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Tuesday, 25 April 2023 00:00

Rheumatoid Arthritis and the Feet

Rheumatoid arthritis is a type of autoimmune disease that often attacks the feet and ankles first. This type of arthritis comes from the immune system attacking joint linings and weakening ligaments. It can result in pain, swelling, stiffness, and deformity, and it can impact balance and mobility making it hard to stand or walk safely.  Nodules or lumps on the feet can rub against shoes when walking and hammertoes or bunions can develop. This type of arthritis is three times more apt to affect women than men. As the disease progresses, the joint damage can become so severe that there is a complete loss of joint function and joint-replacement surgery is necessary. If you are suffering from the discomfort of rheumatoid arthritis in your feet or ankles, it is suggested that you see a podiatrist for suggestions on how to live life more comfortably.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Elliot T. Udell, DPM of New York. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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, 18 April 2023 00:00

Dealing With Your Child's Clubfoot

Clubfoot is a common birth defect that can be detected before birth or at birth. It is when an infant’s foot points inward instead of forward. The heel will appear to be on the outside of the foot while the toes point toward the other foot. While this condition typically involves one foot, it can involve both feet. It is more apt to affect boys than girls. A child with clubfoot will wobble when they walk and often walk on the outside of their foot to maintain their balance. While it looks uncomfortable, it generally does not cause pain in childhood. However, a child with this ailment can experience pain later in life if the affected leg is shorter and has a smaller calf due to the clubfoot. The reason for this anomaly is unknown. Some experts believe clubfoot is a genetic condition and that mothers who smoke or drink during pregnancy are more likely to bear children with clubfoot. It may also occur as a skeletal abnormality during birth. Clubfoot may be corrected with stretching and bracing the foot, but in some severe cases, surgery might be required. If you have a child born with clubfoot, it is suggested that you consult a podiatrist for recommended treatment.

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.

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Tuesday, 11 April 2023 00:00

Causes and Symptoms of Sever’s Disease

A condition known as Sever’s disease is common among physically active children between the ages of 8 and 14. Luckily it is not really a disease and generally corrects itself as the child ages. However, in the meantime, the child may experience pain in the heel, but not the Achilles tendon or plantar fascia. Also known as calcaneal apophysitis, Sever’s disease results from inflammation of the growth plate at the back of the heel. This is because the muscles of the calf and the heel bone grow at different rates. Excessive running or jumping, particular to certain sports played by children, can aggravate the condition. Pain is worse during activity and generally lets up after rest. Another factor of Sever’s disease is wearing shoes that do not offer ample heel cushioning or arch support. By late adolescence, the child’s growth plates will have hardened and the pain abates. For more information, it is suggested that your child see a podiatrist who can examine the heel to properly diagnose the problem and offer options for treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Elliot T. Udell, DPM from New York. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

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Tuesday, 04 April 2023 00:00

Diabetics May Be at Risk for Charcot Foot

Many diabetics suffer from a related condition known as Charcot foot. It is caused by peripheral neuropathy, which is nerve damage and a loss of sensation in the lower legs and feet. Diabetics with Charcot foot may notice redness, warmth, and swelling of the feet, the condition also weakens the bones, soft tissues, and joints of the foot. As the disease progresses it may lead to fractures and dislocation of the ankle bones. Charcot foot can be detected through a physical examination, X-rays, and blood tests. The condition generally affects only one foot. Taking the weight off the affected foot is paramount in helping to keep symptoms at bay. The bones in the foot can easily collapse and if ignored can produce even more serious problems. In some cases, patients are directed to wear a special boot or cast to protect the foot. Orthotic inserts in shoes are often helpful in providing the needed cushioning. If you are experiencing symptoms of Charcot foot, it is suggested that you consult a podiatrist as soon as possible for an exam and diagnosis. 

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.

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Monday, 03 April 2023 00:00

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.

Wearing golf shoes helps to keep the feet stable and gives the necessary support and balance needed during a swing of the golf club. Beginners to golf may find the task of choosing the right golf shoe daunting. Besides finding a shoe that fits properly, the next most important factor in choosing golf shoes is traction. Two types of shoes are commonly worn, spiked or cleated shoes, and spikeless shoes. In both cases, the job of the golf shoe is to keep the golfer’s feet stable throughout the swing. Shoes with cleats or spikes contain hard plastic rounds that screw into the sole of the shoe. These are replaceable, as they may wear out. Metal spikes are likely to be banned at most golf courses. Non-spiked shoes contain a pattern of ridges, termed traction lugs, that help provide gripping power. These shoes may be more comfortable, but may not be as effective as spiked shoes. To avoid foot and ankle issues that can result from learning to play golf, it is suggested that you consult a podiatrist for guidance.   

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Elliot T. Udell, DPM from New York. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

  • Select a shoe that is shaped like your foot
  • Don’t buy shoes that fit too tight, expecting them to stretch to fit
  • Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
  • Walk in the shoes to make sure they fit and feel right
  • Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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.

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Tuesday, 21 March 2023 00:00

Reasons for My Foot Pain

Many people experience foot pain for various reasons. Pregnant women may have swollen feet and heel pain as a result of the bodily changes that pregnancy causes. Plantar fasciitis is a common foot condition where the pain worsens during the night, possibly interrupting high-quality sleep. Women who frequently wear high heels may be prone to developing Morton’s neuroma. This is an ailment that can happen when the toes are pressed together, and this can irritate the nerve between the third and fourth toes. The pain is often felt on the bottom of the toes, and on the ball of the foot. Unbearable pain may be a reason to have surgery, where the affected nerve is removed. Diabetic patients often experience foot pain as a result of elevated blood sugar levels. This can cause neuropathy, which is the inability to feel sensation, and it typically affects the feet. If you have foot pain for any reason, it is suggested that you speak to a podiatrist as quickly as possible who can determine what the cause is, and offer correct treatment options.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Elliot T. Udell, 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 office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 14 March 2023 00:00

Prevent Running Injuries

There are many positive things that running can provide. People who enjoy running find it is simple and inexpensive, and the endorphins that are produced can have an energetic effect. Preventing running injuries is important, especially to avoid gaps in your running routine. Running can be demanding on the body yet rewarding to the mind, and having a strong body may help to avoid painful running injuries. It is beneficial to warm up and cool down before running, in addition to gradually increasing speed and mileage. Performing exercises that target the glutes may help to strengthen the legs, and these can include squats and lunges. The feet land on the ground with an excessive amount of force, so it is important to choose shoes that fit your feet and running style correctly. If you have questions about how to prevent running injuries, it is suggested that you speak with a podiatrist who can help you with effective prevention methods.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Elliot T. Udell, DPM of New York. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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, 07 March 2023 00:00

Foot Problems Common in Seniors

As a person ages, problems involving the feet become more common. These issues among seniors can interfere with daily activity, increase the risk of falling, and adversely affect other body parts. Among the changes to the feet specifically linked to aging are dry skin, flat feet, hammertoe, toenail changes, and arthritis. Other potential problems include a shortened Achilles tendon, edema, and neuropathy. Dry skin, especially on the feet, can cause cracks in the skin that may result in fissures. Daily moisturizing is often a good preventative measure. Deep cracks in the skin can invite infection and in the worst cases develop into cellulitis. With age also comes a loosening of the ligaments, which can cause the arches of the feet to drop. This can negatively affect body mechanics, cause foot pain, and decrease stability. The Achilles tendon may begin to lose water as one ages, which can develop into drop foot. A decline in estrogen and testosterone production can affect the toenails, which may turn brittle and become thicker. Osteoarthritis, which is also termed wear and tear arthritis, may attack the major joints of the foot, big toe, and ankle. If any of these issues have begun to affect your feet, it is suggested that you schedule a visit with a podiatrist to find out more.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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 Elderly Foot Care
Saturday, 04 March 2023 00:00

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

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