April 2022

The foot contains three arches that work together to help you move. The system of arches is formed around the tarsal and metatarsal bones and is supported by ligaments and tendons. Two longitudinal arches run from the bottom of the toes on either side of the foot (medial and lateral) and meet at the heel. They are connected by the transverse arch, which runs across the metatarsals (long bones in the foot) just below the toes to form a triangle. This complex system works to put the spring in your step, by bearing the weight and absorbing the shock whenever you stand, walk, run, or jump. The two most common arch conditions are high arches (pes cavus) and flat feet (pes planus). A high arch is caused by an unusually high medial longitudinal arch, which runs along the inner side of the foot. Because it is too high, it is less able to absorb the shock of movement, which then puts stress on the ball and heel of the foot. This can result in pain that radiates to the ankle, leg, and thigh. Wearing custom orthotics and losing weight, can help reduce painful symptoms. Fallen arches, or flat feet, are caused by a lack of longitudinal arches. They may not have developed properly in the first place. Wearing shoes with arch supports usually handles the problem. For more treatment information about painful arch problems, it is suggested that you visit a podiatrist to discuss options.

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Many people who have diabetes also develop foot problems, mainly because of nerve damage (neuropathy) and decreased blood circulation. Neuropathy results in numbness, so you are less able to detect sores or injuries to the feet. Poor circulation makes it more difficult for sores to heal and resist infection. The combination frequently results in skin ulcers that may go all the way to the bone and an  increased risk of infection as the wound remains open. In the worst cases, it can lead to amputation. Some measures can be taken at home by you or a healthcare worker to help avoid such developments. Included are keeping your feet clean and dry, checking for injuries or sores that don’t heal, and being aware of redness, swelling, or odors coming from your feet. It is important to keep your toenails properly trimmed and avoid going barefoot. It is even more important to have regular visits with a podiatrist who can perform examinations of your feet before they develop into serious or life-threatening conditions.

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 Lewis Wolstein, DPM, P.C. & Associates. 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 our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Recent research has indicated the most common place on the body that is affected by wearing high heels are the feet. Excess pressure is placed on the front of the foot when high heels are worn. When this type of shoe is frequently worn, serious foot conditions may develop. Some of these can include bunions, hammertoes, and Morton’s neuroma. Many people who enjoy wearing high heels understand the benefits of properly stretching the Achilles tendon at the end of the day. This can be done by standing on a step, and gently stretching the heel downward. Additionally, rotating the ankle in circles can help to strengthen the entire foot. If you have questions about wearing high heels, and how they can affect your feet, please speak with a podiatrist.

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.

The most common form of peripheral neuropathy affects the feet. When there is a problem affecting the nerves in the feet, one can experience tingling and numbness in the feet, shooting, stabbing, or burning pain there, loss of coordination and balance, and muscle weakness. There is typically an underlying condition for those with this disorder. Those with diabetes and the elderly are most apt to be affected by this condition. Loss of sensation and possible injury to the feet without knowing it is a dangerous combination. It is vital that one who suffers from this type of neuropathy takes proper and daily care of one’s feet. Such care includes keeping feet clean, looking for ingrown toenails, sores or signs of injury, moisturizing feet, and wearing proper fitting shoes. While symptoms can be intermittent, because of the danger involved and the progressive nature of the condition, it is suggested that one consult a podiatrist as early as possible for relief of symptoms and treatment recommendations.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.