Underlying Issues That May Cause Heel Pain

A variety of underlying issues can cause heel pain, including bone disorders, soft tissue problems, and systemic diseases. Plantar fasciitis is the most common cause of heel pain. This occurs when the plantar fascia, the long band of fibrous tissue on the sole of the feet, gets damaged, torn, or inflamed. Other soft tissue disorders which may lead to heel pain include Achilles tendonitis (an inflammation of the tendon which connects the calf muscles to the heel bone) and bursitis (an inflammation of the bursa sac that protects the Achilles tendon at the back of the heel). Bone issues that can cause heel pain include traumatic injuries or stress fractures of the heel bone, osteomyelitis (bone infection), osteoporosis (bone disease), and heel spurs—which are hardened calcium deposits that build up on the heel bone due to repeated stress. Certain systemic diseases can also present heel pain, such as rheumatoid arthritis (inflammatory joint disease) and peripheral neuropathy (nerve damage). If you have any type of heel pain, it is suggested that you make an appointment with a podiatrist who can diagnose the origin of your heel pain through a physical examination, diagnostic imaging and other evaluations, and treat your condition accordingly.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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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What Can I Do About Ingrown Toenails?

Ingrown toenails can cause a great deal of pain and far more serious problems, especially if left untreated. Ingrown toenails can develop when the edge of the nail grows into the surrounding skin of the toe. Common causes can include wearing tight shoes or socks that increase pressure on the big toe, and activities that overuse the toes, like football, soccer, or ballet. The most common symptoms are pain when you touch your big toe or put on your shoes, and a buildup of fluid around the affected toenail. Soaking the feet for 20 minutes several times a day can help, but feet should be kept clean and dry as much as possible afterward. Wear shoes that have more room in the toe box and cease any activities that aggravate the condition. If your toe becomes infected – indicated by increased pain, redness, swelling or pus – it is suggested that you seek medical treatment options from a podiatrist as soon as possible.

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.

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Stress Fractures 101

A small hairline fracture is also referred to as a stress fracture. While stress fractures can occur in the pelvis, thigh bones, and shins, they most commonly occur in the lower legs, particularly affecting the bones of the midfoot. Stress fractures may occur in the foot because it is no longer able to bear weight. They are not commonly a result of a specific injury, but they are usually a result of overuse or repetitive motion. Because of this, athletes like runners, soccer players, and dancers are more likely to develop stress fractures. A common sign of a stress fracture is a sharp pain that is felt when bearing weight that will persist overtime or get worse as the fracture also worsens. Those who are experiencing foot pain and believe that they may have a stress fracture should consult with a podiatrist for treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate 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 and ankle needs.

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Heel Pain in the Morning?

Heel pain can negatively affect your day-to-day life. Simple activities like walking can become incredibly uncomfortable or painful due to heel pain.

Don’t live with heel pain and get treated.

Posterior Tibial Nerve Neuralgia

Posterior tibial nerve neuralgia, also known as tarsal tunnel syndrome, is a nerve disorder that is caused by compression of the posterior tibial nerve. This nerve runs through the tarsal tunnel, an area along the inside of the ankle that houses nerves, blood vessels, and tendons. When the posterior tibial nerve is compressed, it causes symptoms such as foot, ankle, and toe pain, a pins and needles sensation in the foot, and numbness. Conservative treatments such as resting and icing the foot, wearing orthotics, and taking pain medications can help relieve symptoms. For more information about tarsal tunnel syndrome and to discover the best course of treatment for you, please consult with a podiatrist. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require 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 and ankle needs.

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How to Care For an Ankle Sprain After Leaving the Doctor’s Office

If you have sprained your ankle it is very important to seek the care of a podiatrist who can diagnose and treat your injury. But treatment does not begin and end at the doctor’s office. There are many things that you may need to do at home to ensure that your ankle heals properly. You should try to keep weight off of your injured ankle by keeping it elevated by propping it up on a pillow in order to reduce swelling. Put ice on your injured ankle periodically for three days following your injury to control swelling. Take any pain medications and wear splints, braces, or other orthotics as prescribed. For more information about caring for a sprained ankle, please consult with your podiatrist. 

Ankle sprains are common but need immediate attention. 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

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

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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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What Kind of Running Shoes Do I Need?

There are many running shoes available on the market, and they can usually be classified into five different types of shoes: motion control, stability, cushioned, lightweight, and trail. Motion control running shoes are designed to reduce any excessive rolling in your gait while you run and provide extra shock absorption. These shoes are especially useful for someone with an overpronated gait. Stability running shoes are designed to stop excess motion in the foot and ankle. Cushioned running shoes absorb shock and help protect the feet. Lightweight running shoes are more flexible and can decrease pain and fatigue while running. Trail shoes are designed to help you run on rugged terrain. They are usually more durable and have a better grip than other types of running shoes. To find out which running shoes may be best for you, it is suggested that you consult with a podiatrist. 

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.

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Where Does Your Foot Hurt?

There are a variety of bones, ligaments and tendons in the foot, and any condition that affects these can be very painful. Foot pain can ruin daily life and become very complicated. Depending on the area of the foot that hurts, a variety of different injuries may be considered. Heel pain, which is one of the most debilitating forms of foot pain, is often a sign of heel spurs or plantar fasciitis (inflammation of the tissues along the bottom of the foot). Conditions such as sesamoiditis, metatarsalgia, or Morton’s neuroma, which is a thickening of tissues around the nerves, can lead to pain in the ball of the foot. Patients who are experiencing pain in the arch of the foot may be suffering from flat feet or fallen arches. Other issues such as gout, bunions, hammertoes, and turf toe can cause pain in the toes. Patients who are struggling with foot pain should consult 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.

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Get Proper Care for a Sports-Related Foot or Ankle Injury This Fall

Fall is the start of the season for many sporting events. If you're trying a new physical activity or sport, it's important to practice injury prevention.

Have a foot or ankle injury? Don't wait to get treated.

Stretching the Bottoms of Your Feet and Ankles

If you like walking or hiking, stretching the bottoms of your feet and ankles can be very beneficial. Stretching helps by relieving foot pain and improving flexibility, which reduces your risk of foot and ankle injuries. One simple stretch that you can perform is a foot stepover. To do this stretch, place a rolled up towel on the floor. Stand up straight and place the front half of one foot onto the towel. Be sure to keep the heel of the foot on the floor. Take a small step forward with the other foot. You should feel a stretch in the foot that is standing on the towel. Repeat ten times, holding the stretch for two to five seconds each time, and then repeat on the opposite foot. For more information about stretching the feet, please consult with a podiatrist. 

Stretching the feet is a great way to prevent injuries. If you have any concerns with 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.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

  • Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
  • Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
  • Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
  • Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

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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