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Posts for tag: toes

By Dr. Pedram A. Hendizadeh
March 20, 2017
Category: Toes
Tags: toes   infection   St. Patrick's day  

So you went out for St. Patrick's day, drank large amounts of green beer, and now you have a splitting headache and your big toe is warm, red, swollen and so painful you can't even bear to have your bedsheets touch it. After a couple powerades, your head is better, but your toe is still killing you! You don't remember kicking anything or getting your toe stomped on while river dancing, so what gives?

Barring any traumatic event or infection, the presentation of these symptoms is consistent with a diagnosis of gout. Hereditary factors often play a role in having gout, but it is not uncommon that a person with no family history of gout or elevated uric acid will have a flare up. 

Uric acid is a naturally occurring compound in the body that is a product of the metabolic breakdown of purines, which are found in high concentrations in meat and meat products, anchovies, mackerel, scallops, game meats and beer. At high levels, uric acid crystalizes and gets deposited in joints, tendons and the surrounding tissues causing a localized inflammatory reaction. It also may cause kidney stones, additional kidney issues and arthritis.

While a gouty attack can occur in any joint in the body, for some reason, over half the cases involve the joint of the big toe. The first step (which is excruciating if you have gout) is evaluation by a podiatrist. Your podiatrist will order some blood work, offer a range of treatments from oral medications to injectable steroids, and have you follow up with your internist or an endocrinologist. As a sufferer of gout, I can tell you, the sooner you see your podiatrist, the sooner you will get relief. 

By Dr. Evan A. Vieira
March 20, 2017
Category: Neuromas
Tags: foot   toes   Neuromas   footwear  

A neuroma is a painful condition, also referred to as a "pinched nerve" or a nerve tumor. It is a benign growth of nerve tissue frequently found between the third and fourth toes. It brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot.  

The principal symptom associated with a neuroma is pain between the toes while walking. Those suffering from the condition often find relief by stopping their walk, taking off their shoe, and rubbing the affected area. At times, the patient will describe the pain as similar to having a stone in his or her shoe. The vast majority of people who develop neuromas are women.

Although the exact cause for this condition is unknown, a number of factors can contribute to the formation of a neuroma.
Biomechanical deformities, such as a high-arched foot or a flat foot, can lead to the formation of a neuroma. These foot types bring on instability around the toe joints, leading to the development of the condition.

1: Trauma can cause damage to the nerve, resulting in inflammation or swelling of the nerve.
2: Improper footwear that causes the toes to be squeezed together is problematic. Avoid high-heeled shoes higher than two inches. Shoes at this height can increase pressure on the forefoot area.
3: Repeated stress, common to many occupations, can create or aggravate a neuroma.
Proper evaluation by one of our doctors can help stop your pain quickly!

There are a number of treatment options available ranging from orthotics to surgery.  If you are suffering from these symptoms call and make an appointment today!

By Dr. Pedram A. Hendizadeh
March 15, 2017
Category: Toes
Tags: Foot Care   Toenail   toes  


Don’t go barefoot in public areas- public spaces such as public pools, locker rooms, showers and similar places are highly loaded with fungi desperately waiting for your toes. Always wear sandals or shoes in such environments.

Disinfect regularly- you can use a bleach-based cleanser to scrub and clean your shower. Also, make sure to spray your shoes with antibacterial spray mostly if you have worn them without socks. Develop a habit of washing all your socks with hot water and bleach so as to kill any fungi present.

Treat your shoes- you can sprinkle your shoes with an antifungal powder so as to keep any fungi at bay. Do this also on the inside of your socks as well as shoes before you wear them to prevent fungi spore from growing.

Buy socks that absorb sweat-wear socks which are efficient at absorbing away the moisture from your foot. Such fabrics include wool, nylon and polypropylene. If you have the sweaty type of feet, make sure to change your socks often.

Alternate your shoes- to begin with, if it is possible to discard your old shoes to prevent reinfections as the shoes may be harboring fungi. If not, make sure to treat them with antifungal powders.  It is recommended that you alternate shoes so as to reduce the risk of toenail fungal infection. Avoid wearing one pair of shoes two days in a row. Place the shoes which you have previously worn in the open so as to dry thoroughly.

These habits will help you along with the ones you love to sidestep the toenail fungal infection and keep your feet healthy. Should you still have issues, please come get toenail fungus treatment in Manhasset.

By Dr. Evan A. Vieira
January 26, 2017
Category: Toes
Tags: Foot Care   toes  


Are you toes starting to curl?  Do you have discolored small bumps on your toes?  Do they hurt in shoes?  

You may have a phalangeal joint contracture; more commonly known as a hammertoe.  These painful deformities are caused by an imbalance of the tendons in your foot.  They are very common.  More conservative measures such as wide shoes, activity changes, padding cal all be helpful.  Stretching splints can help loosen up tendons and orthotics can help restore balance. However,  the only way to correct hammertoes is by surgical intervention.  
This simple outpatient procedure is performed under local anesthesia, and you are usually able to get back into a shoe  at 2-3 weeks.  The results are excellent and most of the time all your toes can be done at once without elongating your recovery.  
Please feel free to call with any questions or to schedule a consultation with one of our doctors today.  

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Advanced Podiatry of Manhasset at the Americana

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