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What Is a Lisfranc Injury?

A Lisfranc injury refers to damage to bones in the midfoot, specifically the joint complex where the bones of the foot meet. This type of injury often occurs from a traumatic event, such as a car accident, sports injury, or a fall from height, where excessive force is applied to the foot. It can also happen in lower-impact scenarios, like twisting the foot awkwardly while walking or running. Symptoms of a Lisfranc injury include pain, swelling, bruising, and difficulty bearing weight on the affected foot. In severe cases, there may be visible deformity. Treatment depends on the severity of the injury. Minor injuries may be treated with immobilization, while more severe cases may require surgery to realign the bones and stabilize the joint. A podiatrist can accurately diagnose a Lisfranc injury through a physical exam and imaging, and develop a treatment plan to help restore function and alleviate pain. If you suspect a Lisfranc injury, it is suggested that you schedule an appointment with a podiatrist for the right care.

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.

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Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Causes and Care of Bunions in Kids

While bunions are more common in adults, they can also develop in children. Pediatric bunions often result from inherited foot structures, where genetic factors influence bone alignment. Unlike adults, children's bunions tend to be softer, although they may still cause discomfort and visible bumps on the side of the big toe. Children with flat feet or hypermobility are more prone to bunions, especially if there is a family history. Unfortunately, bunions will not go away on their own and may worsen over time, particularly as children grow and become more active. Early intervention helps prevent progression. Wearing supportive shoes with wide-toe boxes and arch support can alleviate pressure. If you have a child with a bunion, it is suggested that you schedule an appointment with a podiatrist so the severity of the bunion can be assessed, and individualized treatment options are offered for long-term foot health.

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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Hammertoe Anatomy and Treatment

Hammertoe is a foot deformity where one or more toes bend abnormally at the middle joint, causing a downward curve resembling a hammer. This misalignment often affects the second, third, or fourth toes and is caused by muscle or tendon imbalances, often due to genetics, wearing poorly fitting shoes, or conditions like arthritis. The bent toe can cause pain, swelling, corns, and calluses as it rubs against footwear, making daily activities uncomfortable. A podiatrist specializes in diagnosing and treating hammertoe. For mild cases, they may recommend conservative treatments like stretching exercises, wearing shoes with a spacious toe box, and using custom orthotics to relieve pressure. Toe splints or pads may also help realign the joint. In advanced cases, when pain persists or limits mobility, a podiatrist might suggest surgical correction to straighten the toe and restore function, offering lasting relief. If you have discomfort from a hammertoe, it is suggested that you schedule an appointment with a podiatrist.

Hammertoes can be a painful condition to live with. For more information, contact Cary Golub, DPM of New York. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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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What Is a Foot Stress Fracture?

Stress fractures are tiny cracks in the bones of the foot, often caused by repetitive pressure or overuse. They are sometimes referred to as hairline fractures. Commonly seen in athletes, these fractures can occur due to sudden increases in activity, wearing improper footwear, or training on hard surfaces. They are particularly prevalent in sports that involve running or jumping. Symptoms typically include localized pain that worsens with activity, swelling, and tenderness when pressure is applied to the affected area. In some cases, bruising may also be visible. A podiatrist plays a critical role in diagnosing and treating stress fractures. They may perform a physical examination and imaging tests, such as X-rays or MRI scans to confirm the injury. Treatment often includes rest and elevation, along with recommendations for appropriate footwear and activity modifications. If you suspect a stress fracture, it is suggested that you schedule an appointment with a podiatrist for accurate diagnosis and effective management.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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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Types of Wound Care Materials for Diabetic Foot Ulcers

Diabetic foot ulcers occur due to a combination of poor circulation and nerve damage, making even minor injuries prone to infection. Wound care materials vary depending on the type and severity, or grade, of the ulcer. For superficial ulcers, Grade 1, foam dressings and hydrocolloid dressings are commonly used, as they maintain a moist environment and promote healing. For deeper Grade 2 ulcers, alginate dressings, which absorb excess wound fluid, are beneficial, along with silver-infused materials to prevent infection. More severe ulcers, Grades 3 or 4, often require advanced wound care, including negative pressure wound therapy to promote tissue regeneration, and bioengineered skin substitutes to cover exposed bone or tendons. Debridement, the removal of dead tissue, is often necessary to prevent further infection. Proper care and regular monitoring are imperative to healing diabetic foot ulcers and avoiding complications like infection or amputation. If you have any type of diabetic foot ulcer, it is strongly suggested that you include a podiatrist on your health care team for proper care.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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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Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Podiatric Care for Pinky Toe Corns

Corns on the pinky toe are thickened areas of skin that form in response to pressure or friction. They often develop on the outer side of the pinky toe due to constant rubbing against tight or ill-fitting shoes. Corns can be hard or soft, with hard corns typically forming on the bony areas, and soft corns appearing between toes where moisture is present. Symptoms include a hardened, raised bump that can be painful when pressed, redness, and irritation. The pain can intensify with continued friction, making walking uncomfortable. To prevent corns, wear properly fitting shoes with a wide toe box and cushioned insoles. Regularly moisturizing and using a pumice stone on your feet can also help keep the skin soft. If you have a painful or infected corn on any toe, it is suggested that you visit a podiatrist who can provide care, which might include shaving or safely removing the corn.

If you have any concerns regarding your feet and ankles, contact Cary Golub, DPM of New York. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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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Common Diabetic Foot Problems

Foot problems in diabetic patients are a leading cause of lower extremity amputations, often resulting from poor circulation and nerve damage, or neuropathy. Diabetes can reduce sensation in the feet, making it difficult to notice injuries like cuts, blisters, or ulcers. These minor injuries can easily become infected, and due to poor healing capacity, infections may worsen and lead to more severe symptoms, if not treated promptly. Regular foot screenings are essential for diabetic patients and education plays a critical role in diabetic foot care. If you have diabetes, it is strongly suggested that you have your feet checked by a podiatrist regularly for early detection of potential complications.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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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Facts About Athlete’s Foot

Athlete's foot is a fungal infection that typically affects the skin between the toes, though it can spread to other areas of the foot. It often appears as red, itchy, and scaly patches, sometimes with blisters or cracks in the skin. The infection causes a burning or stinging sensation and can lead to peeling skin or thickened areas, particularly on the soles or edges of the foot. Athlete's foot spreads easily through direct contact with contaminated surfaces, such as locker room floors, showers, or towels, making it extremely contagious. If left untreated, the infection can worsen, leading to more widespread skin damage, secondary bacterial infections, or even spreading to the nails, causing onychomycosis. Treatment and prevention include keeping feet clean and dry and wearing breathable footwear. In persistent cases, prescription-strength antifungal medications may be needed to fully resolve the infection. If you have athlete’s foot, it is suggested that you visit a podiatrist for care.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

  • Thoroughly washing and drying feet
  • Avoid going barefoot in locker rooms and public showers
  • Using shower shoes in public showers
  • Wearing socks that allow the feet to breathe
  • Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

  • Redness
  • Burning
  • Itching
  • Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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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