By By Dr. Shabana Chowdhury
September 11, 2018
Category: Uncategorized
Tags: Untagged

Now that autumn is approaching, we are more inclined to put away our sandals and take out our boots. But before you go splurging on the latest style of fall shoewear, here are some tips in making your fall
fashion comfortable.

If your feet are wide from having flat feet or bunions, try to opt for a shoe with a wide toe box.  The toe box is the top part of a shoe that covers and protects the toes. The toe box of different shoes come in a variety of shapes and styles depending on the type of shoe. A comfortable shoe will have a wide and long enough toe box to accommodate the toes comfortably. A shoe may fit lengthwise, but if it feels tight around the toes, your feet won't be able to keep their natural movement, which can lead to foot pain. Wearing an ill-fitting shoe with a toe box that does not accommodate for your toes can lead to quite a few problems such as blisters, ingrown toenails, calluses, crooked toes, and trauma to the toenails.  If ignored, the tight shoes can also cause inflamed nerves, pain in the ball of the foot, and even arthritis. One way to
test for the right toe box for you is by taking the insole out of the shoe and standing on it. If your toes hang over the edge, it's probably not the right kind of shoe for your feet.

Boots in general provide stability to the ankle joint. However, if the boot has a very high heel, you may still be at risk to ankle sprains. When shopping for boots make sure you can bend the toe box upwards and also try to avoid shoes that you can bend in half in the region of the midfoot. The midfoot area of the shoe supports the arch, so it much be
stabilizing. Also picking a shoe with a wide chunky heel that is less than 1 or 2 inches and has a soft leather upper cover is best for minimizing risk of foot pain or injury.

If you aren’t a fan of heels and usually opt for flat boots, check and see how much arch support the shoes have. Flat boots usually have minimal or zero arch support. For this style of boot, placing a custom
shoe orthotic that is tailor made for your foot would make the flat shoe more comfortable.

If you have any questions about shoes or custom orthotics, feel free to schedule an appointment with a podiatrist.

By Dr. Joseph DiStefano
September 10, 2018
Category: foot surgery
Tags: Untagged

We live in a world of ever changing and improving technology. As soon as one piece of equipment is released, six months later an updated and improved version is released. The same is true in the world of medicine and surgery. Pharmaceutical companies are always inventing and improving medicines, and new digital and computer-based procedures for surgical correction are coming into favor by surgeons. 

The most recent development in surgical management is a minimally invasive approach to surgical procedures. Utilizing state-of-the-art instruments, doctors trained in this type of surgery are able to perform orthopedic corrective procedures without creating large incision sites. Less trauma to the surgical site not only offers a smaller scar with better aesthetic properties, but it allows for faster recovery and far less pain. 

The doctors and staff at our practice are ever vigilant in keeping up with the newest and most beneficial technologies to offer our patients. All of our doctors engage in continuing education and have been exhaustively training with the companies that offer the minimally invasive technique to be able to provide this service to our patients. 

I am very pleased to say that our patients that have undergone these procedures have been blown away with their results! At Advanced Podiatry, we pride ourselves in offering cutting-edge (no pun intended) technology to best serve our patients. Not every patient will be a candidate for this type of surgery, but please give us a call or come in for a consultation if you would like to know more.

By Dr. Alison Croughan
July 20, 2018
Category: Foot Care
Tags: shoes   Feet   Summer   sunburn   beach   sneakers  

With the most recent heat wave most of our patients are spending their free time at the beach barefoot (understandably) however this brings many new pedal complaints into our office.  Please use the following as a guide on how to protect your feet and toes from summer troubles.

1. SUNBURN - most people will think about putting sunscreen on their faces, arms and even legs; however the feet including top, bottom and in between the toes often gets forgotten.  This is important for not only when you are sunbathing at the beach (think laying with feet up) but also when you are sporting your flip flops and sitting at your child's lacrosse or baseball games.
 
2. Wearing shoe gear when walking on HOT SAND - a must - blisters and superficial burns are common.
 
3. Wearing water shoes in the ocean when you cannot see the bottom to protect your feet from SEA SHELLS and other sharp objects that could cause a cut or scrape potentially causing an infection.
 
4. Watch out for FOREIGN BODIES  along your local shore line or beach - although they may be cleaned daily - we often find pieces of wood or glass in people's feet after a weekend at the beach.
 
5. Wearing appropriate slip resistant shoe gear while boarding and exiting one's BOAT - wet feet on wet surfaces make sprains, strains and even fractures are an unfortunate possibility.
 
If you or a loved one find yourself in one of these predicaments please call our office today; we pride ourselves on same day appointments and always taking the best care of our patients.
By Dr. Joseph DiStefano
July 17, 2018
Category: Toes

Issues with the nails are some of the most common reasons for a trip to your friendly neighborhood podiatric specialist.  We see everything from nail blisters to bone spurs come walking (pun intended) through our doors.  Here is a quick cheat sheet of some of the signs and symptoms of the common ailments that we see.  All due respect to WebMD of course. 

Ingrown nails: We see these every day.  They can range from mild discomfort when you wear a certain pair of shoes, to a full-blown infected toe. Signs that something is wrong usually start very subtly; so coming in for an evaluation at the first sign of trouble is the surest way to prevent a more involved visit. Ingrown nails will often become chronic if they are not properly treated (aka pedicures), so the sooner you schedule, the sooner we can get you pain-free.

Fungus: Also something we see every day, many times throughout the day. Our feet live in our shoes. Days, weeks, months and even years (gross) of sweat collect on the insoles and serve as the perfect environment for fungus to grow: damp, dark and moist. With a proper diagnosis, we can offer cutting-edge treatments and kick that fungus to the curb! 

Pincer nails: These can occur for many reasons, but they always present in the office with the same complaints. The patient notices their nails have an extreme curve, which will cause pain and often infection on the sides where the nail meets the skin.

Onychodystrophy: This is the fancy doctor way of saying, “thickened nails.” Impressive, I know. Often, we will come across a nail that is misdiagnosed as having a variant of fungus or other pathology and doesn’t improve with treatment. Fear not loyal reader, we have many tricks up our sleeves to help your nails look as normal as possible.

Psoriasis: Often, one of the manifestations of autoimmune disease is seen in the peripheral tissues of the hands and feet.  Always be sure to tell your podiatrist everything about your medical history, no matter how small or insignificant it may seem. 

This is just a small taste of the most common things we treat on a daily basis. The take-home message is the same though. Come on in! 

And eat your heart out WebMD.

By Dr. Shabana Chowdhury, DPM, AACFAS
June 21, 2018
Category: Sports Injuries

With the World Cup in full effect, fans of soccer fans are more encouraged to not just watch the sport but also play. But before you run to the nearest sporting goods store be aware that not all shoes are made equally. Cleats can be worn while playing baseball, football, lacrosse, and soccer. However, each of these sports requires a different type of cleat that is designed for the game surface and the types of movement required of the players.

Cleats have metal projections on the soles to allow traction on the playing field to allow the athlete to perform. If they are fitted properly they provide excellent support and control. However, many athletes develop foot pain from cleats due to ill-fitting shoes. Always make sure you know the sizing of the sport specific shoe prior to purchasing. For example, soccer cleats are sized like regular shoes but may be narrower at the top of the shoe. Leather cleats will stretch more after wear so they should be snug when tried on initially. Do not purchase and attempt to wear cleats that feel too small or cramp any part of the foot.

As mentioned before, cleats allow for better grip to the ground, thus enhancing the athlete’s performance.  However, this increased traction also causes a higher chance of getting an ankle sprain. A sprain occurs when the soft tissue structures around the ankle are abnormally stretched.  Torn ligaments may also occur from pivoting or having a foot caught while trying to move in another direction quickly. Shoes without padding or cleats that don’t fit properly may also cause plantar fasciitis, which is inflammation on the bottom of the foot. Plantar fasciitis can cause arch pain and also a burning sensation in the heel. A podiatrist will be able to help decrease this pain with a low profile custom orthotic that can be worn inside of cleats. Tight cleats may also cause blisters on the back of heels due to rubbing on the skin.

So before you start playing, be sure to have your cleats broken in prior to wearing in a competitive environment. If you have any pre-existing foot and ankle conditions, speak to a podiatrist before wearing cleats.





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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
55-31 69th St.
Maspeth, NY 11378
(718) 639-0499

Great Neck, NY  Podiatrist
Advanced Podiatry
488 Great Neck Rd.
Great Neck, NY 11021
(516) 844-0039

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