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Diabetic foot ulcers, a major complication for individuals with diabetes, vary based on depth, infection, and location. They are primarily categorized into neuropathic, ischemic, and neuroischemic ulcers. Neuropathic ulcers occur due to nerve damage, resulting in loss of sensation in the feet. Patients may not feel minor injuries, leading to ulcers, generally located under the foot's high-pressure areas. Ischemic ulcers stem from poor blood circulation, often associated with peripheral arterial disease. They can appear anywhere on the foot but are typically found in areas with poor blood supply. Neuroischemic ulcers combine the features of both neuropathic and ischemic ulcers, presenting a blend of circulation issues and nerve damage. These are the most common and challenging to treat, as they are prone to infection and slow healing. If you are diabetic and have foot problems, it is strongly suggested that you schedule regular appointments with a podiatrist to have your feet properly examined and ensure that any brewing issues, such as foot ulcers, are treated promptly.

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.

Laser treatment for toenail fungus has emerged as an innovative approach to tackling this persistent and often stubborn condition. This non-invasive procedure involves using focused laser beams to target and eradicate the fungal infections that reside beneath the toenail. The laser energy penetrates the nail plate, reaching the affected area without causing harm to the surrounding healthy tissue. The heat generated by the laser effectively kills the fungus, offering a promising alternative to traditional treatments such as oral medications or topical solutions. Multiple sessions may be required for optimal results. However many individuals find laser treatment appealing due to its minimal side effects and the absence of the potential liver complications associated with oral medications. Understanding this procedure provides individuals with valuable insights into a contemporary and effective solution for addressing toenail fungus and restoring clear, healthy nails. If you have developed toenail fungus and would like detailed information about this type of treatment, it is suggested that you schedule an appointment with a podiatrist. 

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

• Nail thickening
• Brittleness of the nail
• Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

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.

Ingrown toenails, a common condition where the nail grows into the toe's skin, can lead to infections if not properly managed. They most often affect the big toe and can result from trauma, improper nail trimming, and wearing tight footwear. The skin surrounding the ingrown nail becomes red, swollen, and painful, and may produce pus, indicating an infection. Preventing infection in ingrown toenails involves proper foot hygiene and nail care. Toenails should be cut straight across, avoiding rounding the corners which can encourage the nail to grow into the skin. Wearing properly fitting shoes that provide enough space for the toes to wiggle freely in can also reduce the risk. If you have an ingrown toenail and suspect an infection, it is strongly suggested that you make an appointment with a podiatrist for an evaluation and treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Bunion surgery, or bunionectomy, is a medical procedure aimed at correcting a bunion, a painful and often unsightly deformity that affects the base of the big toe. Bunions develop when the metatarsophalangeal joint, where the big toe connects to the foot, becomes misaligned. This misalignment causes the big toe to lean toward the smaller toes and forces the metatarsal bone to protrude, forming a bony bump on the side of the foot. Bunion surgery is considered when conservative treatments, such as changes in footwear, orthotic devices, and pain management, fail to provide relief. The surgical procedure to address bunions typically involves realigning the metatarsophalangeal joint and removing the bony prominence. Surgeons may use various techniques depending on the severity and type of the bunion. The goal of the surgery is to reduce pain, improve foot function, and correct the deformity. After the surgery, a recovery period is necessary, during which patients are advised to follow post-operative care instructions diligently. Understanding bunion surgery and its potential benefits and risks is vital when considering this procedure to address the discomfort and limitations associated with bunions. If you have a bunion, it is strongly suggested that you are under the care of a podiatrist who can determine if bunion surgery is the correct treatment choice for you.

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.

The human foot is a marvel of engineering, with a complex network of 26 bones working seamlessly in unison to support our body weight and enable a wide range of movements. These bones can be categorized into three main groups, known as the tarsal bones in the ankle, metatarsals in the arch, and phalanges in the toes. Tarsal bones provide the foot's stability and shock-absorbing capacity. They bear the weight and help transmit the forces generated during activities. Metatarsals form the foot's longitudinal arch, creating a flexible structure that acts as a lever during walking, running, and jumping. The phalanges, or toes, contribute to balance and provide dexterity. The biomechanics of the feet rely on an extensive network of muscles, tendons, and ligaments. Together, they allow for precise and controlled movements. When all components function harmoniously, the foot operates efficiently, ensuring that we can walk, run, and stand with stability and grace. Understanding this collaboration among foot bones highlights the importance of proper foot care and maintenance for a lifetime of healthy and pain-free mobility. If you would like additional information about the intricacies of the feet, it is suggested that you consult a podiatrist who can provide you with the information you are seeking.

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.

Foot pain is a widespread issue affecting millions of Americans daily. It can hinder your ability to work, socialize, and function effectively. The most commonly reported complaints of foot pain are bunions, flat feet, hammertoes, ingrown toenails, and plantar fasciitis. Bunions are characterized by a painful bump at the base of the big toe. Conservative approaches include wearing roomy shoes, using toe sleeves, and employing toe spacers. In severe cases, minimally invasive surgical options are available. Fallen arches, commonly known as flat feet, can cause chronic pain in the arch, ankle, and leg due to the loss of tendon elasticity. Hammertoes present as claw-like deformities in the toe joint, leading to discomfort, especially when the toe rubs against the shoe. Ingrown toenails occur when a toenail grows into the flesh surrounding it. This can cause extreme pain and can easily become infected, which requires prescribed antibiotic cream or possible nail removal. Plantar fasciitis is known for causing excessive heel pain from tears in the plantar fascia tissue that runs beneath the foot. Addressing foot pain is important for maintaining a high quality of life. Whether opting for conservative or surgical interventions, it is suggested that you make an appointment with a podiatrist to determine the most appropriate treatment plan for your specific foot condition. 

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.

When considering your workout routine, it is easy to overlook your feet and ankles. These often neglected body parts bear your body weight and support nearly all your movements. The foot and ankle complex is a marvel of anatomy, with 26 bones, numerous muscles, and countless nerve endings. During activities such as running and jumping, the foot and ankle endure significant forces, sometimes exceeding your body weight by several times. Moreover, they manage forces in multiple directions, contributing to their intricate biomechanics. Stretching and strengthening the foot and ankle complex is vital for overall physical health and injury prevention, as it can reduce the shockwave of force traveling into the shins, knees, and beyond. Neglecting this area can lead to common injuries. Stretching is also vital to maintain balance. An easy exercise to do for balance training consists of standing on one leg for 30 seconds, then repeat on the other side. Alternate between the two legs for three rounds. Once you can complete that with ease, repeat the progression on a soft surface such as a pillow. For advanced balance training, repeat the sequence above and close your eyes. If you would like to know more about various foot exercises you can do for balance, it is suggested that you make an appointment with a podiatrist who can provide you with the knowledge you are seeking.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. 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.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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.

Both custom and prefabricated orthotics aim to provide foot support and alleviate discomfort, but they differ significantly in their design, purpose, cost, and adaptability. Custom orthotics are tailor-made to fit an individual's unique foot contour and biomechanics. A podiatrist typically takes a mold or digital scan of the patient's foot and designs the orthotic based on specific needs. As a result, they provide targeted support, correct biomechanical imbalances, and address specific medical conditions. Prefabricated orthotics are mass-produced and come in standard sizes and shapes. They offer generalized support and cushioning but lack the personalized fit of custom orthotics. They may be useful for minor foot discomfort or as a temporary solution. They are less expensive than custom-made versions but may not provide the exact support or correction needed for more complex foot issues. In deciding between the two, it is suggested that you make an appointment with a podiatrist to discuss your particular foot issues.

If you are having discomfort in your feet and would like to try orthotics, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.