November 2024

While bunions are more common in adults, they can also develop in children. Pediatric bunions often result from inherited foot structures, where genetic factors influence bone alignment. Unlike adults, children's bunions tend to be softer, although they may still cause discomfort and visible bumps on the side of the big toe. Children with flat feet or hypermobility are more prone to bunions, especially if there is a family history. Unfortunately, bunions will not go away on their own and may worsen over time, particularly as children grow and become more active. Early intervention helps prevent progression. Wearing supportive shoes with wide-toe boxes and arch support can alleviate pressure. If you have a child with a bunion, it is suggested that you schedule an appointment with a podiatrist so the severity of the bunion can be assessed, and individualized treatment options are offered for long-term foot health.

If you are suffering from bunions, 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 a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• 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 care needs.

Hammertoe is a foot deformity where one or more toes bend abnormally at the middle joint, causing a downward curve resembling a hammer. This misalignment often affects the second, third, or fourth toes and is caused by muscle or tendon imbalances, often due to genetics, wearing poorly fitting shoes, or conditions like arthritis. The bent toe can cause pain, swelling, corns, and calluses as it rubs against footwear, making daily activities uncomfortable. A podiatrist specializes in diagnosing and treating hammertoe. For mild cases, they may recommend conservative treatments like stretching exercises, wearing shoes with a spacious toe box, and using custom orthotics to relieve pressure. Toe splints or pads may also help realign the joint. In advanced cases, when pain persists or limits mobility, a podiatrist might suggest surgical correction to straighten the toe and restore function, offering lasting relief. If you have discomfort from a hammertoe, it is suggested that you schedule an appointment with a podiatrist.

Hammertoes can be a painful condition to live with. For more information, contact Cary Golub, DPM of New York. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work 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.

Stress fractures are tiny cracks in the bones of the foot, often caused by repetitive pressure or overuse. They are sometimes referred to as hairline fractures. Commonly seen in athletes, these fractures can occur due to sudden increases in activity, wearing improper footwear, or training on hard surfaces. They are particularly prevalent in sports that involve running or jumping. Symptoms typically include localized pain that worsens with activity, swelling, and tenderness when pressure is applied to the affected area. In some cases, bruising may also be visible. A podiatrist plays a critical role in diagnosing and treating stress fractures. They may perform a physical examination and imaging tests, such as X-rays or MRI scans to confirm the injury. Treatment often includes rest and elevation, along with recommendations for appropriate footwear and activity modifications. If you suspect a stress fracture, it is suggested that you schedule an appointment with a podiatrist for accurate diagnosis and effective management.

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.

Diabetic foot ulcers occur due to a combination of poor circulation and nerve damage, making even minor injuries prone to infection. Wound care materials vary depending on the type and severity, or grade, of the ulcer. For superficial ulcers, Grade 1, foam dressings and hydrocolloid dressings are commonly used, as they maintain a moist environment and promote healing. For deeper Grade 2 ulcers, alginate dressings, which absorb excess wound fluid, are beneficial, along with silver-infused materials to prevent infection. More severe ulcers, Grades 3 or 4, often require advanced wound care, including negative pressure wound therapy to promote tissue regeneration, and bioengineered skin substitutes to cover exposed bone or tendons. Debridement, the removal of dead tissue, is often necessary to prevent further infection. Proper care and regular monitoring are imperative to healing diabetic foot ulcers and avoiding complications like infection or amputation. If you have any type of diabetic foot ulcer, it is strongly suggested that you include a podiatrist on your health care team for proper care.

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.