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The Diabetic Foot
Diabetes is a systemic condition. This means that it affects the whole body, including the feet. Foot problems that stem from diabetes include peripheral neuropathy, a form of nerve damage, and diabetic foot ulcers, a type of open wound that can occur on the feet and become infected when left unnoticed. Between 40 and 60 million diabetics worldwide suffer from lower limb complications each year. The best way to prevent these problems is to stay vigilant of any changes in your feet by performing daily foot inspections. Look at your feet carefully and take note of anything unusual, such as cuts, scrapes, sores, discoloration, or strange sensations. If you notice that something is off, seek the care of a podiatrist as soon as possible.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from New York Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How Stress Fractures Develop and Differ From Breaks
When someone engages in regular physical activity, such as running, jumping, or other repetitive movements, this can stress the bones in the feet and lower legs. Over time, these repetitive movements and stress can lead to the development of tiny hairline cracks in the bones. These stress fractures can also develop when the type, duration, intensity, or frequency of physical activity occurs. Unlike more severe breaks due to acute trauma, which can cause immediate and intense pain, the pain from stress fractures can be duller and develop more gradually. Ballet dancers and athletes engaging in high impact sports such as basketball, tennis, track and field, soccer, and hockey are at greater risk of developing these microscopic fissures in their foot or lower leg bones. Along with a dull pain which intensifies during physical activity, there may be swelling, tenderness and bruising in the affected area. A podiatrist should be consulted if there is any pain in the feet or lower legs. They will perform an exam, test sensitivity to pressure in the affected area, and may use X-rays or bone scans to properly diagnose the issue. This professional assessment and care will not only help heal the stress fracture, but also prevent it from becoming a more severe break.
Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from New York Foot and Ankle. Our doctors can provide the care you need to keep your pain free and on your feet.
Dealing with Stress Fractures of the Foot and Ankle
Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use. The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.
What Are Stress Fractures?
Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:
- Runners
- People affected with Osteoporosis
- Tennis or basketball players
- Gymnasts
- High impact workouts
Symptoms
Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.
If you have any questions please feel free to contact one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Gout Pain Can Be Managed
Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.
Cryotherapy for Plantar Warts
A wart on the sole of your foot, also known as a plantar wart, is a benign, fleshy growth that is caused by the human papillomavirus (HPV). Plantar warts are often painless and can go away on their own, however, this is not always the case. Warts can cause pain or discomfort if they are in areas that bear a lot of weight, grow inward due to pressure, or rub against your shoes and socks. Without treatment, plantar warts can also take years to disappear. One potential treatment option is cryotherapy. This is a fairly simple procedure in which the doctor applies a liquid nitrogen solution on the wart, freezing it. A blister then forms around the wart within 24 hours and can be removed after about one week. Two cryotherapy sessions may be needed to fully remove the wart. For more information about this and other treatments for plantar warts, please consult with a podiatrist.
Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from New York Foot and Ankle. Our doctors will assist you with all of your foot and ankle needs.
About Plantar Warts
Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.
While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.
Symptoms
- Lesions on the bottom of your feet, usually rough and grainy
- Hard or thick callused spots
- Wart seeds, which are small clotted blood vessels that look like little black spots
- Pain, discomfort, or tenderness of your feet when walking or standing
Treatment
- Freezing
- Electric tool removal
- Laser Treatment
- Topical Creams (prescription only)
- Over-the-counter medications
To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.
If you have any questions please feel free to contact one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fasciitis: A Common Form of Heel Pain
Plantar fasciitis is the most common type of heel pain that podiatrists treat. This condition occurs in the plantar fascia, which is a long band of tissue on the sole of the foot that spans from the heel through the arch to the front of the foot. Because of its location and key role in walking, running, and jumping, the plantar fascia can become overly stretched, stressed, and even torn, causing it to become inflamed and painful. This is known as plantar (sole of the foot) fasciitis (inflammation of the fascia). Some factors that contribute to plantar fasciitis include obesity, working on your feet or standing for extended periods of time on a regular basis, having tight calf muscles, flat feet, or high arches. Contact a podiatrist for relief from the pain of plantar fasciitis.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from New York Foot and Ankle. Our doctors 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 one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What to Do if Your Child Has Sever’s Disease
If your active child is suddenly complaining of foot pain, walking on their tippy toes, or limping, they may have Sever’s disease. Though the name can sound frightening, Sever’s disease is actually an injury. It occurs when the growth plate in your child’s heel bone is damaged due to repetitive strain from running, jumping, and other athletic activities. At home, you can help your child find relief by resting and icing the affected foot (it often affects both feet at once) and encouraging them to wear comfortable, supportive shoes. Seeing a podiatrist, who can prescribe orthotics, suggest exercises to help relieve symptoms, and rule out any other potential causes for your child’s pain, can also be very beneficial.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from New York Foot and Ankle. Our doctors can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
What Is Extensor Tendonitis?
The extensor tendons are fibrous bands of tissue that run along the top of the foot, allowing you to move your toes. When these tendons are injured, usually due to repetitive strain from overuse, wearing tight shoes, or sudden training changes, they become inflamed. This causes aching pain in the top of the foot that worsens during exercise and while stretching the toes, as well as swelling over the top of the foot. Symptoms tend to develop gradually and progressively worsen. Treatments for extensor tendonitis are typically conservative and may involve resting and icing the foot, taking over-the-counter pain medications, and wearing comfortable, supportive shoes. If you are suffering from foot pain, please seek the care of a podiatrist.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact one of our podiatrists of New York Foot and Ankle. Our doctors 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
- 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 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 feel free to contact one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Are Bunions Affecting Your Everyday Life?
Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.
How Are Toe Fractures Treated?
With symptoms such as pain, redness, swelling, bruising, and difficulty walking, a broken toe can be a difficult injury to endure. Fortunately, most broken toes heal properly when they are promptly treated. Your podiatrist will typically be able to diagnose the toe fracture using an X-ray or MRI. Depending on the severity of the fracture, treatment options may include buddy taping or splinting the broken toe, using a support device such as crutches or a walking boot to help you walk, and taking medications. Resting, icing, and elevating the foot may also help to reduce pain. More serious fractures may require surgery, particularly if the bone is displaced or if the toe joint is damaged. To learn more about treatments for broken toes, please consult with a podiatrist.
A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact one of our podiatrists from New York Foot and Ankle. Our doctors will treat your foot and ankle needs.
What to Know About a Broken Toe
Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).
Symptoms of a Broken Toe
- Throbbing pain
- Swelling
- Bruising on the skin and toenail
- The inability to move the toe
- Toe appears crooked or disfigured
- Tingling or numbness in the toe
Generally, it is best to stay off of the injured toe with the affected foot elevated.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.
If you have any questions please feel free to contact one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Understanding High Ankle Sprains
An ankle sprain can occur when the ligaments, which connect the bones in the ankle, are partially torn. A high ankle sprain is a sprain that occurs in the upper ligaments of the ankle that connect to the tibia and fibula. Low ankle sprains happen when the ankle gets twisted towards the inside of the leg, and they tend to be much more common than high ankle sprains. High ankle sprains usually occur during high impact athletic activities and often coincide with a broken ankle or tears to the ligaments on the inside of the ankle. Because of this, the pain from a high ankle sprain can be felt in a variety of areas. Frequent signs of a high ankle sprain include pain above the ankle (between the tibia and fibula) and intense pain when ascending or descending the stairs (or any activity that involves flexing the ankle upwards). If you believe you have sprained your ankle, schedule an appointment with your local podiatrist right away to ensure proper healing.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact one of our podiatrists from New York Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.
What Are the Symptoms?
- Pain at the sight of the tear
- Bruising/Swelling
- Ankle area is tender to touch
- In severe cases, may hear/feel something tear
- Skin discoloration
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.
It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.
If you have any questions, please feel free to contact one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
More...
The Path to Becoming a Podiatrist
Podiatrists are physicians and surgeons who specialize in the diagnosis and treatment of conditions and injuries of the foot, ankle, and lower leg. Becoming a podiatrist requires extensive education. Aspiring podiatrists first get a bachelor’s degree which is usually focused on biology, chemistry, and anatomy, along with the necessary prerequisites for attending an accredited medical school, where they will graduate with a Doctorate of Podiatric Medicine (DPM). This is followed by a medical and surgical residency at an approved health care facility. Some podiatrists continue their education with a post-graduate fellowship. To become a licensed podiatrist in the United States, the doctor must pass the American Podiatric Medical Licensing Examination. Additionally, podiatrists may opt to become board certified with certain organizations, including the American Board of Podiatric Medicine (ABPM). Podiatrists usually engage in continuing medical education to maintain their license to practice and to stay abreast of industry trends.
If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact one of our podiatrists from New York Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.
Podiatric Treatment
A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:
- Physical therapy
- Drugs
- Orthotic inserts or soles
- Surgery on lower extremity fractures
A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.
If you have any questions please feel free to contact one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Why Do My Ankles Hurt After Running?
Runners take hundreds of steps per minute while they run. During each step, a large amount of force is transmitted through the foot, ankle, and leg. The ankle takes most of the force, so it should come as no surprise that runners often experience ankle pain. There are several factors that contribute to ankle pain while running. Muscle imbalances and weakness or tightness in some part of the foot, ankle, or calf, can change the way force is distributed while you run, putting more pressure on the ankles and leading to injuries. Repetitive overuse from intense bursts of running and not giving yourself enough time to fully recover can also cause or worsen ankle pain. Previous injuries, such as an ankle sprain that hasn’t completely healed or hasn’t healed properly, can increase the risk of future ankle injuries as well. It is important to wear properly fitted, supportive shoes while you run. If you are a runner suffering from ankle pain, it is suggested that you seek the care of a podiatrist.
All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact one of our podiatrists of New York Foot and Ankle. Our doctors will treat your foot and ankle needs.
How to Prevent Running Injuries
There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.
More Tips for Preventing Injury
- Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
- Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
- “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
- Cross-Training is Crucial
- Wear Proper Running Shoes
- Have a Formal Gait Analysis – Poor biomechanics can easily cause injury
If you have any questions, please feel free to contact one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Are You Suffering From Ingrown Toenails?
If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!
Can the Foods You Eat Affect Plantar Fasciitis?
Plantar Fasciitis is an inflammation of the band of tissue that connects your heel with your toes on the sole of your foot. Many people believe inflammation throughout the body can be reduced by making certain dietary adjustments—particularly by increasing the consumption of anti-inflammatory foods and decreasing consumption of inflammatory foods. Anti-inflammatory foods include green leafy vegetables, carrots, broccoli, strawberries, blueberries, tomatoes, legumes, nuts, lean meats, as well as tuna and salmon which are rich in omega-3 fatty acids. Inflammatory foods have high levels of sugar, including soft drinks, pastries and sweets, candy, processed foods, junk food, refined grains, as well as oils containing omega-6 fats (corn/soy/cottonseed oil), saturated fats and red meats. For more information on how to heal the pain and inflammation of plantar fasciitis, schedule an appointment with a podiatrist.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from New York Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact one of our offices located in Franklin Square, Bethpage, Bronx, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
