Gout is a form of arthritis characterized by sudden, severe attacks of pain, swelling, redness, and tenderness in the joints. It typically affects the joint at the base of the big toe, but other joints can also be involved. Gout is caused by the buildup of uric acid crystals in the affected joint, which leads to inflammation and excruciating pain. While gout can affect anyone, it predominantly targets men, especially those over the age of 30. Women become more susceptible after menopause. Individuals with a family history of gout are at a higher risk, as genetics can play a significant role. Lifestyle factors such as a diet rich in purine-containing foods that include red meat, seafood, and alcohol, may significantly contribute to developing gout. Additionally, obesity and high blood pressure also increase the likelihood of getting gout. Understanding the definition and risk factors of gout is vital for timely diagnosis and effective management. If you have gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition, in addition to offering you effective prevention strategies.

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 and ankle needs.

Embarking on a running journey brings not just the thrill of the track but also the responsibility of safeguarding against potential injuries. Start with a proper warm-up, gradually transitioning from brisk walking to a light jog, allowing muscles to adapt to the forthcoming activity. Choosing the right footwear is paramount. Opt for shoes that provide adequate support and cushioning based on your foot arch and running terrain. Maintain a balanced training routine that incorporates strength and flexibility exercises, focusing on core muscles and leg stability. Listen to your body and incorporate rest days to allow for recovery and muscle repair. Pay attention to running surfaces, choosing softer terrains when possible to reduce the impact on joints. Lastly, progress your running intensity gradually to avoid overexertion. If you would like more information about how to prevent running injuries in addition to protecting the feet, it is suggested that you consult a podiatrist.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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.

Sever's disease, is a common cause of heel pain in growing children and adolescents, and particularly affects those between eight and 14 years old. It arises from inflammation of the growth plate in the heel, often linked to periods of rapid growth when the heel bone grows faster than the surrounding muscles and tendons, causing tension and stress. The primary risk factors include active participation in sports, especially those involving running and jumping, which increase stress on the heel. Overuse and repetitive strain from athletic activities can exacerbate the condition. Additionally, children with flat feet or high arches, those who are overweight or obese, and children who have a tight Achilles tendon are more susceptible to developing Sever's disease. Wearing shoes with poor cushioning or support can also contribute to the risk of developing Sever’s disease. If your child is complaining of heel pain, it is suggested that you schedule an appointment with a podiatrist for a thorough evaluation and treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.

Obesity, a condition affecting millions globally, extends its impact beyond mere aesthetics, significantly influencing the health of the feet. The excess body weight borne by the feet places immense stress on the joints, tendons, and ligaments, potentially leading to a range of foot-related issues. One prevalent consequence is the development of flat feet or fallen arches, as the increased load alters the foot's biomechanics. Overpronation, where the foot rolls inward excessively, is also a common occurrence, contributing to conditions such as plantar fasciitis and Achilles tendonitis. The risk of stress fractures in the feet also rises due to the heightened strain on bones. Obesity may exacerbate existing conditions such as arthritis, causing increased pain and limited mobility. Additionally, the increased pressure on the plantar fat pad may lead to discomfort and pain in the heel and ball of the foot. Addressing obesity not only benefits overall health but also plays a pivotal role in mitigating the potential foot-related complications associated with carrying excess weight. If you are overweight and have foot pain, it is suggested that you consult a podiatrist who can monitor your foot health.

The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned 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.

Obesity and Your Feet

People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.

Problems & Complications Stemming from Obesity

• When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
• Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
• Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.

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.

Foot fatigue is a common condition characterized by a feeling of tiredness, soreness, or aching in the feet. It often results from prolonged standing, walking, or engaging in activities that put excessive strain on the feet. This fatigue can be exacerbated by factors such as wearing improper footwear, which fails to provide adequate support and cushioning. Additionally, foot pain may happen from biomechanical issues such as flat feet or high arches that alter the foot's natural alignment and distribution of pressure. Excess weight can also contribute to foot fatigue due to the increased load on the foot structures. Occupations that require extended periods of standing or walking, such as in the retail, healthcare, or hospitality industries, often report higher incidences of foot fatigue. Additionally, athletes and individuals who engage in regular physical activity may experience this condition due to repetitive stress on the feet. Managing foot fatigue involves wearing proper footwear, getting adequate rest, and performing specific foot exercises. In some cases, the use of orthotic devices may help to improve foot alignment and function. If you are suffering from any kind of foot pain, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Plantar fasciitis, a common ailment that affects the feet, reveals itself as an inflammation of the plantar fascia, which is the band of tissue connecting the heel bone to the toes. This vital ligament plays a pivotal role in supporting the arch of the foot and absorbing shock during movement. The onset of plantar fasciitis often stems from repetitive stress or overuse, manifesting in micro-tears that lead to inflammation and pain. Contributing factors can include excessive standing, walking, or running, especially on hard surfaces, as well as wearing ill-fitting footwear that fails to provide adequate support. Tight calf muscles and abnormal foot mechanics can also contribute to the strain on the plantar fascia. Understanding the definition and causes of plantar fasciitis enables individuals to adopt preventive measures. If you have developed plantar fasciitis, it is suggested that you speak to a podiatrist who can help you with effective treatment methods, in addition to providing you with relief techniques for this painful condition.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is 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.

Nerve pain in the feet, manifesting as a burning, tingling, or electric shock-like sensation, can be debilitating and impede daily activities. It can emerge at night or during specific actions, often linked to conditions like Morton’s neuroma, which causes thickened tissue around nerves. It may also be indicative of tarsal tunnel syndrome, where nerve compression triggers sharp, shooting pains. Diabetic neuropathy begins with pain in the toes that can expand upwards. Causes for these nerve issues vary, including factors like wearing ill-fitting shoes, physical injuries, and systemic health issues like diabetes, obesity, or infections. Treatment strategies depend on the underlying cause. If you have nerve pain in your feet, it is suggested that you make an appointment with a podiatrist to obtain a diagnosis and treatment. This can help prevent the progression of potential conditions and enhance your quality of life.

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.

Turf toe is a specific type of injury that primarily affects the big toe. It is a sprain of the metatarsophalangeal, or MTP joint, which connects the big toe to the foot and can result in toe pain. The name turf toe is derived from its common occurrence in athletes who play on artificial turf surfaces, but it can affect anyone. This injury typically occurs when the toe is hyperextended, causing damage to the ligaments and tendons that support the MTP joint. Symptoms of turf toe include pain, swelling, and limited range of motion in the affected toe. In some cases, there may be bruising as well. Turf toe can be a painful and debilitating condition, and often requires medical attention from a podiatrist. If you have endured this type of injury, it is strongly suggested that you are under the care of this type of doctor who can effectively diagnose and treat the cause of this toe pain.

Toe pain can disrupt your daily activities. 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

Foot arthritis is not only extremely painful but it also can seriously affect your ability to conduct normal daily activities. Medication can play a vital role in the relieving pain and inflammation of arthritic foot pain. Nonsteroidal anti-inflammatory drugs, or NSAIDs, help to reduce inflammation and pain, and some topical versions in the form of gels or creams can offer targeted relief. Corticosteroids swiftly control inflammation, with oral corticosteroids used for systemic issues and joint-specific injections for localized inflammation. Analgesics, including acetaminophen and opioids, focus solely on pain relief, but opioids are for short-term use due to their potential for dependency. Certain topical treatments can alleviate muscle and surface-level soft tissue pain. To help reduce the progression of arthritic foot pain, disease modifying antirheumatic drugs, or DMARDs, may be used with small joint conditions like rheumatoid arthritis. Gout medications manage uric acid levels and provide relief during flare ups. Biologics are systemic agents that alter the course of inflammatory diseases that affect various joints, including the feet. Osteoporosis medications, while not foot-specific, promote overall bone strength, and may help to reduce the risk of fractures. If you suffer from any type of arthritis that affects your feet, it is suggested that you make an appointment with a podiatrist who can recommend the appropriate medication for you.

Arthritis can be a difficult condition to live with. 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

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.