Blog

One of the most concerning complications of diabetes is the risk of foot amputation. However, with proper management and proactive measures, many cases of foot amputation can be prevented entirely. A few significant ways to prevent amputation are effectively managing blood sugar levels, diligent foot care, and exercise. Adopting a healthy diet, performing daily foot inspections, and including regular exercise in your daily routine is essential for diabetic patients. Daily foot inspections can identify any abnormalities such as redness, wounds, bruising, blisters, or discoloration before they escalate into ulcers. For those with limited mobility or visibility, using a magnifying mirror or enlisting the help of a caregiver for foot checks is imperative. Regularly assessing foot sensation and temperature sensitivity is also vital in detecting neuropathy, a common complication of diabetes. Other simple measures such as wearing clean, dry socks without elastic bands, wiggling toes, and moving ankles frequently can improve blood circulation in the feet. Any signs of foot problems or neuropathy symptoms, such as numbness, burning, or tingling should be promptly reported to your podiatrist. It is suggested that diabetic individuals schedule regular visits with type of doctor for help in preventing the loss of a limb. 

Diabetic Limb Salvage

Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, 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 Diabetic Limb Salvage?

Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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.

Orthotics, special inserts that are worn inside the shoe, can provide foot support, promote healthy foot development, and help alleviate foot-related pain for children. Children's feet are continually growing and developing, and certain conditions, such as flat feet or foot misalignments, may benefit from orthotic intervention. Orthotics designed for children can help correct gait abnormalities, improve foot alignment, and minimize pain associated with common problems like plantar fasciitis or shin splints. By providing additional support to growing feet, orthotics contribute to optimal biomechanics and can prevent the progression of certain foot conditions. If your child is experiencing foot-related pain or other foot issues, it is suggested you consult with a podiatrist who can discuss the possibility of orthotics tailored to your child’s growing feet or other treatment solutions. 

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.

Pregnancy, a momentous journey marked by various changes, also brings about alterations in the body, including swelling in the feet. This phenomenon, known as edema, is a common occurrence during pregnancy due to increased blood volume and pressure on the pelvic veins. The growing uterus exerts pressure on the vena cava, which hinders blood flow from the lower extremities and leads to fluid retention. Hormonal changes further contribute to this swelling by causing the body to retain more water. To find relief, elevation of the feet whenever possible helps reduce fluid buildup. Supportive footwear and avoiding prolonged periods of standing can alleviate the strain on the feet. Staying hydrated, incorporating gentle exercises like walking, and incorporating a low-sodium diet can also aid in managing pregnancy-related foot swelling. If you have foot swelling or pain in any area of your foot during your pregnancy, it is suggested that you visit a podiatrist who can help you to find additional relief measures.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Cary Golub, DPM from New York. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

Experiencing ankle pain at night is a common and distressing phenomenon that disrupts sleep and affects daily life. The root causes of this discomfort are diverse, ranging from common injuries to underlying health conditions. One prevalent contributor is ankle sprains or twists that may stem from injuries or small ligament tears and result in persistent pain and swelling. Plantar fasciitis, a leading cause of ankle pain, affects millions in the United States. It results in heel pain and is linked to chronic overload, whether from lifestyle or exercise. Ligament sprains, occurring during sudden foot movements or twists, are another common trigger of ankle pain, with exercise, walking, or missteps being potential instigators. Stress fractures, though not complete, can lead to nighttime ankle pain due to repeated stress on foot bones. Conditions such as gout, poor circulation, and arthritis also play a role in causing ankle discomfort. Addressing the root cause of nighttime ankle pain is pivotal for obtaining relief and restoring a peaceful night's sleep, promoting overall well being. For an exam and diagnosis, it is suggested that you schedule an appointment with a podiatrist.

Ankle pain can have many different causes and the pain may potentially be 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
• 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.

Diabetic foot problems associated with diabetes mellitus can affect one or both feet in type one or type two diabetes cases. These issues, often linked to nerve damage and circulatory problems inherent to diabetes, exhibit symptoms over time. Common diabetic foot problems include skin complications and structural foot alterations, foot ulcers, infections, and foot structure changes. The root cause of diabetic foot problems lies in inadequate insulin regulation, as diabetes disrupts insulin production or responsiveness. Elevated blood sugar levels, over time, inflict nerve damage, leading to peripheral neuropathy and hindered blood circulation, resulting in peripheral artery disease, or PAD. Peripheral neuropathy symptoms can consist of numbness, tingling, and diminished sensation in the feet, making ulcer detection challenging. Left untreated, infections can fester due to impaired blood flow, potentially leading to gangrene and tissue death. Early-stage diabetic foot problems often go unnoticed but can be identified by leg pain, numbness, and skin changes. Timely intervention is crucial. Diabetic foot issues progress at varying rates. Untreated complications may entail ulcers, corns, deformities, muscle weakness, and impaired blood flow. Seeking professional treatment for wounds and infections is vital, with treatments like wound dressings, antibiotics, off-loading devices, and debridement. In severe cases, surgical intervention, such as vascular procedures, skin grafts, or deformity correction may be necessary. If you suffer from diabetic foot problems, it is strongly suggested that you schedule regular appointments with a podiatrist to monitor your feet and do all that is necessary to prevent problems from arising and taking care of those that do.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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 surgery is typically advised when less invasive treatments fail, or if the foot condition's long-term prognosis is poor. Patients often worry about perceived risks such as infection, swelling, and pain, as well as extended recovery periods impacting work and activities. However, these concerns are mainly linked to outdated surgical methods. Modern foot surgery, particularly minimally invasive techniques, uses smaller incisions and less surgical time, reducing postoperative risks and shortening recovery. For instance, bunion surgery has evolved from traditional open methods requiring larger incisions to keyhole surgeries with minimal incisions. This approach lessens infection risks, pain, and speeds up recovery. If you have a bunion or another foot condition that is not improving, it is suggested that you make an appointment with a podiatrist to see if you can benefit from minimally invasive foot surgery.

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.

The feet are intricate structures comprising a complex interplay of bones and muscles. The skeletal foundation, consisting of 26 bones per foot, provides the necessary framework for stability and mobility. These bones, meticulously arranged in arches and joints, form a remarkable support system that bears the weight of our entire body. Meanwhile, a network of muscles, tendons, nerves, and ligaments allows the feet to function properly. From the dynamic flexing of toes to the subtle shifts in weight distribution, these muscles work tirelessly to maintain balance and facilitate your every step. The feet serve as a testament to the exquisite design of the human body, showcasing the seamless collaboration between bones and muscles that enables you to traverse the world with grace and agility. If you are experiencing pain or other problems related to your foot structure, it is suggested that you consult 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.

A foot stress fracture, a microscopic crack in a bone often caused by repetitive impact or overuse, can significantly alter the way you navigate the world on your feet. Walking with a stress fracture demands a delicate balance between maintaining mobility and allowing the injured foot to heal. Each step becomes a conscious effort to minimize impact and avoid exacerbating the fracture. The process requires patience, as rushing the recovery may prolong the healing time or lead to complications. Choosing appropriate footwear with ample cushioning and support is paramount, providing a protective barrier between the foot and the ground. Embracing a modified walking style, which involves shorter strides and a more controlled gait, may help to alleviate strain on the fractured area. If you believe you have a foot stress fracture, it is suggested that you seek advice from a podiatrist for an exam and appropriate treatment options.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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.