Edema, or swelling, occurs when excess fluid builds up in the body’s tissues, often affecting the ankles, feet, and legs. Common causes include prolonged sitting or standing, high salt intake, hormonal changes, certain medications, and underlying medical conditions such as heart, kidney, or liver issues. Symptoms typically include noticeable swelling, tightness in the affected area, and discomfort when wearing shoes or socks. The skin may also appear stretched or shiny. Treatment for edema focuses on addressing the underlying cause. Lifestyle changes such as elevating the legs, reducing sodium intake, and staying active can help manage swelling. A podiatrist can provide specialized assessments to determine the cause of edema and recommend effective treatments, including compression therapy and exercises to improve circulation. If you are experiencing persistent swelling, it is suggested that you consult a podiatrist. They can help diagnose the issue and create a tailored treatment plan to restore your foot health.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Queen Mbanuzue, DPM of In Step Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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

Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints, most commonly affecting the big toe. Uric acid, a waste product in the blood, typically dissolves and exits through urine. However, when the body produces too much or the kidneys fail to eliminate enough, it accumulates, forming sharp crystals that cause intense pain, redness, swelling, and warmth in the affected joint. This can lead to sudden, severe pain known as a gout flare-up. To manage gout, a podiatrist may prescribe anti-inflammatory medications, pain relievers, or drugs that reduce uric acid production. Lifestyle changes, like reducing alcohol intake, and limiting foods high in purines, such as red meat, seafood, and sugary drinks, in addition to staying hydrated, can help prevent flare-ups. For chronic cases, long-term medications may be prescribed to keep uric acid levels in check. If you have gout flare-ups, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Queen Mbanuzue, DPM from In Step Podiatry Center. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Acute and chronic sports injuries are common among athletes and active individuals. Acute injuries occur suddenly during physical activity, often due to falls, collisions, or improper technique. Common examples include sprains, fractures, and muscle strains. Symptoms typically involve immediate pain, swelling, and an inability to use the affected area. In contrast, chronic injuries develop gradually over time, often due to repetitive stress on muscles and joints. Conditions such as tendinitis, bursitis, and stress fractures are common. Symptoms may include persistent pain, stiffness, and swelling that worsen with activity. Treatment for acute injuries usually includes rest and elevation. Chronic injuries often require a more comprehensive approach, including targeted exercises, activity modification, and sometimes medications or injections. If you are experiencing persistent pain or difficulty due to a sports injury, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and effective treatment tailored to your needs.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Queen Mbanuzue, DPM of In Step Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports 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
• 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 in order 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 contact our office located in Lanham, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot orthotics have a long history, dating back to ancient civilizations, where early forms of arch support were crafted from natural materials like leather and wood. By the 20th century, modern orthotics evolved with a better understanding of foot biomechanics. In the 1960s, Dr. Merton Root introduced functional foot orthotics, which revolutionized the field by focusing on correcting foot motion to treat various conditions like flat feet, plantar fasciitis, and overpronation. Today, orthotics are highly customizable, made from advanced materials such as carbon fiber and EVA foam. They provide support, relieve pain, and improve mobility for patients with various foot problems. The future of foot orthotics looks promising, with advancements in 3D printing and digital foot scanning allowing for even more precise and personalized solutions. If you suffer from persistent foot pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment, which may include custom orthotics.

If you are having discomfort in your feet and would like to try orthotics, contact Queen Mbanuzue, DPM from In Step Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Foot pain is common in active children due to sports, play, or growth. While many foot aches resolve on their own with rest, certain symptoms can signify severe foot problems that need podiatric attention. If your child is unable to move or stand on their foot, or if the foot appears twisted or out of place, it could indicate a more serious injury. An unstable foot when stepping down is also a sign that something is wrong. Infections in the foot can present as increased pain, swelling, warmth, or redness. Red streaks leading from the sore area or pus draining from a spot on the foot should not be ignored, especially if your child develops a fever. In these cases, it is strongly suggested that you visit a podiatrist who can diagnose and treat conditions early to prevent long-term complications.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Queen Mbanuzue, DPM of In Step Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

Ingrown toenails occur when the edge of the toenail grows into the surrounding skin, causing pain, swelling, and sometimes infection. This common condition usually affects the nail on the big toe and can result from improper nail trimming, wearing tight shoes, or injury to the toe. In some cases, a naturally curved nail shape increases the likelihood of developing an ingrown toenail. To prevent or treat ingrown toenails, it is important to trim nails straight across and avoid cutting them too short. Wearing shoes that provide enough room for your toes can also help. If left untreated, ingrown toenails can lead to more serious complications, such as infection, abscess formation, or even the need for surgical removal of part of the nail. If you have an ingrown toenail, it is suggested that you promptly visit a podiatrist who can offer you correct treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Queen Mbanuzue, DPM of In Step Podiatry 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

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 Lanham, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain can result from various causes, ranging from acute injuries to chronic conditions. Common causes include sprains, where ligaments are stretched or torn due to sudden twisting motions, and tendonitis, which occurs when tendons surrounding the ankle become inflamed from overuse. Arthritis, particularly osteoarthritis, can lead to ankle pain over time due to joint wear and tear. Stress fractures or broken bones may also cause severe ankle pain following trauma. In some cases, flat feet or improper foot mechanics can put strain on the ankle, leading to discomfort. If pain persists or worsens, it is suggested that you visit a podiatrist for a proper diagnosis and treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Queen Mbanuzue, DPM from In Step Podiatry Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Lanham, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Plantar fasciitis is a common condition that results in pain and inflammation in the heel and bottom of the foot. The primary symptom is a sharp, stabbing pain, particularly noticeable with the first steps in the morning or after prolonged periods of sitting. The discomfort often eases with movement but may return after long periods of standing or walking. This condition is typically caused by excessive strain on the plantar fascia, the thick band of tissue running along the bottom of the foot. Contributing factors include overuse, footwear that lacks ample cushioning, and having poor foot biomechanics, such as flat feet or high arches. Activities that involve repetitive stress, like running or standing for long periods, can also increase the risk. If you have heel pain, it is suggested that you visit a podiatrist who can offer an accurate diagnosis and treatment.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Queen Mbanuzue, DPM  from In Step Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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