A bunion, also known as hallux valgus, is a structural foot deformity that forms at the base of the big toe. The big toe gradually shifts toward the smaller toes, while the first metatarsal moves outward. This changes the alignment of the foot and creates a visible bump along the inside of the foot. The area may become red, swollen, or irritated, especially when shoes press against it. Over time, the big toe may angle farther inward, and the joint can become stiff, enlarged, and painful.

Bunion symptoms vary from mild irritation to persistent discomfort. Common signs include pain, swelling, and difficulty walking comfortably. Calluses or thickened skin may develop when pressure increases around the affected area. Risk factors include family history, inherited foot structure, and certain inflammatory or joint conditions. Narrow or pointed shoes do not usually cause bunions by themselves, but they can increase pressure and aggravate existing symptoms.

Bunions can develop because of inherited foot mechanics, uneven weight distribution, or structural changes within the foot. A podiatrist can evaluate the condition by examining the foot and discussing symptoms. The exam may include checking joint movement, looking at foot alignment, and observing walking patterns. X-rays may be recommended to assess bone positioning and determine the severity of the deformity.

Treatment focuses on relieving pressure, reducing discomfort, and supporting normal foot function. Wearing shoes with a wider toe box can give the big toe more room. Protective padding may reduce friction and pressure, while activity changes can also help limit irritation. Supportive orthotics may improve weight distribution and foot alignment. Early evaluation can help identify contributing factors and guide appropriate care before symptoms become more difficult to manage. If you have developed a bunion, it is suggested that you consult a podiatrist who can offer effective relief and management tips.

If you are suffering from bunions, 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?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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.

Flat feet are a condition in which the arches along the inside of the feet appear low or collapsed while standing. Many children with flat feet do not require aggressive treatment, especially when the condition is painless and does not interfere with normal activity. Conservative management focuses on improving comfort, reducing strain, and supporting healthy foot function as a child grows. Some children benefit from wearing supportive shoes that provide better stability during walking, running, and sports. Others may respond well to stretching exercises that improve flexibility in the feet and legs, particularly when tight muscles contribute to discomfort. Custom orthotics, which are inserts designed to support foot alignment, may also help relieve fatigue or pain in certain cases. Activity modification and monitoring over time can be important when symptoms appear during growth periods. A podiatrist can evaluate how the child walks, determine whether the flat feet are contributing to symptoms, and recommend treatment based on the child’s specific needs. If your child has persistent foot pain, fatigue, or difficulty with activity, it is suggested that you visit a podiatrist for evaluation and appropriate treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Cary Golub, DPM from New York. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.

Tarsal tunnel syndrome is a condition that results from compression of the tibial nerve as it passes through the inner ankle. This area, known as the tarsal tunnel, is a tight space that can become inflamed or restricted. The condition is classified as an entrapment neuropathy, because the nerve becomes trapped and irritated. This leads to abnormal nerve signals that cause pain and sensory changes in the foot. Knowing the definition and causes of this condition can help individuals recognize symptoms early.

Symptoms often include a burning tingling sensation along the inner ankle and into the sole of the foot. Some individuals may feel numbness, weakness, or shooting pain that worsens with movement. The discomfort may come and go, or become more constant over time. Activities that involve prolonged standing or walking can increase symptoms. These sensations can affect balance and make everyday tasks more difficult.

Risk factors for tarsal tunnel syndrome include structural foot issues such as flat feet, which place added stress on the nerve. Ankle injuries can lead to swelling that compresses the nerve within the tunnel. Other contributing causes include growths such as cysts or inflammation from overuse. Wearing improper footwear that lacks support may also increase pressure on the inner ankle. These factors can combine to create an environment where nerve irritation develops.

Treatment focuses on relieving pressure and improving foot support. Rest, wearing proper footwear, and orthotics can help reduce strain on the affected area. Early care can prevent worsening symptoms and improve mobility. Seeking a podiatric evaluation ensures a targeted treatment plan that addresses the underlying cause. If you have signs of tarsal tunnel syndrome, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please 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.

Some rock climbers assume that foot pain is simply part of the sport. It is true that climbing places stress on the feet and ankles. Small footholds concentrate body weight on an area, while down-turned climbing shoes hold the toes in a curled position. Falls can twist the ankle or force the foot against the wall. These demands can lead to heel pain, toe-joint irritation, or an ankle sprain. However, pain and injuries can also be related to the shoes worn. Sharp pain, numbness, or soreness that continues after removing climbing shoes should not be ignored. 

Several injuries deserve attention. Pain behind the heel can involve the Achilles tendon, which connects the calf muscles to the heel bone. Pressure from a climbing shoe can contribute to a tender bump at the back of the heel. Pain under the heel can result from irritation of the thick tissue supporting the foot. Tight shoes may push the big toe inward and irritate its joint. An ankle sprain can leave the joint swollen, weak, or unstable. Continued climbing with pain can affect technique and place greater stress on other body parts.

A podiatrist can determine which part of the foot or ankle is injured and identify contributing factors. An evaluation includes a foot-and-ankle examination, a review of climbing habits, and an assessment of walking and balance. Imaging can show a fracture or other damage when there is concern. Treatment includes supportive padding, a brace, or a custom orthotic that improves foot position in everyday shoes. A podiatrist can recommend climbing-shoe features suited to the patient’s foot shape and provide guidance for returning safely. Serious fractures, torn tendons, or unstable joints sometimes require surgery. Prompt care can limit further damage and support a comfortable return to the sport. If you have foot or ankle pain from climbing, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions please 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.