Arthroscopic Surgery for Ankle Repair

Arthroscopic ankle surgery is a minimally invasive procedure that allows a podiatrist to diagnose and repair damaged tissues in the ankle joint. Using a small camera called an arthroscope, the podiatrist can assess the condition of bones, cartilage, ligaments, and tendons through small incisions. This method is commonly used to treat ligament tears, loose bone or cartilage fragments, and scar tissue that may be causing pain or limiting movement. Ankle arthroscopy can also help reduce discomfort caused by arthritis or impingement, where swollen tissues restrict joint motion. The procedure involves inserting surgical instruments through additional small incisions to repair or remove damaged structures. Compared to open surgery, arthroscopy generally results in less pain and a shorter recovery time. However, healing can vary depending on the severity of the damage and the extent of the repair. A podiatrist can evaluate whether arthroscopic ankle surgery is appropriate and provide guidance on the recovery process. If you would like more information about arthroscopic ankle repair, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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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Get Professional Care for a Broken Foot or Ankle

Constant care and regular evaluation are important for a foot or ankle fracture. If left untreated, foot or ankle fractures can worsen over time and create more serious problems.

Don't wait to be examined if you believe you've experienced a foot or ankle fracture.

Fall Prevention Tips for Seniors

Fall prevention is essential for seniors, as falling can lead to serious injuries that impact their health and independence. Regular fitness activities that improve balance, strength, and flexibility can help seniors maintain stability and reduce the risk of falls. An eye exam is essential to ensure that vision problems, which can contribute to falls, are addressed. Seniors should also remove floor clutter and ensure their living space is free from obstacles like rugs or furniture that could cause tripping. Wearing supportive footwear, such as Velcro sneakers, provides better grip and stability compared to loose or high-heeled shoes. These simple yet effective steps can significantly lower the risk of falls, promote safety, and enhance the overall quality of life for seniors. If you are elderly or are caring for a senior citizen, it is suggested that you include a podiatrist as part of a healthcare team who can effectively monitor foot health.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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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Causes and Symptoms of Common Foot Fractures

Foot fractures can be painful and debilitating, with some more complex than others. Three common types include calcaneal fractures, Chopart fracture-dislocations, and metatarsal fractures. Calcaneal fractures, or heel bone fractures, usually result from high-impact injuries like falls or car accidents. They cause severe heel pain, swelling, and difficulty bearing weight. These fractures often require extensive recovery time and, in severe cases, surgery. Chopart fracture-dislocations affect the midfoot joint, often from high-energy trauma like twisting injuries or falls. This type of injury can be difficult to diagnose, leading to long-term instability if untreated. Symptoms include swelling, bruising, and difficulty walking. Metatarsal fractures involve the long bones in the foot and commonly occur from direct impact, overuse, or stress. Pain, swelling, and tenderness are typical signs. For proper healing and long-term mobility for any type of foot fracture, it is suggested that you see a podiatrist for a diagnosis and appropriate treatment.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, 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 Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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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Off-Loading Practices for a Wounded Foot

Off-loading is essential for promoting healing in a wounded foot, as it reduces pressure on the affected area and prevents further damage. By redistributing weight away from the wound, off-loading minimizes pain, enhances blood flow, and accelerates tissue repair. Common methods include wearing specialized footwear, such as surgical shoes, total contact casts, or orthotic inserts, which cushion and protect the foot while allowing limited mobility. For severe wounds, crutches, knee scooters, or wheelchairs may be recommended to completely off-load weight. Regularly elevating the foot also helps reduce swelling and improve circulation. It is vital to keep weight off the wound to avoid reopening or worsening the injury. Proper off-loading techniques depend on the type, location, and severity of the wound. To ensure effective care and recovery, it is suggested that you consult a podiatrist for a personalized treatment plan.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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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Common Causes of Heel Pain

Heel pain is a common complaint that can result from various conditions affecting the structures of the foot. One of the primary causes of heel pain is Achilles tendonitis, which involves inflammation of the Achilles tendon, typically due to overuse or repetitive stress. Another frequent cause is plantar fasciitis, an inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot. This condition is often associated with sharp pain in the heel, especially after periods of rest. Heel spurs, which are bony growths that develop on the underside of the heel bone, can also lead to heel pain, often in conjunction with plantar fasciitis. Bursitis, an inflammation of the bursa, a fluid-filled sac cushioning the heel, can also contribute to discomfort. If you have heel pain, it is suggested that you contact a podiatrist who can determine what the cause is, and treat it accordingly.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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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Heel Pain in the Morning?

Heel pain can negatively affect your day-to-day life. Simple activities like walking can become incredibly uncomfortable or painful due to heel pain.

Don’t live with heel pain and get treated.

Pickleball Injury Risk Factors

Pickleball injuries can arise from various risk factors, making awareness key to prevention. Age is a significant factor, as older players are more prone to strains, fractures, and joint issues due to natural wear and tear. Gender can also play a role. Studies suggest women may face higher risks of certain injuries, such as stress fractures, due to bone density differences. Poor technique or improper equipment, like unsupportive shoes, increases strain on the feet and ankles, heightening the chance of overuse injuries. Additionally, skipping warm-ups and stretching leaves muscles and joints unprepared for the quick movements pickleball demands, leading to sprains or muscle tears. Past injuries or playing on uneven or slippery court surfaces further amplify these risks, making recovery and safety harder to maintain. For any pickleball-related foot or ankle injury, it is suggested that you consult a podiatrist for expert care and guidance.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, 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.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.

Read more about Sports Related Foot and Ankle Injuries

Managing Ingrown Toenails

Ingrown toenails, commonly affecting the big toe, occur when the edge of the nail grows into the surrounding skin, causing pain, redness, and swelling. In some cases, infection can develop, leading to increased discomfort and drainage. The condition can result from improper nail trimming, wearing tight shoes, or injury to the toe. Certain foot shapes or conditions, like curved nails, can also contribute. Symptoms include throbbing pain, swelling around the nail, and sometimes pus if infection is present. Relief options vary depending on the severity. In mild cases, soaking the foot, wearing comfortable shoes, and carefully trimming the nail may offer relief. For more severe cases, a podiatrist might remove part of the nail or prescribe antibiotics if an infection is present. In recurring cases, permanent nail removal may be considered. If you have developed an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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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Signs and Causes of Gout

Gout is a form of arthritis that causes sudden and severe pain, often affecting the joints, particularly the big toe joint. The condition occurs when excess uric acid builds up in the body, forming crystals in the joints. The most common sign of gout is intense pain, typically starting in the middle of the night, along with swelling and redness in the affected area. The joint may become warm to the touch and feel tender, making movement difficult. In some cases, gout attacks can recur, leading to joint damage over time. Elevated uric acid levels in the blood can result from factors such as diet, dehydration, obesity, or kidney problems. Excessive consumption of purine-rich foods like red meat, seafood, or alcohol can trigger or worsen gout attacks. If you have had one or more gout attacks, it is suggested that you are under the care of a podiatrist who can offer you effective relief and management tips.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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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