Posts for tag: Feet

By Dr. Alison Croughan
July 20, 2018
Category: Foot Care
Tags: shoes   Feet   Summer   sunburn   beach   sneakers  

With the most recent heat wave most of our patients are spending their free time at the beach barefoot (understandably) however this brings many new pedal complaints into our office.  Please use the following as a guide on how to protect your feet and toes from summer troubles.

1. SUNBURN - most people will think about putting sunscreen on their faces, arms and even legs; however the feet including top, bottom and in between the toes often gets forgotten.  This is important for not only when you are sunbathing at the beach (think laying with feet up) but also when you are sporting your flip flops and sitting at your child's lacrosse or baseball games.
 
2. Wearing shoe gear when walking on HOT SAND - a must - blisters and superficial burns are common.
 
3. Wearing water shoes in the ocean when you cannot see the bottom to protect your feet from SEA SHELLS and other sharp objects that could cause a cut or scrape potentially causing an infection.
 
4. Watch out for FOREIGN BODIES  along your local shore line or beach - although they may be cleaned daily - we often find pieces of wood or glass in people's feet after a weekend at the beach.
 
5. Wearing appropriate slip resistant shoe gear while boarding and exiting one's BOAT - wet feet on wet surfaces make sprains, strains and even fractures are an unfortunate possibility.
 
If you or a loved one find yourself in one of these predicaments please call our office today; we pride ourselves on same day appointments and always taking the best care of our patients.
By Dr. Quynh P. Lee
October 13, 2017
Category: Foot Care
Tags: shoes   foot   Feet   shoe   socks  

How many times have you purchased a pair of shoes only to find that they do not fit right, are giving you blisters or calluses, and causing you pain? Don’t worry you are not the only one out there! To help with these common issues, follow these tips for a better fitting shoe.     

                                               

                                                                                           

  • If the shoe fits, wear it! Make sure that both the width (the sides of your feet should touch the width of your shoes but NOT push against them) AND the length of the shoe fits. If you are unsure about your shoe size, don’t be afraid to ask for your feet to be measured. Too big of a size can cause your foot to slide around which can lead to blistering, calluses, and even toenail trauma!   
  • Check the size of your shoes. Manufacturer sizing may vary so don’t just assume you are the same size across the board. A half size or size up may drastically affect the fit of the shoe. In addition, shop in the afternoon for shoes! Everyone’s feet swell as the day progresses; the shoe you bought in the morning may be too tight at the end of the day! 
  • If you wear an orthotic, bring them with you to the store! Always try on shoes WITH your custom orthotic. If you do not have a custom orthotic, read our blog and see what a custom orthotic can do for you! Do not just assume every orthotic is created equal.
  • Get a shoe that is made for the activity you want them for. There are shoes especially designed for specific sports, for example: running, basketball, tennis, golf, and soccer just to name a few! Each shoe is designed with specific and different properties for that activity or sport. 
  • Always wear socks with shoes! Wear the socks that you would normally wear with the shoe. If the sock is too thin (i.e a dress sock), don’t wear it when trying on a sneaker. This may affect the fit of the shoe.

If you have foot pain that is not alleviated with change in shoe gear or if you would like us to evaluate your feet- call us and make an appointment today! We offer same day appointments and look forward to meeting you! 

 

 

By Dr. Pedram A. Hendizadeh
April 28, 2017
Category: Foot Tips
Tags: foot   Feet   Injections   Neuroma  
      
 
Sclerotherapy Injections for Morton's Neuroma:  The latest treatment with a high success rate
    
When it comes to the health of our feet, women are much more vulnerable to ailments than men. One such problem that targets women more than men is Morton's Neuroma (perineural fibroma), which is 10 times more likely to affect woman than men.  This painful condition is caused by an enlarged nerve, usually one that runs between the metatarsal heads of the ball of the foot.  Morton's neuroma involves a thickening of the tissue around one of the nerves leading to your toes. It is sometimes referred to as an inter-metatarsal neuroma because of its location, which is usually at the ball of the foot between the third and fourth toes. Problems often develop in this area because of two nerves that intersect and become inflamed.   These nerves are typically larger in diameter than those going to the other toes, causing the nerve to become enlarged.  The thickening, or enlargement, of the nerve that defines a neuroma is the result of compression and irritation of the nerve. This compression creates swelling which eventually leads to a radiating, burning or a shooting type of pain.
Who is at Risk?

There are many factors that contribute to Morton's neuroma, though the condition can arise spontaneously for reasons yet unknown. Flat feet can cause the nerve to be pulled towards the middle of the foot, which can cause irritation and enlargement of the nerve. However, the primary reason  women are more often affected by this condition than men, is the same reason for a host of other foot problems that occur mostly in women – poorly fitted shoes. Statistics show that this condition most often afflicts women in their 30s and 40s. Sorry ladies, but wearing the latest 5-inch heels from Jimmy Choo will contribute greatly to this condition. High-heeled shoes cause weight to be transferred towards the front of the foot, increasing pressure on the ball of the foot. Narrow, pointy, and tight-toe boxes create lateral compression, which squeezes bones, ligaments, muscles, and nerves in the forefoot, causing pain and swelling. 
 
Morton's neuroma can also result from physical activity that over-pronates the foot. Running, racket sports, and certain dances such as ballet, often cause trauma to the foot. This trauma can lead to a build-up of pressure on the ball of the foot. Additionally, an injury or structural defect of the foot can also cause Morton's neuroma. 

Signs and Symptoms: 
 
The pain caused by Morton's neuroma typically develops as an ache in the ball of the foot and progresses to a burning pain. This pain is often described as an intense feeling of pins and needles and a feeling like a pebble stuck inside the ball of the foot. The burning sensation leads to numbness in the second, third and fourth toes. These symptoms begin gradually, with the discomfort occurring when walking, but easing when resting or upon removal of shoes. Some symptoms that indicate Morton's neuroma include: radiating pain from the ball of the foot to the toes, intensifying pain during activity and when wearing shoes, and occasional numbness, discomfort, and tingling. These symptoms may be relieved temporarily by simply massaging the foot or by avoiding extravagant shoes or activities. However, if these instigators are not avoided, symptoms  can become progressively worse and may persist for several days to several weeks. 
 
Morton's neuroma is usually diagnosed by podiatrists.  They perform an exam called Mulder's Sign, where the foot is first squeezed from the sides while pressing down on the ball of your foot, mostly between the third and fourth metatarsal bones. If this squeezing results in extensive pain, as well as a clicking sound, the results are considered positive for Morton's neuroma. Sometimes further testing is needed, such as Diagnostic Ultrasound or MRI Studies.
 
Treatment:

The podiatrist will devise a treatment plan based on the severity and duration of the symptoms. Treatment approaches vary depending on the severity of the problem. Usually, conservative measures are suggested before considering surgery. Some of these treatments include padding, icing, orthotic devices, activity modifications, changes in shoe styles, oral anti-inflammatory medications, and injection therapy. 

Better footwear is probably the first and most important step you can take to alleviate this condition. Wearing a shoe with a wide-toe box and a low heel can reduce pain tremendously. Your doctor may also recommend some sort of padding to provide support to the metatarsal arch, thereby reducing the pressure on the nerve when walking. Custom orthotic devices provide the support needed to reduce pressure and compression on the nerve. 

Modifying physical activities will also go a long way in reducing the severity of Morton's neuroma. Activities that put repetitive pressure on the neuroma should be avoided until the condition improves. In the meantime, to ease the pain, application of an icepack to the affected area can help reduce swelling. Alternatively, non-steroidal anti-inflammatory drugs, such as ibuprofen, can also help alleviate pain and swelling. 
 
If after the initial treatment no significant improvement is seen, sclerosing injection therapy is now the treatment of choice with a 94% success rate. In the past, the treatment plan would have been steroid injections followed by surgical excision of the neuroma.  Sclerosing injections were developed several years ago to help alleviate the pain of neuromas.  This conservative treatment option has significantly decreased the need for surgical excision.  The treatment is performed in an office setting. Sclerosing injections consist of a cocktail of 0.5% Marcaine and 4% dehydrated alcohol.   Studies have shown that this small concentration of alcohol can shrink the neuroma and, with the use of ultrasound guidance, sclerosing injections have had an excellent success rate. The majority of patients require a series of five to seven small injections given over the course of three months.  Most patients begin to see improvement after the third or fourth injection.   This novel treatment is effective and is covered by most insurance companies.
By Dr. Evan A. Vieira
December 15, 2016
Category: Foot Care
Tags: Foot Care   Feet   care   winter  

We have enjoyed a mild winter so far, but the cold is coming, and soon!  Keeping your feet warm and comfortable is super important.  Always wear a wide accommodative snow boot, especially if shoveling.  Avoid tapered toe boxes and heels as icy sidewalks can be a hazard.  

Patients always ask about socks.  We tend to recommend something with a wool and nylon blend for warmth and comfort.  If your feet are sweaty, there are many treatments to help with this, no need to suffer.  
 
Make sure your orthotics are tuned up and ready for a long winter. We are always happy to take a quick look and if you need new ones holiday time is a great time to treat yourself.  We can customize devices for your ski boots, ice skates or whatever you need.  
 
Happy holidays! Stay warm, and don't neglect your feet!
By Dr. Pedram A. Hendizadeh
May 24, 2016
Category: Diabetes
Tags: podiatrist   Foot Care   Feet   Lifoot  

Do you have problems with your feet such as bunions, heel pain, swelling, ingrown toenails, fallen arches or other issues? Are you sick and tired of these problems and know you need to do something about it? Or do you simply need a checkup to make sure your feet are okay?

Are you thinking of going to a podiatrist but you simply don’t know who to choose? Many people simply don’t know what to look for.

Caring for your feet is important because, although you may take your feet for granted, you rely on them everyday to get done what you need to get done and to go where you need to go.

Here are 9 important tips to pick the podiatrist that is right for you.

  1. Schedule an initial consultation with the podiatrist  you are considering to learn more about the practice and make sure you are comfortable with who you will be dealing with.
  2. Make sure the podiatrist presents a variety of options to you in addressing your problem and that he explains the advantages and disadvantage of each. Some podiatrist don’t present all the options because they have not been trained in all the treatment approaches available. Some other unscrupulous podiatrists are only focused on how much money they will make from certain procedures as opposed to recommending the best option.
  3. Make sure the podiatrist is fully certified by the American Podiatric Medical Association Board of Podiatry.  The APMA is an organization of leading podiatrists committed to the highest level of education and continual advancement in the practice of podiatry. This association is comprised of a select group of those practicing podiatry worldwide. Avoid any podiatrist who isn’t a member of this association because this is an indicator that they are not serious about their practice and always interested in staying current on the latest developments in their field.
  4. Do your research. For example search for online reviews by past patients to see what they say about the podiatrist and his practice. Make sure the podiatrist’s overall review ratings are primarily 5 star. Ask for patient testimonials. Those are usually available during your office visit. If you can’t see positive testimonials beware because this is one indicator that the  podiatrist you are considering is someone you don’t want to deal with.
  5. Observe the office when you are there. Is it neat and organized? Is the equipment well maintained and does it look modern and up to date. How is the staff? Are they friendly, helpful and look like they truly care about your well being?
  6. Will the podiatrist approach your first meeting as a consultant who will spend adequate time with you listening to your symptoms as he asks questions? Will he spend adequate time with you to some up with the best solution instead of being in a rush to see the next patient?
  7. What kind of equipment does the podiatrist use? Does the podiatrist have the latest leading edge technology to address your needs in the most effective way? For example here at Advanced Podiatry we are only one of 3 podiatrist in New York state that utilize (equipment name).
  8. Don’t look for the cheapest podiatrist you can find. Getting your feet cared for properly is a small investment considering how important your feet are for living a healthy productive life without ongoing problems.
  9. Are same day appointments available if you have a serious issue? Is there a long wait time when you arrive at his office? Your time is valuable and should be respected and accommodated.

A family-friendly podiatry practice will be able to help everyone in your family, from the tiniest little toes to the diabetic foot and everything in between. Does your podiatrist run a family-friendly practice?

For the past twenty years here at Advanced Podiatry we’ve helped thousands of patients take care of their feet. To get the help you need for your feet pick up the phone and call one of our two convenient offices:

Huntington, NY    (631) 400-3085

Manhasset, NY    (516) 869-3300



Contact Us

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

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) 544-1722 - 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
55-31 69th St.
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) 544-1722

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