October 2021

The heels of our feet are cushioned by fatty tissues that form a heel pad. This structure acts as a shock absorber, protecting our heel bones from injury. Acute or chronic trauma to the foot and aging can both wear away the heel pad, causing deep, bruise-like pain. People who are older or obese, and those who have rheumatoid arthritis or receive corticosteroid injections into the feet are at an increased risk of developing this condition. Treatment for heel fat pad syndrome is typically conservative and involves resting and icing the affected foot, wearing more comfortable shoes or orthotics, and taking non-steroidal anti-inflammatory drugs to reduce pain. If you are experiencing heel pain, it is suggested that you seek the care of a podiatrist.  

Many people suffer from bouts of heel pain. 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.

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

Diabetic foot ulcers (DFUs) affect approximately 15% of Americans who have diabetes. These wounds can be difficult to treat, as they often go undetected until they have progressed and have a poor blood supply, which makes the healing process very slow. Furthermore, people with diabetes are at greater risk of having an impaired immune system, making the wounds more likely to become infected. Fortunately, there have been many recent breakthroughs in wound treatment. Negative pressure wound therapy (NPWT) uses wound dressing and airtight film with a suction device to cover the wound, drain fluid, and promote healthy new tissue growth. Skin grafting has also advanced and can be used to treat DFUs in some patients. To learn more about advanced diabetic wound care, consult with a podiatrist today. 

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.

Toe stretchers are a type of orthotic that may relieve toe pain. Conventional toe stretchers are usually made of gel, plastic, or silicone and slide between your toes, spreading them apart and positioning them away from the balls of the feet. They are worn while sitting or lying down and stretch the toe muscles and ligaments, increasing their flexibility, relieving pain, and preventing injuries. Toe stretcher socks are simply socks that separate the toes. They do not provide as much of a stretch as conventional toe stretchers, but still separate the toes and are warm and comfortable. Toe stretchers are used to treat a variety of conditions, including plantar fasciitis, hammertoes, bunions, corns, calluses, and Morton’s neuroma, among others. To see if toe stretchers are right for you, please consult with a podiatrist. 

If you are having discomfort in your feet and would like to try orthotics, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please 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.

Ankle sprains are one of the most common injuries to occur during sports. Ankle sprains develop when ligaments that connect the bones in the foot, ankle, or lower leg become stretched or torn. This generally takes place when the ankle twists or rolls inwards and causes the ligaments on the outside of the ankle to over-stretch. Common signs of a sprained ankle include swelling that may be accompanied with a bruise, pain, a snap or cracking sound at the time of injury, and difficulty walking or bearing weight. Most ankle sprains are treated with rest, ice, anti-inflammatory medicines, and additional support for the ankle. However, because the symptoms of an ankle sprain are very similar to those of a broken ankle, patients who may have endured a sprained ankle should consult with a podiatrist for a proper diagnosis. A podiatrist will be able to make suggestions in order to prevent a recurring ankle sprain and provide a treatment technique that is specific to you.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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 Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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.