Locations
Lansdowne Foot and Ankle Center
Leesburg
Landowne Foot & Ankle Center
Leesburg, VA
About
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Podiatry
Licenses
United States: Virginia
Languages spoken
English
Doctor Q&A
53 Answers
26 Agrees
The number of answers this doctor has agreed with.
A 18-year-old male asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Back issue?: Numbness, sharp pain sensations are often nerve related and can even be related to a back problem where the nerves to the feet and ankles exit the sp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Hammer toes?: If the toes are contracted and the "bumps" are bony, then you are probably describing hammer toes. If this is just a skin issue, then they may be war... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Toe or toenail?: Is the actual toe turning black or just the nail? If just the nail, this is probably not serious. It is most likely just bleeding or dried blood ben... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Not uncommon: An ankle sprain is just about any thing but a fracture. It may involve just stretching the ankle ligaments to complete tears. The MRI would confirm ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Concerned, at least: You should at least see your doctor who can order an x-ray in case there is a fracture (break). If you go to a podiatrist or orthopedist, they usual... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Athlete's Foot: This sounds like an athlete's foot infection which is caused by a fungus. No, you don't have to be an athlete to contract this. This may have been pic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Need an X-ray: Broken is the same as fractured, we use the word fracture in medicine. Commonly an x-ray would be the means of determining if a bone is fractured (b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Possibly: Is the bone infection close to the nail area? If so, then it may be associated. Mainly I have only seen an associated bone infection related to an in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Rest, ice, elevate: What flavor ice cream was it? Just kidding...
As in any acute injury such as this apply ice on and off for 20 minutes and of course elevate and re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 37-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Unlikely: I do not think this is related to gout. Please have the person examined by their internist and/or neurologist.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Bunion surgery: Is the redness where the bunions are (near your big toe joint)? Do they hurt? Have you tried wearing wider shoes? If this is still a painful issu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Buddy Tape: Usually for these types of fractures, unless they are displaced (your toe sticks out), we recommend "buddy taping" the toe to the next toe. Place a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Why?: Are you attempting to treat your own fracture? I would need more information, but suggest you see a podiatrist or orthopedist for proper evaluation a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Possibly: Was there an old stubbing injury? If there was any trauma to the great toe joint an arthritic condition can develop. In general it is not common in y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsAnswered >2 years ago
A 35-year-old male asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
2 problems: These may be two fairly unrelated issues. The pain in your big toes (i assume the big toe joint) may be that of hallux rigidus (arthritis of the grea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Bunion, Arthritis: Do you remember an old injury to the big toe? This may be a condition called hallux rigidus and/or a bunion. It can be caused by several factors, in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Laser or wait: Oral medications such as terbinafine (lamisil) are very effective, but are not to be used in pregnancy due to risk of birth defects. Laser treatment i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Footwear?: Usually with arch pain i recommend wearing a running shoe with a rigid midsole (stability shoe). If this is not enough try an arch support. If no rel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
See a podiatrist: Your best/quickest means of treating this is to see a podiatrist (foot and ankle specialist) who in general treats this condition frequently. Many tre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Tight bandage?: Is there excessive pain? If so this may be from a tight bandage. Contact your surgeon and see if he/she recommends loosening the outer wrap/ace band... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
More info needed: Go to a foot and ankle specialist to better evaluate. This may be as simple as wearing the wrong shoes to a sprain or other injury.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Not necessarily: Toenail fungus or onychomycosis is usually caused by a fungal infection similar to athlete's foot. This is usually not a harmful condition, but is of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
R.I.C.E.: Rest, ice, compression, elevation (r.I.C.E.). This is most likely a sprain. Bruising patterns about the outside of the heel is common with a sprain, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Probably: There is a major tendon that inserts into the navicular and surgery may initially weaken that attachment. Immobilization in a cast may be necessary f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 56-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Possible causes: 1. Tight shoes ( look at length and width)
2. Capsulitis of the 2nd toe joint , may also cause nerve compression, inflammation
3. Lower back issue, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Not very: The only thing that hurts a bit is the local anesthetic injection that is necessary to numb the toe. If you are just having the ingrown removed and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 54-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Dystrophic nail: The toenail may be changing in shape and thickness as a result of repetitive trauma from shoes, direct injury, fungal infection, aging and other cause... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Varies: It depends on how serious of a fracture you sustained, how it was treated, and how compliant you were with your doctor's orders. Did you have surgery... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Not uncommon: Severe injuries to the soft tissues (ligaments, tendons, joint capsule, etc.) about the ankle can be a long- term problem for some. See a specialist ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 38-year-old male asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Back issue?: This initially appears to be a back issue and probably not localized to the feet. Recommend you discuss with your family physician and possibly be r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Heredity: Webbed toes are usually an inherited trait. It is usually not a problem for the person who has this trait.
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Probably cannot: Most toe deformities are a result of heredity and do not correct themselves nor do they correct with splinting, manipulation, or exercises . That bei... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Bunionectomy: Bunion surgery in general is very effective and has a high success rate in alleviating the symptoms associated with a bunion. There are numerous proc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Infected or not?: This depends if the ingrown nail is causing an infection (redness, pain, swelling, pus, increase in skin temperature). If you are relatively healthy ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Plantar fasciitis: The most common cause of heel pain is plantar fasciitis, inflammation in the area of attachment of the plantar fascia to the heel bone. If this is th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 21-year-old male asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Possibly: Is the pain along side of the toenail? Is it red, swollen, warm? If that is the case then there is an infection associated with an ingrown nail. Ot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 44-year-old male asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Possible wart: Sounds like a wart (plantar wart). Most common warts on the feet will present as round, tender with compression of the surrounding skin and may have s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 51-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
About every 2 years: Many in my field would recommend replacing orthoses about every two years as often the foot structure changes and there will be some wear and tear on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
769 viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Vascular issue: This appears to be an issue with your blood vessels. There is a condition called raynaud's phenomenon which often manifests with purplish, painful to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
See specialist: If you go to the foot and ankle specialist he/she can take an x-ray of the heel to determine if a fracture is present. In general if the symptoms imp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsAnswered >2 years agoMerged
A 46-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
More info needed: Are you asking if you broke your 5th metatarsal bone? You will need to see a specialist (podiatrist or orthopedist) who will order an x-ray (usually ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 38-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Neuroma?: Another possibility is a neuroma, most commonly a morton's neuroma. This is a benign thickening if a common digital nerve supplying feeling often to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 66-year-old male asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Probably not: Tight fitting shoes can cause a localized nerve compression, but probably not permanent nerve damage peripheral neuropathy is often associated with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 55-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Potentally: What treatment was tried? Occasionally, there may be other factors associate with plantar fasciitis that can contribute to the heel/arch symptoms for ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 58-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Stability shoe: Generally, i advise patients with flat feet to wear shoes with a rigid mid-sole (doesn't bend in the middle). You can always add an arch support or c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Bunionectomy: There are many bunionectomy procedures and each can have their potential complications. Generally, these are rare and compliance with post-op instruc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Ingrown nail?: This may be due to an ingrown toenail, you should see a podiatrist who can properly evaluate and treat the problem. I do notbrecommend putting off tre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 55-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Probably: You may need an X-ray to determine if you have a fracture (broken bone). Most often podiatrists are able to take X-rays in their office so you don't ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
773 viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Needs treatment: This needs treatment as it is infected. Just tell him it is very common, the only thing that may hurt is having to numb the toe, but that is quick an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Gary Kugleranswered
Podiatry 33 years experience
Sprain most likely: This does sound like a lateral ankle sprain from your description, the only way you would know for sure is to have an x-ray taken to rule out a fractu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
98
Thank you notes
Feb 1, 2015
Great podiatrist.
HealthTap member
Mar 30, 2015
Dr. Kugler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Kugler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Thanks and I hurt it about the 3rd of June then it healed and hurt it again on the 14th.
HealthTap member
Thank you, your answer was very helpful! Well I showed her she looked at it and never said anything else I
HealthTap member
Thanks for your quick reply! Thanks, but I should have included in my question that the ball of fe
Education & Training
Medical/Graduate school
Rosalind Franklin University - Chicago Medical School, IL
Graduated 1990MD
Residency
VA Medical Center Tucson
Awards
Thought Leader, Second Place, Arlington, VA - Winter
2013
Top Podiatrist, Second Place, Virginia - Winter
2013
Affiliations
American College of Foot and Ankle Surgeons
American Podiatric Medical Association
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