(516) 869-3300 Manhasset
(631) 427-3678 Huntington
(516) 544-1731 Great Neck
(718) 639-0499 Maspeth
(516) 681-8866 Plainview
By Dr Tyler Miranda
April 01, 2020
Category: Ingrown Toenails
Tags: Ingrown Toenails  
                              
 
What is an ingrown toenail?
An ingrowing toenail when the nail plate itself curves down towards the soft tissue on the side of the toe. This position of the nail causes the nail plate to press on the skin and sometimes the nail can pierce the skin and the soft tissue. This can cause pain and soreness that can feel sharp and throbbing. An ingrowing toenail is at high risk for becoming infected and these conditions should be identified and treated promptly.
 
How do toenails become ingrown?
There are many reasons that a person gets an ingrowing nail. 
The anatomy of the foot and the toe are a large factor. A wide nail plate, a naturally curved nail plate, an enlargement of soft tissue at the nail borders, or an abnormality in the shape of the bone beneath the nail plate can all contribute to a patient getting an ingrown toenail. 
 
Poor cutting technique at home or in a nail salon
Poor shoe choices including ill-fitting shoes that are too short or too narrow
Trauma to the nail can change the trajectory of nail growth or cause alteration to the structure of the nail plate itself
Fungus can cause nails to become thick, brittle, weak, and generally abnormal which can each lead to an ingrowing nail.
 
Biomechanical problems are a major and frequently overlooked cause of ingrowing nails. Bunions and abnormal angles of toes and bones are a major factor when it comes to how the toe takes the pressure and if the nail will sustain abnormal forces that can lead to an ingrowing nail. Limited or complete loss of range of motion at the big toe joint can also cause abnormal pressures resulting in an incurvated nail. More general structural foot problems like flat feet, excess, pronation and collapsing arches are all significant factors that can determine if one is prone to ingrowing nails.
 
How can I treat an ingrown toenail?
 
The internet is crowded with suggested home remedies for ingrowing nails but the fact is that most of these ideas can make a situation worse.
 
Fist contact a podiatrist and left them to evaluate the toe to determine the proper course of treatment.
 
One your doctor evaluates you and the ingrowing toenail they will determine which of the treatment options are right for you. Your doctor may recommend a clip out of the offending portion of the nail plate, temporary removal of the incurvated portion of the nail plate, or permanent removal of the part of the nail that is causing the issue. If an infection is present the infected tissue and fluid can be removed and drained at this time. Your doctor will discuss these options and recommend the proper treatment for you as an individual. 
The vast majority of these treatments are quickly performed in the office and allow you to leave in normal shoes able to perform the normal activity. Any restrictions on activity will be based on specific treatments. Caring for the site after is easy and usually requires a basic band-aid dressing for a few days. If your toe was infected your doctor may advised you to apply antibiotic ointment on the site and or prescribe you a course of oral antibiotics.
 
How can I prevent getting an ingrown toenail?
Ensure proper cutting techniques. Cut the nails straight across, not down the sides. Don't allow the nail salon to cut too short or too deeply and do not allow any technique that causes pain or damage to the soft tissue around the nail.
 
Wear shoes that fit appropriately. If your shoes come to a point or are too narrow or short then they may need to be donated in exchange for something that appropriately accommodates your foot type.
 
Address underlying issues.
 
If you have fungal nails treat them. Your doctor can discuss with you the options of debridement, topical medication, oral medication, and laser therapy. 
 
If you have a structural abnormality like pronation, flat feet, or bunions, be sure to manage them with the appropriate treatment. Your doctor can advised you on the best course of action, whether it be conservative splinting and shoe modification, surgical correction, or simply a custom made orthotic to optimize your foot structure and mechanics. 
 
The take-home point here is that if you have pain in the toe get it looked at. Don't try to self treat it. At Advanced Podiatry, we are happy to discuss your issue, how it came about, how to treat it, and how to make sure you are walking pain-free as soon as possible. If you need anything or have any questions please give us a call. Our 10 doctors are all available to discuss your issue and we can even do the appointment virtually or over the phone to get things started! 
 
Stay safe, be well.
By Dr Pedram Hendizadeh
March 24, 2020
Category: Others

We are seeing more and more patients virtually from the comfort of their homes.

                     

Our top-rated doctors are here to guide you during this difficult time.  While we can not perform any procedures, we can certainly guide you in the right direction, call in medications, and provide advice on all your foot care needs.  In the case of a true emergency, our doctors can meet you at one of our offices during specific hours for further care if necessary.
 
By Dr Aarti Kumar
March 19, 2020
Category: Heel Pain
Tags: Heel Pain  
                                
 
Are you stuck at home with heel pain and don't know what to do? Rest assured we at Advanced Podiatry are here to help you; but if you have decided to self-quarantine during this tumultuous time, here a few tips to get you through pain:
 
1. Rest/elevate- if you are able to, it is is best to rest and elevate your feet to help with inflammation subside
2. Ice- apply ice or cold compresses to the bottom of the heel at least 2-3 times a day for about 10-15 minutes/day. 
3. Non-steroidal antiinflammatories (NSAIDs)- since most heel pain is caused an inflammatory process, short term NSAIDs such as Aleeve or Advil might help with alleviation of symptoms. Keep in mind, though, if you have any history of acid reflux or take blood thinners, NSAIDs are not a good choice. 
4. Stretching- if you have heel pain first step out of bed in the morning, stretches are a good idea to keep heel pain at bay in the long run. Try a standing calf stretch where you stand placing both hands on a wall keeping the affected limb straight and other knee bent and holding the stretch for 10 seconds. Another stretch to do is placing a towel under the ball of your foot and pulling towards your face holding the stretch for 10 seconds. Try about 10 reps on each side to stay symmetrical. 
5. Supportive shoe gear- if you are going out for a walk or run, keep in mind to wear supportive sneakers. If a sneaker bends in the middle, it is not a supportive shoe. Try wearing orthotics so that your arches are supported. 
 
Above are just some recommendations in helping acute heel pain. Our doctors are available in the offices to help you if none of the above helps decrease pain. Additionally, keeping the current state of affairs in mind, our doctors are now offering telemedicine so that you can freely share your concerns while feeling safe at home. 
By Dr Tyler Miranda
March 05, 2020
Category: Others

                    

At Advanced Podiatry, our goal to maximize your overall wellness from the ground up. We pride ourselves on ensuring a comfortable, clean, safe environment in our offices. For us, health and safety are considered constantly but for most of the population, these topics have been under the spotlight only recently. With discussions regarding world health at the forefront of the news many people are reflecting on their overall health. Not only are we in the heart of Flu season but constant media coverage of the Coronavirus outbreak has heightened our awareness for wellness. As we take measures to protect ourselves and our loved ones from ailments of all sorts it is important to use common sense and be well educated about the threats to our health. Use trusted sources for your information. The World Health Organization offers many excellent resources including rolling continuous coverage of all pertinent updates relating to the Coronavirus (COVID-19) outbreak here. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen

In addition to educating yourself make sure that you take the proper precautions when it comes to your behavior and hygiene, such as frequent hand washing and avoiding unnecessary hand contact with your face. 
As always make sure that you contact your primary care doctor with any concerning symptoms or questions. At Advanced Podiatry, we here to manage all of you and your family's foot problems but we are also rooting for your complete well being and overall health. Stay educated, stay safe, stay healthy!
By Dr Evan Vieira
March 03, 2020
Category: Foot Care
Tags: Summer is Coming  
                                
 
Summer is right around the corner.  Saturday, June 20th to be exact.  Finally, we can dump those clunky boots, thick jackets and annoying gloves for t-shirts and sandals.  But, for some this is a nerve wracking and anxiety ridden time of year.  For many people with foot problems, this is the unfortunate reality. 
 
Bunions, hammertoes, fungal nails and other issues plague patients and leave them feeling embarrassed, sad and outcast.  However, we can help! 
 
Here at Advanced Podiatry we provide a full cadre of services to alleviate your most embarrassing foot issues.  Moreover, now is the time! You still have time to get ready for this summer.  Come in today for your evaluation.  Don't wait! The time is now!
 




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Please specify in the message section below which office you would like to be seen at. (Manhasset, Huntington, Plainview & Maspeth NY)

Advanced Podiatry of Manhasset at the Americana

(631) 427-3678 Huntington NY
(516) 869-3300 Manhasset NY
(516) 544-1731 Great Neck NY
(718) 639-0499 Maspeth NY
(516) 681-8866 Plainview NY

Manhasset, NY Office
Advanced Podiatry
2110 Northern Blvd.
Suite-208
Manhasset, NY 11030
(516) 869-3300

Huntington, NY Office
Advanced Podiatry
181 Main St.
Suite-207
Huntington, NY 11743
(631) 427-3678

Maspeth, NY  Office
Advanced Podiatry
70-01 Grand Ave
Maspeth, NY 11378
(718) 639-0499

Great Neck, NY Office
Advanced Podiatry
488 Great Neck Rd.
Great Neck, NY 11021
516-544-1731
*Moved to Manhasset  

Plainview, NY Office
Advanced Podiatry
875 Old Country Rd
Plainview, NY 11803
(516) 681-8866

Roslyn, NY Office
1514 Old Northern Blvd
Roslyn, NY 11576
516-484-1420
*Moved to Manhasset