May 2024

When conservative treatments prove ineffective in easing the discomfort, inflammation, and swelling associated with heel spurs, surgery emerges as a viable solution. These outgrowths on the heel bone, medically termed calcaneal spurs, can cause significant pain and impede mobility. The decision to pursue surgery hinges not solely on the size or presence of the spur, but rather on the persistence of pain resistant to treatment. Podiatrists typically advocate for surgery when symptoms persist despite six months of non-surgical interventions. Two primary approaches exist for heel spur surgery, which are known as open surgery and endoscopic surgery. Open surgery entails larger incisions and is generally employed to excise entire spurs. Endoscopic surgery employs smaller incisions, fostering quicker recovery and fewer complications. The surgical procedure may vary depending on the spur's location, whether it is inferior or posterior. Inferior heel spurs often coexist with plantar fasciitis and are addressed through plantar fasciotomy. Posterior heel spurs near the Achilles tendon may necessitate more intricate procedures, especially if the spur is deeply embedded within the Achilles tendon. While heel spur surgery has a high success rate, it also carries risks of nerve injury, foot instability, and acquired flat feet. If you are in pain from a heel spur, it is suggested that you consult a podiatrist who can determine what the best course of treatment is for you.

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.

Swollen ankles can arise from various factors, ranging from genetics to underlying health conditions. It is important to delve deeper into the potential causes of swollen ankles, because they can signal serious underlying health issues. For instance, obesity, diabetes, infections, and venous insufficiency can lead to fluid retention in the ankles, which makes them become swollen. Other serious conditions that can result in swelling in the ankles include congestive heart failure, deep vein thrombosis, and liver or kidney problems. Pregnancy, medications, insect bites, and sprains can also cause the ankle to swell. Prolonged standing or consuming excess salt are other other factors. Depending on the underlying cause, interventions may include lifestyle modifications, medications, or targeted therapies. If you have noticed that your ankles are swelling abnormally, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and personalized treatment plan.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and 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.

If your second toe seems to protrude a bit farther than your big toe, you might have what is commonly known as Morton’s toe. This condition may seem like a minor foot quirk, but it can lead to some uncomfortable problems. One of the primary issues associated with Morton’s toe is the increased likelihood of developing calluses on the sole of your foot and experiencing various types of foot pain. This happens because the longer second toe can alter how weight is distributed across your foot, putting extra pressure on certain areas. The condition is named after Dudley Joy Morton, who first described it in the 1930s, and is unrelated to Morton’s neuroma. In some cases, Morton’s toe can lead to more severe foot conditions, such as hammer toe or bunions, especially if your footwear does not accommodate your foot shape properly. If you are experiencing discomfort or noticing changes in your foot due to Morton’s toe, it is essential to seek help from a podiatrist who can offer various conservative treatments. These can include shoe modifications, custom orthotics, exercises, and medication, all of which can help to alleviate pain and prevent further complications. If you have Morton’s toe or are experiencing foot pain, it is suggested that you schedule an appointment with a podiatrist. 

If you have any concerns about your feet, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Foot ulcers, a common complication among individuals with diabetes or circulatory issues, undergo distinct stages as they develop and heal. These stages offer insights into the severity of the ulcer. Podiatrists can use the stages as a guide for treatment decisions. Initially, ulcers may start as redness or irritation on the skin, indicating early-stage ulcer formation. As the condition progresses, the ulcer may deepen, forming an open sore or wound. At this stage, infection becomes a significant concern that requires prompt medical attention to prevent complications. Without proper treatment, ulcers can advance to deeper tissue layers, exposing tendons, bones, or joints. This stage poses a heightened risk of severe infection and potential limb loss, underscoring the importance of vigilant wound care and regular monitoring. If you are diabetic and you develop a foot wound, it is strongly suggested that you are under the care of a podiatrist who can provide you with proper wound care treatment.

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.