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The feet are a complicated part of our bodies. Each foot consists of 26 bones, 33 joints, and many tendons, ligaments, and muscles. A variety of conditions can affect the feet and cause discomfort, which can limit mobility.  At times things happen to change the structure and mechanics of the foot and surgery may be required. Foot surgery is typically considered when more conservative approaches do not work. It is often done to reduce pain, correct a deformity, or restore foot functioning. Some examples of foot surgery include bunion surgery, hammertoe surgery, and heel surgery. If you suffer from foot pain that is not relieved by rest or a change of shoes, see a podiatrist for an evaluation and treatment. Foot surgery can usually be prevented if problems are treated in a timely manner.

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.

Blisters that form on the bottom of the feet can take the joy out of running, exercising, and participating in sporting activities. Blisters are common among athletes. So many seek to know their cause and how to care for them. A blister typically forms due to excessive friction from wearing shoes and socks that do not fit correctly. A bubble filled with liquid will form and remain that way until the raw skin underneath it has healed. Blisters on the bottom of the foot may heal faster when a gauze bandage is applied. The bandage can also provide the protection needed to avoid premature popping. Elevating the foot at the end of the day may be beneficial, as well as removing the bandage to allow air to reach the blister. Soaking the feet in warm water may help keep the blister clean, which can help to prevent an infection from developing. Blisters on the bottom of the feet can be bothersome, so if you are afflicted with one or more, please consult a podiatrist who can guide you toward the correct treatment.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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.

Many people who have flat feet avoid walking and exercising, which can make the  body uncomfortable as a result of a flattened or little arch. The arch acts as a shock absorber, and with flat feet, the gait is different from people with normal arches. The majority of children are born with flat feet, but the arch generally develops in the teenage years. Wearing shoes that do not fit correctly may increase discomfort felt from flat feet, and custom-made orthotics are often prescribed to help the feet to absorb shock. There are various types of flat feet. Flexible flat feet are noticeable as the foot lies flat on the floor while standing, but the arch appears when sitting down. This foot condition may cause the feet to ache, and mild relief may be felt when specific stretches are frequently performed. In rigid flat feet, the arch is permanently flattened and cannot be seen while standing or sitting down. If you have flat feet of either type, please schedule a consultation with a podiatrist who can guide you toward relief treatments. 

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 and ankle needs.

A common place for foot pain to develop is in the heel. It can indicate several foot issues, including plantar fasciitis, Achilles tendonitis, and heel spurs. All of these conditions are treatable, and a podiatrist is often contacted who can relieve the chronic pain that can be associated with these foot conditions. Flat feet may cause pain in some patients, and this is a result of little or no arch support. Wearing orthotics is a viable option that may help to diminish the pain and discomfort. A corn on the foot can bring excess pain to the patient. It is defined as a small, hardened area of skin that forms when pressure is exerted in a specific area of the foot, often the side of the pinky toe. This often happens as a result of wearing shoes and socks that are too tight. Foot pain for any reason can alter a patient's mood and can make completing daily activities challenging. A podiatrist is qualified to determine the cause of the foot pain and offer correct treatment options, so it is strongly urged that you contact this type of doctor as quickly as possible.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot 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 care needs.

Water aerobics is a popular choice of exercise for many people. While shoes are not required, there is a good reason to wear shoes for this activity. Water shoes can help prevent foot pain and increase traction on the pool floor. Water aerobics involves jumping up and down on hard pool floors. Walking or bouncing on the bottom of the pool can eventually cause foot pain, a primary reason for wearing water shoes. However, these shoes can also prevent foot blisters. Since the skin on the feet softens and prunes in the water, it becomes more sensitive than if the feet were dry. Wearing a non-slip water shoe during water aerobics is important for injury prevention. Slipping can cause blisters as well as friction burns. Water shoes will provide stability in the water as the lack of body control is heightened due to added resistance. Slip-resistant shoes will provide more control and better performance of exercises. If you participate in water aerobics and sustain foot injuries or want to learn more about how to prevent foot injuries while engaging in this activity, contact a podiatrist to discuss.

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 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.

The way the foot meets the ground differs in walking and running. Generally, the heel touches the ground first and the weight then rolls onto the ball of the foot and toes during walking. In fact, studies show that walking onto the ball of the foot takes about 50 percent more energy and walking on the toes takes about 80 percent more energy. Heel-first walking is considered to be the most economical way to move. However, this economy of movement does not necessarily transfer to running, some believe. Studies have shown that it is more efficient to land on the toes or ball of the foot while running, rather than on the heel first. In fact, the fastest runners in the animal kingdom – horses, gazelles, deer, and dogs – all land on their toes first. Many elite human runners, both sprinters and distance, do not land on their heels first. That said, many experts agree that your natural strike pattern, toe first or heel first, should remain constant, as it is less efficient to try to convert from one to the other. For more information on the effects of walking or running on your feet, please 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.

The abbreviation for peripheral artery disease is PAD, which is defined as restricted blood supply to the feet and legs. It is a common condition, and the symptoms that are generally experienced include foot pain while walking, hair loss on the legs, and the skin may change color or appear shiny. The majority of people with PAD have symptoms that develop gradually and may ultimately need medical attention. Diabetic patients often have this condition, as a result of elevated blood glucose levels. This serious condition may be improved, and relief can be found when lifestyle changes are implemented. These include eating healthy foods, reducing alcohol consumption, and losing weight, if needed. There may be existing medical reasons that can lead to developing PAD, such as high blood pressure, high cholesterol, and heart disease. One of the symptoms of PAD is the inability to feel cuts or scrapes on the feet. These may go undetected and can lead to infection, which in turn may lead to ulcers, gangrene or amputation. If you have symptoms of PAD, it is strongly suggested that you are under the regular care of a podiatrist who can effectively diagnose and treat this condition.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

The tarsal tunnel is a narrow space that lies inside the ankle, next to the ankle bones. The tunnel is covered by a thick ligament that protects the arteries, veins, tendons, and nerves in the tunnel. The posterior tibial nerve within the tunnel is the focus of tarsal tunnel syndrome because it is the compression or squeezing of this nerve that produces symptoms along the path of the nerve running from the inside of the ankle into the foot. This condition is similar to carpal tunnel syndrome, which occurs in the wrist. Both arise from the compression of a nerve in a confined space. Those with flat feet, varicose veins, ankle sprains, or arthritis are more at risk for developing tarsal tunnel syndrome since these things can compress the nerve. When one has this syndrome, they might experience tingling or burning sensations, numbness, and/or pain on the inside of the ankle or on the bottom of the foot. These symptoms can also extend to the heel, arch, toes, and even calf. They are often brought on by overuse of the foot. It is important to seek treatment before permanent nerve damage results. If you think you may have tarsal tunnel syndrome or pain that resembles these symptoms, see a podiatrist as soon as possible for diagnosis and treatment that is right for you.

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 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.