April 2023

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.

Ledderhose disease, also known as plantar fibromatosis, is rare and impacts the bottom of the feet. This disease presents as a buildup of connective tissue in the feet, which forms into lumps or nodules on the fascia located on the sole of the foot. The fascia is a connective tissue that runs from the heel bone to the toes, and when it thickens, it can form nodules, which may be painless at first and, over time, may cause discomfort and pain. The skin may tighten, there might be itching and stinging in the surrounding area, and pain in the foot and ankle joints can develop. The cause of this ailment is not known. However, some believe that it is caused by genetics or environmental factors. Risk factors include regular alcohol consumption, liver disease, and diabetes. It most often strikes those in middle or older age and is more common in men than women. Treatment of Ledderhose disease depends on its severity. It is suggested that if you develop such nodules in your feet, you contact a podiatrist for an examination, diagnosis and healing options that are right for you.

Some foot conditions may require additional professional care. 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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.
 

Thousands of seniors fall and break bones yearly. A broken bone in people in this age group can seriously interfere with mobility and lead to more serious health problems. Falls can be prevented by exercising to maintain strength and flexibility, having medications, vision, and health checked regularly, and employing home safety measures. Staying physically active is essential in keeping one’s body healthy throughout life. Poor eyesight and slower reflexes can contribute to falls. Taking medications with side effects that cause dizziness or confusion or having a health condition, such as diabetes or heart disease, can affect balance and cause falls. Hazards such as wet floors, poor lighting, or rugs not securely fastened to the floor can all contribute to falls in the home. If you are an older adult, it is suggested that you visit a podiatrist who can provide additional tips to help you prevent falls and fractures.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious 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.