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Many people who have flat feet avoid walking and exercising, which can make the  body uncomfortable as a result of a flattened or little arch. The arch acts as a shock absorber, and with flat feet, the gait is different from people with normal arches. The majority of children are born with flat feet, but the arch generally develops in the teenage years. Wearing shoes that do not fit correctly may increase discomfort felt from flat feet, and custom-made orthotics are often prescribed to help the feet to absorb shock. There are various types of flat feet. Flexible flat feet are noticeable as the foot lies flat on the floor while standing, but the arch appears when sitting down. This foot condition may cause the feet to ache, and mild relief may be felt when specific stretches are frequently performed. In rigid flat feet, the arch is permanently flattened and cannot be seen while standing or sitting down. If you have flat feet of either type, please schedule a consultation with a podiatrist who can guide you toward relief treatments. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Cary Golub, 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 offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A common place for foot pain to develop is in the heel. It can indicate several foot issues, including plantar fasciitis, Achilles tendonitis, and heel spurs. All of these conditions are treatable, and a podiatrist is often contacted who can relieve the chronic pain that can be associated with these foot conditions. Flat feet may cause pain in some patients, and this is a result of little or no arch support. Wearing orthotics is a viable option that may help to diminish the pain and discomfort. A corn on the foot can bring excess pain to the patient. It is defined as a small, hardened area of skin that forms when pressure is exerted in a specific area of the foot, often the side of the pinky toe. This often happens as a result of wearing shoes and socks that are too tight. Foot pain for any reason can alter a patient's mood and can make completing daily activities challenging. A podiatrist is qualified to determine the cause of the foot pain and offer correct treatment options, so it is strongly urged that you contact this type of doctor as quickly as possible.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Water aerobics is a popular choice of exercise for many people. While shoes are not required, there is a good reason to wear shoes for this activity. Water shoes can help prevent foot pain and increase traction on the pool floor. Water aerobics involves jumping up and down on hard pool floors. Walking or bouncing on the bottom of the pool can eventually cause foot pain, a primary reason for wearing water shoes. However, these shoes can also prevent foot blisters. Since the skin on the feet softens and prunes in the water, it becomes more sensitive than if the feet were dry. Wearing a non-slip water shoe during water aerobics is important for injury prevention. Slipping can cause blisters as well as friction burns. Water shoes will provide stability in the water as the lack of body control is heightened due to added resistance. Slip-resistant shoes will provide more control and better performance of exercises. If you participate in water aerobics and sustain foot injuries or want to learn more about how to prevent foot injuries while engaging in this activity, contact a podiatrist to discuss.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

The way the foot meets the ground differs in walking and running. Generally, the heel touches the ground first and the weight then rolls onto the ball of the foot and toes during walking. In fact, studies show that walking onto the ball of the foot takes about 50 percent more energy and walking on the toes takes about 80 percent more energy. Heel-first walking is considered to be the most economical way to move. However, this economy of movement does not necessarily transfer to running, some believe. Studies have shown that it is more efficient to land on the toes or ball of the foot while running, rather than on the heel first. In fact, the fastest runners in the animal kingdom – horses, gazelles, deer, and dogs – all land on their toes first. Many elite human runners, both sprinters and distance, do not land on their heels first. That said, many experts agree that your natural strike pattern, toe first or heel first, should remain constant, as it is less efficient to try to convert from one to the other. For more information on the effects of walking or running on your feet, please consult a podiatrist.

If you have any concerns about your feet, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

The abbreviation for peripheral artery disease is PAD, which is defined as restricted blood supply to the feet and legs. It is a common condition, and the symptoms that are generally experienced include foot pain while walking, hair loss on the legs, and the skin may change color or appear shiny. The majority of people with PAD have symptoms that develop gradually and may ultimately need medical attention. Diabetic patients often have this condition, as a result of elevated blood glucose levels. This serious condition may be improved, and relief can be found when lifestyle changes are implemented. These include eating healthy foods, reducing alcohol consumption, and losing weight, if needed. There may be existing medical reasons that can lead to developing PAD, such as high blood pressure, high cholesterol, and heart disease. One of the symptoms of PAD is the inability to feel cuts or scrapes on the feet. These may go undetected and can lead to infection, which in turn may lead to ulcers, gangrene or amputation. If you have symptoms of PAD, it is strongly suggested that you are under the regular care of a podiatrist who can effectively diagnose and treat this condition.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

The tarsal tunnel is a narrow space that lies inside the ankle, next to the ankle bones. The tunnel is covered by a thick ligament that protects the arteries, veins, tendons, and nerves in the tunnel. The posterior tibial nerve within the tunnel is the focus of tarsal tunnel syndrome because it is the compression or squeezing of this nerve that produces symptoms along the path of the nerve running from the inside of the ankle into the foot. This condition is similar to carpal tunnel syndrome, which occurs in the wrist. Both arise from the compression of a nerve in a confined space. Those with flat feet, varicose veins, ankle sprains, or arthritis are more at risk for developing tarsal tunnel syndrome since these things can compress the nerve. When one has this syndrome, they might experience tingling or burning sensations, numbness, and/or pain on the inside of the ankle or on the bottom of the foot. These symptoms can also extend to the heel, arch, toes, and even calf. They are often brought on by overuse of the foot. It is important to seek treatment before permanent nerve damage results. If you think you may have tarsal tunnel syndrome or pain that resembles these symptoms, see a podiatrist as soon as possible for diagnosis and treatment that is right for you.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

The feet carry the weight of the body, and it can help the overall body to keep them as healthy as possible. Stretching the feet is simple to do, and the benefits outweigh the time it takes to practice effective foot stretches. Specific stretches can improve range of motion, and may maintain strength and flexibility. An effective foot stretch is done sitting in a chair, with the feet flat on the floor. While keeping the toes on the ground, the heels are lifted until only the balls of the feet and toes can touch the ground. Also, the toes can become stronger when the foot is kept on the floor, while spreading the toes as wide as possible. Additionally, a good stretch for the toes involves crossing one leg over the other, and moving the toes with the hand back and forth. There are various stretches that can be done for different parts of the foot. If you would like more information about how to perform these, please consult a podiatrist. 

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

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

Osteoarthritis is the most common type of arthritis. It attacks the cartilage and reduces the cushioning between the bones, causing pain, stiffness, and inflammation. The foot has 26 bones, and each of the 30 joints that connect them contain cartilage that can become compromised by osteoarthritis. Most cases of osteoarthritis is the result of an injury, either to a ligament or to a bone. Because osteoarthritis is a chronic condition and cannot be cured, the only remedies are to treat the symptoms, in addition to making a few lifestyle changes. Range of motion and foot stretching exercises are recommended. Losing weight and following a healthy diet that is rich in omega-3 fatty acids, vitamin D, and calcium can help reduce both inflammation and pain. A podiatrist can offer more information on treating osteoarthritis in your feet, such as non-steroidal anti-inflammatory drugs or corticosteroid injections. In severe cases, arthroscopic or joint replacement surgery may be an option. It is a good idea to make an appointment today for a diagnosis and treatment plan.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

Pain in the back of the heel is very common in sports, usually signals overuse, and mostly concerns the Achilles tendon. Most common is Achilles tendonitis, which usually starts with a mild ache, but with increased and prolonged activity can develop into severe pain. This injury, an inflammation of the Achilles tendon which connects the calf muscles to the heel bone, is common among runners. Another cause of Achilles tendon pain is Sever’s disease, which occurs in adolescent children who are active in sports. It is the result of an imbalance in the growth rate of the calf muscle and the heel bone, but usually self-corrects with time. Achilles bursitis, also known as retrocalcaneal bursitis, is an inflammation of a small sac of fluid in the back of the heel called a bursa. Another overuse injury, it will cause pain, swelling, and tenderness. An Achilles tendon rupture indicates a complete tear, and most commonly occurs in men over the age of 40. A loud snapping noise accompanies this injury, which is often described as being struck on the back of the heel. Immediate attention to this injury is suggested. If you experience any of the above injuries, it is wise to visit a podiatrist for an exam and diagnosis.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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