Posts for category: Foot Care

By Dr Arden Smith
November 23, 2021
Category: Foot Care
The skin is thickest on the bottom of your feet to help minimize shock. But, over time, the stress and friction imposed on your feet from every day mileage can cause them to become parched, cracked, and in some cases even bleed.
In terms of exfoliation, our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Maspeth, Plainview, and Coram recommend foot creams made with hydroxy acids like glycolic or salicylic acid - which help dissolve connections between dead cells on the surface of the hard skin, so they can be more easily shed. 
Our expert podiatrists at Advanced Podiatry also recommend that urea is a great ingredient to look for, as it both exfoliates and hydrates all in one. 
Our Kamea products, Kamea 20 and Kamea G, that are available in all of our offices are great products for exfoliation of the hard skin on the bottom of feet.
By Dr Arden Smith
November 23, 2021
Category: Foot Care
According to our expert podiatrists at Advanced Podiatry, a textured soul is important for traction, especially during inclement weather. It’s also really important to look at the stitching to make sure it’s tight if you’re looking for a waterproof boot. If you are specifically looking for ankle boots choosing a pair with walls that sit slightly above the ankle height for additional stability is recommended.
When searching for a proper winter boot, we recommend keeping two general guidelines in mind. First, make sure that you cannot bend the soul itself in half. The toe box can have some flexibility, but you should not be able to fold a shoe in a sandwich like manner. Second, make sure the back of the heel is firm, not too soft, or squishy, so there’s adequate support. 
All these things will prevent slipping and falling. 
By Dr Arden Smith
November 21, 2021
Category: Foot Care
Tags: Pre-Diabetes  
Pre-Diabetes is a serious condition in which blood glucose levels are elevated above normal but not yet to the level of diabetes. One in three Americans have prediabetes, and of those, 80% don’t know it. Testing is critical to determine your risk of pre-diabetes.
Lessening carbs and sugars in your diet will help lower your A1C. Try giving up just one thing and replacing it with a healthy habit, such as trading out soda for water instead. Even losing 10 to 15 pounds will significantly lower your risk of diabetes. In addition, increase how active you are with mild forms of exercise such as walking or swimming. If you find something you enjoy, you’ll be more likely to stick with it. 
Good luck!
By Dr Tyler Miranda
November 16, 2021
Category: Foot Care
Tags: Fall Risk  
Fall. A beautiful season. A potentially ugly verb. When it comes to the lovely colors of autumn we can appreciate a gift from mother nature. The natural force of gravity however can be problematic for ill equipped or neglected feet. People of all ages can be at risk for falls for a variety of reasons.
Children with congenital abnormalities in their walking pattern can be prone to tripping. The pigeon-toe or in-toe gait can be an underlying cause of this instability and for kids of certain ages it can be corrected painlessly with a pair of custom molded orthotics that fit into their shoes. 
Teens and younger adults are also at risk of twisting their ankles and falling. Ankle instability is a pathology that we see fairly frequently as the source of our more active patients losing balance. This can be mitigated with corrective orthotics, bracing, physical therapy, and surgical reconstruction of the ligament, As people become more involved in sports and the rigor of their activities increases there needs to be careful attention paid to foot type, support, shoe gear.
Older adults are at the greatest risk of fall. A loss of balance can be devastating to an older individual's long term health. After a full evaluation and analysis of gait we counsel patients on proper assistive devices and ensure the shoes and insoles being used are appropriate. While we focus on the feet and a stable foundation we will also discuss lifestyle factors that can decrease fall risk. Management plans that we employ to decrease the risk of a fall include appropriate referrals to physical therapy and neurology, imaging of the foot and ankle, proper shoes, custom orthotics, and custom bracing.
If you or a loved one has had difficulty with walking please come in for an evaluation so that you can gain a better understanding of the underlying cause and we can put a plan together to increase stability. Stay well.
By Dr David Cheskis
November 09, 2021
Category: Foot Care

The EPAT Machine (Extracorporeal Pulse Activation Technology) also better known as Shockwavetreatment,  is one of the most advanced and effective  non-invasive therapies approved for the FDA. There are many useful applications of EPAT, for the foot & ankle it ithas been particularly useful for the diagnosis of plantar fasciitis and Achilles tendonitis. It can also be used in other cases of tendonitis, bursitis and Morton’s Neuroma.

Yes it is an out-of-pocket expense due to no reimbursement for this technology by insurances but most people are willing to pay for an effective and noninvasive option. If it is effective, patients  arepotentially avoiding a surgical procedure that may not be necessary if EPAT therapy works for them. With the current climate of health insurance, most patients have very high deductibles and therefore they often essentially become non-insured patients. In addition, many patients who suffer from chronic pain will pay for great cutting-edge care.

In addition, this technology is safe with virtually no side effects. Many people wish to avoid cortisone injections as there is risk involved for injury with these injections, especially in cases of Achilles tendonitis where steroid injections are usually contraindicated due to risk of tendon rupture.

“My experience is that when you explain the time commitment of multiple PT visits and multiple follow-up office visits, plus the expense in terms of PT, office visits and prescription co-pays, cost of night splints or pneumatic boots, pain of a cortisone injection, loss of mobility related to a pneumatic boot, not to mention potential deductibles, as compared to the cost of 3, 4, 5 or even 6 EPAT treatments, most people see the value” says Dr. Norm Wortzmon

My recommendation, therefore, is consider this effective noninvasive option in cases of poorly responding Achilles tendonitis and plantar fasciitis pain. Treatments are spaced one week apart and within 3-4 treatments you may find you are virtually pain free!

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Advanced Podiatry of Manhasset at the Americana

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

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

Coram, NY Office
Advanced Podiatry
100 Middle Country Rd.
Coram, NY 11727
(631) 696-9636

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

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