What is Achilles Tendinopathy?

Achilles tendinopathy is a condition characterized by pain, swelling, and stiffness in the Achilles tendon, which connects the calf muscles to the heel bone. This condition often results from overuse, particularly in athletes and individuals who engage in repetitive activities such as running or jumping. It can also arise from a sudden increase in physical activity, wearing poor footwear, or biomechanical issues like flat feet. The pain associated with Achilles tendinopathy usually starts as a mild ache above the heel or in the back of the leg, worsening with activity. The condition can range from mild inflammation to more severe degeneration of the tendon fibers. Diagnosis typically involves a physical examination and imaging tests, such as ultrasound or MRI scans to assess the extent of the damage. Treatment options include rest, targeted exercises, and nonsteroidal anti-inflammatory drugs. In severe cases, surgery may be required to repair the tendon. Preventative measures include proper warm-up routines, wearing appropriate footwear, and gradually increasing the intensity of physical activity. If you experience symptoms of Achilles tendinopathy, it is suggested that you schedule an appointment to see a podiatrist for an accurate diagnosis and effective treatment plan.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors 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 office located in Co-Op City, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Causes of Falls in Older Adults and Prevention Tips

Falls in older adults are often caused by sarcopenia, a condition characterized by the loss of muscle mass and strength, leading to reduced stability and increased risk of falls. Poor balance, vision impairments, and certain medications can also contribute to this issue. To prevent falls, incorporating balance and strength exercises into daily routines is essential. Activities such as tai chi, yoga, and resistance training can enhance muscle strength and improve coordination. Additionally, ensuring adequate intake of vitamin D and calcium through diet or supplements can support bone health and reduce fall risk. Regular eye check-ups and managing medications can further prevent falls. Falling can seriously impact the feet, which may cause the inability to complete daily activities. If you have endured a foot injury from falling, it is suggested that you consult a podiatrist. This healthcare professional can treat your foot condition, in addition to offering effective fall-prevention tips.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Understanding Toenail Fungus

Toenail fungus, or onychomycosis, is a common condition where a fungal infection affects the toenails, causing them to become discolored, thickened, and brittle. This happens when fungi, including dermatophytes, yeasts, or molds, infiltrate the nail bed through cracks or cuts. Warm, moist environments, such as sweaty shoes or public showers, are ideal for fungal growth, making these areas common sources of infection. Poor foot hygiene, compromised immune systems, and conditions like diabetes can increase the risk. Preventing toenail fungus involves keeping feet clean and dry, wearing breathable footwear, and avoiding walking barefoot in communal areas. Regularly trimming nails and avoiding shared nail care tools can also help to reduce the risk of infection. Toenail fungus can be uncomfortable and unsightly. If you have developed this condition, it is suggested that you visit a podiatrist who can offer you prescribed medication for a full recovery.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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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.

Finding the Right Running Shoes for Your Foot Type

Choosing the right running shoes based on your foot type and running style is critical for comfort and injury prevention. For pronated feet, where the foot rolls inward excessively, stability or motion-control shoes provide the necessary support. Neutral runners, whose feet roll inward slightly, benefit from neutral cushioning shoes that offer balanced support. Supinated feet, which roll outward, require shoes with extra cushioning to absorb impact. Arch level is another consideration. High arches need cushioned shoes for shock absorption, while low arches benefit from stability shoes. Heel strikers, who land on their heels, should look for shoes with ample heel cushioning. Additionally, midfoot and forefoot strikers need shoes with cushioning in the midfoot and forefoot areas. Runners can experience foot injuries from wearing shoes that do not fit their running needs. If this applies to you, it is suggested that you consult a podiatrist who can treat any foot condition, and guide you on how to choose the right running shoes for you.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

  • Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
  • There should be little to no slipping at the heel
  • Don’t assume your size in one shoe brand will be your size in another
  • Do not lace up your shoes too tightly
  • Walk around in the store with your new shoes before you buy them

If you have any questions, please feel free to contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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