How Podiatrists Evaluate Ankle Injuries

When evaluating an ankle, podiatrists use a thorough, multi-step process to diagnose issues accurately. The assessment often begins with a discussion of symptoms, including pain location, duration, and any history of injury. A physical examination follows, where the podiatrist checks for swelling, bruising, tenderness, and range of motion. Specific tests, such as the anterior drawer test, can help assess ligament stability, particularly in cases of suspected sprains by gently pulling the foot forward while stabilizing the lower leg. In many cases, podiatrists may order imaging studies like X-rays, ultrasounds, or MRI scans to obtain a detailed view of bones, ligaments, and soft tissues. These images help identify fractures, ligament tears, or signs of arthritis. Gait analysis is sometimes performed to evaluate how the patient’s foot and ankle move when walking. Based on findings, the podiatrist can develop a tailored treatment plan, ranging from rest and targeted exercises to more advanced options if necessary. If you have sustained an ankle injury it is suggested that you visit a podiatrist for an exam and treatment.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, 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.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, 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.

Read more about Foot and Ankle Trauma

The Impact of Neuropathy on Feet

Peripheral neuropathy, is a condition where nerves outside the brain and spinal cord become damaged, commonly affecting the feet and ankles. This condition is often caused by diabetes, but factors such as infections, injuries, or vitamin deficiencies can also contribute. Neuropathy leads to a range of symptoms, including numbness, tingling, burning sensations, or sharp pain in the feet and ankles. As sensation diminishes, individuals may not notice minor injuries, such as cuts or blisters, which can lead to infections or ulcers, especially in diabetic patients. In more severe cases, muscle weakness and balance issues can develop, increasing the risk of falls and mobility problems. Proper management, including blood sugar control, wearing supportive shoes, and regular foot inspections, is important for preventing complications. If you have neuropathy in your feet, it is suggested that you visit a podiatrist who can provide a proper diagnosis and offer you strategies to protect your foot health.

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.

Read more about Neuropathy

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Recovery From a Broken Ankle

Ankle fractures can severely impact both physical mobility and psychological well-being, disrupting daily life and causing significant emotional stress. These injuries often limit a person’s independence, leading to frustration and feelings of helplessness. The pain and discomfort associated with fractures frequently interfere with sleep, causing fatigue and irritability, which can further slow the recovery process. Podiatrists diagnose ankle fractures through physical exams and imaging, such as X-rays or CT scans, and create a tailored treatment plan. This may include casting, splinting, or surgery, depending on the fracture's severity. Key factors in recovery involve keeping weight off the injured ankle, following podiatrist instructions, and monitoring for signs of infection or improper healing. Early intervention and compliance with medical advice help reduce the risk of chronic ankle pain, instability, or arthritis. If you have broken your ankle, it is strongly suggested that you promptly visit a podiatrist.

Broken ankles need immediate treatment. 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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 All About Broken Ankle

Understanding Acute Ankle Sprains

An acute ankle sprain occurs when the ligaments that support the ankle are stretched or torn, often due to a sudden twist, turn, or impact. This injury is common among athletes, but can happen to anyone during everyday activities. Symptoms typically include immediate pain, swelling, bruising, and difficulty bearing weight on the affected foot. The impact of an ankle sprain can vary in severity, from mild stretching to complete tears, and recovery times can differ significantly. If left untreated, an ankle sprain can lead to chronic instability and recurring injuries, affecting overall mobility. To ensure proper healing and to regain strength, it is key to seek professional advice. If you suspect an acute ankle sprain, it is suggested you schedule an appointment with a podiatrist. They can provide a thorough evaluation, recommend an effective treatment plan, and guide you on rehabilitation to get you back on your feet safely.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further 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.

Read more about Three Grades of Ankle Sprains

Understanding Toenail Fungus Infections

Onychomycosis is a fungal infection that affects the toenails, often leading to brittle, discolored, and thickened nails. Common symptoms include yellow or white streaks under the nail, a distorted nail shape, and, in severe cases, pain or discomfort. This infection can also cause nails to crumble or separate from the nail bed, making it not only unsightly but also potentially painful. Effective treatments for onychomycosis vary depending on the severity of the infection. Topical antifungal medications are often prescribed for mild cases, while more persistent infections may require oral antifungal medications. In some situations, nail debridement or laser therapy might be recommended to promote healing and restore nail appearance. Maintaining good foot hygiene and avoiding damp environments can help prevent recurrence. If you suspect you have onychomycosis or are struggling with toenail issues, it is suggested you schedule an appointment with a podiatrist. This type of doctor can provide a proper diagnosis and tailored treatment plan to help restore healthy toenails.

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 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.

Read more about How to Treat Your Toenail Fungus

Causes and Relief Strategies for Toe Cramps

Toe cramps can be an uncomfortable and bothersome issue, often arising from several underlying causes. Tight muscles are a frequent culprit, as prolonged or intense activity can lead to muscle spasms in the toes. Damaged nerves, possibly due to conditions like neuropathy, can also contribute to cramping by disrupting normal nerve function. Wearing poor fitting shoes can worsen the problem by compressing or pinching the toes, restricting circulation and causing cramps. Additionally, a lack of exercise or stretching can lead to weakened and inflexible muscles, making them more prone to cramping. If you have toe cramps, it is suggested that you visit a podiatrist who can determine the cause and offer effective relief and treatment methods.

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.

Read more about Toe Pain

Causes of Pinched Nerves in the Feet

A pinched nerve in the foot occurs when surrounding tissues, such as bones, muscles, or tendons, apply too much pressure on a nerve. This can lead to symptoms like sharp pain, numbness, tingling, or even muscle weakness. Common causes of pinched nerves in the foot include injury, repetitive motions, or structural issues like bone spurs or ganglion cysts. Certain conditions, like tarsal tunnel syndrome or high arches, can compress the nerves in the foot. Wearing improper footwear like tight or high-heeled shoes and carrying extra weight can also contribute to nerve compression in the feet. A podiatrist can determine the cause of your foot pain and recommend treatment, which can include footwear modifications or custom orthotics. If you have unexplained sharp foot pain, it is suggested that you schedule an appointment with a podiatrist to find out if you have a pinched nerve.

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.

Read more about Foot Pain

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

The Impact of Flip-Flops on Foot Biomechanics and Gait

Flip-flops, while popular for their convenience and comfort, can negatively affect foot biomechanics and gait. These minimalistic shoes offer limited support and cushioning, leading to poor alignment of the foot and increased stress on the muscles and joints. The lack of arch support and cushioning can cause abnormal gait patterns, such as overpronation or supination, which may result in foot pain or discomfort. Additionally, the loose fit of flip-flops requires constant gripping with the toes to keep them on, which can strain the foot muscles and contribute to imbalance. Over time, frequent use of flip-flops may worsen existing foot problems or lead to new issues such as plantar fasciitis or metatarsalgia. If you have developed one or more foot conditions from wearing flip-flops, it is suggested that you consult a podiatrist for effective treatment.

Flip-flops can cause a lot of problems for your feet. If you have any concerns about your feet or ankles, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

Flip-flops have managed to become a summer essential for a lot of people. While the shoes may be stylish and easy to slip on and off, they can be dangerous to those who wear them too often. These shoes might protect you from fungal infections such as athlete’s foot, but they can also give you foot pain and sprained ankles if you trip while wearing them.

When Are They Okay to Wear?

Flip-flops should only be worn for very short periods of time. They can help protect your feet in places that are crawling with fungi, such as gym locker rooms. Athlete’s foot and plantar warts are two common fungi that flip-flops may help protect your feet against.

Why Are They Bad for My Feet?

These shoes do not offer any arch support, so they are not ideal for everyday use. They also do not provide shock absorption or heel cushioning which can be problematic for your feet. Additionally, you may suffer from glass cuts, puncture wounds, and stubbed toes since they offer little protection for your feet.

More Reasons Why They Are Bad for Your Feet

  • They Slow You Down
  • May Cause Blisters and Calluses
  • Expose Your Feet to Bacteria

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 Flipping Out About Flip Flops

Connect With Us