Clubfoot and the Role of a Podiatrist

Clubfoot is a congenital condition where a newborn's foot is twisted out of its normal position. The foot turns inward and downward, affecting one or both feet. The exact cause is not always known, but genetic factors and conditions affecting fetal development may play a role. Symptoms include visible foot deformity, limited range of motion, and differences in leg length or muscle tone. Early diagnosis and treatment are important to avoid long-term disability. A podiatrist can offer guidance by recommending or overseeing corrective treatments, such as casting, bracing, or, in some cases, surgery. If your infant has signs of clubfoot, it is suggested that you consult a podiatrist and include this type of doctor on your healthcare team to ensure the best outcome.

Congenital foot problems require 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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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Protecting Your Feet from Falls at Home

Falling at home can lead to serious foot injuries such as sprains, fractures, or even long-term joint damage. The feet often take the brunt of a fall, especially when tripping over objects or slipping on wet surfaces. To reduce this risk, eliminate loose rugs, install handrails in stairways and bathrooms, and keep extension cords and clutter out of walkways. Place non-slip mats in bathrooms and use night lights to improve visibility at night. A podiatrist can help by treating injuries, assessing balance and gait, and recommending supportive footwear or orthotics to improve stability. If you have sustained a foot or ankle injury from falling, it is suggested that you contact a podiatrist who can treat various foot conditions.

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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Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Causes of Toenail Fungus

Toenail fungus, medically known as onychomycosis, is an infection caused by fungi that feeds on keratin which is the protein that makes up the hard surface of the toenails. This often leads to thickened, discolored, brittle, or distorted nails. Risk factors include poor foot hygiene, excessive moisture, wearing tight shoes, or having conditions like diabetes or weakened immunity. Diagnosis is made through a clinical exam and sometimes a lab test to confirm the fungal source. If you have symptoms of toenail fungus, it is suggested that you consult a podiatrist who can offer you effective treatment solutions, which may include prescribed medication.

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.

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Understanding Painful Gout

Gout is a form of arthritis that causes sudden, severe pain in the joints, most commonly in the big toe. It occurs when uric acid builds up in the blood, forming sharp crystals in the joints. This condition is often triggered by factors like a diet high in purines, which are found in red meat, seafood, and alcohol. Other risk factors include dehydration, obesity, or a family history of gout. Symptoms of gout include intense pain, swelling, redness, and warmth in the affected joint, often making even the light touch of a blanket unbearable. Attacks typically occur at night and can last for several days. A podiatrist can diagnose gout by evaluating your symptoms, performing a physical examination, and ordering blood tests or joint fluid analysis to check uric acid levels. Treatment options include medication to reduce inflammation, pain management, dietary recommendations, and lifestyle changes to prevent future flare-ups. If you have painful gout, it is suggested that you are under the care of a podiatrist.

Gout is a foot condition that requires certain treatment and care. 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 type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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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Importance of Diabetic Foot Exams

Diabetic patients are at a greater risk for foot problems from two common complications. Diabetic peripheral neuropathy causes nerve damage that can reduce feeling in the feet, making it hard to detect injuries. Peripheral artery disease affects circulation by narrowing the arteries, which limits blood flow to the lower limbs and slows healing. These two issues combined can lead to infections, foot ulcers, or tissue death. In severe cases, surgery may be required, including loss of limb. To avoid such dire remedies, a diabetic foot exam from a podiatrist is important. This foot doctor can check for warning signs, including loss of sensation, changes in skin, poor blood flow, or bone deformities. The exam may include simple tests like a monofilament check for touch sensitivity, a tuning fork to test vibration sense, or a Doppler ultrasound to assess blood flow. Early detection helps avoid serious outcomes. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition. 

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 care needs.

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Heel Spurs and Traction Spurs Are the Same

Heel spurs are small calcium deposits that build up on the heel bone over time. They form where the plantar fascia attaches to the heel, and they are often the result of repeated strain rather than a single injury. This pulling force is why heel spurs are called traction spurs. The constant tension from walking, running, or standing for long periods of time creates stress at the connection point. In response, the body lays down extra bone to protect the area. This extra growth is not always painful, but when it is, it can feel like a sharp stab with each step. Supportive shoes, rest, stretching, and custom orthotics can help reduce discomfort and prevent further damage. If you think a heel spur is causing your pain, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

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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Are You Suffering From Nerve Damage?

Neuropathy is a condition that can lead to numbness or loss of sensation in the feet, but it can also cause pain. This condition is more likely to develop for those who are diabetic, obese, or with high blood pressure.

Understanding Lisfranc Injuries

Lisfranc injuries result if bones in the midfoot are broken or ligaments that support the midfoot are torn. The midfoot is key to foot stability and arch support. Injuries can result from trauma, such as a fall, car accident, or sports injury, even something as simple as twisting the foot awkwardly. Although rare, Lisfranc injuries are often mistaken for a simple sprain. Symptoms include swelling, bruising on the top and bottom of the foot, pain while standing or walking, and difficulty bearing weight. The foot may appear misaligned or feel unstable. Left untreated, a Lisfranc injury can lead to chronic pain, arthritis, and long-term disability. A podiatrist can diagnose a Lisfranc injury through a physical exam and imaging tests like X-rays, MRI or CT scans. Treatment depends on severity and may include rest, immobilization with a cast or boot, targeted exercises, or surgical repair to realign and stabilize the bones. If you think you may have this condition,  it is suggested that you schedule an appointment with a podiatrist for 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 care needs.

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Common Foot Problems That Affect Older Adults

As people age, they often experience a variety of foot problems that can affect mobility and comfort. Bunions are a common issue, where the joint at the base of the big toe becomes enlarged and misaligned, causing pain and difficulty with footwear. Hammertoes develop when one or more toes become bent at the middle joint, often leading to discomfort and pressure in shoes. Corns, which are thickened areas of skin caused by repeated friction, can also become painful and make walking difficult. Older adults may be more susceptible to athlete’s foot, a fungal infection that causes itching and burning between the toes. Toenail fungus is another frequent concern, leading to thickened, discolored nails that are difficult to manage. If you are elderly and have developed foot pain, it is suggested that you schedule routine visits to a podiatrist who can treat various foot conditions and help you to monitor your foot health.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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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