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Tuesday, 26 December 2023 00:00

Ways Psoriasis Affects the Feet

Psoriasis is a chronic autoimmune skin condition known for its distinctive red, scaly patches that commonly appear on various parts of the body. Unfortunately, psoriasis can also affect the feet, causing discomfort and complications. When psoriasis targets the feet, it can lead to symptoms such as redness, scaling, itching, and pain. The skin on the soles, toenails, and even between the toes can be affected. Psoriatic lesions on the feet can make walking and wearing shoes painful, significantly impacting one's quality of life. Moreover, psoriasis-related nail changes can lead to pitting, thickening, or even detachment of the toenails. Proper foot care and management strategies, such as topical treatments and lifestyle adjustments, can help alleviate the symptoms and improve the overall health of your feet. If you suspect psoriasis is affecting your feet, it is suggested that you schedule an appointment with a podiatrist who can provide you with an accurate diagnosis and personalized treatment plan.

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 Elliot T. Udell, 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 office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 19 December 2023 00:00

Runners and Plantar Fasciitis

Running enthusiasts often face the challenge of foot and ankle injuries, with plantar fasciitis being a common adversary, constituting approximately 25% of running-related issues. This condition involves inflammation of the thick band of tissue, the plantar fascia, connecting the heel bone to the toes. To mitigate the risk of plantar fasciitis and other foot and ankle injuries, careful consideration of footwear is essential. Choose running shoes with proper arch support and cushioning, as inadequate footwear contributes significantly to plantar fasciitis. Regularly replacing shoes is also needed to maintain their effectiveness. Further, gradual progression in running intensity or distance is vital, as abrupt increases can strain the plantar fascia and lead to injury. Incorporating a pre-run stretching routine targeting the calves, Achilles tendon, and plantar fascia enhances flexibility, reducing the likelihood of injuries. Equally important is a focus on foot strengthening exercises, such as toe curls and resistance band exercises, which contribute to better support and reduce the overall risk of foot and ankle issues. By understanding and addressing these factors, runners can take proactive steps to keep their feet pain-free, ensuring a sustained and enjoyable running experience. If persistent discomfort arises, it is suggested that you schedule an appointment with a podiatrist for personalized guidance on managing plantar fasciitis.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Elliot T. Udell, DPM  from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
Tuesday, 12 December 2023 00:00

Symptoms of Plantar Fibromatosis

Plantar fibromatosis is an uncommon condition that affects the tissue on the bottom of the foot. It is not cancerous, but it causes the tissue to overgrow. To diagnose it, podiatrists look for lumps in the middle or inside part of the tissue on the bottom of your foot. Those individuals suffering from plantar fibromatosis generally notice it when it starts to hurt and swell in the inside part of their foot. If you have these types of symptoms, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment plan.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Elliot T. Udell, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 05 December 2023 00:00

Reasons to Have Foot Surgery

Foot surgery is a decision often made with the goal of alleviating persistent discomfort and enhancing overall foot health. One common reason to have foot surgery is the correction of structural abnormalities, such as bunions or hammertoes, which can cause pain and affect mobility. Surgical intervention may also be necessary to address severe cases of conditions like plantar fasciitis, where conservative treatments have proven insufficient. Removal of painful growths or deformities, such as cysts or bone spurs, is another motive for foot surgery. Injuries, such as fractures or torn ligaments, may require surgical repair to restore normal function. In some cases, joint fusion or replacement becomes a viable option for advanced arthritis. Surgical procedures tailored to specific needs can significantly improve quality of life, reduce pain, and restore mobility, allowing individuals to step into a future with greater comfort and functionality. If you have a specific foot condition and are considering surgery, it is strongly suggested that you are under the care of a podiatrist who can help you determine if this is a correct decision for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Elliot T. Udell, 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 office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Friday, 01 December 2023 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Tuesday, 28 November 2023 00:00

Treatment for Ingrown Toenails

Ingrown toenails can be a painful and persistent issue, usually affecting the big toe and causing discomfort, inflammation, and sometimes bleeding. An ingrown toenail often results from wearing tight shoes, foot injuries, genetics, or poor foot care. When the curved edges of the nail pierce into the surrounding skin, pressure builds up, leading to pain, inflammation, tenderness, and redness. Beyond conservative treatments, there are two primary surgical methods for treatment, which are referred to as partial nail avulsion and total nail avulsion. Both are conducted under local anesthesia. Partial nail avulsion involves removing a portion of the nail, known as a wedge resection. The procedure trims one or both edges of the nail to make it narrower and give it a straight edge. This ingrown toenail treatment takes approximately 30 minutes and has a high success rate. With total nail avulsion, the entire nail is removed. This procedure is often reserved for those with recurrent issues or who are unresponsive to other less invasive ingrown toenail treatments. Proactive toenail care and early intervention are key to addressing ingrown toenails effectively. To manage an exceedingly painful or infected ingrown toenail, it is suggested that you make an appointment with a podiatrist for an exam, in addition to determining if surgery is best for you.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Elliot T. Udell, 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 occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ingrown Toenails

Morton's neuroma is a painful foot condition that affects the ball of the foot, most commonly occurring between the 3rd and 4th toes. It is not a true neuroma, as the name suggests, but rather a thickening of the tissue around the nerve that leads to the toes. The main symptom of Morton's neuroma is localized pain, which can vary from a mild discomfort to an intense, burning sensation. The pain is typically aggravated by walking, wearing tight or narrow shoes, or putting pressure on the affected area. Some individuals describe it as feeling like there is a pebble or a fold in their sock, even when there isn't. Tingling and numbness in the toes may also accompany the pain. People with Morton's neuroma often find relief when they remove their shoes and massage the affected area. Early diagnosis and appropriate treatment can help alleviate the pain and prevent the condition from worsening. It is suggested to seek medical attention from a podiatrist if you suspect you have Morton's neuroma. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Elliot T. Udell, DPM of New York. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What is Morton's Neuroma?
Tuesday, 14 November 2023 00:00

Ollier’s Disease

Ollier’s disease is a condition where a person develops non-cancerous cartilage growths, called enchondromas, inside their bones. It often affects the bones in the hands and feet, which can cause the bones to become deformed. This can make the hands and feet look abnormal and may lead to problems like shorter limbs, fingers, or toes. Even though these growths start as non-cancerous, there is a small risk they can become cancerous later. People with Ollier’s disease usually have a normal life span, and it does not affect their intelligence. The disease is often noticed in children around the age of 5 and the growths typically stop once they reach early adulthood. If you notice something amiss with your child’s feet, it is strongly suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Some foot conditions may require additional professional care. If you have any concerns, contact Elliot T. Udell, 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 office located in Hicksville, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

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Tuesday, 07 November 2023 00:00

Managing Intoeing in Children's Feet

One foot condition parents may encounter in their child’s feet is known as metatarsus adductus, recognizable when a child's foot looks like it's forming a C shape. Known by other names, such as metatarsus varus or pes adductus, it is a condition your child might have from birth. The front part of the foot, or the forefoot, points inward toward the back part of the foot. This makes the inside edge of the foot look curved and the outside edge look more rounded. Metatarsus adductus can be confused with other foot problems like skewfoot, which has a bump on the outside edge, or clubfoot, where the whole foot is turned inwards and down. Sometimes, this condition fixes itself as your child grows, but regular check-ups with a podiatrist are essential for monitoring progress. This medically trained foot doctor can suggest simple stretching exercises to help the foot align correctly. In addition, your podiatrist can prescribe custom shoe inserts for extra support and help correct the foot's shape. In more severe cases, your child's foot might be gently cast to guide it into the right position. Surgery may be suggested in extreme cases. With the right care and guidance, your child can have happy, healthy feet. If your child exhibits intoeing, it is suggested that you make an appointment with a podiatrist for a complete examination and a treatment plan.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Elliot T. Udell, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Congenital Foot Problems
Wednesday, 01 November 2023 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

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