By Dr. Joseph DiStefano
November 01, 2018
Category: foot surgery
Tags: foot surgery  

                             

To cut or not to cut, that is the question. Not that it was a question. Maybe it was rhetorical.

Unlike other parts of the body, the foot is subjected to stress well in excess of normal pressures from the loading weight of the patient. It is estimated that the additive force of gravity, the body habitus of the patient, the type of foot the patient has and the ground reactive forces all play a role in amplifying the pressure subjected to the structures of the foot. Don’t forget loyal reader, the bones of the foot are some of the smallest in the body, so it is no wonder that if a condition arises that further amplifies the force on the foot, a patient shows up looking for answers.

When a patient presents to the office for a consultation, the first thing we do is examine the foot when weightbearing and non-weightbearing. I mentioned above the type of foot the patient has helps determine the additional forces that the bones and supporting structures of the foot are subjected to, and this is where we start to gather information that helps determine where the problem came from.

Usually, conservative measures are all that are needed to help the issue calm down. When I say conservative measures, I am referring to all non-surgical treatment. These treatments can range from some simple rest and ice to cortisone injections and advanced therapies like extracorporeal shockwave therapy and physical therapy. A custom orthotic device is the best way we can support the foot and ankle. This is my favorite way to rehabilitate a patient.

We do everything that we can to keep patients out of the operating room, but the truth of the matter is that sometimes surgery is the only option. We always provide a detailed plan and counsel our patients on the etiology of the problem and all the ways it can be fixed including the downtime associated with each procedure and what the patient can expect during recovery. We are a team from the start to the finish, so we can tailor a plan that works best for your situation.

The best way to know is to come in so our friendly staff and extraordinarily good looking doctors can let you know your options. We look forward to seeing you!

By Dr. Evan Vieira
October 31, 2018
Category: Heel Pain
Tags: Heel   pain   Causes  

                                                  

Heel pain is one of the most common and debilitating conditions affecting Americans today.  Yes, it is that big of a problem. 

We are specifically referring to plantar fasciitis.  Why is plantar fasciitis such a problem?
 
When you are in pain, you are less likely to be active and exercise.  You are more likely to become depressed.  It can affect your work, personal life and general well being. 
 
We don't often think of a foot problem being so dramatic, but it is and it is quite common.  If you are suffering make an appointment to be evaluated, diagnosed and treated today!
 
There is help out there and at Advanced Podiatry we have the tools and expertise to provide you the most advanced state of the art care. 
By Dr. Aarti Kumar
October 31, 2018
Category: Ingrown Toenails
Tags: Foot Care   Ingrown Toenails  

                                 

Ingrown toenails occur when a toenail starts to grow into the surrounding skin and cause irritation which can lead to an infection. Usually, the great toenails are affected but the lesser digits can also become affected. Ingrown toenails can occur due to many reasons-tight and narrow shoe gear, pedicures/improper nail cutting techniques, foot deformities such as bunions, sports and trauma. Some of the common signs and symptoms of ingrown toenails are localized redness, swelling and drainage with pain around the area. 

An ingrown toenail should not be ignored as it can lead to a serious infection. Treatment options for ingrown toenails include warm water and Epsom salt soaks, topical/oral antibiotics and removal of the offending nail after local anesthesia. Some ways to prevent recurrent ingrown toenails are to wear wider shoe gear and trim nails straight across. If ingrown toenails become a chronic condition, a chemical agent can be used to prevent nail growth. If you think you have an ingrown toenail, don't wait too long to seek attention from a podiatrist! 

By Dr. Aarti Kumar
October 27, 2018
Category: Foot Care
                             
 
Whether feet are big or small, it is important to pay attention to them all. The pediatric population has a much higher pain threshold than
adults and they will often go a long time before complaining about any foot issues. Some of the most common pediatric foot and ankle problems to look out for are:
 
 Ingrown toenails
 
 Warts
 
 In-toe gait
 
 Flatfeet
 
 Heel pain/Sever’s disease
 
Ingrown toenails: Ingrown toenails can occur as a result of tight shoe gear, sports, inappropriate nail cutting techniques or trauma. The great toenails are usually the most common to become ingrown but the lesser toenails may also become affected. Some of the signs to look for are an incurvated nail with swelling and redness associated with pain. Treatment options depend on the severity of the ingrown toenail and infection but can vary from soaking the toe in warm water and Epsom salt, antibiotics and usually removing the offending nail from the skin after an injection with a local anesthetic. The anesthetic injection is the most painful part of the procedure so it is important to remain calm and supportive as a parent so that our little ones can undergo this procedure as pain free as possible.
 
Plantar warts: Plantar warts appear as painful calluses/pimples on the bottom of the foot. Plantar warts are caused by a virus that children
can pick up from being barefoot around swimming pools, gymnasiums and other public areas. Treatment usually consists of shaving down the thickened skin until bleeding is seen with application of topical agents such as salicylic acid and cantharidin. Oral medications such as zinc and cimetidine have also been used. Plantar warts are contagious so it is important to keep that in mind if anyone in the household is affected.
 
In-toe gait: In-toe gait can present in various ways such as inward facing feet, abnormal position of the knees and torsional twist of the
femur or lower leg bone. Parents and teachers will notice children falling or tripping while running or performing school activities. Parents should be cautious when they are told that their children “will grow out it” since this is not always the case when it comes to in-toe gait. Treatment consists of stretching tight muscles/ligaments and strengthening the lose ones and; most often, orthotics from preventing recurrence and control of the foot structure after the age of 3 years.
 
Flatfeet: Flatfeet in the pediatric population can present as an out-toe gait and decreased arch. Flatfeet can be attributed to genetics, ligamentous laxity and sometimes a fusion between two bones of the rear foot. Children with flatfoot will often complain of discomfort in the feet, knees, hips and back after activity. Stretching of the calf muscles is very beneficial in treating flat feet. The most common treatment option for this condition is the use of custom foot orthotics to support the arch and offload areas of pressure. Surgery can become a topic for discussion if stretching and orthotics do not help with control of the flat foot and the deformity is rigid.
 
Heel pain: Heel pain is very common in children who are active in sports. Males have a higher predilection for heel pain than females. When heel pain occurs in children, the term Sever’s disease or calcaneal apophysitis is used due to the fact that children still have
open growth plates. Immobilization with a CAM boot is the treatment of choice with heel pain along with placing heel lifts in shoes to offload
the Achilles tendon area during ambulation.
 
Our offices offer children foot care of all ages and we are leaders in Long Island.
By Dr. Evan Vieira
October 19, 2018
Category: Foot Care
Tags: Foot Care   callus  

                                     

A callus is dead, thickened skin that builds up on  the bottom of your feet. They can be yellowish-red in color and they don't feel like the rest of the skin on your soles.

Calluses can build up anywhere on your body wherever friction and excess pressure happen.

Having a bunion increases your chances of developing a callus because it may change your gait and put pressure on one part of your foot .

People who are with certain foot types, as will a rapid weight gain in a short period of time, as, for example, women who are pregnant or going through menopause can be more prone as well. 

Only let a Doctor remove calluses.  Salons and other sources can be dangerous and lead to infection.

Injectable fillers are a new way to reduce calluses on the ball of the foot, which you typically get because you don't have enough cushioning to support the weight being placed on this area.It also alleviates the burning sensation many of us get in that area that makes it hard to wear heels.





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

Maspeth, NY  Podiatrist
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55-31 69th St.
Maspeth, NY 11378
(718) 747-9250

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488 Great Neck Rd.
Great Neck, NY 11021
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Suite 100
Plainview, NY 11803
(516) 544-1722

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