By Dr Arden Smith
September 09, 2019
Category: Ingrown Toenails
Tags: Ingrown Toenail  
                                   Causes of an Ingrown Toenail
 
Fellow American College of Foot and Ankle Surgery, Fellow American College of Foot and Ankle Orthopedics and Medicine.
 
A painful and uncomfortable condition that is referred to as an ingrown toenail may develop when the toenail grows into the skin surrounding the nail. This may be a result of toenails that have been trimmed improperly, wearing shoes and socks that do not fit correctly, or possibly from a genetic trait that may affect the natural shape of the nail. If you are experiencing an ingrown toenail, you may notice symptoms that may include pain while wearing shoes, fluid coming from the nail, or the surrounding area appearing red. There may be preventative measures that can be taken, which may possibly avoid this condition from occurring. These may include wearing shoes and socks that fit loosely, trimming the toenails straight across while avoiding cutting into the corners, and utilizing a moisturizer daily. It is advised to consult a podiatrist if you are afflicted with this condition, so proper treatment options can be discussed and started.
 
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 expert podiatrists of Advanced Podiatry. 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 offices located in Manhasset, Huntinton, Plainview, or Maspeth. We offer the newest diagnostic and treatment technologies for all your foot care needs.
By Dr Tyler Miranda
August 30, 2019
Category: Foot Care
Tags: Fractures   and Nutcrackers   Sprains  
Injuries to the outside of the foot and ankle are very common and wide ranging in severity. Ankle sprains are by far the most common injury to this area of the body, registering roughly 3 million incidents every year. Most lateral foot and ankle injuries only involve soft tissue but in some cases there can be an injury to one or more bones. The fibula, talus, cuboid, and 5th metatarsal are all possible sites of bone injury. 
When an injury occurs an important piece of information a doctor will ask for is called the 'mechanism of injury' which describes the direction the foot and ankle moved or twisted, the position of the foot, and what activity was being performed at the time of injury. Sometimes patients will be able to describe in meticulous detail the mechanism of injury while other times patients will say "Doc it happened so fast I cant remember." Luckily the team at Advanced podiatry can use a careful physical exam, Xrays, and diagnostic ultrasound to investigate the injury. To evaluate the injury in real time we have an on-site C-arm flouroscopy to provide pinpoint diagnosis - this imaging tool lets the doctor and patient see the bony injury on the screen and also assess the motion of the bone at the same time.
The 5th metatarsal bone is particularly susceptible to compromise during a lateral foot trauma. Patients will come into the office limping, describing a mechanism of injury sometimes similar to an ankle sprain but with pain further down from the ankle along the outside of the foot. The 5th metatarsal bone can sustain multiple types of injuries. The most well known is a Jones fracture, a horizontal fracture of the bone near the middle of its shaft. Another type of injury is an avulsion fracture. This is were the tendon that pulls on the bone is stretched too quickly and removes part of the bone as it tears away from its insertion. These injuries can be treated with immobilization and/or surgical repair depending on their severity. 
 

Jones Fracture
 

5th Metatarsal Avulsion Fracture

Nutcracker Fracture of Cuboid

 

 
The cuboid is a less commonly fractures bone. When a fracture does happen it is important that it is identified and treated as soon as possible. Sometimes these fractures are not easily visible on conventional X-rays and will require C-arm flouroscopy or CT scan for an accurate assessment. One type of cuboid injury is known as the Nutcracker fracture. The mechanism of injury is forced abduction of the forefoot: where the front of the foot is pushed outwards and the cuboid is crushed like a nut between the calcaneus (heel bone) and the 4th and 5th metatarsals. This injury will require time to heal in cast or CAM boot immobilization and may require surgery with internal or external fixation. 
 
The take home message here is that if you have an injury to the outside of the foot or ankle go get it checked out. If you think you simply sprained your ankle but that pain is lingering or even getting worse there may be a more serious injury present. 
By Dr Evan Vieira
August 30, 2019
Category: Foot Care

                                   

When we think of bunions, hammertoes and other foot problems, we usually don't associate them with fancy celebrity types.  However, don't think that fame and wealth exclude them from the same problems as the rest of us.  

From Steven Tyler,  Sarah Jessica Parker, Jerry Seinfield to young people like Rhianna, they have the same issues we do!
 
A few years ago Jerry Seinfeld met with the faculty at the New York College of Pediatric Medicine in Manhattan to discuss his debilitating foot pain.  He even told them it was difficulty for him to watch episodes of his famous show because it brought back memories of the pain he was in.  
 
The point is, don't be embarrassed, don't suffer in silence.  We are all human and we all have the same issues.  If your feet are bothering you call us today for a consult.  We are here to help!
 
By Dr Alison Croughan
August 30, 2019
Category: Foot Care

                                           

Some of our patients present to the office with a self diagnosis of "arthritis" or "old age."  Arthritis is a general term for an inflamed joint - it can be due to "wear and tear", inflammation, and even a high uric acid level.  Did I lose you?  The first two we hear about all the time, but the last - uric acid? What exactly is that?

Uric acid is a byproduct from breaking down the protein we eat each day.  Some people make too much and some do not excrete enough of it out.  What can happen when either one of these scenarios occurs?  Red, hot, swollen, painful joints and even difficulty walking.  Usually it is the big toe; however, gout can present in any bone, joint, even your knee, elbow and ear.  
 
Your blood levels may not always be elevated at the beginning of these symptoms.  Chronic infections make your threshold before an attack much smaller (meaning less of a spike in your uric acid will result in symptoms).  Too many attacks can lead to bone changes and even bone destruction and wounds.
 
What can trigger an attack? Your genes - yup, we cannot fight them, just need to work with them.  Your diet - red meat, alcohol, green leafy vegetables, beans (not always the bad stuff!).
 
What to do if you believe you are having an attack?  Call our office, let our team of experienced podiatrists and surgeons help treat your current symptoms and prevent future attacks or complications.
By Dr Tyler Miranda
August 14, 2019
Category: Foot Care
Tags: NFL   Fall Sports  

                        

As the summer winds down and fall sports step to the forefront many people are getting excited for football season. Those closely following the NFL may have noticed a curious story that has been circulating in the news involving a prominent player sustaining a rather bizarre injury to his feet. Oakland Raiders wide receiver Antonio Brown suffered a frostbite injury to the bottom of his feet after undergoing a treatment know as cryotherapy. Whole body cryotherapy is a treatment meant to aid in recovery and healing. It involves exposing an individual to cold air for a period of 2-4 minutes either in an enclosed room or a chamber. The cold temperature is achieved with the use of liquid nitrogen or refrigerated coiled air. While it is used by many professional athletes and celebrities the jury is still out in terms of it being supported by scientific research. It is extremely important for those undergoing the treatment to be aware of the necessary precautions prior to undergoing the treatment. Proper shoes, gloves, and sometimes face masks are needed to mitigate risks of injury to the cold and the fumes produced. The treatment should always be done under the supervision of a medical professional.

Now while the average person may not be heading to a cryotherapy chamber on a regular basis there is a take home point here for all of our patients. That point is that even though your exercise, treatment, or training regimens have benefits for your overall health, ensure that you know your risks and prepare yourself before hand. Stretching before and after a work outs, warming up, staying hydrated, wearing the proper shoes and attire for the activity, and using proper form when stretching and exercising are all ways to ensure that you stay injury free as you exercise. So whether you are gearing up for a leisurely hike to enjoy the colors of fall or preparing for another grueling season as an elite professional football player make sure to prepare yourself appropriately for your activities. Enjoy the rest of the summer and take great care of yourself!





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Advanced Podiatry of Manhasset at the Americana

(516) 844-0039 - Manhasset, NY
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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