Types of Foot Fractures

One of the most detrimental conditions to negatively impact the health of the feet is broken or fractured feet. An individual has a fracture of their feet when a bone breaks. If you have a fractured foot, you may experience pain in and around the feet. Your affected foot might even appear bruised, and it could be difficult for you to put weight on it. Generally speaking, there are two main types of broken feet. First, you can develop what is known as a full foot fracture. This condition is caused by some type of one-time injury. Commonly, individuals can develop a full foot fracture by dropping a significantly heavy object directly onto their foot. If you have a full foot injury, the various muscles and tissues that surround the foot might be injured or affected. However, this is not always the case with certain full foot injuries. Second, you can develop what is known as a stress fracture in the foot. This type of injury occurs over an extended period of time when a specific part of the foot undergoes repeated stress and overuse. These two types of foot fractures have different causes, yet they can share some of the same symptoms. If you believe that you may have broken or fractured your foot, you can seek guidance from a podiatrist who can help you identify and address the problem. 

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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Babies Born With Foot Problems

A congenital foot problem is one affecting the feet, toes, or ankles of newborns. Such problems include clubfoot, vertical talus, tarsal coalition, polydactyly, macrodactyly, and cleft foot. These afflictions can have various causes, but some are genetically based on someone in the family having a gene causing the condition. Others can simply be an anomaly. A few of these conditions are described here. Clubfoot is when the tendons of the foot shorten, the bones are of an unusual shape, and the Achilles tendon is tight, causing the foot to point inward and downward. The soles of the feet might also face each other. This condition typically affects both feet. If not treated, a child will walk on the sides of their feet and ankles. Polydactyly is when the child has more than five toes on one or both feet. Usually, a nubbin or small lump of tissue without a bone or joint will be present. Macrodactyly is when the toes are abnormally large due to the overgrowth of the underlying bone or soft tissue. Having this condition makes it harder for a child to use the affected foot in all activities. Cleft foot is rare and occurs when the foot is missing toes, a V-shaped cleft, or other anatomical differences. The main issues are whether a cleft foot can fit into a shoe, as well as the shape and appearance of the foot. If you have a child born with a congenital foot problem, consult with a podiatrist to see if any treatments or surgery is recommended to help your child continue life most comfortably.

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 tools and technology to treat your foot and ankle needs.

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The Inconvenience of an Ingrown Toenail

An ingrown toenail can make putting on a pair of shoes or walking difficult. While it is not a serious problem, it is an irritating one and something that can turn into an infection if not tended to. Healthy toenails grow out and away from the base of the nail bed. An ingrown toenail is when the toenail grows into the side of the cuticle. In severe cases, the skin will fold over the nail. Ingrown toenails typically happen on the big toe. The skin tissue at the cuticle will become red, sensitive, and inflamed, and there may be weeping pus. Some ingrown toenails are easy to treat by soaking in various oil or salt preparations and gently pulling the nail away from the skin, while others require minor surgery. While the ingrown nail is healing, it is important to trim the nail straight across. If the ingrown toenail is too painful to trim or if an infection develops, see a podiatrist as soon as possible who can do what is necessary—even a minor surgical procedure with a local anesthetic—to get you on the right track.

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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Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Gout Flares

Gout is a type of arthritis that presents sudden episodes of severe pain and swelling in the joints, often in the big toe. Range of motion in the big toe may become limited. Those with gout frequently experience flare-ups at night. Gout is the result of uric acid accumulating in the blood from purines in food, which triggers a buildup of crystals in joints. Diets rich in purines can lead to gout flares. There is uric acid medicine for this condition. However, it is best to manage symptoms through following a purine-restricted diet. Foods that are high in purines include shellfish, veal, venison, liver and other organ meats, alcoholic beverages – especially beer, kidney beans, lentils, and spinach. Those with gout should limit protein consumption overall and try to include plant-based sources of protein in their diets. If you experience periodic pain in your big toe and think you might have gout, consult with a podiatrist who can help you better understand and manage this condition.

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.

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Should My Plantar Warts Feel Itchy?

There are a variety of skin conditions that affect the feet and can be quite threatening to the vitality of your feet. Plantar warts are one such condition. These warts can develop on the bottom of the feet when an individual is exposed to a form of human papillomavirus (HPV). This generally occurs from person-to-person contact or in warm, moist environments where HPV thrives. Plantar warts can be dangerous, potentially creating holes in the soles of the feet. Some individuals with plantar warts complain that the condition is quite itchy, and some report scratching at their plantar warts. Itchy plantar warts are not unusual. This is because the plantar wart is itself made up of dry skin that is flaking, which can be itchy. There are several things that you might be able to do at home to stop your plantar warts from itching. For example, you might be able to take an oatmeal bath to soothe the affected skin area. Additionally, you can try applying moisturizer to your plantar warts to get them to stop itching. The application of moisturizer can help replenish your feet with much-needed moisture, which can help the itching subside. Please see a podiatrist to learn more about how to treat your itchy plantar warts.

Plantar warts can be very uncomfortable. If you need your feet checked, 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.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment 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 and ankle needs.

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How to Avoid Potential Foot Conditions in Elderly People

It is normal for the feet to flatten and become wider as the aging process occurs. As the fatty padding gradually wears down, the joints and bones of the feet are more susceptible to basic wear and tear. Range of motion and balance may be negatively affected, and injuries can happen more frequently. Foot care for the elderly can start with washing and drying the feet thoroughly every day, and this may be helpful in preventing bacterial, fungal , and viral infections. This is generally followed by applying a good moisturizer on the feet, which may help to prevent cracked heels from developing. Many people wear cotton socks after this, and this can help to lock in the moisture. When the toenails are properly trimmed, conditions that can include ingrown toenails may be avoided. Many elderly people are confined to a bed or chair for the majority of the day, and bedsores on the heels may develop as a result of this. This can be remedied by raising the heels in the air, which is known as “floating the heels’.  There are additional ways that can help elderly patients take proper care of their feet, and it is suggested that you speak with a podiatrist to learn about these methods.

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 and ankle needs.

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Children, Young Teenagers, and Sever’s Disease

There is a growth plate in the heel of the foot that is known as the calcaneal apophysis. This is the area that connects the Achilles tendon and the plantar fascia to the heel. The foot condition that is known as Sever’s disease occurs as a result of excess tension on the Achilles tendon, or possibly from an injury to the heel. This generally affects children and young teenagers who participate in sporting activities. Common symptoms can include gradual heel pain, and many patients describe it as feeling like a bruise. Pain may be felt in the heel area only. Sever’s disease often develops from participating in high-impact sports such as basketball, football, or baseball. To confirm a diagnosis of Sever’s disease, a physical exam will be performed, and occasionally, an X-ray may be ordered to determine how advanced the growth plate is, in addition to observing if a stress fracture has occurred. Relief begins with temporarily stopping the activity that caused the condition, and performing specific heel stretches, which may ease the pain. If your child is affected by Sever’s disease, it is advised that a podiatrist be contacted who can begin the correct treatment process.

 

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.

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Things to Consider While Measuring for Orthotics

Orthotics are defined as inserts that are placed inside of a shoe that may help with specific foot conditions. They can be prescribed for toe or foot deformities, flat feet, or plantar fasciitis. There are certain things to consider when determining if orthotics are right for you. These can consist of existing scar tissue in the foot, any foot deformities, and the patient’s activity level. An effective method to measure for custom-made orthotics includes taking a plastic mold of the patient’s feet and adding specific materials which may provide relief from existing pressure. After the orthotics are worn it is beneficial for the feet to be closely monitored. Problematic symptoms to look for include swelling, redness, or if a foot ulcer has formed. If you have a foot condition that is causing you pain, it is strongly advised that you are under the care of a podiatrist who can effectively determine if orthotics are the right treatment for you.

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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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Arthritis Can Cause Pain in the Feet and Ankles

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

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