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Posts for category: Foot Care

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
By Dr Arden Smith
September 08, 2020
Category: Foot Care
Toenail fungus is caused by a skin, hair, and nail loving fungus. 
 
Toenail fungus often forms after damage to the nail that causes the nail – skin junction, where the nail meets the skin of the toe, to be disrupted.
This can occur after a pedicure, because of ill fitting shoes, or after repetitive trauma from running, or hiking, that causes the nail to lift or get pressed on.
The fungus is attracted to the protein in the nailbed, and the toenail is a perfect breeding ground because it’s in a moist and warm environment – inside your shoes – most of the day. 
 
Toenail fungus can give nails an unattractive, deformed appearance. It can also spread to other nails, including fingernails. There is often also a cross infection between nails and skin. In the case of diabetics who suffer from diabetic sensory  neuropathy, a loss of sensation, or feeling, these thick fungal toenails can become a source of pressure ulceration and can lead to abscess formation and serious spreading bacterial infection.
 
Our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth utilize several protocols, including state of the art laser, to a eradicate this fungal infection.
 
Please call one of our Advanced Podiatry offices to consult with one of our expert podiatrists about eradicating this stubborn problem.
By Dr David Ehrlich
September 03, 2020
Category: Foot Care
Tags: Adult Flatfoot  

                        

One of the most common sources of foot and ankle pain is flat foot deformity. This often results from a failure of a tendon of the foot and ankle known as the posterior tibial tendon. The role of this tendon is to suspend the arch of the foot, and when this tendon becomes diseased or fails to perform its function, this results in a progressive flattening of the arch of the foot. This is why podiatrists often refer to adult flatfoot as posterior tibial tendon dysfunction. There are other contributing factors such as age, ligamentous laxity, genetics, and obesity. Patients will often experience a dull, aching pain in the arch of the foot at the end of the day or after sustained physical activity. If this issue is not addressed, it can progress and cause further flattening of the arch and increased pain. 

Luckily, there are multiple treatment options for this common condition. If it is detected early, immobilization with a walking boot can help take stress off of the tendon and allow it to heel. Non-steroidal anti-inflammatory drugs (NSAIDs) can help manage the pain and decrease the inflammation around the diseased tendon. One of the most effective forms of treatment are custom foot orthotics. These inserts which are specifically tailored to the patient’s foot help to elevate the arch of the foot and prevent it from collapsing. This takes stress off of the tendon and repositions the foot into its natural position. For more severe or progressed cases of flatfoot deformity that require more significant arch support, certain types of custom braces may be prescribed to provide additional support of the arch.

If an individual does not respond adequately to conservative treatment options then surgical management may be considered. The goal of flat foot surgery is to reconstruct the arch of the foot by repositioning the bones of the hindfoot into a higher arched position. The type of surgery that is performed is patient specific and the surgeon will take into consideration the patient’s degree of deformity and overall goals. 

If you or a loved one suffer from painful flat foot deformity, please do not hesitate to make an appointment at one of our offices. The doctors of Advanced Podiatry are skilled clinicians and surgeons with years of experience in managing flat foot deformity. 

                          
 
Living with diabetes increases the risk of developing a wide range of foot problems, often because of two complications of the disease: nerve damage and poor circulation. However, you can play a vital role in prevention. To avoid serious foot problems that could result in losing a toe, foot, or leg, follow these guidelines from Advanced Podiatry:
 
– Inspect feet daily. 
Diabetes may cause nerve damage, which takes away the feeling in your feet, so a twice daily visual inspection is important. Check for cuts, blisters, redness, swelling, or nail problems. Use a magnifying hand mirror to look at the bottom of your feet. Call one of our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, or Maspeth if you notice any issues.
 
– Bathe feet gently. 
Wash your feet daily with a soft washcloth, or a sponge using only lukewarm soapy water. Dry by blotting carefully.
 
-Moisturize. 
Use a moisturizer daily to keep dry skin from itching or cracking. But, don’t moisturize between the toes, that could encourage a fungal infection. Our Kamea and Foot Miracle products are wonderful for this.
 
-Regular maintenance and examination.
Regular maintenance treatments and periodic diabetic foot examinations by one of our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth will go along way in helping to prevent unwanted complications. 
 
As Benjamin Franklin said, "an ounce of prevention is better than a pound of cure".
By Dr Arden Smith
August 06, 2020
Category: Foot Care
                           
 
Overly moist feet can be frustrating and embarrassing, especially if they start to stink!
 
So, why must your feet sweat so much? Interestingly, our feet have more sweat glands per inch than anywhere else in our body and each foot contains a whopping 125,000 sweat glands!
 
Although cotton is one of the most common materials for socks, it’s actually one of the worst for keeping your feet dry because it doesn’t absorb moisture without becoming and staying soaked. While it might sound counter intuitive, wool socks are your best bet for cool and dry feet in the summertime, as wool wicks away moisture to prevent your feet from becoming soggy and wet. For sweat free feet, opt for socks made from merino wool, or synthetic blends.


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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

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Advanced Podiatry
2110 Northern Blvd.
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Manhasset, NY 11030
(516) 869-3300

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Huntington, NY 11743
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Maspeth, NY 11378
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875 Old Country Rd
Plainview, NY 11803
(516) 681-8866