By Dr Evan Vieira
May 20, 2019
Category: Foot Tips
Tags: PGA Tour  

                                   

The PGA tour is in town! The PGA Championship is being played at Bethpage’s beautiful black course.

The black is long and Full of steep hills and rough terrain.  On a recent visit there myself, I was shocked at how much of a beating my feet took walking the course. These simple tips can help keep you up and going.

Wear supportive comfortable shoes, ones you are familiar with and have walked distance in before.  Make sure to wear a thick cotton sock and consider bringing a change as the court can get wet.

Prior to starting, give your feet ankles and calves a good thorough stretch. And be sure to periodically stretch out in the course of the day.  Drink plenty of water, and avoid sugary drinks.

It’s a beautiful weekend for golf, enjoy the tournament and while you’re in town come to visit us at Advance Podiatry.

By Dr Arden Smith
May 17, 2019
Category: Heel Pain
Tags: Sever's Disease  
                                  
By Dr. Arden Smith, Fellow American College of Foot and Ankle Surgery, Fellow American College of Foot and Ankle Orthopedics and Medicine
 
One of the most common soccer injuries we, at Advanced Podiatry, have seen is the large number of young soccer players complaining of heel pain. This problem is often caused by a condition known as apophysitis of the calcaneus, or Severs Disease. This condition consists of an inflammation of the growth area of the heel bone which has not completely matured, or closed all together, and has developed in two parts. It is most commonly seen in boys and girls between the ages of 10 to 15. The pain is usually present in the back of the heel and is more pronounced in running and jumping sports.
 
The treatment consists of x-ray evaluation to make a proper diagnosis and to rule out any bone fractures. A custom orthotic insert is often needed to correct the biomechanical and balances which may be causing a jamming effect on the heel plate; additionally the elimination of any cleated shoes with less than four cleats in the heel area. Often a Tuli's Heel Cup is used to assist with shock absorption minimizing the direct trauma to the heel..  In summary, watch for any warning signals; when a child complains of heel pain, there is usually a need for examination.

                                

There are many misconceptions about bunion surgery and we hear about them everyday.  Patients will suffer with painful bunions for years because of misinformation they read on the internet or a bad experience they hear about from their friend.  When performed properly, with appropriate post operative care bunion surgery is both very successful and well tolerated.  

Here at advanced podiatry we take every possible precaution and use the latest technology and technique to limit complications and make your experience pain free.  One such advancement is removable hardware. Bunion surgery often requires the use of screw fixation to repair the deformity.  We use a specially designed screw that is simply, easily and painlessly removed 6 weeks after surgery.  This leaves you with no metal in your foot and no bunion either!
 
By using small incisions, minimally invasive techniques and the best instrumentation we are able to get you walking the day of surgery and most times limit the use of post operative pain medication to just the first few days.  We also use something called cold compression therapy in our practice.  This simple but effective cooling modality prevents post operative swelling and keeps our patients comfortable and pain free.  
 
These are just a few of the common things we hear about from patients, but if you have other questions please give us a call today!  We are here to help. 
By Dr Aarti Kumar
May 09, 2019
Category: foot surgery
 
                                     metatarsal-fracture
 
Metatarsals are the five long bones of the foot. Metatarsal fractures are amongst the most common injuries in the foot. These long bones help maintain the alignment and anatomy of the arches in our feet. Metatarsals are held in place with various ligaments and tendons. For anatomical purposes, the metatarsals are divided into three sections- the head (near the toes), shaft and base. Two mechanisms of injury to the metatarsals are either direct or indirect forces. Direct forces are usually from a crush injury which may also involve soft tissue compromise. Indirect forces are  when the forefoot is in a fixed position with the leg or rearfoot rotating which may also cause ligamentous and tendon damage. It is important to categorize fractures based on displacement and angulation since those characteristics dictates conservative vs surgical treatment. The most common metatarsal to become injured is the fifth metatarsal bone. A specific area on the fifth metatarsal which has decreased blood flow is most famously known as a Jones fracture and needs to be treated with extra care.  Stress fractures of the metatarsals are also fairly common which can occur from repeated trauma, fragile bone from metabolic deficiency or an associated foot deformity. Stress fractures are the most common in the second metatarsal head. 
 
Clinically, metatarsal fractures will appear as pain and swelling mostly to the top of the foot. There are several ways to aid in the diagnosis of metatarsal fractures. Plain film radiographs are usually the first line imaging used in the office. It is always important to obtain three views as one view alone may present as a false negative result. Another helpful diagnostic imaging device is a C-arm or fluoroscopy which is key when examining joints under dynamic range of motion under X-ray technology. Ultrasounds can also be utilized to rule out fractures and are fairly convenient as they can be done at the bedside. Though ultrasounds are more often used to evaluate for soft tissue abnormalities, fractures can be diagnosed using this modality with no radiation. At Advanced Podiatry, we are fully equipped with X-rays, C arm and ultrasound to help with accurate diagnosis and get our patients back on their feet as soon as possible. CT scans can also be ordered to check for displacement of multiple joints when a serious injury is suspected. MRI is helpful in diagnosing stress fractures as they do not initially appear on X-rays. 
 
Treatment for metatarsal fractures is driven by the type of fracture (i.e. displacement, angulation, joint involvement). Nonoperative treatment usually consists of a walking or CAM boot which has a stiff sole and prevents the propulsive cycle of gait. Such treatment is only effective when a fracture is non displaced or minimally displaced in isolation. Stress fractures are also treated with walking boots to inhibit the fracture from worsening. Bone typically takes about 6-8 weeks to heal so a patient can expect to be in a walking for about that time. Surgical treatment becomes necessary when displacement/angulation is involved or when multiple metatarsal fractures are involved. In surgery, the fracture part of the bone is realigned into normal position and can be fixated with a pin/wire, screws or a combination of plates and screws depending on the nature of the fracture. 
By Dr Quynh Lee
May 07, 2019
Category: Foot Tips
Tags: Shoe Buying Tips  

                           

Many of our patients ask for tips on purchasing shoe gear. When shoe shopping, your ultimate goals include making sure you are comfortable, the shoes you are purchasing fit well and that you are pain-free. Of course, style and fashion trend(s) matter to most but in order to avoid potential foot issues-  it is important to select appropriate well-fitting shoes.

To help you navigate, below are some helpful tips:

-       Purchase shoes at the END of the day; this is when your feet are larger. This will ensure that your shoes will not be too tight.

-       Have your feet measured? Sometimes one foot may be larger than the other. Another thing to be aware of is that sizing can vary from brand to brand. Go by how the shoe fits rather than the marked size. Always try before you buy!

-       Bring your orthotics with you when purchasing shoes and walk around the store to ensure that you are comfortable. On the same note, try on shoes with any socks or special stockings/hosiery that you normally wear on a daily basis.

-       Make sure there is wiggle room! If you cannot move your toes, your shoes are too tight. If the shoe is too tight or narrow, you can aggravate conditions such as bunions or hammertoes.

-       Look for shoes with adequate shock absorption and cushion. This will help with shock absorption and help protect your feet.

-       Bend the shoes. Shoes should not bend in the arch region. This can lead to plantar fasciitis (heel pain).

When shoes are inappropriate in terms of sizing, fit, or comfort, this may lead to foot deformities and/or aggravate existing deformities such as bunions, hammertoes, flat feet or high arched feet. Custom orthotics (inserts) may help with such conditions and also help relieve pain.

You do not have to live with pain; especially if it is because of improper footwear! If you are unsure about anything or have questions, please do not hesitate to call us and make an appointment!

 





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.

Contact Us

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

Advanced Podiatry of Manhasset at the Americana

(516) 844-0039 - Manhasset, NY
(631) 400-3085 - Huntington, NY
(516) 544-1731 - Great Neck, NY
(718) 747-9250 - Maspeth, NY
(516) 544-1732 - Plainview, NY
 

Manhasset, NY Podiatrist
Advanced Podiatry
2110 Northern Blvd.
Suite 208
Manhasset, NY 11030
(516) 844-0039

Huntington, NY Podiatrist
Advanced Podiatry
181 Main St.
Suite 207
Huntington, NY 11743
(631) 400-3085

Maspeth, NY  Podiatrist
Advanced Podiatry
70-01 Grand Ave
Maspeth, NY 11378
(718) 747-9250

Great Neck, NY Podiatrist
Advanced Podiatry
488 Great Neck Rd.
Great Neck, NY 11021
(516) 544-1731
*moved to Manhasset  

Plainview Office
Advanced Podiatry
875 Old Country Rd
Suite 100
Plainview, NY 11803
(516) 544 -1732

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