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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.
 

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.

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.

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.

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.

Gout is a form of arthritis characterized by sudden, intense pain, often in the big toe, but it can affect other joints as well. The pain is typically described as sharp, throbbing, or excruciating, making even the lightest touch unbearable. In addition to the pain, affected joints often become swollen, red, and warm to the touch. These symptoms can come on suddenly, often at night, and can last for several days or even weeks. During a gout attack, movement of the affected joint is extremely painful, and the skin around the joint can appear shiny and stretched. Some individuals might also experience a lingering discomfort even after the severe pain subsides, along with decreased mobility in the joint. Chronic gout can lead to persistent pain and can cause damage to the joints over time. If you have pain in your big toe, it is strongly suggested that you consult a podiatrist.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Cary Golub, DPM from New York. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Swelling in the feet and ankles can signal underlying health issues that may need attention. Edema, or fluid buildup, is a common cause of swelling, particularly in older individuals. Gravity contributes to this condition, making the lower body areas more prone to noticeable swelling. Causes of foot swelling include excessive weight, blood clots, infections, and venous insufficiency. Among other causes are injuries, surgeries, and certain medications like antidepressants, blood pressure drugs, hormones, and steroids. Lifestyle factors, such as long flights, as well as prolonged standing and hormonal changes during pregnancy can also trigger swelling. Some cases of edema can be managed with leg elevation, exercise, a low-salt diet, and wearing support stockings. However, it's extremely important to seek medical attention if swelling is severe, accompanies shortness of breath or chest pain, or doesn't improve with self-care measures. If you're experiencing persistent swelling in the feet or ankles, it is suggested that you make an appointment with a podiatrist for an exam. This foot doctor will conduct a thorough exam and may recommend diagnostic tests to determine the underlying cause.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.

Osteoarthritis, a degenerative joint disease commonly associated with aging, can affect any joint in the body, including the big toe. When osteoarthritis strikes the big toe, it leads to pain, stiffness, and reduced mobility, impacting daily activities such as walking and standing. Unlike rheumatoid arthritis, which is an autoimmune disorder, osteoarthritis of the big toe is primarily caused by wear and tear on the joint cartilage over time. Factors like genetics, previous injuries, and excessive stress on the joint can also contribute to its development. Individuals with occupations or hobbies that involve repetitive movements or excessive pressure on the feet are at a higher risk. Early symptoms may include discomfort and swelling around the joint, which can progress to chronic pain and deformity if left untreated. Management strategies for osteoarthritis of the big toe include lifestyle modifications, pain management techniques, orthotic devices, and in severe cases, surgical intervention to repair or replace the damaged joint. If you are experiencing any stiffness in your foot specifically the big toe, it is urged that you consult a podiatrist who can accurately diagnose and provide you with the foot care you need.

Arthritis can be a difficult condition to live with. 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your 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 tools and technology to treat your foot and ankle needs.

Foot health serves as a silent communicator, often revealing underlying issues within the body. Foot cramps, seemingly innocuous, can indicate dehydration or nutrient deficiencies, while swollen feet may signify heart, kidney, or circulatory problems. Cold feet could be a sign of poor circulation or thyroid dysfunction, requiring attention to prevent further complications. Similarly, tingling sensations in the feet may point to a pinched nerve elsewhere in the body. Ignoring these signals can lead to developing health issues over time. Paying attention to foot health is thus imperative, not just for comfort but for overall well-being. Regular foot care, including proper footwear, moisturizing, and gentle exercises, can promote circulation and alleviate discomfort. However, if symptoms persist, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment. 

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Cary Golub, DPM from New York. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the 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 needs.