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
By Dr Aarti Kumar
July 30, 2019
Category: Foot Care
Tags: athlete's foot  

                                       

Increased temperature and humidity attract many people to local pools and beaches to beat the heat! Another thing it may attract is tinea pedis-more commonly known as athlete’s foot. Athlete’s foot is a condition in which fungus inhabits the feet. It is caused by the same type of fungus that causes ringwork and jock itch. This organism thrives in moist socks and shoes along with dark, warm/humid conditions. 

Symptoms of athlete’s foot include an itchy or burning type of rash usually on the soles of feet. This rash is usually ring like peeling often referred to as annular scaling in podiatric terminology. At times, small itchy blisters may also develop. It is important to note that this infection can spread to other parts of the body such as hands, toenails and your groin. In the office, we commonly see toenail fungus in addition to athlete’s foot as it cross contaminates rather quickly. 

Some ways to avoid athlete’s foot include- keeping your feet dry after showering and throughout the day, alternating shoe gear every day to allow drying of shoes between use, using flip flops in public places like pools and locker rooms and changing your socks once-twice a day . Do not forget about the spaces between your toes since that it is a common place for fungus to hang out! It is important to moisturize your feet but always avoid the interspaces as creams/lotions between the toes create a home for fungus. 

Do not let the summer heat cause stress to your feet! If you have any dryness, itching or rash to your feet make an appointment to come see one of our specialists today. Summer should be an enjoyable few months-not an itchy one! 

 
By Dr Arden Smith
July 22, 2019
Category: Foot Tips
Tags: Gout and Weather  

               
 

Do you get a gout flare when the weather changes?
 

The climate plays a big role for us gout sufferers especially when it’s hot and humid which can lead to dehydration and triggering a gout attack. When your body is depleted of fluids through perspiration, you can suffer recurrent gout attacks so it is imperative that you drink a lot of water when the humidity index is high. There are also many gout sufferers who have reported that they get gout attacks in the fall and when seasons change. After an extended period of time where the temperature is stable at a certain range of degrees, our bodies then become accustomed to this consistency. Then if the temperature drops dramatically overnight, bringing about unusually cold mornings as in the fall season, it is very reasonable to believe that your excess uric acid will crystallize in the joints triggering a gout attack.
Remember that gout is a form of arthritis and that people who suffer from arthritis are also sensitive to weather changes. As your body adapts to the new season and new range of temperatures, your uric acid levels also adjust accordingly until the next change in weather or season. To avoid a gout attack it is important to maintain a regular temperature in your body despite the changes of temperature and pressure of the environment.
 

So what is a gout sufferer to do?
 

Maintaining a regular temperature in your body although the weather is changing drastically is the key to avoiding a gout attack. It is important when the weather changes towards heat and humidity to keep hydrated since you lose more water when it’s hot, drink frequently because water will help your body maintain a constant temperature. Try and have air conditioning in your house and car if possible, this will help you a lot.
 
When the weather changes to cold you definitely need to warm yourself up, if it’s possible for you to move to a warm area in the wintertime, then good for you. If not make sure to bundle up when going out, so wear an extra layer of socks to keep your feet warm and dress in layers. Drinking warm beverages like coffee or your favorite tea will warm up your body and raise your body temperature. Try and keep moving in cold weather, this will produce body heat and since you are more active this will improve your blood circulation. At home make sure to have heating or at least electronic blankets to keep your body warm at night when it’s coldest.
Regardless of hot or cold weather, take the necessary precautions and avoid that painful gout attack.
By Dr Arden Smith
July 22, 2019
Category: Foot Tips
Tags: Barbie Feet  
 
                            
“Barbie feet”, which models, celebrities, and fashion girls have taken an obsessive liking to is the current trend to pose up on your toes to elongate your legs and flex your muscles a little bit. It appears as though you are wearing high heels sans the shoes. This positioning of the leg is nearly identical to the propped up feet of Barbie.
 
Typically, this pose is accompanied by a swimsuit or summer wear since those are the occasions where no shoes are usually worn. From a podiatrist’s point of view, "Barbie feet" are obviously better than wearing high heels because the position of the foot is temporary. Posing with “Barbie feet” can make you look taller and can possibly make your calves look more muscular, but this pose is not recommended for long periods of time because you can get calf shortening and pain and inflammation along the ball of the foot.
 
The doctors at Advanced Podiatry are trained in aesthetic treatments of the foot and minimally invasive surgical techniques.




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Advanced Podiatry of Manhasset at the Americana

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Manhasset, NY Podiatrist
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Manhasset, NY 11030
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Great Neck, NY 11021
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Plainview, NY 11803
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