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.

Stress Fracture Signs and Causes

Stress fractures are small cracks in bones that often stem from repetitive motions. Stress fractures are common injuries among athletes, runners, or individuals with weakened bones due to poor nutrition or medical conditions. Symptoms of stress fractures include enduring pain during physical activity, tenderness, and mild swelling that primarily occurs in the lower leg and foot. Diagnosis of stress fractures can be elusive as an X-ray may be unable to detect the hairline cracks in the bones. In those cases, a podiatrist can employ an MRI or a bone scan for confirmation. Treatment typically entails rest, immobilization using casts or braces, and, in rare instances, surgery. Early detection and intervention can help to avert further complications and ensure a smoother recovery process. If you believe you may have developed stress fractures in your feet, it is suggested that you make an appointment with a podiatrist for thorough testing and treatment options. 

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

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How Is Heel Spur Surgery Performed?

Heel spur surgery, a medical intervention aimed at addressing persistent heel pain caused by calcium deposits on the underside of the heel bone, is often considered when conservative treatments fail to provide relief. The surgical procedure involves the removal of the bony protrusion, known as a heel spur, and sometimes the release of the plantar fascia ligament to alleviate tension and discomfort. Before surgery, patients undergo thorough evaluation and diagnostic tests to confirm the presence of a heel spur and rule out other potential causes of heel pain. During the surgical procedure, the surgeon makes an incision near the heel and carefully removes the bony growth using specialized instruments. Following surgery, patients typically undergo a period of rehabilitation to restore strength, flexibility, and mobility in the affected foot. While heel spur surgery can offer significant relief for individuals suffering from chronic heel pain, it's essential to discuss the risks, benefits, and potential outcomes with a podiatrist to make informed treatment decisions. If you have a heel spur and are considering surgery for relief, it is suggested that you seek counsel from this type of doctor who can help you make the decision that is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

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Types of Ankle Fractures

Ankle fractures can be grouped into two types, stable and unstable. The three parts of the ankle are the inner bump, or medial malleolus, the outer bump, or lateral malleolus, and the back bump, also known as the posterior malleolus. If only one bump is broken, it is usually a stable fracture. But if two or more bumps are broken, it is considered to be an unstable fracture and may need surgery. If you have a broken outer bump, you may wear a special boot or splint. For other ankle fractures, you will likely need a splint on the back of your leg and another one around your ankle. Rest and keeping your weight off the injured foot, in addition to using crutches might be needed. Some people may continue using crutches even after wearing the boot until they can put weight on the foot without pain. If you have broken your ankle, it is suggested that you schedule an appointment with a podiatrist for a diagnosis, including the type of fracture you have sustained, and proper treatment for you.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

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Symptoms and Risk Factors of Peripheral Artery Disease

Peripheral artery disease, or PAD, affects approximately 10 million adults in the U.S., with about five percent of those over 50. The condition is slightly more prevalent in men. Peripheral artery disease is caused by clogged arteries that block the flow of blood to the lower legs and feet. Risk factors include high cholesterol, smoking, diabetes, and hypertension. Others are family history, chronic renal failure, obesity, and physical inactivity. Common symptoms can include intermittent pain with exercise and severe pain in legs, especially at night. Additional signs of PAD are numbness, weakness, and muscle atrophy in legs, coldness and color changes in feet, and hair loss on the arms and legs. Thickening toenails and poor wound healing, which may lead to ulcers and gangrene, are also telltale signs of PAD. Prompt recognition of symptoms and risk factors is important to prevent complications that can include tissue damage. If you are experiencing symptoms of PAD in the lower leg and feet, it is suggested that you visit a podiatrist for a thorough exam. 

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists  from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

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How Wearing High Heels Affects Runners

The impact of wearing high heels may profoundly affect the feet. Recent studies explore the potential consequences of prolonged high heel use. Wearing high heels over an extended period can lead to increased energy expenditure and less efficient walking mechanics. The key issue for runners is the restriction of ankle dorsiflexion, the movement that allows your shinbone to pivot over your foot. This limitation not only shortens hip extension and stride but also interferes with the smooth activation of your calf and other muscles during walking. These findings align with the perspective of those advocating for minimalist shoes, emphasizing the influence of any heel, regardless of its size. When it comes to the frequency of high heel usage for runners, the ideal recommendation is to avoid prolonged periods of wear. Occasional use for short durations, such as a few hours at social events, is considered less concerning. However, habitual use during extended periods such as office hours or weekends may bring about lasting changes in biomechanics. Balancing style with foot health involves making informed choices to ensure optimal comfort and functionality for your feet when you run. It is suggested that you consult a podiatrist for guidance about the long term dangers of wearing high heels.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

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Arthritis Can Cause Pain in the Feet and Ankles

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Treatment Options for Hammertoe

Hammertoe, a condition where one or more toes bend abnormally at the middle joint, resembling a hammer, can result from various causes. One major factor is ill-fitting footwear, especially shoes with a tight toe box or high heels, forcing toes into a bent position and causing muscle imbalances. Individuals with longer toes, flat feet, or bunions are more susceptible, as are those with a family history of the condition. Hammertoe symptoms include toe deformity, pain, calluses, swelling, and difficulty in walking. Diagnosis involves a physical exam and X-rays, and treatment options depend on toe flexibility. In early stages, nonsurgical approaches like proper footwear, exercises, and splints can help. Surgery may be necessary if the toe becomes rigid. Early intervention is essential to manage hammertoe effectively. If you have a hammertoe that is causing you discomfort, it is suggested that you schedule an appointment with a podiatrist for the best treatment option for you.

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

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Orthotics for Plantar Fasciitis

Managing plantar fasciitis can make mornings difficult, as stepping out of bed often brings heel pain. This common condition causes discomfort in the heel or foot arch, hindering activities such as exercising and walking. Plantar fasciitis stems from various causes, including excessive exercise, repetitive motion, or from wearing ill-fitting footwear Additionally, conditions that can include high arches, flat feet, weight gain, diabetes, and arthritis may also lead to developing this condition. These factors can lead to inflammation in the plantar fascia. Custom-made orthotics, tailored to your foot's biomechanics and gait, can be an effective treatment. These devices, fitted in your shoes, can aid in recovery from stress or tears and mitigate movements causing inflammation. If you suffer from persistent plantar fasciitis pain, it is suggested that you make an appointment with a podiatrist who can design orthotics for you to help manage your heel pain.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors 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 contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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What Area of the Foot Is Affected by Cuboid Syndrome?

Cuboid syndrome, a lesser-known but impactful foot ailment, develops in the lateral midfoot region. Situated on the outer side of the foot, the cuboid bone plays a pivotal role in maintaining the stability and functionality of the foot's arch. When this small, cube-shaped bone becomes dislocated or irritated, it gives rise to cuboid syndrome. The affected area often encompasses the lateral aspect of the foot, extending from the midfoot toward the outer edge. Symptoms can include pain, swelling, and a decreased range of motion, affecting the smooth coordination of the foot during movement. Precise anatomical alignment is vital for the cuboid and its neighboring bones, and any disruption can lead to discomfort. If you have endured an injury and there is existing pain in the outer area of your foot, it is suggested that you visit a podiatrist who can accurately diagnose and treat cuboid syndrome.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists  from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

 

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