A bunion is a bony bump that forms at the base of the big toe due to joint misalignment. Over time, the big toe shifts toward the smaller toes, which causes the joint to protrude outward. This change can lead to discomfort and difficulty with daily activities. While many bunions can be managed with conservative care, some cases progress and require surgical treatment. Understanding when this type of foot surgery is needed helps individuals make informed decisions about their foot health.

Common symptoms of bunions include pain, swelling, redness, and limited movement of the big toe joint. The area may become tender, especially while wearing tight or narrow shoes. Risk factors include inherited foot structure, improper footwear, and conditions that affect joint alignment. High-heeled or narrow shoes can increase pressure on the forefoot, which may worsen the deformity over time. Additional causes include flat feet, arthritis, and repeated stress on the foot.

Bunion surgery may be recommended when symptoms interfere with daily life and do not improve with non-surgical treatments. Several types of procedures are used depending on the severity of the condition. These may include removal of part of the metatarsal head, removal of excess bone, and realignment of soft tissues around the joint. In some cases, the podiatric surgeon may reposition bones to restore proper alignment. Each surgical approach is designed to reduce pain, correct deformity, and improve function.

Deciding on bunion surgery involves evaluating symptoms, lifestyle needs, and overall foot health. Early treatment may prevent progression, but advanced cases may require surgical correction for long-term relief. Understanding the causes, symptoms, and treatment options can support better outcomes. If you are considering bunion surgery for lasting relief, it is suggested that you consult a podiatrist who can determine if this type of foot surgery is right 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 care needs.

Clubfoot is a congenital foot condition that causes one or both feet to develop in an unusual position before birth. The foot typically points downward and turns inward, creating a noticeable difference in alignment. This condition affects the muscles, tendons, and bones of the foot and ankle. Although clubfoot may look concerning, early diagnosis and proper treatment can help many children achieve improved foot function and normal mobility.

Common symptoms of clubfoot include an inward-turning foot, a tight Achilles tendon, a smaller affected foot, and limited flexibility. The foot may appear stiff and difficult to move into a normal position. Without treatment, the child may develop an abnormal walking pattern as they grow. While clubfoot is not usually painful in babies, untreated cases can lead to long-term challenges with balance, footwear, and physical activity.

The causes of clubfoot are linked to abnormal development of the foot during pregnancy. Researchers believe genetic factors and changes in muscle or connective tissue development may contribute to the condition. Risk factors include having a family history of clubfoot and certain neuromuscular conditions. Clubfoot is one of the most common congenital foot conditions, but the exact reason it develops is not always clear.

Diagnosis begins with a detailed physical examination after birth. A podiatrist will assess the position and flexibility of the foot to determine the severity of the condition. Additional evaluations may be performed if needed to understand the structure of the foot. Early attention provides the best opportunity for improving alignment and preventing future complications. If your child has signs of clubfoot, it is suggested that you include a podiatrist on your health-are team to ensure healthy foot development. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.

Falls can cause serious injuries and reduce a senior’s ability to remain active and independent. Age-related changes in balance, vision, and muscle strength can raise the risk. Foot pain, numbness, and joint stiffness can also make each step less stable. Other concerns include poor circulation, weak ankles, and changes in foot shape. Shoes that lack proper support or do not fit correctly can create further problems. Because many falls are never reported, seniors should discuss balance concerns and recent stumbles with a podiatrist. A fall-risk evaluation can identify problems before a major injury occurs.

A podiatrist can examine the feet and ankles to find issues that affect balance. The examination includes checking skin health, joint movement, and muscle strength. The podiatrist can also assess how the patient stands and walks. This can reveal an uneven gait, which means the feet and legs do not move in a steady pattern. Treatment options include custom orthotics to improve foot position and stability. A podiatrist can recommend shoes with proper support, secure fasteners, and slip-resistant soles. They can also treat painful corns, thick toenails, or other foot problems that make walking difficult.

Falls prevention also requires attention to the places where seniors move each day. Clear pathways, strong stair railings, and good lighting can reduce hazards. Grab bars near the toilet and shower provide added support. Regular eye and hearing examinations can help seniors notice obstacles and respond to their surroundings. Seniors should also report changes in sensation, recurring ankle problems, and difficulty lifting the feet. Routine podiatric visits help track changes in foot health and allow treatment plans to be adjusted. Early care can support safer movement, greater confidence, and continued independence. If you are a senior and have fallen, it is suggested that you schedule an appointment with a podiatrist for effective treatment solutions, and additional guidance on fall prevention tips.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

A bunion is a change in foot shape that develops when the big toe slowly shifts toward the smaller toes. As the toe moves, the joint at its base becomes more prominent, and forms a bump along the side of the foot. Doctors call this condition hallux valgus, but bunion is the name most people recognize. Some bunions cause very little discomfort, while others lead to pain that makes standing and walking difficult. The enlarged joint can become swollen, tender, and irritated from pressure inside shoes. The big toe can also crowd nearby toes, causing them to rub together or change position. As the deformity progresses, the joint can become stiff, making it harder to move the toe comfortably.

Several factors increase the chance of developing a bunion. Family history is one of the most important, because inherited foot structure can place extra stress on the big toe joint. Flat feet and joint diseases like rheumatoid arthritis also increase the risk. Shoes that lack proper support, especially narrow styles or high heels, do not usually cause bunions by themselves. They can make an existing bunion more painful and allow the deformity to progress. A podiatrist can diagnose the bunion by examining the foot, checking toe movement, and watching how the patient stands and walks. Standing X-rays show bone alignment and help determine the severity of the bunion.

Treatment depends on the amount of pain, the severity of the bunion, and its effect on daily activities. A podiatrist can recommend properly fitted shoes, custom orthotics, and protective padding to reduce pressure on the joint. These treatments improve comfort and help patients stay active. When the deformity becomes severe and continues to interfere with walking, surgery can straighten the big toe and improve foot alignment. If you have pain from a bunion, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.

If you are suffering from bunion pain, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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.