The feet are often taken for granted as we go through our day completing various activities. One ailment, known as hammertoe, gradually develops from genetic factors or from wearing shoes without enough room for the toes to move freely. Hammertoe is a deformity that affects the second, third, and fourth toes. The joints of the toes bend downward and resemble a hammer. Research has shown there are three classifications of hammertoe. Rigid hammertoes are severe and occur when the toes can not move in any direction. Flexible hammertoes are when the affected toes can only move forward and backward. Semi-rigid hammertoes mean the toes become stiff. Hammertoe may cause a decrease in range of motion and completing daily activities may be compromised. If you have any signs of hammertoe, contact a podiatrist as quickly as possible who can provide you with the correct treatment options.

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.

A rare foot condition happens to only a few people in the population. Many rare foot conditions share symptoms with common foot problems but are harder to diagnose and treat. Three such foot diseases are Freiberg’s disease, Maffucci syndrome, and Kohler’s disease. Freiberg’s disease usually affects the second or third metatarsal bones and causes the bones to flatten and lose their normal, round, smooth shape. Symptoms include pain, swelling, and stiffness around the affected toe, and it can cause the forefoot to be tender and have a limited range of motion. Maffucci syndrome affects the skin and bones. It is characterized by multiple benign tumors in the cartilage, called enchondromas, which develop near the ends of bones and cause them to bulge and stop growing. These can lead to severe bone deformation and make bones more susceptible to fractures. This syndrome is most common among children and is rarely detected at birth, but symptoms can become apparent in the first few years of life. Kohler’s disease is another rare foot condition that happens due to the compression of the arch of the foot during a child’s early development. It affects boys more than girls and typically affects a single foot. Those with this disease have redness, swelling, and tenderness on the affected foot. Symptoms may be mild but chronic. If your child suffers from foot pain, see a podiatrist who can diagnose the problem and provide treatment.

Some foot conditions may require additional professional care. 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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.
 

Sometimes, a toenail’s natural translucent color can be manipulated into an entirely different shade. One potential common cause of such discoloration is toenail fungus. Toenail fungus can be caused by an organism named dermatophyte. If your toenail has been infected by a fungus, you might notice that the shade of the nail has changed to yellow, reddish brown, black, or green. This discoloration can start small, for example underneath the tip of the affected nail, before growing larger in size if unaddressed. There are also several things that can increase one’s risk of developing a toenail fungus. If you sweat frequently, walk barefoot in warm and moist environments, or are prone to enduring small cuts near the nail, you may be at an increased risk of developing toenail fungus and potentially discoloration. Of course, discoloration can be caused by things other than toenail fungus. Namely, injuries, nail polish, and particular health conditions can also contribute to discoloration. However, it is important for you to be aware of the causal connection between toenail fungus and discoloration of the toenail. If you have discoloration of the nail, contact a podiatrist.

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.

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 our office located in Co-Op City, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

One of the most detrimental conditions to negatively impact the health of the feet is broken or fractured feet. An individual has a fracture of their feet when a bone breaks. If you have a fractured foot, you may experience pain in and around the feet. Your affected foot might even appear bruised, and it could be difficult for you to put weight on it. Generally speaking, there are two main types of broken feet. First, you can develop what is known as a full foot fracture. This condition is caused by some type of one-time injury. Commonly, individuals can develop a full foot fracture by dropping a significantly heavy object directly onto their foot. If you have a full foot injury, the various muscles and tissues that surround the foot might be injured or affected. However, this is not always the case with certain full foot injuries. Second, you can develop what is known as a stress fracture in the foot. This type of injury occurs over an extended period of time when a specific part of the foot undergoes repeated stress and overuse. These two types of foot fractures have different causes, yet they can share some of the same symptoms. If you believe that you may have broken or fractured your foot, you can seek guidance from a podiatrist who can help you identify and address the problem. 

A broken foot requires immediate medical attention and treatment. If you need your feet checked, 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 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 office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A congenital foot problem is one affecting the feet, toes, or ankles of newborns. Such problems include clubfoot, vertical talus, tarsal coalition, polydactyly, macrodactyly, and cleft foot. These afflictions can have various causes, but some are genetically based on someone in the family having a gene causing the condition. Others can simply be an anomaly. A few of these conditions are described here. Clubfoot is when the tendons of the foot shorten, the bones are of an unusual shape, and the Achilles tendon is tight, causing the foot to point inward and downward. The soles of the feet might also face each other. This condition typically affects both feet. If not treated, a child will walk on the sides of their feet and ankles. Polydactyly is when the child has more than five toes on one or both feet. Usually, a nubbin or small lump of tissue without a bone or joint will be present. Macrodactyly is when the toes are abnormally large due to the overgrowth of the underlying bone or soft tissue. Having this condition makes it harder for a child to use the affected foot in all activities. Cleft foot is rare and occurs when the foot is missing toes, a V-shaped cleft, or other anatomical differences. The main issues are whether a cleft foot can fit into a shoe, as well as the shape and appearance of the foot. If you have a child born with a congenital foot problem, consult with a podiatrist to see if any treatments or surgery is recommended to help your child continue life most comfortably.

Congenital foot problems require 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.

An ingrown toenail can make putting on a pair of shoes or walking difficult. While it is not a serious problem, it is an irritating one and something that can turn into an infection if not tended to. Healthy toenails grow out and away from the base of the nail bed. An ingrown toenail is when the toenail grows into the side of the cuticle. In severe cases, the skin will fold over the nail. Ingrown toenails typically happen on the big toe. The skin tissue at the cuticle will become red, sensitive, and inflamed, and there may be weeping pus. Some ingrown toenails are easy to treat by soaking in various oil or salt preparations and gently pulling the nail away from the skin, while others require minor surgery. While the ingrown nail is healing, it is important to trim the nail straight across. If the ingrown toenail is too painful to trim or if an infection develops, see a podiatrist as soon as possible who can do what is necessary—even a minor surgical procedure with a local anesthetic—to get you on the right track.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Gout is a type of arthritis that presents sudden episodes of severe pain and swelling in the joints, often in the big toe. Range of motion in the big toe may become limited. Those with gout frequently experience flare-ups at night. Gout is the result of uric acid accumulating in the blood from purines in food, which triggers a buildup of crystals in joints. Diets rich in purines can lead to gout flares. There is uric acid medicine for this condition. However, it is best to manage symptoms through following a purine-restricted diet. Foods that are high in purines include shellfish, veal, venison, liver and other organ meats, alcoholic beverages – especially beer, kidney beans, lentils, and spinach. Those with gout should limit protein consumption overall and try to include plant-based sources of protein in their diets. If you experience periodic pain in your big toe and think you might have gout, consult with a podiatrist who can help you better understand and manage this condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

There are a variety of skin conditions that affect the feet and can be quite threatening to the vitality of your feet. Plantar warts are one such condition. These warts can develop on the bottom of the feet when an individual is exposed to a form of human papillomavirus (HPV). This generally occurs from person-to-person contact or in warm, moist environments where HPV thrives. Plantar warts can be dangerous, potentially creating holes in the soles of the feet. Some individuals with plantar warts complain that the condition is quite itchy, and some report scratching at their plantar warts. Itchy plantar warts are not unusual. This is because the plantar wart is itself made up of dry skin that is flaking, which can be itchy. There are several things that you might be able to do at home to stop your plantar warts from itching. For example, you might be able to take an oatmeal bath to soothe the affected skin area. Additionally, you can try applying moisturizer to your plantar warts to get them to stop itching. The application of moisturizer can help replenish your feet with much-needed moisture, which can help the itching subside. Please see a podiatrist to learn more about how to treat your itchy plantar warts.

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.