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Tuesday, 22 October 2024 00:00

Treatment of Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition caused by compression of the posterior tibial nerve as it passes through the tarsal tunnel, a narrow channel inside the ankle. This compression can result in pain, tingling, or numbness in the foot, particularly in the arch, heel, or toes. Some individuals may also experience a burning sensation or shooting pain. Diagnosis is typically made through a physical examination, where a doctor may apply pressure to the affected area to elicit symptoms. Imaging tests, such as MRI scans, ultrasounds, or nerve conduction studies can also be used to assess the extent of the nerve compression. Treatment varies depending on severity. If symptoms persist, steroid injections or surgery to release the compressed nerve may be necessary for long-term relief. If you feel pain, tingling, numbness, or burning on the inside of your ankle, it is strongly suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Robert Stein, DPM of South Shore Foot Care. 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 Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Tarsal Tunnel Syndrome
Tuesday, 15 October 2024 00:00

Problematic Flat Feet

Flat feet, or fallen arches, occur when the arch of the foot is lower than normal. Children are often born with flat feet, and in most cases, the condition naturally resolves by the age of seven to 10 as the foot develops. Flat feet are classified based on arch height and heel aversion angle and can be either flexible or rigid. In flexible flat feet, the arch appears when the foot is lifted but disappears when standing, while rigid flat feet have no arch even when off the ground. Flat feet can be caused by genetics, injury, or conditions like arthritis. Symptoms include foot pain, particularly in the heel or arch, and difficulty standing for long periods. Pain occurs due to abnormal pressure on muscles and ligaments. Treatment includes supportive footwear, orthotics, and targeted stretching. In severe cases, surgery may be considered to correct alignment and relieve discomfort. If you have painful flat feet, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Robert Stein, DPM from South Shore Foot Care. Our doctor 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 our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flat Feet
Wednesday, 09 October 2024 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tuesday, 08 October 2024 00:00

Facts About Foot Pain

Few things are as frustrating as foot pain. After all, our feet are the unsung heroes that carry us through each day, so it is difficult when they are not performing at their peak. The American Podiatric Medical Association reports that a whopping 77% of US adults have had foot problems. So, you are not alone. Suddenly, something as simple as going for a walk can turn into an uphill battle. Take plantar fasciitis, for example. This pesky condition inflames the tissue along the bottom of your foot, making those first steps in the morning feel like a walk on hot coals. Or consider bunions, those bony bumps that form at the base of your big toe, often turning your favorite shoes into a form of torture. If foot pain is throwing you off, it is suggested you schedule an appointment to see a podiatrist. They will help diagnose your condition and offer appropriate treatment solutions to get you back on your feet.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Robert Stein, DPM from South Shore Foot Care. Our doctor 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 our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain

Basketball players often face foot and ankle injuries due to the sport's high-impact and dynamic nature. Common injuries include muscle strains, stress fractures, midfoot sprains, and Achilles tendon injuries. Muscle strains occur from sudden movements or excessive stress on the leg muscles. Stress fractures, often caused by repetitive impact, can lead to pain and swelling. Midfoot sprains result from twisting or rolling the foot, while Achilles tendon injuries usually arise from intense jumping or sprinting. To reduce the risk of these injuries, players should focus on proper warm-ups, strengthen their muscles through targeted exercises, and use supportive footwear. Additionally, practicing good technique and maintaining overall physical conditioning can help prevent common foot and ankle issues. If you enjoy playing basketball and have sustained a foot or ankle injury, it is suggested that you are under the care of a podiatrist who can treat it accordingly.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Robert Stein, DPM from South Shore Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

Read more about Sports Related Foot And Ankle Injuries
Wednesday, 25 September 2024 00:00

Common Foot Problems in Children

Children are often active and growing rapidly, which makes them susceptible to a variety of foot problems. Some of the most frequently seen issues include flat feet, plantar warts, ingrown toenails, and Sever’s disease. Flat feet occur when the arches do not develop properly, leading to discomfort or pain, especially during physical activities. Although many children outgrow this condition, some may need supportive footwear or orthotics. Plantar warts, caused by a viral infection, often develop on the soles of the feet and can be painful. These warts are common in children who frequently walk barefoot in public places like pools or locker rooms. Ingrown toenails, where the nail grows into the skin, can cause significant pain and even infection. This is often due to improper nail trimming or wearing tight shoes. Sever’s disease is a common cause of heel pain in growing children, resulting from inflammation of the growth plate in the heel. Rest and proper footwear are key to managing this condition. If your child suffers from a foot problem, it is suggested that you schedule an appointment with a podiatrist, a specialist who treats various conditions related to the feet and ankles.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Robert Stein, DPM of South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

Read more about How to Care for Your Child's Feet
Tuesday, 17 September 2024 00:00

Understanding and Preventing Hiking Blisters

Blisters while hiking often result from friction between the skin and footwear, worsened by moisture and heat. Causes include wearing ill-fitting shoes, worn-out footwear, or improper socks that do not wick moisture effectively. Extended hikes and rough terrain can also contribute to blister formation. To prevent blisters, ensure you wear well-fitting shoes that have been properly broken in before hitting the trails. Opt for moisture-wicking socks made of synthetic fibers or merino wool, and consider using blister prevention tape on high-friction areas. Keeping your feet dry is important, so change wet socks promptly and use footpowder to reduce moisture. Regularly check your feet during hikes and address any signs of discomfort early. If you have developed a painful blister, or have recurring blisters from hiking, it is suggested that you schedule an appointment with a podiatrist who can offer you relief methods.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Robert Stein, DPM of South Shore Foot Care. Our doctor 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 our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Blisters on the Feet
Tuesday, 10 September 2024 00:00

Gait Retraining in Distance Runners

Gait retraining is an increasingly popular intervention for distance runners experiencing pain or injury due to improper running mechanics. This specialized training focuses on altering a runner’s movement patterns to reduce stress on tissues and redistribute forces more evenly across joints. Common techniques include visual feedback, step rate manipulation, and foot strike adjustments. Each method of gait retraining aims to correct specific biomechanical issues that contribute to running-related injuries. While gait retraining has proved effective, it is essential to tailor the approach to the individual’s needs and abilities. A podiatrist can help a runner make an informed decision about which gait retraining methods will be most beneficial. Given the complexity of running mechanics, a thorough evaluation by a podiatrist ensures that the method chosen will address the root cause of pain without introducing new issues. If you experience foot pain after long distance running, it is suggested that you schedule an appointment with a podiatrist to determine if gait retraining is needed.

If you have any concerns about your feet, contact Robert Stein, DPM from South Shore Foot Care. 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 Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Biomechanics in Podiatry
Sunday, 08 September 2024 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 03 September 2024 00:00

Understanding Lisfranc Fractures

A Lisfranc fracture is a serious injury involving the bones and joints in the midfoot. It specifically affects the Lisfranc joint complex, where the metatarsal bones connect with the bones of the midfoot. This type of fracture often results from a high-impact trauma or a severe twisting injury, such as those occurring in sports injuries or car accidents. Symptoms of a Lisfranc fracture can include intense pain in the midfoot, swelling, bruising, and difficulty bearing weight. The injury can sometimes be mistaken for less severe foot conditions, which underscores the importance of proper diagnosis. Immediate medical attention is vital for effective treatment, which may involve rest, immobilization, or surgical intervention depending on the severity. If you have a broken foot, it is suggested that you consult a podiatrist who can determine the type of fracture and offer treatment methods that are right for you.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Robert Stein, DPM from South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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

Read more about Causes, Symptoms, and Treatment for a Broken Foot
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