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Numb and Tingling Feet
If your feet are numb, tingling, or sensitive to the touch, you may have peripheral neuropathy. The term “neuropathy” refers to nerve damage. This condition affects one to two percent of Americans and can significantly impact your lower limbs. In addition to the altered sensations mentioned above, people with neuropathy may also experience pain, cramping, muscle weakness, a loss of reflexes, and difficulty walking. Neuropathy is often associated with preexisting medical conditions, such as diabetes. If you have symptoms of nerve damage in your feet or ankles, it is strongly suggested that you are under the care of a podiatrist who can help you manage this condition and maintain the health of your lower limbs.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Elliot T. Udell, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
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.
Arthroscopy: A Technological Marvel
In arthroscopic surgery, a small incision in the skin is made to allow a narrow instrument (arthroscope)—with a light and video camera attached—to be inserted into the ankle. The video from the camera transmits a signal to a large screen which the surgeon views to see and diagnose damage inside the ankle. The surgeon can look at this video to guide them during arthroscopic surgery, using tiny surgical instruments inserted through other small incisions. Arthroscopic ankle surgery can be used to restore damage to cartilage, remove bone spurs, scar tissue and debris, and treat certain conditions in the small area at the back of the ankle. Arthroscopic surgery offers shorter hospital stays and recovery time, and it has a lower risk of infection due to small incisions being made—as opposed to larger incisions associated with open surgeries. Make an appointment with your podiatrist to see if arthroscopic surgery is appropriate for your ankle condition.
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.
Plantar Fasciitis May Be Causing Your Heel Pain
If you have heel pain and inflammation that is severe in the morning and gets better as your body warms up, you may have a condition known as plantar fasciitis. This occurs when the fibrous plantar ligament on the bottom of the foot is overly stressed or otherwise damaged. This damage may be due to injuries, obesity, regularly wearing improper footwear or high heels, intensifying physical activities too rapidly, or foot structure anomalies. If the cause of plantar fasciitis is not discovered and treated properly, the condition may worsen and become chronic. Since plantar fasciitis affects millions of people each year, it's the most common cause of heel pain. Podiatrists have extensive experience in diagnosing the condition and treating it using a wide variety of methods and therapies. There is no need to continue living with heel pain; make an appointment with a podiatrist to begin your recovery.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. 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 one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best 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 care needs.
Do Your Child's Feet Hurt?
Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.
What to Avoid When It Comes to High Heels
High heeled shoes may be fashionable, but they are not your best footwear option when it comes to maintaining the proper health of your feet. Wearing high heels, particularly shoes that are tight-fitting, narrow, or have excessively high heels, can damage your feet. Frequent high heel wearing can lead to bunions, hammertoes, pump bump, corns, calluses, neuromas, ankle sprains, and even back pain. If you would still like to wear high heels, reduce the risk of potential problems by opting for shoes that do not have pointed or narrow toe boxes, or a heel taller than two inches. If you start to feel foot pain while wearing these shoes, it is suggested that you change into something more comfortable and properly fitting as soon as possible. For more information about the effects of high heels on the feet, please consult with a podiatrist.
High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.
Effects of High Heels on the Feet
High heels are popular shoes among women because of their many styles and societal appeal. Despite this, high heels can still cause many health problems if worn too frequently.
Which Parts of My Body Will Be Affected by High Heels?
- Ankle Joints
- Achilles Tendon – May shorten and stiffen with prolonged wear
- Balls of the Feet
- Knees – Heels cause the knees to bend constantly, creating stress on them
- Back – They decrease the spine’s ability to absorb shock, which may lead to back pain. The vertebrae of the lower back may compress.
What Kinds of Foot Problems Can Develop from Wearing High Heels?
- Corns
- Calluses
- Hammertoe
- Bunions
- Morton’s Neuroma
- Plantar Fasciitis
How Can I Still Wear High Heels and Maintain Foot Health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available.
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.
Understanding Heel Bursitis
Heel pain is one of the most common reasons people visit a podiatrist, and it can make daily activities like work and exercise almost impossible. One source of heel pain is heel bursitis. This can occur when either the bursa sac of fluid that attaches the Achilles tendon and the calcaneal tendon becomes inflamed (known as retrocalcaneal bursitis), or the padding under the heel begins to degenerate because of trauma (known as subcutaneous calcaneal bursitis). Heel pain can have a variety of causes and can affect anyone. If you are struggling with heel pain, consulting with a podiatrist can be extremely beneficial. A podiatrist will be able to properly diagnose and treat the source of the pain.
Many people suffer from bouts of heel pain. For more information, 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.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Why Are My Toenails Thick?
Thickened toenails are typically a sign of a fungal toenail infection, which can cause changes in the texture and color of the toenail. An infected toenail can often thicken, become brittle or crumbly, and develop white, yellow, or brown discoloration. But while fungal infections are the most common cause of thickened toenails, they are not the only cause. Psoriasis, a skin condition, can also affect the toenails, making them thicker, pitted, and discolored. Paronychia, a nail disease caused by a bacterial infection, can thicken the toenail, make it discolored, and cause redness, pain, and inflammation around the nail. Diabetes can cause toenails to thicken because not enough nutrients are reaching the toenails to maintain their health. Other reasons your toenails may be thickened include onychogryphosis (Ram’s Horn), aging, a toenail injury, or a rare condition called yellow nail syndrome. If you notice changes in the thickness, color, or shape of your toenails, it is suggested that you schedule an appointment with a podiatrist.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
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.
What Is Blue Toe Syndrome?
Blue toe syndrome is a condition in which one or more toes develop a lace-like, bluish-purple discoloration (livedo reticularis) due to a blockage of the small blood vessels in the foot. In addition to skin discoloration, blue toe syndrome can cause intense pain in the foot that may radiate higher up into the leg. This condition is often associated with older age and other conditions that affect blood flow, such as atherosclerosis. Left untreated, blue toe syndrome can lead to skin ulceration, tissue death, and even gangrene. If you notice a sudden bluish-purple discoloration in your toes, it is suggested that you seek the care of a podiatrist as soon as possible.
While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Elliot T. Udell, DPM of New York. Our doctor will treat your foot and ankle needs.
Poor Circulation in the Feet
Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.
Symptoms
Some of the most common symptoms of poor circulation are:
- Numbness
- Tingling
- Throbbing or stinging pain in limbs
- Pain
- Muscle Cramps
Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.
As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication.
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.
Wounds That Don't Heal Need to Be Checked
Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.
What Types of Exercises Should I Do for a Sprained Ankle?
Following an ankle sprain, doing gentle ankle exercises can be beneficial, although you should first get your doctor’s approval. Ankle exercises are great for ankle sprain recovery because they can improve your ankle’s range of motion, strength, stability, and flexibility, which can promote healing and help prevent future injuries. One simple exercise that you can do to improve your ankle’s range of motion is the “ankle alphabet.” Sit on a chair or couch with your leg extended out in front of you. Trace the letters of the alphabet, from A to Z, in the air using your big toe. Repeat this exercise two to three times. To learn more about the benefits of ankle exercises for ankle sprain recovery, please consult with a podiatrist.
Ankle sprains are common but need immediate attention. If you need your feet checked, 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.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
- Mild to moderate bruising
- Limited mobility
- Swelling
- Discoloration of the skin (depending on severity)
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
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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What Is a Gait Analysis?
A gait analysis is a method used to identify abnormalities in your walking or running pattern. This is a useful tool, especially for runners. Many people are afflicted with muscle imbalances, overpronated gaits, or other biomechanical issues that can make foot and ankle injuries more likely to occur while running. There are several types of gait analyses. An observational gait analysis involves a physical examination of your feet followed by a visual assessment of your gait. Following this, it should be easier to know what types of running shoes, orthotics, or other support you may need to correct any biomechanical problems. Other types of gait analyses may also measure force on your feet. To learn more about gait analyses, please consult with a podiatrist.
If you have any concerns about your feet, 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.
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 office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Fracture of the Pinky Toe
The pinky toe is the smallest toe on the foot, and it is located on the outside of the foot. It can easily be involved in an injury and be painful to deal with when broken. A broken pinky toe will often appear to be bruised, and can turn red and purple. Some patients experience swelling, as well as misalignment of the affected toe. An effective diagnosis may involve undergoing an X-ray, which can help to determine what type of fracture it is. A hairline fracture can be treated by resting the affected foot, and relief may be found when an elastic bandage is worn. Patients who are over sixty-five may be prone to enduring a dislocated toe, meaning separation of the bones in the toe. If you feel you may have broken your toe, it is strongly suggested that you are under the care of a podiatrist who can help you with correct treatment options.
A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Elliot T. Udell, DPM from New York. Our doctor will treat your foot and ankle needs.
What to Know About a Broken Toe
Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).
Symptoms of a Broken Toe
- Throbbing pain
- Swelling
- Bruising on the skin and toenail
- The inability to move the toe
- Toe appears crooked or disfigured
- Tingling or numbness in the toe
Generally, it is best to stay off of the injured toe with the affected foot elevated.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.
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.
What Causes Heel Spurs?
Heel spurs are pointy calcium deposits on the heel bone that develop after there is repeated inflammation at the site where ligaments or tendons attach to it. You might be asking what causes this inflammation? Strain injuries due to athletics, chronic inflammatory disorders, and arthritis that affects tendons and ligaments all can play a factor in the development of heel spurs. Heel spurs can be associated with other conditions as well. For instance, spurs on the back of the heel bone may be associated with Achilles tendonitis, and spurs on the bottom of the heel bone may be associated with plantar fasciitis. While heel spurs don’t always cause symptoms, in some cases they have been known to create tenderness and pain where the Achilles tendon attaches to the back of the heel bone, or where the plantar fascia attaches to the bottom of the heel bone. By using x-rays and other diagnostics, a podiatrist can identify the bony outgrowth and heal the underlying condition with a variety of treatments and custom orthotics.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Elliot T. Udell, DPM from New York. Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact our office located in Hicksville, NY . We offer the latest in diagnostic and treatment technology to meet your needs.
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!
