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The abbreviation for peripheral artery disease is PAD, which is defined as restricted blood supply to the feet and legs. It is a common condition, and the symptoms that are generally experienced include foot pain while walking, hair loss on the legs, and the skin may change color or appear shiny. The majority of people with PAD have symptoms that develop gradually and may ultimately need medical attention. Diabetic patients often have this condition, as a result of elevated blood glucose levels. This serious condition may be improved, and relief can be found when lifestyle changes are implemented. These include eating healthy foods, reducing alcohol consumption, and losing weight, if needed. There may be existing medical reasons that can lead to developing PAD, such as high blood pressure, high cholesterol, and heart disease. One of the symptoms of PAD is the inability to feel cuts or scrapes on the feet. These may go undetected and can lead to infection, which in turn may lead to ulcers, gangrene or amputation. If you have symptoms of PAD, it is strongly suggested that you are under the regular care of a podiatrist who can effectively diagnose and treat this condition.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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 tarsal tunnel is a narrow space that lies inside the ankle, next to the ankle bones. The tunnel is covered by a thick ligament that protects the arteries, veins, tendons, and nerves in the tunnel. The posterior tibial nerve within the tunnel is the focus of tarsal tunnel syndrome because it is the compression or squeezing of this nerve that produces symptoms along the path of the nerve running from the inside of the ankle into the foot. This condition is similar to carpal tunnel syndrome, which occurs in the wrist. Both arise from the compression of a nerve in a confined space. Those with flat feet, varicose veins, ankle sprains, or arthritis are more at risk for developing tarsal tunnel syndrome since these things can compress the nerve. When one has this syndrome, they might experience tingling or burning sensations, numbness, and/or pain on the inside of the ankle or on the bottom of the foot. These symptoms can also extend to the heel, arch, toes, and even calf. They are often brought on by overuse of the foot. It is important to seek treatment before permanent nerve damage results. If you think you may have tarsal tunnel syndrome or pain that resembles these symptoms, see a podiatrist as soon as possible for diagnosis and treatment that is right for you.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require 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 and ankle needs.

The feet carry the weight of the body, and it can help the overall body to keep them as healthy as possible. Stretching the feet is simple to do, and the benefits outweigh the time it takes to practice effective foot stretches. Specific stretches can improve range of motion, and may maintain strength and flexibility. An effective foot stretch is done sitting in a chair, with the feet flat on the floor. While keeping the toes on the ground, the heels are lifted until only the balls of the feet and toes can touch the ground. Also, the toes can become stronger when the foot is kept on the floor, while spreading the toes as wide as possible. Additionally, a good stretch for the toes involves crossing one leg over the other, and moving the toes with the hand back and forth. There are various stretches that can be done for different parts of the foot. If you would like more information about how to perform these, please consult a podiatrist. 

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

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.

Osteoarthritis is the most common type of arthritis. It attacks the cartilage and reduces the cushioning between the bones, causing pain, stiffness, and inflammation. The foot has 26 bones, and each of the 30 joints that connect them contain cartilage that can become compromised by osteoarthritis. Most cases of osteoarthritis is the result of an injury, either to a ligament or to a bone. Because osteoarthritis is a chronic condition and cannot be cured, the only remedies are to treat the symptoms, in addition to making a few lifestyle changes. Range of motion and foot stretching exercises are recommended. Losing weight and following a healthy diet that is rich in omega-3 fatty acids, vitamin D, and calcium can help reduce both inflammation and pain. A podiatrist can offer more information on treating osteoarthritis in your feet, such as non-steroidal anti-inflammatory drugs or corticosteroid injections. In severe cases, arthroscopic or joint replacement surgery may be an option. It is a good idea to make an appointment today for a diagnosis and treatment plan.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is 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.

Pain in the back of the heel is very common in sports, usually signals overuse, and mostly concerns the Achilles tendon. Most common is Achilles tendonitis, which usually starts with a mild ache, but with increased and prolonged activity can develop into severe pain. This injury, an inflammation of the Achilles tendon which connects the calf muscles to the heel bone, is common among runners. Another cause of Achilles tendon pain is Sever’s disease, which occurs in adolescent children who are active in sports. It is the result of an imbalance in the growth rate of the calf muscle and the heel bone, but usually self-corrects with time. Achilles bursitis, also known as retrocalcaneal bursitis, is an inflammation of a small sac of fluid in the back of the heel called a bursa. Another overuse injury, it will cause pain, swelling, and tenderness. An Achilles tendon rupture indicates a complete tear, and most commonly occurs in men over the age of 40. A loud snapping noise accompanies this injury, which is often described as being struck on the back of the heel. Immediate attention to this injury is suggested. If you experience any of the above injuries, it is wise to visit a podiatrist for an exam and diagnosis.

Achilles tendon injuries need immediate attention to avoid future complications. 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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.

There are certain risk factors associated with developing heel pain caused by plantar fasciitis (damage/inflammation of the plantar fascia tissue on the sole of the foot). Any repeated stress or strain on this connective tissue—being overweight, running excessively, standing while working, having high arches or flat feet, over-pronating when you walk, etc.—can lead to the development of this condition. You can often distinguish plantar fasciitis pain from other types of heel pain because it is worse when you take your first steps in the morning. The pain may subside after you move around for a while but usually comes back later in the day. A podiatrist is highly skilled and experienced at spotting and treating plantar fasciitis, as it is the most common form of heel pain. They have various effective methods of repairing the plantar fascia, reducing inflammation, and eliminating pain. Make an appointment with your local podiatrist if you are experiencing heel pain to have your condition diagnosed and treated properly. 

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is 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.

Ordinary foot problems are often more complicated for diabetic patients. Diabetes can occur as a result of elevated blood sugar levels and affects the nerves in the feet. This can make it difficult to feel existing cuts, scrapes, or bruises that have developed which may cause diabetic foot ulcers to form. It is important to practice proper everyday foot care and there are simple methods to accomplish this. It is beneficial to start with washing and drying the feet thoroughly, followed by applying a good moisturizer. Many patients find it helpful to use a mirror to look at the bottom of their feet for any wounds that may have developed. It is imperative to have the toenails trimmed properly and many people choose to have this done by a podiatrist. It is beneficial to wear shoes that fit correctly, and it may help to wear socks that can absorb moisture. It is frowned upon to walk barefoot as this can help to protect the feet from the elements. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition in addition to treating any other foot conditions that are associated with diabetes.

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.

It is recommended that proper foot care is maintained as a daily habit. It is important to practice everyday foot care during the aging process, as this can help in mobility and range of motion. This is needed to enjoy walking, shopping, and generally being active. Wearing comfortable shoes is important to the overall health of the body, and it can be beneficial to alternate the shoes that are worn with a second pair. Additionally, it can help to refrain from walking barefoot, as this can prevent athlete’s foot and blisters. The shoes that are worn can help to improve balance, and decrease the risk of falling.  A good time  to purchase shoes is at the end of the day when the feet are at their largest, and they should feel comfortable from the moment they are tried on. Some patients wear custom made orthotics with existing medical conditions that can consist of arthritis and chronic foot ailments. Trimming the toenails correctly can possibly prevent an ingrown toenail from developing, and corns may be prevented by weaning shoes that have adequate room for the toes to move freely in. If you would like more information about the importance of maintaining elderly foot care, please consult with a podiatrist. 

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Cary Golub, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.