Toenail fungus, or onychomycosis, is a common condition where a fungal infection affects the toenails, causing them to become discolored, thickened, and brittle. This happens when fungi, including dermatophytes, yeasts, or molds, infiltrate the nail bed through cracks or cuts. Warm, moist environments, such as sweaty shoes or public showers, are ideal for fungal growth, making these areas common sources of infection. Poor foot hygiene, compromised immune systems, and conditions like diabetes can increase the risk. Preventing toenail fungus involves keeping feet clean and dry, wearing breathable footwear, and avoiding walking barefoot in communal areas. Regularly trimming nails and avoiding shared nail care tools can also help to reduce the risk of infection. Toenail fungus can be uncomfortable and unsightly. If you have developed this condition, it is suggested that you visit a podiatrist who can offer you prescribed medication for a full recovery.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. 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.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

Choosing the right running shoes based on your foot type and running style is critical for comfort and injury prevention. For pronated feet, where the foot rolls inward excessively, stability or motion-control shoes provide the necessary support. Neutral runners, whose feet roll inward slightly, benefit from neutral cushioning shoes that offer balanced support. Supinated feet, which roll outward, require shoes with extra cushioning to absorb impact. Arch level is another consideration. High arches need cushioned shoes for shock absorption, while low arches benefit from stability shoes. Heel strikers, who land on their heels, should look for shoes with ample heel cushioning. Additionally, midfoot and forefoot strikers need shoes with cushioning in the midfoot and forefoot areas. Runners can experience foot injuries from wearing shoes that do not fit their running needs. If this applies to you, it is suggested that you consult a podiatrist who can treat any foot condition, and guide you on how to choose the right running shoes for you.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

• Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
• There should be little to no slipping at the heel
• Don’t assume your size in one shoe brand will be your size in another
• Do not lace up your shoes too tightly
• Walk around in the store with your new shoes before you buy them

If you have any questions please feel free to contact our our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Poor circulation can cause various signs and symptoms that suggest a problem with blood flow. Some of the most common symptoms include cold or numb feet and toes, which can make the feel unusually cold to the touch. You might also experience tingling or a “pins and needles” sensation. Additional symptoms of poor circulation include swelling in the lower legs and feet, as well as changes in skin color, such as turning pale or blue. Poor circulation can contribute to cramping or pain in your legs and feet, especially after physical activity. One common cause of poor circulation is atherosclerosis, where fatty deposits build up in your arteries, narrowing them and restricting blood flow. Symptoms may include chest pain, shortness of breath, and fatigue, usually while participating in physical activity. Regular check-ups and a healthy lifestyle can help manage and prevent atherosclerosis. If you notice any of these symptoms of poor circulation in the feet, it's suggested that you consult with a podiatrist to address the issue. 

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.

Ankle pain is a common complaint that can significantly impact daily activities and mobility. Understanding the connection between ankle ligaments and pain is vital for effective management and prevention of debilitating conditions. The ankle comprises several ligaments responsible for stabilizing the joint and supporting movement. When these ligaments become overstretched or torn due to injury or strain, it can result in ankle pain and instability. For instance, an ankle sprain, characterized by damage to the ligaments on the outer side of the ankle, often leads to swelling, bruising, and pain during weight-bearing activities. Chronic conditions like ligament laxity or instability can also contribute to recurrent ankle pain and discomfort. Proper diagnosis through physical examination, imaging tests, and medical history evaluation is essential to identify the underlying cause of ankle pain and develop an appropriate treatment plan. This may include rest, bracing, or surgical intervention to repair or reconstruct damaged ligaments and restore joint function, ultimately alleviating pain and promoting long-term ankle health. If you have ankle pain, it is suggested that you seek the advice of a podiatrist who can provide an accurate diagnosis and treatment.

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.

Ingrown toenails are a painful condition where the side or corner of a toenail grows into the soft flesh surrounding it. This often leads to pain, swelling, and sometimes infection, especially in the big toe. It is important to use proper techniques to prevent the formation of an ingrown toenail. Always trim your toenails dry to avoid bending or tearing them, and cut them straight across rather than rounding the edges. This prevents the nail from digging into the skin as it grows. Avoid trimming cuticles, as they act as barriers against infection, and use appropriate tools like manicure scissors or dedicated toenail clippers. It is also important to have separate clippers for your fingers and toes to prevent cross-contamination. If you have diabetes or another condition that impairs blood flow to your feet, you are at a higher risk of complications from ingrown toenails. Therefore, extra caution is warranted. Regularly practicing these proper nail care habits can significantly reduce the likelihood of developing ingrown toenails. However, if you experience severe pain, swelling, or signs of infection, it is suggested that you schedule an appointment with a podiatrist for treatment.

Ingrown toenails can become painful if they are not treated properly. 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 occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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 and ankle needs.

Tinea pedis, commonly known as athlete's foot, extends its reach far beyond the realm of athletes. This fungal infection thrives in warm, moist environments, making anyone susceptible, regardless of their athletic pursuits. Individuals who frequent communal spaces like gyms, swimming pools, or shared showers are at highest risk. Preventive measures play an important role in warding off this uncomfortable infection. Keeping feet clean and dry, especially between toes, helps create an unsatisfactory environment for fungi to flourish. Wearing breathable footwear made of natural materials and changing socks regularly can minimize moisture buildup. Avoiding walking barefoot in public areas and using antifungal powders or sprays as a preventive measure can further reduce the risk of infection. Athlete’s foot can be treated by a podiatrist. If you notice signs of this uncomfortable foot condition, it is strongly suggested that you visit this type of doctor who can prescribe medication for effective treatment.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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.

The process of learning to walk is a significant milestone in a child's foot development, marking the transition from dependency to independence. As infants, babies typically begin to explore their surroundings by lifting their heads, rolling over, and eventually crawling. Over time, they develop the strength and coordination needed to pull themselves up and stand with support. As they gain confidence and stability, they take their first tentative steps, often holding onto furniture or caregivers for balance. With practice and encouragement, children gradually refine their walking skills, progressing from unsteady toddling to confident, independent walking. Along the way, they learn to coordinate their movements, maintain balance, and navigate obstacles in their environment. Walking not only facilitates physical exploration but also fosters cognitive and social development, enabling children to engage more actively with their surroundings and interact with others. If your child is delayed in walking, it is suggested that you confer with a podiatrist who can address any concerns you may have.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Beyond the well-known effects on your lungs and heart, smoking can also severely affect your feet, particularly through a condition known as Buerger’s disease. This disease targets the blood vessels in the arms and legs, causing swelling and reduced blood flow, which leads to the formation of clots. Consequently, individuals may experience pain, open sores or ulcers, and gangrene, which if not properly treated by a podiatrist may lead to limb loss. While the precise cause of Buerger’s disease remains uncertain, one undeniable link is tobacco use. Chemicals in tobacco irritate blood vessel linings, which then triggers inflammation and constriction. Nearly all diagnosed cases of Buerger’s disease are associated with tobacco use, whether through cigarettes, cigars, or chewing tobacco. Prevention is key, and that begins with quitting smoking and avoiding all forms of tobacco. But prioritizing your foot health is also essential, and by seeking guidance from a podiatrist you can manage symptoms and receive the needed wound care. If you're experiencing any symptoms, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the 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 needs.