Congratulations to Dr. Landau for winning the NYSPMA podiatrist of the year award!

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Thick toenails can be more than just a cosmetic issue. They often signal underlying health problems. One of the primary causes of thickened toenails is fungal infections, known as onychomycosis. This occurs when fungi infiltrate through small cracks or cuts in the nail or surrounding skin, where they thrive in the moist environment under the nail bed. This condition can worsen, leading to thicker nails that may change color, emit a foul odor, and become painful. Besides fungal infections, health issues such as psoriasis, congenital disorders, or chronic illnesses can also cause your toenails to thicken. Prompt and proper treatment from a podiatrist is essential, as untreated thick toenails can lead to further complications, including difficulty in walking and wearing shoes comfortably. If you notice a thickening of your toenails, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

For more information about treatment, contact one of our podiatrists of New York Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact one of our offices located in Franklin Square, Bethpage, Brooklyn, and Massapequa, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about How to Treat Your Toenail Fungus
Tuesday, 23 July 2024 00:00

Risk Factors for Foot Stress Fractures

A hairline fracture, or stress fracture, is a small crack or severe bruise within a bone that is common among athletes that are involved in running and jumping. People with osteoporosis are also more prone to developing hairline fractures. These injuries typically result from overuse or repetitive stress, often worsened by inadequate healing time between activities. The bones in the foot are particularly susceptible to stress fractures due to their role in absorbing impact during physical activities. Within the foot, the second and third metatarsals are frequently affected, as well as the heel, ankle bones, and navicular bone. Symptoms primarily include pain that worsens with activity and subsides with rest, swelling, tenderness, and bruising. Factors that can increase the risk of developing a stress fracture include participation in high-impact sports, certain foot structures, and weakened bones due to conditions like osteoporosis. Previous fractures, nutritional deficiencies, and improper equipment or techniques are other risk factors. Diagnosing a stress fracture often involves a physical exam and may require imaging tests like MRIs or bone scans, as X-rays might not detect fractures. If ignored, a stress fracture can worsen into a complete break. If you are experiencing foot pain during exercise, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.


 

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from New York Foot and Ankle. Our doctors 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 one of our offices located in Franklin Square, Bethpage, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Stress Fractures of the Foot and Ankle

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Tuesday, 16 July 2024 00:00

Common Foot Injuries for Ballerinas

Ballerinas often face various foot injuries due to the intense demands of ballet. One common injury is the stress fracture, resulting from repetitive impact and overuse, particularly in the metatarsal bones. Tendonitis, especially affecting the Achilles tendon, occurs from overextension and strain during jumps and pointe work. Blisters and calluses develop from friction against tight-fitting ballet shoes. Additionally, sprained ankles are frequent due to the constant balancing and quick directional changes. Sesamoiditis, an inflammation of the small bones beneath the big toe, is another injury caused by the pressure of pointe work. Plantar fasciitis, characterized by heel pain, results from excessive strain on the arch of the foot. These injuries highlight the physical challenges ballerinas face, emphasizing the importance of proper technique, conditioning, and foot care in their training. Foot pain can temporarily stop a dancer’s movements. If this applies to you, it is suggested that you confer with a podiatrist who can provide you with relief and treatment methods. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from New York Foot and Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact one of our offices located in Franklin Square, Bethpage, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Tuesday, 09 July 2024 00:00

Causes and Treatment of Hammertoe

Hammertoe occurs when the muscles around the toe joints contract, causing the toe to bend downward at the middle joint, resembling a hammer. This can lead to significant discomfort and the formation of calluses and corns due to friction. Often, it affects the second toe, especially in cases where it is longer than the big toe, leading to pressure and trauma within tight or ill-fitting shoes. High heels and shoes with a narrow toe box can worsen the condition by exerting extra pressure on the toes. Genetic predisposition, bunions, and physical injuries, such as stubbing or nerve damage, can also contribute to the development of hammertoe. Treatment options vary depending on the severity and flexibility of the toe. For mild cases, a podiatrist might suggest wearing shoes with a wider toe box, using adhesive gel pads, or inserting orthotic devices to alleviate pressure. In more severe cases where the toe becomes rigid and painful, surgical intervention may be necessary to restore normal alignment. If you are experiencing pain from a hammertoe, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from New York Foot and Ankle. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact one of our offices located in Franklin Square, Bethpage, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What Are Hammertoes?
Tuesday, 02 July 2024 00:00

Managing a Broken Ankle

Managing a broken ankle requires immediate attention from a podiatrist to ensure proper healing and prevent long-term issues. Unlike a sprain, which affects the ligaments surrounding the ankle, a fracture is a more severe injury. It involves one or more of the ankle bones and is often accompanied by torn ligaments and damaged cartilage. Symptoms of a fractured ankle include significant swelling, intense pain, bruising, and an inability to bear weight. Sometimes bones in the ankle joint are misaligned. Common causes of ankle fractures are sports injuries, falls, or missteps on uneven ground. The recovery process involves several stages. Initial swelling may subside within days or weeks, but full recovery and return to normal function can take months. During this time, avoiding undue strain on the injured ankle is necessary to prevent complications and ensure proper healing. Prolonged immobility can lead to weakness and may require additional treatment. While most ankle fractures heal well, there is a risk of developing osteoarthritis or chronic instability, which can increase the likelihood of future injuries. If you believe you have broken your ankle, it is suggested that you make an emergency appointment with a podiatrist for treatment.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from New York Foot and Ankle. Our doctors 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 one of our offices located in Franklin Square, Bethpage, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about All About Broken Ankles
Tuesday, 25 June 2024 00:00

Treatment of Adult Acquired Flat Feet

Adult-acquired flatfoot, also known as posterior tibial tendon dysfunction, can be a source of significant discomfort for many adults. Adult-acquired flatfoot develops when the posterior tibial tendon weakens, causing the arch of the foot to collapse gradually. Symptoms can include pain along the inside of the ankle, swelling, difficulty standing on tiptoes, and increased discomfort during weight-bearing activities. A podiatrist can perform an assessment of your foot's flexibility and alignment, and may order X-rays or other imaging techniques to assess the condition of the tendon and bones. Treatment options typically start conservatively with custom orthotics or ankle braces to support the foot and alleviate pain. Activity modifications and anti-inflammatory medications may also be recommended. In cases where conservative treatments do not provide sufficient relief, surgical tendon repair or fusion procedures may be considered to restore stability and function to the affected foot. If you are experiencing problems related to flat feet, it is suggested that you schedule an appointment with a podiatrist for treatment. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from New York Foot and Ankle. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact one of our offices located in Franklin Square, Bethpage, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flat Feet

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 18 June 2024 00:00

Preventing Foot Blisters While Hiking

A foot blister is a small pocket of fluid that forms under the skin due to friction, pressure, or irritation. When hiking, blisters are common due to prolonged walking and uneven terrain. To prevent blisters, it is important to wear well-fitted hiking boots and moisture-wicking socks, which reduce friction and keep feet dry. Applying blister prevention products, such as specialized tapes or lubricants, can create a protective barrier on areas prone to blisters. Taking regular breaks to air out and check your feet allows you to address any hot spots early on. Keeping your feet dry and free from debris or changing socks as needed can also help. These proactive measures can significantly reduce the risk of developing painful blisters during hikes. If you have developed a blister on your foot that is bothersome or has become infected, it is suggested that you visit a podiatrist who can guide you toward relief and prevention options.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact one of our podiatrists of New York Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

If you have any questions, please feel free to contact one of our offices located in Franklin Square, Bethpage, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Blisters on the Feet

Incorporating targeted stretches and strengthening routines into your running regimen is a good way to maintain foot health and prevent injuries. Toe stretches involve gently pulling your toes back to stretch the muscles and ligaments along the sole of your foot and toes, promoting flexibility and reducing the risk of strains or cramps during runs. Plantar fascia stretching entails leaning forward to stretch the arch of your foot, to alleviate tension in the plantar fascia, which is a common source of heel pain in runners. Ankle alphabet exercises promote mobility and range of motion in the ankle joint by tracing the alphabet with your toes, helping to reduce the risk of ankle sprains or strains. The marble pickup exercise enhances the intrinsic muscles of the foot, improving their strength and coordination to prevent common running injuries such as metatarsalgia or Morton's neuroma. Incorporating these and other exercises into your routine strengthens your feet, reduces the risk of running-related injuries, and allows you to enjoy your runs with confidence and longevity. If you are experiencing persistent discomfort or have concerns about your foot health, it is suggested that you schedule an appointment with a podiatrist.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact one of our podiatrists of New York Foot and Ankle. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

If you have any questions, please feel free to contact one of our offices located in Franklin Square, Bethpage, Brooklyn, and Massapequa, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Prevent Running Injuries
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