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(631) 427-3678 Huntington
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(718) 639-0499 Maspeth
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Posts for: May, 2019

                                           

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.

By Dr Evan Vieira
May 20, 2019
Category: Foot Tips
Tags: PGA Tour  

                                   

The PGA tour is in town! The PGA Championship is being played at Bethpage’s beautiful black course.

The black is long and Full of steep hills and rough terrain.  On a recent visit there myself, I was shocked at how much of a beating my feet took walking the course. These simple tips can help keep you up and going.

Wear supportive comfortable shoes, ones you are familiar with and have walked distance in before.  Make sure to wear a thick cotton sock and consider bringing a change as the court can get wet.

Prior to starting, give your feet ankles and calves a good thorough stretch. And be sure to periodically stretch out in the course of the day.  Drink plenty of water, and avoid sugary drinks.

It’s a beautiful weekend for golf, enjoy the tournament and while you’re in town come to visit us at Advance Podiatry.


By Dr Arden Smith
May 17, 2019
Category: Heel Pain
Tags: Sever's Disease  
                                  
By Dr. Arden Smith, Fellow American College of Foot and Ankle Surgery, Fellow American College of Foot and Ankle Orthopedics and Medicine
 
One of the most common soccer injuries we, at Advanced Podiatry, have seen is the large number of young soccer players complaining of heel pain. This problem is often caused by a condition known as apophysitis of the calcaneus, or Severs Disease. This condition consists of an inflammation of the growth area of the heel bone which has not completely matured, or closed all together, and has developed in two parts. It is most commonly seen in boys and girls between the ages of 10 to 15. The pain is usually present in the back of the heel and is more pronounced in running and jumping sports.
 
The treatment consists of x-ray evaluation to make a proper diagnosis and to rule out any bone fractures. A custom orthotic insert is often needed to correct the biomechanical and balances which may be causing a jamming effect on the heel plate; additionally the elimination of any cleated shoes with less than four cleats in the heel area. Often a Tuli's Heel Cup is used to assist with shock absorption minimizing the direct trauma to the heel..  In summary, watch for any warning signals; when a child complains of heel pain, there is usually a need for examination.



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Please specify in the message section below which office you would like to be seen at. (Manhasset, Huntington, Plainview & Maspeth NY)

Advanced Podiatry of Manhasset at the Americana

(631) 427-3678 Huntington NY
(516) 869-3300 Manhasset NY
(516) 544-1731 Great Neck 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

Huntington, NY Office
Advanced Podiatry
181 Main St.
Suite-207
Huntington, NY 11743
(631) 427-3678

Maspeth, NY  Office
Advanced Podiatry
70-01 Grand Ave
Maspeth, NY 11378
(718) 639-0499

Great Neck, NY Office
Advanced Podiatry
488 Great Neck Rd.
Great Neck, NY 11021
516-544-1731
*Moved to Manhasset  

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

Rosyn, NY Office
1514 Old Northern Blvd
Rosln, NY 11576
516-484-1420
*Moved to Manhasset