Types of Ankle Fractures

Types of Ankle Fractures

Ankle fractures can be grouped into two types, stable and unstable. The three parts of the ankle are the inner bump, or medial malleolus, the outer bump, or lateral malleolus, and the back bump, also known as the posterior malleolus. If only one bump is broken, it is usually a stable fracture. But if two or more bumps are broken, it is considered to be an unstable fracture and may need surgery. If you have a broken outer bump, you may wear a special boot or splint. For other ankle fractures, you will likely need a splint on the back of your leg and another one around your ankle. Rest and keeping your weight off the injured foot, in addition to using crutches might be needed. Some people may continue using crutches even after wearing the boot until they can put weight on the foot without pain. If you have broken your ankle, it is suggested that you schedule an appointment with a podiatrist for a diagnosis, including the type of fracture you have sustained, and proper treatment for you.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

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 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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Peripheral Artery Disease

Peripheral Artery Disease

Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.

Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.

Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.

If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.

Symptoms and Risk Factors of Peripheral Artery Disease

Symptoms and Risk Factors of Peripheral Artery Disease

Peripheral artery disease, or PAD, affects approximately 10 million adults in the U.S., with about five percent of those over 50. The condition is slightly more prevalent in men. Peripheral artery disease is caused by clogged arteries that block the flow of blood to the lower legs and feet. Risk factors include high cholesterol, smoking, diabetes, and hypertension. Others are family history, chronic renal failure, obesity, and physical inactivity. Common symptoms can include intermittent pain with exercise and severe pain in legs, especially at night. Additional signs of PAD are numbness, weakness, and muscle atrophy in legs, coldness and color changes in feet, and hair loss on the arms and legs. Thickening toenails and poor wound healing, which may lead to ulcers and gangrene, are also telltale signs of PAD. Prompt recognition of symptoms and risk factors is important to prevent complications that can include tissue damage. If you are experiencing symptoms of PAD in the lower leg and feet, it is suggested that you visit a podiatrist for a thorough exam. 

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 one of our podiatrists  from Lewis Wolstein, DPM, P.C. & Associates. Our doctors 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 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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Effect of High Heels on the Feet

Effect of High Heels on the Feet

High heels are uncomfortable, but many women sacrifice comfort to be stylish. There are many problems that stem from wearing high heels, however these issues can be avoided by wearing proper shoes.

Heels are bad because they push your weight forward toward the fall of the foot. The higher the heel is, the more weight and pressure get shifted. This process causes the back to hyperextend backwards to counterbalance which may cause pain in the leg, hip, and back. Consequently, major posture problems may occur, and these issues may eventually become permanent.

Wearing high heels is one of the leading cause of ingrown toenails. Heels create a great deal of pressure on the big toenails which disrupts proper toenail growth. This may eventually lead to the big toenail growing into the skin.  Another common problem that stems from high heels is bunions. If bunions go untreated, they can cause serious scar tissue to form along with severe pain.

However, there are ways to minimize the harmful risks associated with wearing heels. You should try to massage and stretch your legs and feet after wearing heels for an extended time. Stretching helps prevent the Achilles tendons and calf muscles from becoming too tight. A good substitute for heels are platforms which provide a better surface area to evenly distribute the body’s weight.

If you are experiencing any painful foot conditions from wearing high heels, you should consult with your podiatrist right away.

How Wearing High Heels Affects Runners

How Wearing High Heels Affects Runners

The impact of wearing high heels may profoundly affect the feet. Recent studies explore the potential consequences of prolonged high heel use. Wearing high heels over an extended period can lead to increased energy expenditure and less efficient walking mechanics. The key issue for runners is the restriction of ankle dorsiflexion, the movement that allows your shinbone to pivot over your foot. This limitation not only shortens hip extension and stride but also interferes with the smooth activation of your calf and other muscles during walking. These findings align with the perspective of those advocating for minimalist shoes, emphasizing the influence of any heel, regardless of its size. When it comes to the frequency of high heel usage for runners, the ideal recommendation is to avoid prolonged periods of wear. Occasional use for short durations, such as a few hours at social events, is considered less concerning. However, habitual use during extended periods such as office hours or weekends may bring about lasting changes in biomechanics. Balancing style with foot health involves making informed choices to ensure optimal comfort and functionality for your feet when you run. It is suggested that you consult a podiatrist for guidance about the long term dangers of wearing high heels.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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 and ankle needs.

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Arthritis Can Cause Pain in the Feet and Ankles

Arthritis Can Cause Pain in the Feet and Ankles

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Hammertoe

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.

The shoes that are most likely to cause hammertoe are high heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.

There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.

Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.

To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. Your doctor may even order an x-ray to evaluate the bones and joints of your feet and toes.

If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.

Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of medications you are taking and important personal information about your medical history.

Treatment Options for Hammertoe

Treatment Options for Hammertoe

Hammertoe, a condition where one or more toes bend abnormally at the middle joint, resembling a hammer, can result from various causes. One major factor is ill-fitting footwear, especially shoes with a tight toe box or high heels, forcing toes into a bent position and causing muscle imbalances. Individuals with longer toes, flat feet, or bunions are more susceptible, as are those with a family history of the condition. Hammertoe symptoms include toe deformity, pain, calluses, swelling, and difficulty in walking. Diagnosis involves a physical exam and X-rays, and treatment options depend on toe flexibility. In early stages, nonsurgical approaches like proper footwear, exercises, and splints can help. Surgery may be necessary if the toe becomes rigid. Early intervention is essential to manage hammertoe effectively. If you have a hammertoe that is causing you discomfort, it is suggested that you schedule an appointment with a podiatrist for the best treatment option for you.

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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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Foot Orthotics

Foot Orthotics

Orthotics are shoe inserts that are meant to correct an irregular walking gait or provide cushioning to the feet.  Orthotics come in a variety of different models and sizes, including over-the-counter and customizable variants. Customizable orthotics can be shaped and contoured to fit inside a specific shoe and are typically prescribed through a podiatrist who specializes in customized footwear and orthotics design and management.

Orthotics are beneficial because they can help prevent injuries from occurring and provide cushioning to keep pain levels down to a minimum. They also allow for the correct positioning of the feet. Orthotics can act as shock absorbers to help remove pressure from the foot and ankle. Therefore, orthotics can make bodily movements, such as walking and running, become more comfortable as well as help prevent the development of certain foot conditions.

Orthotics alleviate pain and make the foot more comfortable by slightly altering the angle at which the foot strikes the ground surface, therefore controlling the movement of the foot and ankle. Orthotics come in different variants and can be made of various materials. To determine what type of orthotic is most suited to your feet and your needs, it is best to consult your podiatrist. He or she will be able to recommend a type of orthotic that can help improve your foot function or prescribe a custom orthotic to best fit your feet.  

Orthotics for Plantar Fasciitis

Orthotics for Plantar Fasciitis

Managing plantar fasciitis can make mornings difficult, as stepping out of bed often brings heel pain. This common condition causes discomfort in the heel or foot arch, hindering activities such as exercising and walking. Plantar fasciitis stems from various causes, including excessive exercise, repetitive motion, or from wearing ill-fitting footwear Additionally, conditions that can include high arches, flat feet, weight gain, diabetes, and arthritis may also lead to developing this condition. These factors can lead to inflammation in the plantar fascia. Custom-made orthotics, tailored to your foot's biomechanics and gait, can be an effective treatment. These devices, fitted in your shoes, can aid in recovery from stress or tears and mitigate movements causing inflammation. If you suffer from persistent plantar fasciitis pain, it is suggested that you make an appointment with a podiatrist who can design orthotics for you to help manage your heel pain.

If you are having discomfort in your feet and would like to try orthotics, 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.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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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