Blog

Bones in the feet and ankles are common areas for stress fractures. A stress fracture happens from repeated pressure on a bone. It is this repeated stress that differentiates a stress fracture from a typical broken bone. Runners and dancers are prone to stress fractures of the feet and ankles, especially after an increase in the level of activity. Certain other groups, such as those with osteoporosis, those with abnormalities of the foot structure or biomechanics, and those on certain medications, can have an elevated risk for stress fractures as well. A stress fracture can cause pain that is heightened with weight bearing or when direct pressure is applied to the affected bone. After such an injury, it is important to decrease weight-bearing activities to prevent a more unstable fracture from occurring. Diagnosis of a stress fracture can be difficult because it does not always show up on an X-ray. A CT scan or MRI is more sensitive to picking up these types of fractures. If you feel you might have sustained a stress fracture to your foot or ankle, it is suggested that you see a podiatrist for a proper diagnosis and treatment.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.

Hikers can easily get wet feet, simply by having to cross a stream, or from a sudden downpour. Hiking experts recommend not hiking in conditions that may cause your feet to get wet. Potential problems from continuing to hike after your feet are wet include developing fungal infections and blisters. Possible infections include athlete’s foot, which can cause cracked, itchy, and inflamed skin between the toes, and toenail fungus, which can cause the nails to crumble and flake. This also can endanger the nail bed itself. Blisters are caused by friction as the side of the toe or heel rubs against the inside of a shoe. If the activity continues when a blister forms, it not only can be painful, but it can become infected. Prevention measures include wearing waterproof boots, carrying an extra pair of moisture-wicking socks, and investing in a pair of gaiters that help to keep your feet dry. For more information on how to keep your feet safe while hiking, it is suggested that you consult a podiatrist.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains 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 and ankle needs.

Some people experience pain, cramping, or numbness in their toes at night. Prolonged time on the feet, dehydration, wearing ill-fitting shoes, and mineral deficiencies can trigger this type of pain. Overexertion can drain minerals from the body through sweat and cause cramps in the toes. Wearing shoes that do not fit well can restrict blood flow to the toes. People over age 50 and women who have entered menopause can lose calcium in their bones, which can cause toe cramping during the night. Other medical conditions, including arthritis, peripheral neuropathy, and gout, can result in the same symptoms. If you are experiencing persistent toe pain during the night, it is suggested that you seek counsel from a podiatrist who can evaluate what might be going on and provide appropriate treatment.

Toe pain can disrupt your daily activities. 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

Many individuals who care about maintaining good foot health take extra care to avoid getting blisters on their feet. The reason is that foot blisters can cause discomfort and are unsightly. During the summer season, an individual could potentially be at an increased risk of developing foot blisters. At this time, an individual can sweat more than usual, specifically in the feet. When there is extra sweat around the feet, this can lead to more friction between the feet and the shoes. With the added friction comes an increased chance of developing friction-related blisters. Therefore, as the weather gets warmer into the summer months, a vigilant person can take steps to minimize sweating and blister formation on the feet. If you are someone looking to prevent blisters, it is suggested that you contact a podiatrist today for more information.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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.

Heel spurs are a bony growth that can develop on the underside of the heel bone, pointing towards the toes. Like many foot conditions, pain is a symptom linked to heel spurs. However, not all patients with heel spurs feel pain. Interestingly, only a fraction of those living with heel spurs experience pain. Often, heel spurs may be associated with plantar fasciitis, in which case pain can be felt at the bottom of the foot. Pain from heel spurs and plantar fasciitis can be more pronounced in the morning. If you are living with heel spurs, then it is suggested that you schedule an appointment with a podiatrist who can help you treat your condition. 

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 Cary Golub, 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 offices located in Williston Park, and Long Beach, NY . We offer the latest in diagnostic and treatment technology to meet your needs.

The band of tissue that connects the calf muscles to the heel is called the Achilles tendon. This tendon helps the body to walk, run, and jump, in addition to standing on tiptoes. When an Achilles tendon injury is experienced, it can cause a great deal of pain and discomfort. Common causes include increasing speed and distance too quickly while running and training on hard or uneven surfaces. Additionally, long-term conditions such as rheumatoid arthritis, diabetes, or thyroid disorders may lead to Achilles tendon injuries. Some of the symptoms associated with this ailment are stiffness, dull or sharp heel pain, and the back of the ankle may be swollen. If the injury is severe, surgery may be an option to consider for permanent repair. If you have endured an Achilles tendon injury, it is suggested that you consult a podiatrist who can provide the treatment solution that is right for you.

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.

A laceration is a wound. Many wounds develop on the feet, and deep wounds often require stitches. If an object has pierced the skin, an X-ray may be taken which can determine if a piece of it is inside the wound. All wound care requires the hands to be washed thoroughly before the area is touched. This may be helpful in preventing an infection from developing. This is followed by removing the bandage, and gently washing the affected area. After an antibiotic ointment is applied, a new bandage can be put on, and it is important to keep it dry. For wounds that start to change colors, begin to reopen, or if there is decreased movement in the foot, it is suggested to speak to a podiatrist as quickly as possible. This type of doctor can offer you proper wound care management and provide you with correct treatment techniques.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Onychomycosis is the medical term for the common foot condition that is known as toenail fungus. It can be an unsightly ailment and causes the toenails to become yellow and thick. In severe cases, they may become brittle and eventually separate from the nail bed and fall off.  It can be caused by various reasons, which may include existing medical conditions. These can consist of diabetes, poor circulation, or a weakened immune system. Additionally, the fungus that causes this condition can live in moist environments such as public swimming pools, shower room floors, and similar areas. It is beneficial to wear appropriate shoes while going to these types of places, which may help you to avoid getting toenail fungus. One of the first signs of this condition can be a small white spot that appears on the nail of the big toe. Research has shown that treatment may be more successful when started promptly. If you have developed toenail fungus, it is suggested that you confer with a podiatrist who can discuss the correct treatment options with you.

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 Cary Golub, 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 offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.