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Posts for category: Foot Injury

By Dr Evan Vieira
September 22, 2020
Category: Foot Injury

This weekend we saw a lot of significant injuries in the NFL.  One of the main factors that experts are attributing this too is the choice of shoe gear in relation to the playing surfaces.  

Saquan Barkley, Nick Bosa and Jimmy Garoppolo all went down with what appear to be significant injuries.  These type things can often be avoided by pairing the right athletic shoe to the appropriate surface and activity.  
As sports come back, and you and your children begin to take the field again please be aware of what you put on your feet.  Consider a visit to one of our state of the art offices for an evaluation.  We offer a full range of biomechanical evaluation services, on site x-rays and gait analysis.  We are happy to check your cleats as well and make sure you are in the right shoe gear.  Often times, we recommend a custom orthotic to add support and stabilzation as well. Our experienced team can evaluate and treat you the same day.  Hope to see you soon! 
The Team at Advanced Podiatry 
By Dr Arden Smith
September 17, 2020
Category: Foot Injury
Tags: Knee   Hip   and Back Problems  

You have probably read plenty of studies on the importance of sitting correctly. However, we don’t hear nearly as much about the importance of walking correctly, even though the consequences of walking abnormalities are just as serious. Rheumatologists, Physiatrists, Orthopedists, Neurologists and Podiatrists all agree that poor gait can lead to back pain. 

These problems can become chronic if not addressed. Foot dysfunction may be the etiology, or a contributing factor, in many pathological and painful conditions, including those affecting the back, hips, and knees, as well as other joints, bones, and muscles. As a result of these postural changes, there is subsequent redistribution of ground reactive forces and the forces are altered and redirected via the compensations and the repetitive movements involved in gait.
Custom Foot Orthotics, very often can reduce these compensations and adjust for the postural changes that cause pain. At Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth we use state of the art computerized scans to produce the Custom Foot Orthotic that will be the most beneficial to adjust for these postural changes.
If you suffer from knee hip or back problems caused by foot dysfunction and would like to be evaluated for Custom Foot Orthotics please call any of our Advanced Podiatry offices to be evaluated by one of our expert podiatrists.
By Dr David Cheskis
September 03, 2020
Category: Foot Injury
Tags: Toe Fractures  

These injuries are some of the most commonly diagnosed lower extremity fractures. Most commonly they are caused by crush injuries, such as dropping a heavy item on top of the toe. Another common method of injury is excessive axial load, an example is stubbing toe on a piece of furniture. Hyperextension and stress fractures of toes are uncommon.

If the fractures are open, meaning there is an overlying cut or scrape, they require immediate management to minimize the risk of infection. These do occur quite commonly and a timely evaluation can make all the difference.

For closed fractures, ones with no break in the skin, they may often be subtle with minimal bruising initially. X rays are effective for quick diagnosis, our staff can perform several radiographic views in the office to evaluate the presence of a fracture and whether it is in a good position. Fractures sometimes may cause a dislocation of the toe, which can put pressure on adjacent arteries and compromise the blood flow to the digit. In these instances, a small injection may be required to numb the toe and allow our doctors to manipulate the fracture into a better position.

In the case of a stable, nondisplaced toe fracture, treatment may simply be buddy taping the fractured digit to a neighboring toe and dispensing a rigid-sole shoefor ambulation to limit joint movement.

Toe fractures usually take 4-6 weeks to heal but this time frame may increase if you have underlying comorbidities or if the fracture is in several pieces. Rarely, surgery may be required to anatomically align the toe and stabilize the fracture with either pins or screws.

If there is a possibility you may have a toe fracture, our recommendation is to come and see one of our doctors as soon as possible for a definitive diagnosis and treatment plan to get your injury healed as fast as possible!

By Dr Arden Smith
September 25, 2019
Category: Foot Injury
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 Sever's disease. This condition consists of an inflammation of the growth area of the heel bone which has not completely matured, or closed together, and has developed into 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 bony fractures. A custom orthotic insert is often needed to correct the biomechanical imbalances which may be causing a jamming affect on the heel plate; additionally, the elimination of any cleated shoes with less than four cleats in the heel area.
In summary, watch for any warning signals; when a child complains of heel pain, there is usually a need for examination and the expert podiatrists of Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth are here for you..
By Dr. Joseph R. DiStefano
April 28, 2018
Category: Foot Injury
Tags: cleats   spikes   players and sneakers  

The winter is finally over (mostly…although I may have just jinxed us. Apologies loyal readers). Spring sports are in full swing (no pun intended baseball players) and unfortunately, with them come many preventable injuries. The most common that we see are tendonitis, growth plate conditions, and bursitis. The occasional bumps and bruises will generally heal quickly, but lingering problems that won’t get better or become worse can sideline a player or end their season.

 When I evaluate a patient in the office, the first questions I ask are what type of activities are they participating in, what terrain are they playing on, and what shoe gear is required. Usually a combination of these three allows me to properly diagnose the cause of the foot and ankle pain. In my experience, the majority of cleats, spikes and sneakers worn are unsupportive and ill suited to properly handle the high demands of the athlete using them. The best way to support the lower extremities is with a custom orthotic device that is worn in the shoes. With a custom device, the foot and ankle are realigned into the most appropriate anatomical position and will allow an athlete to perform to their highest capability. The sooner we can get you casted and fitted, the sooner you will be out there pounding the pavement, hitting home runs and aces and scoring goals!

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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

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

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

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