Posts for: August, 2019

By Dr Tyler Miranda
August 14, 2019
Category: Foot Care
Tags: NFL   Fall Sports  

                        

As the summer winds down and fall sports step to the forefront many people are getting excited for football season. Those closely following the NFL may have noticed a curious story that has been circulating in the news involving a prominent player sustaining a rather bizarre injury to his feet. Oakland Raiders wide receiver Antonio Brown suffered a frostbite injury to the bottom of his feet after undergoing a treatment know as cryotherapy. Whole body cryotherapy is a treatment meant to aid in recovery and healing. It involves exposing an individual to cold air for a period of 2-4 minutes either in an enclosed room or a chamber. The cold temperature is achieved with the use of liquid nitrogen or refrigerated coiled air. While it is used by many professional athletes and celebrities the jury is still out in terms of it being supported by scientific research. It is extremely important for those undergoing the treatment to be aware of the necessary precautions prior to undergoing the treatment. Proper shoes, gloves, and sometimes face masks are needed to mitigate risks of injury to the cold and the fumes produced. The treatment should always be done under the supervision of a medical professional.

Now while the average person may not be heading to a cryotherapy chamber on a regular basis there is a take home point here for all of our patients. That point is that even though your exercise, treatment, or training regimens have benefits for your overall health, ensure that you know your risks and prepare yourself before hand. Stretching before and after a work outs, warming up, staying hydrated, wearing the proper shoes and attire for the activity, and using proper form when stretching and exercising are all ways to ensure that you stay injury free as you exercise. So whether you are gearing up for a leisurely hike to enjoy the colors of fall or preparing for another grueling season as an elite professional football player make sure to prepare yourself appropriately for your activities. Enjoy the rest of the summer and take great care of yourself!


By Dr. Shabana Chowdhury
August 14, 2019
Category: Foot Care
Tags: Freiberg  

                                                   

Freiberg disease is an osteochondrosis of the metatarsal heads. It most commonly affects the 2nd metatarsal head, although the other metatarsal such as the 3rd and  4th may also be affected. This condition mainly affects females between the ages of 10-18 years with a male to female ratio of 1:3.

Clinically these patients present with pain on weight-bearing with swelling and tenderness.

The cause of Freiberg infraction is controversial and is probably due to several factors. 

The two most popular theories re from trauma and vascular compromise. Trauma can be associated with either acute injury or something that is repetitive in nature, such as dance. Vascular compromise can be due to an elongated 2nd metatarsal. Since this is mainly seen in women, particularly during adolescence, high-heeled shoes have been theorized as a possible causative factor.


By Dr Alison Croughan
August 02, 2019
Category: Foot Care

                                     

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 bacteria.  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

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Manhasset, NY Podiatrist
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