Flat feet, or fallen arches, occur when the arch of the foot is lower than normal, potentially causing pain in various parts of the body. These lower arches can develop over time due to age and wear and tear on the feet. Children often have flat feet initially, but most develop a visible arch by around the age of 10. While flat feet may not always exhibit symptoms, they can lead to discomfort or pain in the heel, arch, or leg, and alter the alignment and functioning of the feet and legs during movement. Additional signs of flat feet may include uneven shoe wear, frequent tripping or falling, and stiffness or foot swelling. Conditions like Ehlers-Danlos syndrome, cerebral palsy, and muscular dystrophy can cause flat feet, as can factors such as being male, rheumatoid arthritis, diabetes, and obesity. Orthotics, exercises, weight management if necessary, and supportive footwear might help this condition. Surgery may be considered in some cases. If you have flat feet and they are causing you pain, it is suggested that you make an appointment with a podiatrist who can examine your feet and provide treatment to manage discomfort.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors 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 office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Peripheral artery disease, abbreviated PAD, also referred to as peripheral vascular disease, is a condition that arises from the reduced flow of blood to the body’s extremities, including the lower legs and feet. People with diabetes are more susceptible to developing PAD, as a result of weakened and damaged blood vessels from having high blood sugar. Blood clot formation within the vessels can also contribute to this condition. Conditions such as arthritis, which causes inflammation of the arteries, can further fuel peripheral artery disease. Other factors, such as smoking, hypertension, and obesity, increase the risk of developing PAD. Symptoms can include intermittent pain, coldness, numbness, and a bluish hue in the skin. In more advanced stages, wounds that resist healing, and areas of skin that blacken may develop due to the lack of adequate blood flow. In such cases, swift medical intervention is extremely important. If you suspect you may have peripheral artery disease that is affecting your lower extremities, it is suggested that you make an appointment with a podiatrist, who is specifically trained to manage this condition.

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.

The removal of dead or infected skin tissue is known as debridement. This procedure also eliminates foreign materials from tissue. Debridement promotes the growth of healthy tissue, minimizes scarring, and reduces infection complications. Not all wounds require debridement. It is typically used for non-healing old wounds, chronically infected wounds, or those at risk of infections. Severe or new wounds might also need debridement. The choice of debridement depends on factors like wound type, age, overall health, and risk for complications. Methods include biological debridement using sterile maggots, enzymatic debridement with ointments, autolytic debridement harnessing the body's enzymes, and mechanical debridement as the most common approach. Sharp debridement, both conservative and surgical, involves cutting off unhealthy tissue. Recovery varies but typically takes 6 to 12 weeks. Careful wound management, including regular dressing changes and hygiene, is crucial. Although complications are possible, debridement's benefits often outweigh the risks. If you have a foot wound that persists or appears infected, it is strongly suggested that you see a podiatrist for immediate treatment, which might include debridement.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Proper foot care is of utmost importance for individuals with diabetes, as they are more susceptible to foot complications. Diabetic neuropathy, a condition that impairs nerve function, can reduce sensation in the feet, making it challenging to detect injuries or infections. Regular foot inspections, daily washing with lukewarm water, and thorough drying are essential to maintaining foot health. Applying moisturizer to prevent dry skin and wearing shoes that fit well may help to prevent potential wounds. Trimming toenails straight across and avoiding sharp corners can reduce the risk of ingrown toenails. It's crucial to avoid walking barefoot in addition to inspecting shoes for foreign objects before wearing them. By incorporating these simple, yet vital, steps into their routine, individuals with diabetes can safeguard their foot health and minimize the risk of serious complications. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

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 care needs.