January 2023

Gout is an arthritic condition that is caused by excess uric acid in the blood stream and a buildup and crystallization of these compounds in the body. This can happen from eating or drinking foods or beverages with purines, such as beer, red meat, and certain types of seafood. Symptoms of gout include redness, joint tenderness, and severe pain. It often affects the joint in the big toe first, and may radiate to the other toes. Gout is perceived as a condition that afflicts older men. Getting gout increases with age,  and women are more apt to develop gout after menopause. Gout can result in frequent or infrequent attacks. If you think you may have gout, please see a podiatrist for diagnosis and treatment as soon as possible.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Cary Golub, 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 offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Warts are growths that can form on various parts of the body. Plantar warts develop on the soles of the feet and grow inward as a result of the weight the feet endure. They generally cause severe pain and discomfort, and walking may become difficult. A wart is caused by the human papillomavirus (HPV), and plantar warts are no different. They can have the appearance of a callus, with small black dots in the center. This particular virus lives and thrives in warm and moist environments, including shower room floors and public swimming pools. It can enter the body through small cuts in the skin on the feet, and it is beneficial to wear appropriate shoes while in these areas. Additional preventive methods consist of keeping the feet as dry as possible, and refraining from sharing towels, shoes, and socks. There are various treatments that can be effective, and it is advised that you consult with a podiatrist who can determine what the best one is for you.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Cary Golub, DPM from New York. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Most people are born with flat feet, and the arch generally starts to form by the age of six. The late teenage years is typically when the arch is completely developed, but may not happen in many adults. This may come from  having a genetic disposition, or from an abnormal foot structure. Obesity may contribute to adults having flat feet, and it may be prevalent among pregnant women. Additionally, enduring a sports injury may lead to flat feet, and it can be natural among the elderly population. It is easy to notice flat feet, and is obvious while standing on the floor as the foot lies completely flat. The area where the arch would normally be can be strengthened by performing specific stretches and exercises. It may also be beneficial to wear shoes that have extra cushioning and support, and losing weight may help, if applicable. If you have flat feet, it is strongly urged that you are under the care of a podiatrist who can help you to manage this condition.

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.

Research has shown there may be a connection of walking barefoot and increased cognitive abilities. When children walk barefoot, they may become more aware of different textures that are walked on, which may contribute to understanding spatial awareness. There are numerous nerves in the feet, and when shoes are frequently eliminated, the opportunity to grow new neural connections may increase. The skin on the bottom of the feet will become tougher, and walking in environments with grass or sand may help to increase a sense of freedom. Toxic stress may be decreased, and walking in these types of environments may help to regulate the nervous system. Studies have shown that babies feet are preferred receptors, and emotions may possibly be regulated when children can walk barefoot while outside. If you would like more information about the benefits of having your child walk barefoot, please speak with a podiatrist who can address any concerns you may have.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Many people have professions that require standing for the majority of the day. This can wreak havoc on the feet and foot pain is often felt at the end of the day. The feet can become sore and swollen, and it is common to experience general muscle fatigue. It is beneficial to wear shoes that fit properly and are also comfortable. It may help to stand on a stress mat as well. It is suggested to elevate the feet as often as possible during a break or while having lunch, and this can help to reduce strain on the joints, ligaments, and muscles. Additionally, when positions are shifted while standing, it may give one side of the body a chance to momentarily rest. Research has shown that work productivity is increased when the feet do not hurt and the overall body is more energetic. If you would like more information about how to work efficiently while standing, please ask a podiatrist who can address concerns and answer any questions you may have.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Cary Golub, DPM from New York. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.