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The feet are intricate structures comprising a complex interplay of bones and muscles. The skeletal foundation, consisting of 26 bones per foot, provides the necessary framework for stability and mobility. These bones, meticulously arranged in arches and joints, form a remarkable support system that bears the weight of our entire body. Meanwhile, a network of muscles, tendons, nerves, and ligaments allows the feet to function properly. From the dynamic flexing of toes to the subtle shifts in weight distribution, these muscles work tirelessly to maintain balance and facilitate your every step. The feet serve as a testament to the exquisite design of the human body, showcasing the seamless collaboration between bones and muscles that enables you to traverse the world with grace and agility. If you are experiencing pain or other problems related to your foot structure, it is suggested that you consult a podiatrist.

If you have any concerns about your feet, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A foot stress fracture, a microscopic crack in a bone often caused by repetitive impact or overuse, can significantly alter the way you navigate the world on your feet. Walking with a stress fracture demands a delicate balance between maintaining mobility and allowing the injured foot to heal. Each step becomes a conscious effort to minimize impact and avoid exacerbating the fracture. The process requires patience, as rushing the recovery may prolong the healing time or lead to complications. Choosing appropriate footwear with ample cushioning and support is paramount, providing a protective barrier between the foot and the ground. Embracing a modified walking style, which involves shorter strides and a more controlled gait, may help to alleviate strain on the fractured area. If you believe you have a foot stress fracture, it is suggested that you seek advice from a podiatrist for an exam and appropriate treatment options.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please feel free to contact our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

After one breaks an ankle, weight bearing restrictions can be imposed to facilitate proper healing. These restrictions encompass non weight bearing, where no weight can be placed on the leg.  Toe touch weight bearing, which involves minimal toe contact with the ground can be effective for balancing. Partial weight bearing allows for a specific percentage of weight to be placed on the leg, and is generally managed by using crutches. Compliance with these restrictions is vital to promote the healing process. Disregarding them can lead to complications or delayed recovery. Signs of non compliance can include increased pain, swelling, or redness in the leg. If you have a broken ankle, it is suggested that you make an appointment with a podiatrist who can recommend the weight bearing protocols that will best help you.

Broken ankles need immediate treatment. If you are seeking treatment, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Heel spurs are bony outgrowths at the base of the heel bone, and implementing targeted exercises is a proactive approach to managing heel spur pain. Stretching exercises, such as towel curls and toe stretches, help maintain flexibility in the foot's connective tissues, mitigating strain on the heel. Calf stretches, performed against a wall, alleviate tension in the Achilles tendon, and may help to reduce the impact on the heel spur. Rolling a frozen water bottle under the foot not only provides relief but also minimizes inflammation. Incorporating these exercises into a regular routine can contribute to the gradual alleviation of heel spur discomfort. It is imperative to approach these exercises with patience, allowing the body time to adapt and heal. Consultation with a podiatrist is advisable to tailor exercises to individual needs. If you have developed a heel spur, it is suggested that you schedule an appointment with a podiatrist who can effectively diagnose and treat this condition.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Cary Golub, DPM from New York. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our offices located in Williston Park, and Long Beach, NY . We offer the latest in diagnostic and treatment technology to meet your needs.

Diabetic foot ulcers, a major complication for individuals with diabetes, vary based on depth, infection, and location. They are primarily categorized into neuropathic, ischemic, and neuroischemic ulcers. Neuropathic ulcers occur due to nerve damage, resulting in loss of sensation in the feet. Patients may not feel minor injuries, leading to ulcers, generally located under the foot's high-pressure areas. Ischemic ulcers stem from poor blood circulation, often associated with peripheral arterial disease. They can appear anywhere on the foot but are typically found in areas with poor blood supply. Neuroischemic ulcers combine the features of both neuropathic and ischemic ulcers, presenting a blend of circulation issues and nerve damage. These are the most common and challenging to treat, as they are prone to infection and slow healing. If you are diabetic and have foot problems, it is strongly suggested that you schedule regular appointments with a podiatrist to have your feet properly examined and ensure that any brewing issues, such as foot ulcers, are treated promptly.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Laser treatment for toenail fungus has emerged as an innovative approach to tackling this persistent and often stubborn condition. This non-invasive procedure involves using focused laser beams to target and eradicate the fungal infections that reside beneath the toenail. The laser energy penetrates the nail plate, reaching the affected area without causing harm to the surrounding healthy tissue. The heat generated by the laser effectively kills the fungus, offering a promising alternative to traditional treatments such as oral medications or topical solutions. Multiple sessions may be required for optimal results. However many individuals find laser treatment appealing due to its minimal side effects and the absence of the potential liver complications associated with oral medications. Understanding this procedure provides individuals with valuable insights into a contemporary and effective solution for addressing toenail fungus and restoring clear, healthy nails. If you have developed toenail fungus and would like detailed information about this type of treatment, it is suggested that you schedule an appointment with a podiatrist. 

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

• Nail thickening
• Brittleness of the nail
• Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

If you have any questions, please feel free to contact our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ingrown toenails, a common condition where the nail grows into the toe's skin, can lead to infections if not properly managed. They most often affect the big toe and can result from trauma, improper nail trimming, and wearing tight footwear. The skin surrounding the ingrown nail becomes red, swollen, and painful, and may produce pus, indicating an infection. Preventing infection in ingrown toenails involves proper foot hygiene and nail care. Toenails should be cut straight across, avoiding rounding the corners which can encourage the nail to grow into the skin. Wearing properly fitting shoes that provide enough space for the toes to wiggle freely in can also reduce the risk. If you have an ingrown toenail and suspect an infection, it is strongly suggested that you make an appointment with a podiatrist for an evaluation and treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bunion surgery, or bunionectomy, is a medical procedure aimed at correcting a bunion, a painful and often unsightly deformity that affects the base of the big toe. Bunions develop when the metatarsophalangeal joint, where the big toe connects to the foot, becomes misaligned. This misalignment causes the big toe to lean toward the smaller toes and forces the metatarsal bone to protrude, forming a bony bump on the side of the foot. Bunion surgery is considered when conservative treatments, such as changes in footwear, orthotic devices, and pain management, fail to provide relief. The surgical procedure to address bunions typically involves realigning the metatarsophalangeal joint and removing the bony prominence. Surgeons may use various techniques depending on the severity and type of the bunion. The goal of the surgery is to reduce pain, improve foot function, and correct the deformity. After the surgery, a recovery period is necessary, during which patients are advised to follow post-operative care instructions diligently. Understanding bunion surgery and its potential benefits and risks is vital when considering this procedure to address the discomfort and limitations associated with bunions. If you have a bunion, it is strongly suggested that you are under the care of a podiatrist who can determine if bunion surgery is the correct treatment choice for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Cary Golub, DPM of New York. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.