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People with flat feet who enjoy running may experience challenges in finding the right running shoe. There are several factors to consider when deciding which type of shoe to purchase. These can consist of the gait cycle, the individual foot, and the range of motion. Some people have collapsed arches that can cause their feet to become flat due to muscle weakness. Patients with flat feet may opt for a shoe that has additional arch support to help the foot regain strength. Adults who have anatomically flat feet may choose a shoe without arch support, which may help to protect the knees. Research has shown that many flat-footed runners may feel better when stability shoes are worn, even though they may not help to correct the foot structure. Wearing a full-contact midsole shoe may help to protect the entire foot while running, therefore, these shoes are a popular choice among people who have flat feet. If you have flat feet and would like more information about what type of running shoes to purchase, it is suggested that you confer with a podiatrist who can guide you toward the best choice.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Elliot T. Udell, DPM from New York. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of 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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Tuesday, 09 May 2023 00:00

Reasons for Gout Attacks

There is a small percentage of people worldwide who are affected by the foot condition that is known as gout. It is a form of arthritis and can cause debilitating pain and discomfort. Gout occurs due to excess uric acid in the blood. The excess uric acid may be caused by eating foods with large amounts of purines. These can consist of shellfish, red meat, and sugary drinks. Gout may also occur from genetic reasons, and it may be more prevalent among men who are over 40 years old. The abundance of uric acid converts to crystals that lodge in the joints of the big toe, and in addition to the pain, there may be swelling and redness. The range of motion in the toe may be temporarily reduced, and the pain may radiate to the other joints. Gout attacks may be prevented when healthy foods are eaten, including vegetables, whole grain foods, and dairy products that are low in fat. If you suffer from gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Elliot T. Udell, DPM from New York. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.

Read more about Everything You Need to Know About Gout

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 02 May 2023 00:00

Heel Pain From Flat Shoes

It is undeniable that wearing certain kinds of shoes can negatively impact the health of the feet. For example, flip-flops and high heels are just two kinds of shoes that can potentially harm the health of the feet. Flat shoes with little to no support or cushioning can also cause pain in the feet, especially the heels. There are many reasons for this phenomenon. Most importantly, when an individual walks with flat shoes, the heel bone takes the brunt of the force. Therefore, flat shoes may exacerbate heel pain. One can mitigate heel pain and prevent it by wearing supportive shoes instead of completely flat shoes. If you are someone currently struggling with heel pain, it is suggested that you contact a podiatrist today for treatment and advice. 

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.

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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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