Rheumatoid Arthritis (RA) is when the immune system attacks the tissue of the joint lining, causing painful inflammation and stiffness. RA can hit many parts of the body, including the feet. Symptoms include stiff, painful joints and ligaments, aching in the feet during prolonged standing or activity, unusual warmth of the feet, and swelling in the toe joints or ankles. If untreated, more serious symptoms, such as bursitis, hammertoes, and skin and circulatory issues can develop. With increasing age, overall health, and time spent on one’s feet, flare-ups can become more severe and painful. RA cannot be cured, but when symptoms are present, one can use the RICE method (rest, ice, compression, and elevation), soak feet in warm water, wear open toed shoes, get orthotics, follow an anti-inflammatory diet, take anti-inflammatory medication, or wear braces/boots to relieve joint pressure. Surgery may be called for if nothing else works. If you have RA, regular visits with a podiatrist are suggested to help you best handle foot problems that may arise from your condition.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.

If your family members cringe when you remove your shoes, you may have a case of stinky feet. This unpleasant odor usually develops between the toes from the growth of micro-bacteria that thrive in damp, warm conditions. While stinky feet are unpleasant and can become chronic, there are some measures that can be taken to reduce the problem. The first and easiest suggestion is to develop a rigorous foot care regime to be practiced daily. Wash your feet with antibacterial soap, carefully washing between your toes. Dry the feet carefully and sprinkle them with corn-starch or absorbent foot powder. Wear wicking socks that draw the moisture away from the feet rather than trapping it, which can happen with 100% cotton socks. Change socks several times a day. Give your feet a chance to breathe by going barefoot for a while each day. Check that your shoes also give your toes room to breathe and consider alternating different pairs of shoes each day to let the sneakers dry out thoroughly. If the stinky feet problem persists or worsens, it is a good idea to visit a podiatrist who will have more advanced treatments available.    

Everyday foot care is very important to prevent infection and other foot ailments. 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.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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 many people who suffer from the condition that is known as rheumatoid arthritis. The feet can become affected by this ailment which may lead to other foot conditions arising. Permanent relief may be found when foot surgery is performed. Rheumatoid arthritis may lead to the development of bunions. This produces a large, bony protrusion on the side of the big toe and may be the result of the toes shifting due to the arthritic disease. Bunion surgery involves cutting the affected bones in the foot and realigning them in a normal position. Additionally, arthritis may damage specific joints in the foot and a fusion may be needed that can help to reduce pain. There are many benefits to having foot surgery performed such as resuming normal functions of the feet, completing daily activities without pain, and wearing appropriate footwear. If you have chronic pain in your feet or you are afflicted with arthritis, please confer with a podiatrist who can determine if foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Athlete’s foot is a common foot condition that is known to be contagious. It is caused by a fungus and lives in environments that are warm and moist. When the feet become damp, this can be an ideal place for this type of fungus to grow and thrive. Additional areas include shower room floors, locker rooms, and public swimming pools. The symptoms consist of red skin and itchiness between the toes and on the bottom of the feet, and the skin can begin to crack. In severe cases, small blisters that are filled with pus may develop. There are over-the-counter treatments that may be helpful in treating mild cases of athlete’s foot. If there is little or no improvement, it is strongly suggested that you schedule an appointment with a podiatrist who can prescribe the correct medication for you.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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.

The foot contains three arches that work together to help you move. The system of arches is formed around the tarsal and metatarsal bones and is supported by ligaments and tendons. Two longitudinal arches run from the bottom of the toes on either side of the foot (medial and lateral) and meet at the heel. They are connected by the transverse arch, which runs across the metatarsals (long bones in the foot) just below the toes to form a triangle. This complex system works to put the spring in your step, by bearing the weight and absorbing the shock whenever you stand, walk, run, or jump. The two most common arch conditions are high arches (pes cavus) and flat feet (pes planus). A high arch is caused by an unusually high medial longitudinal arch, which runs along the inner side of the foot. Because it is too high, it is less able to absorb the shock of movement, which then puts stress on the ball and heel of the foot. This can result in pain that radiates to the ankle, leg, and thigh. Wearing custom orthotics and losing weight, can help reduce painful symptoms. Fallen arches, or flat feet, are caused by a lack of longitudinal arches. They may not have developed properly in the first place. Wearing shoes with arch supports usually handles the problem. For more treatment information about painful arch problems, it is suggested that you visit a podiatrist to discuss options.

If you have any concerns about your feet, 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.

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 office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Many people who have diabetes also develop foot problems, mainly because of nerve damage (neuropathy) and decreased blood circulation. Neuropathy results in numbness, so you are less able to detect sores or injuries to the feet. Poor circulation makes it more difficult for sores to heal and resist infection. The combination frequently results in skin ulcers that may go all the way to the bone and an  increased risk of infection as the wound remains open. In the worst cases, it can lead to amputation. Some measures can be taken at home by you or a healthcare worker to help avoid such developments. Included are keeping your feet clean and dry, checking for injuries or sores that don’t heal, and being aware of redness, swelling, or odors coming from your feet. It is important to keep your toenails properly trimmed and avoid going barefoot. It is even more important to have regular visits with a podiatrist who can perform examinations of your feet before they develop into serious or life-threatening conditions.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Recent research has indicated the most common place on the body that is affected by wearing high heels are the feet. Excess pressure is placed on the front of the foot when high heels are worn. When this type of shoe is frequently worn, serious foot conditions may develop. Some of these can include bunions, hammertoes, and Morton’s neuroma. Many people who enjoy wearing high heels understand the benefits of properly stretching the Achilles tendon at the end of the day. This can be done by standing on a step, and gently stretching the heel downward. Additionally, rotating the ankle in circles can help to strengthen the entire foot. If you have questions about wearing high heels, and how they can affect your feet, please speak with a podiatrist.

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.

The most common form of peripheral neuropathy affects the feet. When there is a problem affecting the nerves in the feet, one can experience tingling and numbness in the feet, shooting, stabbing, or burning pain there, loss of coordination and balance, and muscle weakness. There is typically an underlying condition for those with this disorder. Those with diabetes and the elderly are most apt to be affected by this condition. Loss of sensation and possible injury to the feet without knowing it is a dangerous combination. It is vital that one who suffers from this type of neuropathy takes proper and daily care of one’s feet. Such care includes keeping feet clean, looking for ingrown toenails, sores or signs of injury, moisturizing feet, and wearing proper fitting shoes. While symptoms can be intermittent, because of the danger involved and the progressive nature of the condition, it is suggested that one consult a podiatrist as early as possible for relief of symptoms and treatment recommendations.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.