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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.

After one breaks an ankle, weight bearing restrictions can be imposed to facilitate proper healing. These restrictions encompass non weight bearing, where no weight can be placed on the leg.  Toe touch weight bearing, which involves minimal toe contact with the ground can be effective for balancing. Partial weight bearing allows for a specific percentage of weight to be placed on the leg, and is generally managed by using crutches. Compliance with these restrictions is vital to promote the healing process. Disregarding them can lead to complications or delayed recovery. Signs of non compliance can include increased pain, swelling, or redness in the leg. If you have a broken ankle, it is suggested that you make an appointment with a podiatrist who can recommend the weight bearing protocols that will best help you.

Broken ankles need immediate treatment. 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

Heel spurs are bony outgrowths at the base of the heel bone, and implementing targeted exercises is a proactive approach to managing heel spur pain. Stretching exercises, such as towel curls and toe stretches, help maintain flexibility in the foot's connective tissues, mitigating strain on the heel. Calf stretches, performed against a wall, alleviate tension in the Achilles tendon, and may help to reduce the impact on the heel spur. Rolling a frozen water bottle under the foot not only provides relief but also minimizes inflammation. Incorporating these exercises into a regular routine can contribute to the gradual alleviation of heel spur discomfort. It is imperative to approach these exercises with patience, allowing the body time to adapt and heal. Consultation with a podiatrist is advisable to tailor exercises to individual needs. If you have developed a heel spur, it is suggested that you schedule an appointment with a podiatrist who can effectively diagnose and treat this condition.

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.

Diabetic foot ulcers, a major complication for individuals with diabetes, vary based on depth, infection, and location. They are primarily categorized into neuropathic, ischemic, and neuroischemic ulcers. Neuropathic ulcers occur due to nerve damage, resulting in loss of sensation in the feet. Patients may not feel minor injuries, leading to ulcers, generally located under the foot's high-pressure areas. Ischemic ulcers stem from poor blood circulation, often associated with peripheral arterial disease. They can appear anywhere on the foot but are typically found in areas with poor blood supply. Neuroischemic ulcers combine the features of both neuropathic and ischemic ulcers, presenting a blend of circulation issues and nerve damage. These are the most common and challenging to treat, as they are prone to infection and slow healing. If you are diabetic and have foot problems, it is strongly suggested that you schedule regular appointments with a podiatrist to have your feet properly examined and ensure that any brewing issues, such as foot ulcers, are treated promptly.

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.