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Posts for: November, 2015

By Advanced Podiatry
November 18, 2015
Category: Foot Care

Children's Foot Problems - Advanced Podiatry

Parents may often forget about their children’s foot health. Due to the flexibility and resilience of a child’s foot tissue, foot pain and related symptoms are not as common as they are for adults, except for the heel growth plate, as bones may grow faster than the underlying structure of muscle and tendon, causing tightness and tension in a child’s foot.

Children may experience growing pains such as Sever’s disease in their heel, or even a relatively rare deformity at birth known as clubfoot. Of course, other medical conditions can lead to various children foot deformities. Older children may also experience large amounts of sweat and odorous conditions while growing. Additionally, children may experience ingrown toenails, in which treatment would be a good option.

In-toe and out-toe walking are two other conditions that may begin at birth for a child. Feet either point inward or outward, increasing the chance of the child tripping. These two conditions are usually part of normal development, subsiding after age 2. Treatment is generally reserved for severe cases, such as if ankle direction is skewed inward or outward as the child grows up.

Another foot problem that children may be dealing with is flat foot, or when the arch of the foot has collapsed. Flat foot can cause aching and even inward rolling of the ankle. Children’s foot arch supports and supportive shoes are recommended for flat feet to ensure proper support for foot development and overall body weight as the child grows older.

Attention to footwear early on can help children minimize foot problem risks as they grow into adulthood, since poorly fitting shoes for children can cause a number of future foot problems.

Children may want to visit a podiatrist if pain or lumps on the legs or feet occur, tripping or falling occurs, skin or toenail problems arise, or if most shoes fit unevenly.

For more information on children's foot problems, please contact Advanced Podiatry in Manhasset, Huntington, Coram, Plainview, Mineola, Williston Park & Maspeth, NY today! Or, fill out our site's contact form to submit a request.

By Advanced Podiatry
November 18, 2015
Category: Foot Tips
Tags: Ankle sprains  

You love playing basketball; don't let an ankle injury take you out of the game. These four tips from your podiatrist at Advanced Podiatry of Huntington in Roslyn will help you prevent an ankle sprain so you can play your best all season long.

1. Wear Proper Footwear

The first and most important method of preventing an ankle sprain is simply to wear the proper footwear. Avoid wearing your worn-out old tennis shoes or shoes that are too tight or too loose, and never play in flip flops or sandals. Instead, invest in a quality pair of athletic shoes that offer great support and that fit just right.

2. Keep the Court Free of Obstacles

Next, make sure you keep all potential tripping hazards away from the court while you play. This includes items such as extra basketballs, jerseys, water bottles, keys and shoes. Watch where you are going, and be sure to look around you before you change directions suddenly. This will help you prevent collisions that would send you to a Roslyn podiatrist.

3. Do Strength Exercises

Basketball uses a lot of muscles, but it doesn't use all of them. Keep all of your muscles in shape by performing a variety of strength training exercises, particularly ankle strengthening exercises, during your work-out time. This will help ensure that the muscles in your foot and ankle are able to support you if you land on them wrong.

4. Wear an Ankle Brace

If, despite your routine workouts, your ankle still feels weak, you may want to consider taping your ankle or wearing an ankle brace. Ankle braces provide a little extra stability that can really come in useful during a game. A brace may slow you down, but that is much better than having to be taken out of the game altogether due to an injury.

If you're ready to make this basketball season your best one yet, you need to make sure your ankles are up for the challenge. Follow these four tips and follow up with your podiatrist at Advanced Podiatry of Huntington in Roslyn if you have any questions or concerns. We would be happy to hear from you.

By Dr. Evan A. Vieira, DPM, AACFAS
November 16, 2015
Category: Sports Injuries

By Dr. Evan A. Vieira, DPM, AACFAS

This past weekend we saw Peyton Manning break Brett Favre's career passing record against the Chiefs. The record-breaker came early in the game and became the only highlight worth noting.  Manning had one of the worst games of his career completing 5 of 20 passes for 35 yards and 4 interceptions.

Foot and ankle injuries amongst football players is a common occurrence and during post game interviews Manning reported that he had been suffering from plantar fasciitis for the past few weeks.  Plantar fasciitis is a common complaint of athletes of all ages including children and weekend warriors.

Manning has been undergoing treatment; however team physicians now believe a partial tear of his plantar fascia occurred during last week's game against the Colts. A plantar fascia tear can result after a fall from a height, car accident, quick pivot on a planted foot and in some cases spontaneously.  Physicians and patients alike should be suspicious of a tear should their plantar fascia or heel pain dramatically increase or change during treatment.  Diagnosis can be confirmed with an MRI and treatment includes immobilization, ice, physical therapy and even injections.  In his post game press conference, Peyton indicated that after treatment he felt well enough to start, but the pain worsened throughout the game.


There is no time frame for his return at this point, however, Manning's situation is complicated by the fact that he plays a high-intensity, high-impact sport for a living.  Only time will tell, but my prediction is Manning will not be ready for his next start.

Julian Edelman, a Patriot's receiver also suffered a foot injury during yesterday's game. He has what is known as a Jones Fracture.  This is a fracture of the base of the 5th metatarsal, and usually in cases of high-performance athletes requires immediate surgical intervention.  Edelman will have surgery today.  This usually consists of the placement of a stabilizing screw across the fracture site followed by 6 weeks in an immobilization boot. 


Earlier this season Dez Bryant of the Dallas Cowboys underwent the same procedure for the same type of injury and was out for 6 weeks.  This is hopeful for Edelman as well.


Injuries can occur at any time and do not always reflect conditioning, shoe gear and playing conditions as evidenced by the high number of professionals sidelined each weekend.  If you are in pain or think you may have injured yourself, don't wait! Get to a foot and ankle specialist and seek treatment as soon as possible.  Nobody should have to be sidelined in their own lives and suffer from foot pain.


By Advanced Podiatry
November 11, 2015
Category: Diabetes


Dr. Alison D. Croughan, DPM

Got SugarChances are you or someone you know is Diabetic; one in three North Americans is Diabetic.  November is National Diabetes Month and in our practice we have been discussing our “Got Sugar” campaign all month long.  What exactly does “Got Sugar” mean? Most of our patients, including the newly diagnosed Diabetics present to our office talking about sugar problems.  The old age saying “too much of anything is not a good thing” fits this situation perfectly.  We all need sugar in our lives; not speaking in terms of flavor, but function.  Blood sugar equates to blood glucose which helps fuel our bodies and the function of our organs, body regulation and natural processes.  

Your blood sugar is regulated by insulin which is a hormone (produced in the pancreas) in our bodies that helps break down the sugar, carbohydrates, fruits, and vegetables that we eat.  Diabetes is a disease where the body either does not have enough insulin or is not using it properly.  What does blood sugar have to do with your feet….everything.

Sugar DiabetesToo much glucose in your body directly affects your eyes, kidneys, stomach, skin, immune function, bladder, blood vessels and nerves.   Thickened, painful, dry skin, numbness, tingling, burning, weakness, and cramping are symptoms that usually walk into our office as complications of blood sugar that is not controlled properly.  What should your numbers be?  A fasting blood glucose level taken after not eating for at least eight hours should be between 95-115mg/dl.  If your blood glucose level is measured after eating your numbers should be less than 200mg/dl.  If your bloodwork is performed and there is a suspicion that you may be Diabetic than a Hemoglobin A1c will be ordered by your medical doctor.  The Hemoglobin A1c measures your blood glucose over a three month period and gives us the best idea of how your body is regulating its levels.  The goal here is less than 6%.  

Diabetes Awareness

If you are one of the many today (young or old) that is diagnosed it is not the end of the world.  It is where the conversation begins.  Diabetes can be controlled with nutrition, exercise and sometimes medications.  Awareness is the best type of medicine and in this specific case, prevention is the best defense.  

Insurance companies allow preventative care for Diabetic patients (whether Type 1 or 2) and this includes an evaluation of your circulation, sensation, and muscle strength.  A Diabetic Foot evaluation in your Podiatrist’s chair also will include the treatment of painful nails, callouses, corns and in some cases wounds.  Over sixty percent of Diabetics will suffer from nerve damage due to increased blood glucose called Diabetic Peripheral Neuropathy.  Most Diabetics are hospitalized due to this type of nerve damage which can result in wounds and amputations of digits or limbs.

What To Do If You are Diagnosed with Diabetes

1.  See your Primary Care Physician regularly. And follow their advice. They will get you started on the appropriate regimen after running a few tests.

2.  See your Podiatrist as soon as possible and then on a regular basis. If you don’t have one, get one. If you don’t know how to find one, call us, we may know one. We’re like fast food places; you can’t turn around and not run into one.

Why would you need to see a Podiatrist? We keep you moving, literally. No one knows feet better than us. No one. We check everything; your circulation, your nails, skin, foot structure, sensations with various instruments, your gait. We treat any and everything of the feet including corns, callouses, heel spurs, foreign bodies, hammertoes, joint problems, fungal nails, flat feet,  

3.  Exercise (after approval by your MD). Walking is the best way to begin. Inside or outside, it doesn’t matter. Do not make excuses not to go because of the weather or not liking the treadmill or you’re not a ‘gym’ person. Just Do it.

A number of the gyms in the area are also not expensive. And if you think they are, just think of what your monthly bill is at the pharmacy. Some insurances will offer a break on your premiums if you join a gym. And vice versa.

4.  Diet. No, I don’t mean go on one, I mean change it. Eat better. You already know what to and what not to eat. No one has to tell you. If you truly do not know, ask someone in the medical field to direct you to a Nutritionist or a Diabetes Educator. We are all here to help you live a better life from sun up to sundown, every day.

It is also important to note that Medicare has a Diabetic Shoe Program which provides a Diabetic patient with a pair of shoes once a year if they meet the qualifications of the program.  These shoes are a bit wider and deeper than those found on the shelf in your local department stores and come with inserts specifically made for Diabetics that mold to your feet to provide cushioning and support where you specifically need it.  If you yourself are Diabetic or know someone who is and do not see a Podiatrist on a regular basis please contact our office.  Each year the statistics increase in regards to obesity and Diabetes and it is our goal to work with our patients to change these numbers and not let sugar slow them down.

By Advanced Podiatry
November 10, 2015
Category: Sports Injuries

Ankle Sprains: When You Least Expect Them

Dr. Alison D. Croughan, DPM
After Ankle SprainCoaches spend hours reviewing game tapes, organizing warm up drills and conditioning their players; however, no matter how prepared an athlete or team may be, similar to the pros, not all sports injuries can be prevented. Some injuries are the result of poor shoe gear, game conditions, uneven playing fields, some are just accidents and some many be due to poor biomechanics or structure of the foot/lower leg. One of the most common athletic injuries in my opinion is an ankle sprain/strains. 
Ankle Sprain X-Ray 1
Ankle sprains occur when the foot strikes the ground at an uneven angle, is kicked or stepped on by another player or the result of a fall from loss of balance.
Being an athlete myself I am no stranger to training, practicing and injury. Playing basketball and volleyball for many years I dubbed myself the "Queen of Ankle Sprains."
Ankle Sprain X-Ray 2
Last winter I was at the gym working out with a small group of other "former athletes." At the conclusion of each session a challenge would be proposed involving weight lifting, core conditioning, running and obstacles.  One of the trainers suggested we video tape the competition to post on social media. I offered to "run and grab my phone" and those were the famous last words uttered before I slipped on the wet staircase and rolled my left ankle. 
Lauren Bailey DPT
I immediately knew I had done damage. Within the hour my ankle was twice the size of the opposite limb, bruised and I could not bear weight. 
I went to our Huntington office location where I would be seeing patients and added myself to Dr. Vieira's patient schedule.. After an X-ray was ordered and a thorough evaluation was performed I was placed in a cam walker (removable cast boot), an ice/compression machine was ordered and I was instructed to take anti-inflammatories and to modify my activity level - i.e. REST.
Ankle Sprain
After about three weeks in a cam walker I was then prescribed physical therapy. I sought out the care and expertise of Professional Physical Therapy in Roslyn and began an at home regimen to increase strength, decrease swelling and improve upon the fatigue that often results from immobilization. 
My patients thoroughly enjoyed our matching cam walkers and soon I was able to relate to their discomfort and frustration. I often tell my patients that we are all human (even though sometimes we forget), accidents and injuries do happen and we all must work together to achieve optimal health. Six weeks after my injury I was back to working out on a regular basis in an ASO lace up ankle brace pain free.
Ankle Sprain Brace Advanced Podiatry HuntingtonAt Advanced Podiatry state of the art patient care is of our utmost importance.  We offer same day, early morning and evening appointments and do our best to get our patients back on their feet as quickly as possible. Ankle sprains can occur on the playing field, at the gym, walking out to your car or even down a flight of stairs.  If you or a loved one suffers an ankle sprain do not waste time and seek immediate, specialized care in one of our office locations.
Please see here for more information on Professional Physical Therapy: http://www.professionalpt.com

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Advanced Podiatry of Manhasset at the Americana

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Advanced Podiatry
2110 Northern Blvd.
Manhasset, NY 11030

(516) 869-3300

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Huntington, NY 11743

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Coram, NY 11727

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Woodbury, NY 11797

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Mineola, NY 11501

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70-01 Grand Ave
Maspeth, NY 11378

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479 Willis Ave,
Williston Park, NY 11596

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