(516) 869-3300 Manhasset
(631) 427-3678 Huntington
(718) 639-0499 Maspeth
(516) 681-8866 Plainview
By Dr Aarti Kumar
September 23, 2020
Category: Heel Pain
Tags: Heal your Heels  
                                  
 
Dry skin around the heels may seem like a common and minor problem until it goes unaddressed. Dry heels can often lead to thickened calluses which can be painful while walking or even when in shoes. These calluses often develop from wearing open back shoes, sandals or walking barefoot in the summer. Living in dry climates can also lead to dry heels as moisture is not retained in the skin as well as it should be. Some medical conditions such as poor circulation, cancer, thyroid disorders and diabetes can also lead to dry, cracked heels. 
 
Extremely dry heels can lead to deep cracks in the skin which are referred to as "fissures". Any opening or breach in the skin serves as a portal for bacterial infections and the feet are no different. Once bacteria enter the heel fissures, skin infection or cellulitis can occur around the foot or ankle region. This becomes a grave concern in diabetic and other immunocompromised patients who cannot fight off minor infections unlike otherwise healthy individuals. 
 
So what should you do if you notice dry, cracked heels? The first step is always to moisturize your skin. Patients are usually instructed to moisturize the heels after a shower as your skin is most supple. Instead of using a lotion, use a cream or a petroleum jelly to have a more protective barrier. Lotions have a higher concentration of water than creams and do not retain moisture as well. Exfoliation is always a good idea if the calluses are just starting to develop and not bleeding.
 
 The key is to start treating dry skin early and not letting it become severe enough to developing into fissures or deep cracks. Podiatrists can shave or debride the thickened skin to get rid of all the dead skin and then recommend proper emollients or moisturizers to avoid such problems in the future. Sometimes we will recommend proper shoe gear or orthotics to prevent friction in addition to shaving the skin which will help future recurrences. If you think you have dry heels, do not hesitate to come in! The podiatrists here at Advanced Podiatry will help you get back on your toes-or heels!
By Dr Evan Vieira
September 22, 2020
Category: Foot Injury

This weekend we saw a lot of significant injuries in the NFL.  One of the main factors that experts are attributing this too is the choice of shoe gear in relation to the playing surfaces.  

Saquan Barkley, Nick Bosa and Jimmy Garoppolo all went down with what appear to be significant injuries.  These type things can often be avoided by pairing the right athletic shoe to the appropriate surface and activity.  
 
As sports come back, and you and your children begin to take the field again please be aware of what you put on your feet.  Consider a visit to one of our state of the art offices for an evaluation.  We offer a full range of biomechanical evaluation services, on site x-rays and gait analysis.  We are happy to check your cleats as well and make sure you are in the right shoe gear.  Often times, we recommend a custom orthotic to add support and stabilzation as well. Our experienced team can evaluate and treat you the same day.  Hope to see you soon! 
 
The Team at Advanced Podiatry 
By Dr Arden Smith
September 17, 2020
Category: Foot Injury
Tags: Knee   Hip   and Back Problems  

You have probably read plenty of studies on the importance of sitting correctly. However, we don’t hear nearly as much about the importance of walking correctly, even though the consequences of walking abnormalities are just as serious. Rheumatologists, Physiatrists, Orthopedists, Neurologists and Podiatrists all agree that poor gait can lead to back pain. 

These problems can become chronic if not addressed. Foot dysfunction may be the etiology, or a contributing factor, in many pathological and painful conditions, including those affecting the back, hips, and knees, as well as other joints, bones, and muscles. As a result of these postural changes, there is subsequent redistribution of ground reactive forces and the forces are altered and redirected via the compensations and the repetitive movements involved in gait.
 
Custom Foot Orthotics, very often can reduce these compensations and adjust for the postural changes that cause pain. At Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth we use state of the art computerized scans to produce the Custom Foot Orthotic that will be the most beneficial to adjust for these postural changes.
 
If you suffer from knee hip or back problems caused by foot dysfunction and would like to be evaluated for Custom Foot Orthotics please call any of our Advanced Podiatry offices to be evaluated by one of our expert podiatrists.
By Dr David Ehrlich
September 15, 2020
Category: Ingrown Toenails

                       

Ingrown toe nails are a common foot condition that affectadults and children alike. As a nail grows out, it may become curved and latch onto the skin, causing significant pain. We call these nails “incurvated” and the condition of the nail becoming ingrown we refer to as “onychocryptosis”.

Signs and symptoms of an ingrown toe nail include redness around the nail, pain, clear or yellow drainage around the nail, and a curved appearance to the edge of the nail. This condition most commonly affects the great toe nail, but any toe can be involved. If left untreated, an ingrown toe nail can lead to a localized skin infection with to potential to spread to the surrounding areas of the foot.

Luckily, there are a several ways to manage this painful condition. If the nail is only partially ingrown, then the tip of the nail may be clipped to relieve symptoms and prevent infection. In these milder cases, it is also important to soak the involved foot in warm water with Epsom salts which act as an astringent to soothe the skin and decrease swelling. If the entire border of the nail is ingrown with signs of infection, it may be necessary to remove the entire border of the nail. This relieves the pain and also allows the area to drain any fluid or pus and thus prevent infection.

Once an individual has an ingrown nail, they may be predisposed to having subsequent ingrown nails. If this disease process recurs multiple times, one may consider nail cauterization. In this procedure, a special chemical is applied around the root of the nail to prevent that segment of the nail from regrowing.

No one should have to suffer any pain from an ingrown nail. Please do not hesitate to schedule an appointment and have the experts at Advanced Podiatry evaluate and manage any of your nail conditions! 

 

By Dr Alison Croughan
September 09, 2020
Category: Foot Care
Tags: Back to School  
                          
 
Dear Parents,
 
As a local mom and podiatrist my inbox has recently become filled with "Back to School" sales, styles and steals.  What really is the best option for our childrens' needs? What option not only fits their foot but is trendy? What size should my child be wearing?  What is the most cost effective option for cleats and other sport specific shoe gear?
 
These questions are not always easy to answer.
 
The high price tag does not always equate to value or support.
 
Never assume that you know your child's shoe size or that all shoe sizes are created equal.  Ask a sales associate to measure in the store. Also have your child stand while wearing the shoe and look at where their big toe is in relation to the front of the shoe - think thumb nail length from the tip.
 
Check with your child's school about any specific requirements - unfortunately sometimes a "maryjane" is all you have to work with.
 
If a shoe style offers "antimicrobial lining" take it - will help fight fungus and bacterial.  I also recommend weekly treatment with a shoe spray like Clean Sweep to help fight the funk and odor.
 
A hyperflexible shoe - one that folds like an accordion - is not offering your child any support - may be ok for limited periods of time but I don't recommend for a full school day, gym or sport.
 
Running sneakers are lightweight, flexible and geared toward running look for a cross trainer as an "everyday school sneaker."
 
A sneaker alone may not offer your child the support they need during their activities as well as growing - sometimes a prefabricated or custom orthotic (insert for your shoe) will make any shoe the best for your child.
 
If you have any questions or concerns about your child's arch height, tripping, pain while running, or tiredness in their legs after a school day do not hesitate to come in for an evaluation in one of our office locations.  We will happily care for your family's feet and answer any shoe gear questions you or your children may have.
 
Stay Cool! Wear Sunscreen (even on your feet!) And enjoy the rest of your Summer!
 
Looking forward to seeing you soon,
 
Dr. Alison Croughan




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Advanced Podiatry of Manhasset at the Americana

(631) 427-3678 Huntington NY
(516) 869-3300 Manhasset 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

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Advanced Podiatry
181 Main St.
Suite-207
Huntington, NY 11743
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70-01 Grand Ave
Maspeth, NY 11378
(718) 639-0499

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