Posts for category: Foot Care

By Dr Arden Smith
July 06, 2019
Category: Foot Care
Tags: Summer Feet  
Arden Smith DPM, Fellow American college of Foot and Ankle Surgeons, Fellow American College of Foot and Ankle Orthopedics and Medicine
 
 
Cut Down on Blisters
New sandals often come at a steep price of painful blisters. The sores form from the chafing that happens when the shoe rubs up against the skin until it balloons out and fills with fluid to cushion and protect the deeper layers of skin underneath. The first step Is to buy shoes that are comfortable when you buy them and don’t need to be broken in. Look for soft fabrics or leathers and then take them for a test drive at home for an hour or so before you wear them outside to make sure that they stay pain-free. You can also try lining any painful spots with moleskin to prevent the friction that ultimately causes blisters.
But sometimes even seemingly comfortable shoes can cause problems. If you end up in pain clean the blister with the regular hand soap and try to leave it intact. If the pain is unbearable call our office to have one of our doctors puncture and aspirate the blister and drain the fluid out leaving the skin intact then apply some antibiotic ointment then cover with a Band-Aid until it is healed.
 
Prevent and Treat Dry, Cracked Heels
Wearing open back shoes, sandals or flip flops can spread the fat pad of the heel, causing the skin to crack. If you have any deep cracks where you can see dried blood, treat the heel with an antibiotic ointment and cover with a Band-Aid and follow up with one of our expert podiatrists at Advanced Podiatry. If you just have run-of-the-mill dry summer heels apply a moisturizer every day and run a pumice stone over them once or twice a week in the shower.
Dry cracked heels can also be a sign of a fungus, psoriasis, thyroid issues and diabetes. If you are concerned give our office a call and visit one of our expert podiatrists.
 
Rethink your flip-flops
Flip-flop season is a very busy season for our office-especially toward the end of the summer when everyone has been walking around in these terrible shoes.
Over wearing this summertime staple can cause stress fractures, heel pain, and tendinitis, and can exacerbate hammertoes. These are not shoes that you should be wearing from eight in the morning to eight at night-that’s not really what the shoes are made for.
Not all flip-flops are created equal-look for a pair with a thicker soul with arch support and the more straps the better, as they can reduce stress placed on the toes to grip the flip-flop so that it doesn’t fly off your foot. Reserve the ultrathin ones for the locker room or pool.
 
Proceed Barefoot With Caution
Walking barefoot might be one of the great joys of summer, but it can also put you at an increased risk of contracting wart viruses, athletes foot fungus, or bacteria which can cause a skin infection. All of these tend to thrive in a warm, moist environment, like a public pool. Going shoeless also raises the risk of picking up foreign bodies like stepping on glass or splinters. Even walking around barefoot at home can be problematic as you have no support on your feet.
 
Ease Sweaty Feet
For some people, high temperatures means sweaty feet, and all that moisture can increase the risk of picking up an infection. It’s best to wear socks that wick excessive moisture away, and change out of damp socks and sweaty sneakers as soon as possible.
One natural remedy is soaking your feet in cool black tea for 20 were 30 minutes. The tannins in the tea can decrease sweat production.
 
Get a Safe Pedicure
For many, polished toenails are a summertime staple-but some serious health risks might be lurking in the pedicure chair. Everything from the tools to that relaxing whirlpool soak can transmit nail fungus, wart viruses, and sometimes serious bacterial infections.
To stay safe, consider bringing your own tool set. Try to schedule your appointment in the beginning of the day when the technicians are less tired and the environment and equipment is a bit cleaner. Don’t shave or wax your legs for at least 24 hours before your appointment-hair removal can cause microscopic cuts increasing susceptibility to infection.
 
Watch Out For Germs
One study from the university of Miami found that a single pair flip-flops can harbor a whopping 18,000 bacteria, including the dangerous superbug Staphylococcus Aureus.
Walking the streets in open shoes can mean kicking up all sorts of debris including human vomit, feces, bird droppings and a whole host of other unappetizing things. Then when you take your shoes off and touch say your face, it becomes a repository for everything you brought in from the outside.
A few simple precautions can keep you safe-removing your shoes before entering the house and and washing your hands thoroughly-between 20 30 seconds-after you remove your shoes.
 
Feet Need Sunscreen Too

Don’t forget to put sunscreen on your feet. The same sun induced skin cancers that are common on other sun exposed areas on our bodies can also present on our feet.

Sandals Around the Pool

Last but not least we cannot forget about how hot the concrete or stone around the pool can get on a hot, sunny, summer day. These hot surfaces may lead to serious burns on unshod feet especially, but not limited to diabetics with neuropathy or peripheral vascular disease, people who are immunosuppressed, and people with impaired circulation.
By Dr Arden Smith
June 08, 2019
Category: Foot Care
Tags: Corns  
                            
If your feet or toes endure excess pressure and friction, you may develop what is known as a corn. It is typically a small and hardened area of skin that will often cause discomfort and pain while wearing shoes. General causes for this condition to occur may originate from wearing shoes that are too small, or from walking for extended periods of time. Once the corns are treated, there may be several ways to prevent this uncomfortable condition from occurring again. These may include wearing shoes and socks that fit properly, using protective pads and by periodically having the corn palliatively debrided by a podiatrist. Research has shown that our feet may become larger as the aging process occurs, and it's important to regularly measure our feet, which can aid in determining the correct shoe size. If you have corns and your daily activities are affected, please schedule a consultation with one of our expert podiatrists at Advanced Podiatry for treatment options that are right for you.
 
 
Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin over a bony prominence. Corns press into the deeper layers of the skin and are usually round in shape.
 
Ways to Prevent Corns
There are many ways to get rid of painful corns such as:
  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support
Treating Corns
Although most corns slowly disappear when the friction or pressure stops, this isn't always the case. Minor corrective surgical options are available to eliminate painful and stubborn corns that are effecting your lifestyle. Consult with one of our expert podiatrists to determine the best treatment option for your case of corns.

 

                                           

Extracorporeal pulse activation technology (EPAT) also known as shockwave therapy is used to treat many chronic inflammatory conditions. EPAT uses noninvasive high energy waves to cause acute inflammation thereby increasing blood circulation and enhancing metabolic processes when chronic inflammation is present to stimulate healing. 

Plantar fasciitis is one of the most common pathologies podiatrists evaluate and treat. Podiatrists will try several different ways of treating plantar fasciitis whether it be conservative or surgical measures. At Advanced Podiatry, we offer EPAT for plantar fasciitis that has been unresponsive to oral anti-inflammatories, injections, stretching and custom orthotics. For patients who are not considering surgical intervention, EPAT is a great way to try a conservative yet effective and FDA approved method to control heel pain that has been adamant to treatment. Typically about 3 to 5 treatments are required. EPAT is delivered via ultrasound and typically feels like "snapping rubber bands" which eventually dull down due to repetitive motion. It is important to note that EPAT is not indicated if you are taking antiinflammatories or if you have a pacemaker. Some bruising and pain is normal after EPAT as the body is taking some time to heal. 

If you suffer from chronic heel pain, call and schedule an appointment with one of our podiatrists today! No one should have to live with heel pain because there are plenty of several options available.
 
 
 
 
By Dr Arden Smith
May 27, 2019
Category: Foot Care
Tags: Good Running Shoe  
                            Basics of a Good Running Shoe
 
By Dr. Arden Smith-Fellow American College of Foot and Ankle Surgery, Fellow American College of Foot and Ankle Orthopedics and Medicine
 
Whether you rarely jog, run a couple of days each week, or regularly race competitively on pavement or trails, a key to enjoying-and enduring-the sport is establishing and maintaining foot health practices, which include periodic shoe fitting and proper selection.
 
There are a few important things to look for when selecting a good pair of supportive running shoes. They include:
 
-When you bend a running shoe from front to back, it should only bend at the ball of the foot.
-The midfoot and hindfoot should be firm.
-Heel counters on the back of running shoes should also be firm to prevent ankles from rolling in or out. -Twisting running shoes with your hands should not allow for a lot of bending.
-You do not want very flexible Since this tends to put grader stress on the feet.
 
The expert doctors at Advanced Podiatry are always happy to check your running shoes for you.
By Dr Arden Smith
May 23, 2019
Category: Foot Care
                         fish-pedicure
By Dr. Arden Smith-Fellow American College of Foot and Ankle Surgery, Fellow American College of Foot and Ankle Orthopedics and Medicine
 
You've heard about salon pedicure fish soaks where the swimmers supposedly eat away dead skin from your soles. The truth is they carry skin cells from client to client. Just say no! Ovoid pedicure soaks if you have any foot/leg cuts, or sores and after a lower leg wax, or shave, which can create small undetectable nicks in the skin that create a portal of entry for bacteria. It's important since there is a rise in Staph infections called MRSA, [Methicillin Resistant Staphylococcus Aureus] that are hard to treat and resistant to many antibiotics. While tubs should always be drained, cleaned, swabbed with disinfectant, and wiped between each customer, sometimes you can't tell. Salons that use disposable plastic footbath liners add a layer of reassurance. Anyone with compromised circulation, or nerve sensation to the feet should always skip the soak and cuticle part of a pedicure and just get a polish change.
 
If you have any question regarding the possibility of a foot infection, the expert doctors of Advanced Podiatry are always there for you.


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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