications!

Schedule a comprehensive foot examination with Kentlands Foot and Ankle Center podiatrist Dr. Jon M. Sherman. To make your appointment, please call our office at 301-330-5666.

An Ounce of Prevention is Worth a Pound of Cure with Diabetes

When it comes to the diabetes epidemic, podiatrists are on the front lines. That’s why an expert DPM knows better than most that diabetes can seriously harm your feet. Recent statistics paint a troubling picture: The CDC asserts that nearly 39 million people, or 11.6 percent of the US population, currently have diabetes, with almost 9 million of those as yet undiagnosed. Millions more are pre-diabetic, and that number only becomes grimmer as people age.

Individuals with diabetes are at a higher risk of developing foot complications like neuropathy, poor circulation, and foot ulcers. From there, problems can get even worse. That’s why podiatric care is essential for anyone managing this disease. Check out a few of the helpful tips below, courtesy of Kentlands Foot & Ankle Center. 

If you’re a diabetic, see a podiatrist regularly!

• Everyone with diabetes should have an annual exam, no matter what. But for some patients, even more visits will be required.
• Medicare will permit most people to schedule an appointment every two months to care for their nails and calluses. Take advantage of that, and try to stay consistent with your efforts.

 Check your feet twice a day!

• Look for the unusual – cuts, redness, anything.
• If you see something, contact us right away.
• Don’t try to handle the problem yourself; you might risk infection or further complications.

 DON’T GO BAREFOOT!

• As a diabetic, you always want to protect your feet.
• Wound healing is a dangerous issue, and even minor cuts can harm you more than you think.
• Wear shoes at all times!

Don’t let your diabetic foot care problems get out of hand. It’s important to take action right away if you notice anything amiss. We encourage residents of Montgomery County to consult Dr. Sherman sooner rather than later for a complete examination and assessment of diabetic foot health complications. Call 301-330-5666. or contact us online for an appointment at our Gaithersburg podiatry office. We look forward to getting you back on your feet and keeping you there!

Podiatric Medicine Brings Lasers Down To Earth

Lasers might seem like they belong in space, but they can actually be quite helpful here on the ground. At Kentlands Foot and Ankle Center, we think the therapeutic applications of lasers don’t get enough attention. With that in mind, we’ve put together a short blog post that explains just how great these high-tech systems can be from a podiatric point of view!

Laser Therapy: Fighting Fungal Toenails

• Stubborn, uncomfortable, and aesthetically unpleasant toenail fungus can recur again and again.
• We use the PinPointe laser system to penetrate the nail and exterminate fungus at the source.
• This non-invasive technique is successful, safe, and painless.
• As the first laser ever to be cleared for use by the FDA, it has a proven record of success.

Why Use Lasers?

• No drugs or side effects. Oral medications can alter liver enzymes, while topicals often take a year or more to work. Topical meds also have to be used twice a day if they’re going to have a chance at succeeding.
• They’re quick. PinPointe treatment will only take about 30 minutes.
• No recovery time or pain. The laser reaches under the nail areas without damaging the skin. You can walk in, have your treatment, and walk out on the same day. Once the fungus has been destroyed, new nail growth begins.
• Solid success rates. Many patients see perceptible improvements after just a single treatment, with clear nail growth stimulated right away.

PinPointe laser therapy is just one of many advanced medical methods we utilize at the Kentlands Foot and Ankle Center, where we’re always seeking the next innovation. In fact, we have other lasers we like to use! Different systems are employed for different purposes: We have a Remy Class IV Laser to treat issues like plantar fascitis, while Cold Laser Therapy helps with pain relief and nerve damage resulting from injuries. Lasers are a great option when you want to avoid the cost, pain, and prescription meds that go hand in hand with surgery.

A good laser can be your foot’s best friend. Come see for yourself! Dr. Jon Sherman always employs the most modern, sophisticated techniques available to offer his Gaithersburg patients top-quality podiatric care. Contact us today to schedule an appointment.

Running Shoes: Start Off on The Right Foot!

If you run, you need the right footwear. Fortunately, Kentlands Foot and Ankle Center is well-prepared to support your footwear needs. Before you decide which shoe is right for you, let’s break down some common tips that can improve performance and ensure sustainability.

Here are some Do’s and Don’ts to follow before purchasing new running shoes

DON’T run in old, beat-up shoes. Runners need to be prepared, and footwear is no exception. To keep shoes fresh, try to have two pairs on hand and alternate them. The wear and tear from repeated motions erodes the support of a running shoe, which might increase your risk of injury.

DO invest in a pair of good socks and laces. The right pair of socks will provide valuable cushioning and even help with sweating. Laces with ‘bumps’ along them might cost a little more, but they don’t slide around in your shoes.

DON’T ignore the unique traits of your feet. Do you have high, flat, or neutral arches? Do your ankles roll when you run? These are the kinds of details our experts can help you with, and knowing about them beforehand will help you choose the right shoes for you.

DO consider custom orthotics. These can enhance your running game by helping to prevent injuries before they occur. And we can help you find the perfect fit! At Kentlands, there are no more clunky plaster casts or lengthy waiting times. Instead, we employ our new 3D laser scanner to perform a clinical examination of your feet. In just 10 seconds, this technology takes thousands of measurements and provides the perfect custom fit.

We’re big fans of running, and we know just how much it can benefit your life. Still, putting safety first is important. Dr. Jon Sherman is an acknowledged expert in treating sports injuries, and he has served as a consultant for the Marine Corps Marathon. He’s well-equipped to help improve your athletic performance and keep your feet healthy as you chase your goals. To schedule a comprehensive foot examination with Dr. Sherman at our Gaithersburg office, please call 301-330-8971 or contact us online today.