Toenail fungus develops when fungi enter the nail through small cracks, often thriving in warm, moist environments. It may begin subtly, but symptoms can progress to discoloration, thickening, and changes in nail shape. Many people notice yellow or white streaks, brittle texture, or debris under the nail. The affected nail may look dull, misshapen, or crumbly, and while it is sometimes painless, it can also feel tender, uncomfortable, or sensitive to pressure as it thickens. Causes include prolonged moisture exposure, tight footwear, nail injuries, or walking barefoot in shared areas like locker rooms. A podiatrist can help by starting with a thorough examination and testing to confirm the diagnosis, since nail changes can mimic other conditions. Treatment may begin with topical therapies and nail care, and progress to oral medications, or targeted procedures depending on severity and response. If you have toenail fungus, it is suggested that you make an appointment with a podiatrist.

For more information about treatment, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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.

An Achilles tendon rupture is a serious injury involving a partial or complete tear of the tendon that connects the calf muscles to the heel bone. It is commonly caused by sudden increases in activity, forceful push off movements, trauma, or weakened tendons from overuse. Symptoms often include sudden pain in the back of the ankle, swelling, difficulty walking, and the sensation of hearing or feeling a pop at the time of injury. Loss of strength and limited ankle motion may follow. A podiatrist can help by performing a thorough evaluation, confirming the diagnosis, and developing a personalized treatment plan that may include immobilization, or surgical care, when needed. Early treatment is essential for optimal healing. If you experience sudden ankle pain or hear a popping sound, it is suggested that you promptly contact a podiatrist for a personalized treatment plan. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

Tarsal tunnel syndrome is a condition that occurs when the posterior tibial nerve becomes compressed as it passes through the tarsal tunnel near the inner ankle. This nerve compression can cause pain that radiates along the arch, heel, or toes. Common symptoms include burning sensations, tingling, numbness, sharp pain, or aching that worsens with walking or prolonged standing. Causes may include flat feet, swelling, injury, cysts, varicose veins, or inflammation that increases pressure within the tarsal tunnel. A podiatrist can perform a thorough evaluation to identify the source of nerve irritation and confirm the diagnosis. Treatment may include wearing supportive footwear, custom orthotics, activity modification, and targeted therapies to relieve pressure on the nerve. Early care helps reduce discomfort and prevent long-term nerve damage. If you have pain near the inner ankle, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.

Orthotics are medical devices placed inside shoes to support and align the feet during standing and walking. They are used to help balance the foot in a neutral position, improving overall posture and reducing strain on the ankles, knees, hips, and lower back. Orthotics also cushion the foot from excessive pounding, helping absorb shock and protect joints and soft tissues. By improving alignment and reducing pressure, orthotics may help control pain caused by conditions such as plantar fasciitis, arthritis, and foot fatigue. A podiatrist can evaluate foot structure, gait, and activity level to determine if orthotics are appropriate. Custom orthotics are designed to address individual needs and provide long-term support. If foot pain or instability is affecting your daily life, it is suggested that you schedule a visit with a podiatrist to learn how orthotics can improve comfort and mobility.

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 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.