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.

Playing sports is common among youth and often continues as you become an adult. Kids and adults are both at risk of sports-related injuries. A few simple ways to prevent getting hurt while playing sports include warming up before you start, not exercising more than necessary, and stopping when you feel extreme pain. Most sports injuries are the result of doing too much too fast, thinking you can do more than you can, over training, faulty equipment, and accidents. The most common sports injuries are heel pain, stress fractures, and Achilles tendonitis. Athletes also are at risk of twisted or sprained ankles and, in some cases, broken bones. In case of a sports-related injury, it is suggested that you resist the idea of playing through the pain and, instead, stop the activity immediately. Ice, compression and elevation should follow. It is wise to consult a podiatrist as soon as possible for a full diagnosis and treatment options.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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 26 bones, more than 30 joints, and nearly 100 muscles, tendons and ligaments in the foot – and an issue with any of these can lead to foot pain. Depending on the source of the pain, different conditions can be indicated. For example, pain at the bottom of the foot can be a sign of plantar fasciitis, metatarsalgia, or neuropathy. Plantar fasciitis occurs when the band of tissue that runs along the bottom of the foot and connects the heel to the toes (known as the plantar fascia) becomes inflamed or partially torn. Metatarsalgia can affect the ball of the foot (the metatarsal region). Usually, this pain is a result of the metatarsal heads becoming inflamed and applying pressure on the bones at the front of the foot. Another common issue to the bottom of the foot is neuropathy, which occurs when there is nerve damage that causes a tingling, burning, or stabbing sensation. It’s suggested that anyone who struggles with foot pain consult with a podiatrist for a proper diagnosis and treatment plan. 

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.

During hammertoe surgery, the deformed toe is straightened to relieve pain and improve your quality of life. General recovery from hammertoe surgery usually takes around six weeks. After your surgery, it is very important to follow your doctor’s instructions so that your toe can heal properly. At home, elevate and rest your foot as often as you can. Wear wide, comfortably fitting shoes that give your toes plenty of space and avoid high heeled shoes. You may be prescribed medications to relieve pain and prevent infection, which you should take as directed. You may also be asked to avoid certain activities to keep pressure off your foot. For more information about surgical aftercare, please consult with your podiatrist. 

Hammertoe

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

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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.

Diabetic foot ulcers (DFUs) are poorly healing wounds that can form on the feet of people who have diabetes. These wounds require treatment, as they are at an increased risk of infection, which can have serious consequences. Hyperbaric oxygen therapy (HBOT) is a type of treatment in which a person is placed in a special room or small chamber to breathe almost pure oxygen. This treatment has shown to be promising in treating a variety of conditions, including poorly healing DFUs. Hyperbaric oxygen therapy can help encourage the formation of new blood vessels around the wound and supply the area with more oxygen and nutrients, something these wounds are typically missing due to the effects of diabetes. This can help the body generate new, healthy tissues. To learn more about HBOT and other treatments for diabetic foot ulcers, please consult with a podiatrist. 

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 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.

Sprained ankles are a common injury, particularly among athletes. They cause symptoms such as pain, swelling, a limited range of motion, and difficulty walking or bearing weight on the affected ankle. Ankle sprains occur when one or more of the ligaments in the ankle are overstretched or torn. There are two main types of ankle sprains – high ankle sprains and lateral ankle sprains. While their symptoms are similar, treatments can vary. Because of this, getting a proper diagnosis is very important. A podiatrist can diagnose the type of ankle sprain that you have by completing a thorough physical examination of the ankle. Imaging tests may also be used. If you suspect that you may have sprained your ankle, it is strongly suggested that you seek the care of a 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.