(516) 869-3300  -Manhasset
(631) 427-3678  -Huntington
(516) 681-8866  -Woodbury
(718) 639-0499  -Maspeth
(516) 741-3338  -Williston Park
(516) 741-3338  -Mineola

Posts for: December, 2020

By Dr David Cheskis
December 29, 2020
Category: Foot Care
Tags: frostbite  

We are in the heart of winter and have now had our first snowstorm in NY. Although most people know to dress warm, we have to remind our patients that prolonged exposure in the cold can have some detrimental effects!

With prolonged exposure to cold weather, your feet are often the first part of the body to feel the uncomfortable effects. In an effort to keep our core body temperature stable, blood vessels within our arms and legs will narrow, which is why they're the first parts of our bodies to get cold when temperatures drop.

Frostbite damages body tissues in much the same way that burns do. In fact, frostbite injuries and burn injuries can look very similar. Early frostbite can be nearly indistinguishable from a burn. The damage to skin causes almost identical swelling and blisters at first.

You can't properly treat frostbite unless you recognize it. It's important to both recognize the symptoms of frostbite and know what to do if you experience symptoms.

Mild exposure to cold typically produces pain and irritation of the skin. Greater exposure may produce burning and numbness as well as blistering and reversible damage to the outer skin layers. Eventually, there will be complete loss of sensation and permanent damage to all layers of the skin, arteries, muscles and tendons. Gangrene can ensue and various amputations may be required due to the irreversible damage to the tissues.

If you suffer from peripheral neuropathy and have poor sensation to your feet, be extra careful as you may not identify the early symptoms.

If you’ve had prolonged exposure in the cold do not hesitate to present to the doctor quickly so we can identify the problem and begin treating you! Stay safe everyone.

By Dr Tyler Miranda
December 29, 2020
Category: Toes
Tags: pinky toe  
While looking down at their feet many people will wonder: What's going on with my little toes? They might look like they are curled in, bent, red, or swollen. They may be painful or have skin lesions like corns and calluses. An abnormal or unsightly nail is frequently noticed as well. Upon further inspection one may notice a skin irritation or rash between the 4th and 5th toes.
Why are they like this?
A slight curvature of the 5th toe is very common and comes from a combination of genetic and environmental factors. As slight imbalance of the soft tissues can cause imperfect alignment of the bones. Tight or pointy shoes and high heels can also encourage the bend in the toe to increase. 
If the nail is unsightly or abnormal it may be a sign that that nail is sustaining repetitive friction, rubbing, small trauma. These can all be the result of the toe bending as well as tight shoes. 
If the nails sustains damage, cracking, lifting it can allow for moisture, debris and fungus to invade, causing a long term problem needing medication.
The skin in between the 4th and 5th toes is at increased risk when the toes are curled. The toe position will trap moisture and encourage the proliferation of fungus, causing an athletes foot.
Do I need to address this issue?
If the toe is symptomatic if needs to be addressed. If the area is painful, itching, red, or irritated it should be evaluated. A present infection needs prompt attention to prevent spread to other areas of the feet and other individuals in the household.
If the deformity of the toe looks to be progressing or getting worse it should be addressed before it becomes severe.
If the toe abnormality also comes with a larger foot deformity a thorough evaluation of the entire foot and it mechanics should be performed
What can be done to fix it?
There are many options for proper management of these issues depending on the diagnosis and severity
Wider shoes, alternative styles of shoes, padding can help.
Specific types of pads and splints can help
Paring or shaving of painful calluses
Medication for skin rash between the toes along with proper foot hygiene
Addressing the abnormal nail: biopsy of the nail to confirm fungus, topical or oral medication, pinpoint Laser to eliminate the infection
Custom foot orthotics to slow or eliminate the progression of the deformity by supporting the bony and soft tissue structures in the feet
Surgical correction of the toe to realign the joints 
If you have an issue with your 5th toe we at Advanced Podiatry would be happy help you get it resolved.

By Dr Arden Smith
December 27, 2020
Category: Foot Care
Tags: Mortons Neuroma  
Have you ever noticed a burning, or tingling sensation between your toes; and in the ball of your foot? Ever feel like you’ve been walking around with a pebble in your shoe? It could be the sign of a neuroma in the foot and this painful condition is most common for women.
neuroma is a painful condition in the ball of the foot in which one, or more of the nerves is getting pinched, or irritated. Some of the more common symptoms are: numbness and tingling, often a stabbing shooting pain, or a dull and aching pain.
A majority of patients will benefit from changing shoes to a wider, lower heeled, and more supportive shoe; and avoiding walking barefoot. Very often custom foot orthotics can help by redistributing pressure. Sometimes, an injection, or a series of injections is necessary.
If you are experiencing any of these symptoms, please call to make an appointment with one of our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, or Maspeth. One of our expert podiatrists will examine you and discuss what can be done to treat your problem before it gets worse.

By Dr Arden Smith
December 19, 2020
Category: Foot Care
Charcot Foot, a severe diabetic complication, is a sudden softening of the foot’s bones caused by neuropathy. It can trigger an avalanche of problems, including joint loss, fractures, collapse of the arch, massive deformity, ulcers, amputation, and even death.
Charcot foot cannot be reversed, but its destructive effects can be stopped; and in some instances the foot can be reconstructed. Symptoms appear suddenly and can include warm and red skin, swelling, and pain.
If you are a diabetic with or without known neuropathy and notice any of these symptoms, please call one of our Advanced Podiatry offices immediately and see one of our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, or Maspeth. The earlier Diabetic Charcot Foot is diagnosed and treated, the greater the potential for a successful outcome.

By Dr David Ehrlich
December 19, 2020
Category: Foot Care

Ganglion cysts are the most common soft tissue masses of the foot and ankle. Although they are benign, they can cause significant pain and disability. They form when the fluid which surrounds tendons and joints leaks out and creates a fluid-filled mass. They may be associated with trauma, overuse, or sometimes just bad luck! Patients may notice that the cyst changes in size, especially with physical activity.

In the 19th and early 20th centuries, treatment involved trying to flatten the cyst by hitting it with a large textbook or bible. Suffice it to say, treatment of ganglion cyst has evolved! First line management involves imaging the mass by obtaining x-rays, ultrasound, or possibly an MRI. If the mass is large enough it may be aspirated in the office. This involves using a needle to remove the fluid from the mass. Alternatively, the area can be anesthetized, a small incision can be made, and the fluid can be evacuated in the office. Patients who have larger, reoccurring cysts may need surgical consultation so that the cyst be removed in its entirety in the operating room.

Below is an example of a large ganglion cyst. The patient presented to our office with a large mass around the tendons of her foot. In fact, the mass was so large that the patient was experiencing numbness in her toes because the mass was compressing the nerves of her foot. A physical exam and in-office ultrasound of the area were consistent with ganglion cyst. After the foot was anesthetized, a small incision was made and the mass was drained. One day following the procedure the patient was pain free and the numbness in her toes completely subsided.

Ganglion Cysts

Ganglion Cysts

Although they are benign, ganglion cysts can cause a myriad of symptoms and should be evaluated by one of the doctors of our practice as soon as possible.

Contact Us

Please specify in the message section below which office you would like to be seen at Manhasset, Huntington, Coram, Woodbury, Mineola, Williston Park & Maspeth, Plainview NY

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

Woodbury, NY Office
Advanced Podiatry
20 Crossways Park North Suite 304
Woodbury, NY 11797

(516) 681-8866

Mineola, NY  Office
Advanced Podiatry
155 Mineola Boulevard, Suite B 
Mineola, NY 11501

(516) 741-3338

Maspeth, NY  Office
Advanced Podiatry
70-01 Grand Ave
Maspeth, NY 11378

(718) 639-0499

Williston Park, NY Office
Advanced Podiatry
479 Willis Ave,
Williston Park, NY 11596

(516) 741-3338

Plainview, NY Office
 *Recently Moved to Woodbury