Posterior tibial nerve neuralgia, also known as tarsal tunnel syndrome, is a nerve disorder that is caused by compression of the posterior tibial nerve. This nerve runs through the tarsal tunnel, an area along the inside of the ankle that houses nerves, blood vessels, and tendons. When the posterior tibial nerve is compressed, it causes symptoms such as foot, ankle, and toe pain, a pins and needles sensation in the foot, and numbness. Conservative treatments such as resting and icing the foot, wearing orthotics, and taking pain medications can help relieve symptoms. For more information about tarsal tunnel syndrome and to discover the best course of treatment for you, please consult with a podiatrist. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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 you have sprained your ankle it is very important to seek the care of a podiatrist who can diagnose and treat your injury. But treatment does not begin and end at the doctor’s office. There are many things that you may need to do at home to ensure that your ankle heals properly. You should try to keep weight off of your injured ankle by keeping it elevated by propping it up on a pillow in order to reduce swelling. Put ice on your injured ankle periodically for three days following your injury to control swelling. Take any pain medications and wear splints, braces, or other orthotics as prescribed. For more information about caring for a sprained ankle, please consult with your podiatrist. 

Ankle sprains are common but need immediate attention. 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen 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 and ankle needs.

There are many running shoes available on the market, and they can usually be classified into five different types of shoes: motion control, stability, cushioned, lightweight, and trail. Motion control running shoes are designed to reduce any excessive rolling in your gait while you run and provide extra shock absorption. These shoes are especially useful for someone with an overpronated gait. Stability running shoes are designed to stop excess motion in the foot and ankle. Cushioned running shoes absorb shock and help protect the feet. Lightweight running shoes are more flexible and can decrease pain and fatigue while running. Trail shoes are designed to help you run on rugged terrain. They are usually more durable and have a better grip than other types of running shoes. To find out which running shoes may be best for you, it is suggested that you consult with a podiatrist. 

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 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 bones, ligaments and tendons in the foot, and any condition that affects these can be very painful. Foot pain can ruin daily life and become very complicated. Depending on the area of the foot that hurts, a variety of different injuries may be considered. Heel pain, which is one of the most debilitating forms of foot pain, is often a sign of heel spurs or plantar fasciitis (inflammation of the tissues along the bottom of the foot). Conditions such as sesamoiditis, metatarsalgia, or Morton’s neuroma, which is a thickening of tissues around the nerves, can lead to pain in the ball of the foot. Patients who are experiencing pain in the arch of the foot may be suffering from flat feet or fallen arches. Other issues such as gout, bunions, hammertoes, and turf toe can cause pain in the toes. Patients who are struggling with foot pain should consult with a podiatrist for a proper diagnosis and treatment.   

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

If you like walking or hiking, stretching the bottoms of your feet and ankles can be very beneficial. Stretching helps by relieving foot pain and improving flexibility, which reduces your risk of foot and ankle injuries. One simple stretch that you can perform is a foot stepover. To do this stretch, place a rolled up towel on the floor. Stand up straight and place the front half of one foot onto the towel. Be sure to keep the heel of the foot on the floor. Take a small step forward with the other foot. You should feel a stretch in the foot that is standing on the towel. Repeat ten times, holding the stretch for two to five seconds each time, and then repeat on the opposite foot. For more information about stretching the feet, please consult with a podiatrist. 

Stretching the feet is a great way to prevent injuries. If you have any concerns with 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.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

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.

There are 26 bones in the foot, which means that there are a variety of complex ways the foot can be fractured. These types of fractures can include toe fractures, midfoot fractures (metatarsal fractures), sesamoid fractures, or fractures to the bones at the back of the foot (e.g., the heel bone). If a foot is fractured, it will be very painful, and putting weight on it or walking will likely be difficult. If you believe that you have broken your foot, consulting with a podiatrist is suggested because you may need X-rays to confirm the fracture and a professional will be able to determine the best treatment options for you. Common treatment options for a broken foot include splints, casts, physical therapy, and keeping weight off of it.

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.

Kohler’s Disease, which typically occurs in children between 3 and 7 years of age, is a rare bone disease which affects the tarsal navicular bone in the foot. This boat-shaped bone connects the ankle with the lower bones in the feet. In Kohler’s Disease, this bone suddenly loses its blood supply causing it to degenerate. The child usually feels pain and tenderness along the arch and there may be swelling and redness. It is popularly believed that Kohler’s disease may be caused by strain or injury to the navicular and its blood vessels before the bone becomes completely hardened. The good news is that the navicular bone usually recovers and regains its density, size, and structure within time. However, until such time, the child may limp or walk on the side of the affected foot to compensate for the pain they experience while walking. A podiatrist can diagnose Kohler disease in your child and ease their pain with special supportive shoes and, or orthotics, casting, and pain relievers.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.

Sever’s disease is a painful condition that can affect growing children. It involves inflammation of the growth plate (apophysis) located at the back of the heel bone where the plantar fascia and Achilles tendon attach to it. Repetitive stress on this area by overuse of the Achilles tendon or through weight bearing activities can cause it to become irritated. This condition usually flares up during growth spurts, typically in children who participate in high impact athletic activities. If your growing child feels pain at the back of their heel, a podiatrist can examine them and possibly take an x-ray to diagnose the issue. If the cause of their pain is Sever’s disease, the podiatrist may prescribe rest, icing, certain calf stretches and shoe modifications or orthotics that lift the heel and provide better heel and arch support.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.