(516) 869-3300 Manhasset
(631) 427-3678 Huntington
(718) 639-0499 Maspeth
(516) 681-8866 Plainview

Posts for: October, 2020

By Dr Aarti Kumar
October 22, 2020
Category: foot surgery
                              Soft Tissue Mass Excisions
Soft tissue masses of the feet and ankles are very common. Though most masses tend to be benign; some soft tissue masses of the foot and ankle can be malignant and need further work up. It is important and recommended to come in to the office for an evaluation if you feel any "lumps or bumps" on your feet. 
 
One of the most common soft tissue masses seen amongst patients are ganglion cysts which most likely develop from friction and pressure. These cysts can usually be aspirated or removed in the office without any large incisions and sent out to the lab for further analysis. Other times, excisional biopsies are necessary to evaluate and remove the soft tissue masses in totality in the operating room under sterile conditions.
 
Our offices are fully equipped with advanced imaging such as ultrasounds which our experienced foot and ankle physicians utilize to determine what the soft tissue mass is comprised of. Sometimes, an MRI may be ordered to evaluate the extent of the soft tissue mass and to see whether it is benign or malignant. 
 
If you feel any growth on your foot or ankle, do not hesitate to come into one of our offices and get evaluated. No mass is small enough to be ignored! 

                     Bunion Surgery

Bunion correction is one of the most common surgical consultations we see in our office. Surgical correction of a bunion deformity involves removing the bunion bump and re positioning the bones around the great toe with screws, wires, or plates so that the great toe can be re aligned into a straight position. Often these surgical consultations begin with the patient expressing concerns about the post-operative period. Unfortunately, there are many misconceptions about the recovery process after bunion surgery. Hopefully we can help to shed some light on some of these peri operative concerns…

Immobilization: The vast majority of patients will be able to bear weight on the corrected foot the same day without crutches! Patients will use a walking boot or stiff soled surgical shoe for the first several weeks and can expect to be back in sneakers around 6-8 weeks post operatively.

Scarring: It is true that any surgical incision will create some scarring of the skin. However, we appreciate that there is a cosmetic element to bunion surgery, and we are as minimalist as possible with our incisions. Additionally, we close our incisions meticulously with techniques employed by plastic surgeons. The end result is minimal scarring!

Swelling: Post-operative swelling, also called “edema”, can set in shortly after the surgery and persist for some time. Gravity may cause fluid to accumulate in the foot and exacerbate this post-operative swelling. It is critical to keep the operative foot elevated above the heart after the surgery to minimize swelling. Additionally, we provide our patients with an ice machine post operatively. This machine minimizes edema by both compressing and cooling the foot.

Metal Implants: Bunion surgery often involves use of pins or screws to fixate the bones in their corrected positions. These metallic implants rarely cause any symptoms post operatively. However, some patients do not like the idea of having a retained metal implant in their feet. For these individuals, we use specialized screws that are designed to be removed 2-3 months after the initial surgery. The end result is a surgically corrected bunion without any retained metal implants.

Post Operative Pain: As with any surgery, some post operative pain is to be expected after bunion surgery. Pain often occurs 2-3 days after the procedure as swelling sets in. Our patients experience very minimal pain that can be managed with most over the counter medications such as Tylenol or Advil. This is because of our smaller incisions, meticulous dissection, and reduction of post operative swelling by dispensing an ice machine to all of our surgical patients.

There is no one size fits all approach for bunion surgery. We take into account the severity of the bunion deformity as well as the patient’s overall goals before devising the appropriate surgical plan. Any surgery has inherent risks, but the doctors of Advanced Podiatry have worked hard to mitigate these potential issues to make the recovery process as smooth as possible for our patients.


By Dr Arden Smith
October 19, 2020
Category: Foot Care

                                 Freibergs Infraction

Freiberg’s disease, or avascular necrosis of the metatarsal head is a rare, painful bone disorder. It is most commonly seen in adolescence between 12 and 18 years of age.

There is no known cause of Freiberg’s in fraction, it is thought that trauma may initiate the problem.
 
There can be pain, swelling, redness, or warmth on the top of the foot. The diagnosis is confirmed by imaging studies and a complete examination.
 
Symptoms can last for a few days, or may persist for up to two years.
Freiberg’s infraction usually resolves within a year and the metatarsal head regains its size, density, and structure.
 
Our treatment at Advanced Podiatry of Manhasset, Huntington, Plainview and Maspeth is designed to reduce the pain; and this can be in the form of: custom foot orthotics, more supportive shoes, stiff soles, rocker soles,or boot mobilization if pain is severe. Steroid injections may help to relieve pain and reduce inflammation of the joint capsule.
 
If conservative therapy is unsuccessful, surgical correction by our expert podiatrists at Advanced Podiatry  would be indicated. Surgical options could range from simple debridement of the eroded cartilage, tip-up osteotomies to deflect the eroded cartilage, autogenous, or synthetic graft plugs to restore the surface of the cartilage, osteo-articular transfers commonly called OAT procedures; and in the most severe cases, joint implants.

By Dr Arden Smith
October 17, 2020
Category: Foot Care
Some people wake up and start thinking about what they are going to make for breakfast. For others, the question is, why do my feet hurt when I wake up?
 
The top reason for foot pain when you wake up is secondary to a condition known as plantar fasciitis.
This causes heel pain and or arch pain. Overuse injury, repetitive strain, or tension on the plantar fascia causes pain at its origin on the bottom of the heel bone. The reason why this happens in the morning is because the plantar fascia shortens overnight.
During sleep, or sitting for long periods of time, the fascia shortens which causes tightening, especially the first few steps. After walking for a bit, the pain usually improves because the fascia loosens.
 
Our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth recommend a Night Splint as a first line conservative treatment. This device helps to stretch the fascia while you are relaxing, or sleeping. You can order a Night Splint online, but your best bet is to make an appointment with one of our expert podiatrists at Advanced Podiatry to get one fitted correctly. Night Splints are generally covered by most health insurance plans if they are fitted and dispensed by a doctor.

By Dr Arden Smith
October 15, 2020
Category: Foot Care
Tags: Shin Splints  

One of the most common sports overuse injuries is shin splints, especially among beginner athletes and weekend athletes. 

The term shin splint is commonly used to describe pain in the lower leg. The most common sports associated with shin splints are those sports that require jumping, or those that have a change to a hard playing surface such as football, soccer, or aerobic dance. The condition however, can occur in any sport and is most commonly found in the unconditioned, or untrained athlete. 
 
One of the major problems causing this overuse injury is over- pronation of the foot. It is most commonly seen in people who have flat feet, or low arches. The stretching of the foot inward places increased pull on the muscles that run along the inner border of the ankle and under the arch. These muscles originate along the inner side of the leg.
 
Treatment of shin splints involves muscle strengthening of the shin muscles and changing the cause and effect of the over-pronation flattening of the foot on the leg. The standard of care for controlling and reducing the over-pronation of the foot is custom foot orthotics. Our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth evaluate and measure the foot using state of the art, computerized scans, in order to produce our custom foot orthotics as perfect as possible.



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Advanced Podiatry of Manhasset at the Americana

(631) 427-3678 Huntington NY
(516) 869-3300 Manhasset NY
(718) 639-0499 Maspeth NY
(516) 681-8866 Plainview NY

Manhasset, NY Office
Advanced Podiatry
2110 Northern Blvd.
Suite-208
Manhasset, NY 11030
(516) 869-3300

Huntington, NY Office
Advanced Podiatry
181 Main St.
Suite-207
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