July 2024

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Characteristics and Causes of Muller-Weiss Disease

Müller-Weiss disease, a rare foot condition, involves the collapse and degeneration of the navicular bone, which is the bone located on the top of the midfoot. This condition primarily affects adults, typically women in their 40s to 60s. Characterized by chronic midfoot pain, swelling, and deformity, Müller-Weiss disease often progresses slowly and asymmetrically, with one foot more affected than the other. The exact cause of this condition remains unclear, but factors such as trauma, abnormal foot mechanics, and genetic predisposition are considered contributors. Diagnosis involves a comprehensive evaluation of symptoms, medical history, and imaging studies like X-rays or MRI scans to assess bone structure and integrity. Relief options vary based on the severity and may include rest, orthotic devices, and in severe cases, surgery to alleviate pain and restore foot function. If you have pain in the top of your foot, it is strongly suggested that you consult a podiatrist for a diagnosis and guidance toward treatment options that are right for you.

Some foot conditions may require additional professional care. 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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 tools and technology to treat your foot and ankle needs.
 

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The Importance of Safe Footwear at Work

Wearing safe footwear at work is vital for preventing various foot conditions and ensuring overall health and safety. Wearing ill-fitting or inappropriate shoes can lead to issues such as blisters, calluses, and bunions, causing discomfort and affecting productivity. More serious conditions can include plantar fasciitis, which results from inadequate arch support, and metatarsalgia, caused by excessive pressure on the ball of the foot. Additionally, workplace hazards like heavy objects or slippery surfaces increase the risk of injuries like fractures or sprains without proper footwear. Choosing shoes with adequate support, cushioning, and non-slip soles can prevent these problems. Investing in the right footwear enhances comfort, reduces fatigue, and minimizes the risk of chronic foot conditions and acute injuries, ensuring a safer and more productive work environment. If you have had one or more foot injuries from wearing the wrong shoes while at work, it is suggested that you confer with a podiatrist who can treat various foot conditions and educate you on appropriate shoes for your workday.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Cary Golub, DPM from New York. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.

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Care and Treatment of Bunions

Bunions are a common foot problem, particularly prevalent among women. These bony bumps form on the joint at the base of the big toe, causing the big toe to lean towards the others. They develop due to genetic factors, foot structure, and wearing tight or ill-fitting shoes. Conditions such as arthritis can also contribute to bunion formation. Bunions can cause significant discomfort, including pain, swelling, and redness surrounding the affected joint. The skin over the bunion may become thickened and sore, making it difficult to walk or wear certain shoes, and often leading to embarrassment when wearing open-toe shoes. Caring for bunions involves wearing comfortable, well-fitting shoes with ample toe space, and avoiding high heels. Using padded shoe inserts or bunion pads can alleviate pressure and reduce pain. Taking pain relievers can help manage symptoms. In severe cases, bunions can lead to arthritis, and surgery may be necessary to correct the deformity. For persistent pain or severe bunions, it is suggested that you visit a podiatrist for professional treatment options.

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?

Doctors 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 doctor.

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.

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Signs of an Achilles Tendon Rupture

An Achilles tendon rupture is a serious injury that requires immediate attention. Common signs include a sudden, sharp pain in the back of the ankle or calf, often described as feeling like a direct hit or a snap. Swelling and bruising typically develop quickly surrounding the heel and lower leg. Individuals may also experience difficulty while walking, standing on tiptoe, or pushing off the injured foot. A noticeable gap or indentation above the heel is a clear indication of a rupture. Weakness in the affected leg and a decrease in range of motion are also symptoms. If you have pain in the back of the ankle, it is suggested that you confer with a podiatrist who can diagnose and treat Achilles tendon injuries.

Achilles tendon injuries need 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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 tools and technology to treat your foot and ankle needs.

Read more about The Causes, Types, and Treatments of Achilles Tendon Injuries

Understanding Sever's Disease in Children

Sever's disease, medically known as calcaneal apophysitis, is a common cause of heel pain in growing children. This condition occurs when the growth plate in the heel becomes inflamed due to repetitive stress or excessive physical activity. Common causes include participation in sports that involve running or jumping, such as soccer or basketball. Symptoms of Sever's disease include pain and tenderness in the heel, swelling, and difficulty walking. Preventing this condition involves ensuring children wear properly fitting, supportive footwear and encouraging them to stretch before physical activity. Limiting activities that place excessive strain on the heel can also help. Early detection and management are vital to prevent long-term discomfort. If your child has heel pain, it is suggested that you consult a podiatrist. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Cary Golub, DPM from New York. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.

Read more about Sever's Disease

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