Can Shockwave Therapy Help My Heel Pain?

In Shockwave therapy, acoustic waves are directed to damaged areas in the feet and ankles which can trigger a healing and regenerative response and reduce pain. Shockwave therapy can utilize either low-energy or high-energy waves, and can be administered in either a single, or series of treatment sessions. Shockwave therapy is FDA-approved for the treatment of plantar fasciitis—a painful condition in which the large fibrous connective tissue running along the bottom of the foot from heel to toe becomes inflamed. If you have pain in the bottom of your foot which may be particularly acute in the morning when you wake up, contact a podiatrist who can examine you, diagnose your issue, and discuss possible treatment plans.

 

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with 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.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

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.

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What Is Debridement?

Debridement is the process of removing dead or infected skin tissue to help foot wounds heal. As diabetes often causes a loss of sensation in the feet and poor blood circulation, foot wounds may go undetected for longer periods of time and heal slowly or poorly. When wounds grow and the surrounding skin becomes infected, debridement may be necessary to prevent serious complications like gangrene and amputation. The debridement procedure itself is usually done mechanically, using a moving force like water or debridement pads to remove the dead or infected tissue. Debridement can also be done using surgical instruments that cut away the dead tissue, certain chemicals, or your body’s own enzymes. If you notice wounds forming on your feet, please see a podiatrist who can determine the right course of action for you.

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.

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How to Prepare for Foot or Ankle Surgery

If you are getting ready to undergo surgery to correct a foot or ankle issue, it is important to be prepared and know what to expect. Store up on food and supplies, and set up a comfortable spot in your home with everything you’ll need within arm’s reach as you convalesce: your computer, phone, medicine, TV and remote, pillows, a foot elevation apparatus to reduce swelling, convenient access to ice packs, and more. Ask your podiatrist if you’ll need a knee roller/walker, crutches or wheelchair. Place a shower stool and grab bars in your shower, and have a cast protector handy to keep your cast dry while showering. Ask your podiatrist what you need to do to help aid your recovery, and approximately when you may be able to return to work; it can take weeks, months, or sometimes longer to fully recover from foot or ankle surgery. Also, find out when you might be able to drive again, and make arrangements to get a Temporary Handicap placard prior to surgery. Ask your podiatrist about over-the-counter painkillers or if they will prescribe medication to help reduce swelling and pain after surgery. With proper planning and communication with your podiatrist, you can help make your recovery as smooth and successful as possible.

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.

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Flat Feet and Runners

Strong and flexible feet are essential to runners. Feet are the part of the body that strike and engage with the ground, and provide the foundation on which the body relies to complete and sustain the running movement. With 26 bones in each foot, nearly one quarter of all the bones in our bodies are located in the feet, not to mention muscles and tendons. Strong arches are an important component in the propulsion action the feet and legs perform during running and also help the foot’s ability to adequately absorb high-impact forces which is critical to preventing injuries. Sometimes, runners either need to compensate for flat feet, or they can develop fallen arches over time. There are exercises a podiatrist can suggest to help you strengthen your foot muscles, as well as custom orthotics to give you the proper arch support you need while running. Additionally, they may present a surgical option to correct flexible flatfoot.

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 and ankle needs.

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Can Babies Develop Ingrown Toenails?

An ingrown toenail is defined as the corners of a nail growing into the edges of the surrounding skin. This typically occurs in the big toe of babies and adults alike, but it can happen to any of the toes. Because baby’s nails are soft and flexible and sometimes curve in at the edges, they may appear to have an ingrown toenail without the nail truly being ingrown. When you are not sure if the nail is ingrown, give your baby a bath and let their feet soak in warm water. The toenails will become even softer so you can check and gently bend the corners of the nail upward if they are in fact growing inward. If you are still unsure, the most common symptom is for the skin around the affected toenail to become red or swollen. You may even notice pus or a yellow fluid where your baby’s toenail is ingrown. If any of these symptoms occur it is important to visit your podiatrist as these may be signs of an infection. An infection can be serious to your baby, especially if they have pre-existing medical conditions. To help prevent your child from developing ingrown toenails, do not cut their nails too short and when you do trim them be sure to cut straight across. To learn more about proper foot health for your baby, please seek the counsel of a local podiatrist.

Ingrown toenails can become painful if they are not treated properly. 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 occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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 and ankle needs.

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Be Free of Toenail Fungus for Spring

Don't hide your feet when the weather gets warm. Get treated for fungal nails, and wear sandals and open-toed shoes with confidence. Step into spring with confidence!

Falling, Babies, and Children

Babies need extra care in preventing falling injuries. It is important to refrain from leaving your child sitting on a table, or lying in a crib with the sides down. Research has indicated it is beneficial to install sliding gates at both ends of the stairwells, with openings of an appropriate size. Many parents view a stationary activity center as a better choice for the child’s safety rather than a baby walker, coupled with adult supervision. When bed rails are installed as the child sleeps in their first bed, additional emotional and physical support may be provided. It can also be helpful to lock all doors that lead outside, as this may help to prevent falling down the steps. As the child gets older, it is important to ensure that playground areas have a soft surface beneath the slides. Feet can be negatively affected when falling occurs, and it is suggested that you confer with a podiatrist  who can help offer you and your child fall prevention techniques.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

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Simple Methods for Everyday Foot Care

Many elderly individuals may experience unpleasant foot conditions for several reasons. These can include a loss of cushioning in the feet as the aging process occurs, poor circulation, or sores on the feet that may begin to heal slowly. Wearing comfortable shoes is one of the best methods of caring for your feet. Additionally, by frequently practicing simple stretches and exercising daily, circulation may be improved. Athlete’s foot is an uncomfortable foot ailment, and can possibly be prevented by washing and drying the feet thoroughly, especially between the toes. Ingrown toenails can be caused by trimming the toenails improperly, and this can be corrected by cutting them straight across. If you would like more information about how to care for your feet on a daily basis, it is suggested that you confer with a podiatrist.

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.

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Swollen Ankles and Pregnancy

A common symptom of pregnancy that many women experience is swollen ankles. This can happen as a result of the growing fetus, and may become worse in the warmer weather. Additionally, it can be uncomfortable as the pregnancy progresses, and relief may be found when specific lifestyle changes are implemented. These can include drinking plenty of fresh water daily, frequently elevating the feet, and it may help to sleep on the left side. Many women find that it may help to refrain from crossing the legs, in addition to exercising, and performing specific stretches. If you would like more information about how pregnancy affects the feet and ankles, please consult with a podiatrist.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the 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 needs.

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Can I Run With a Broken Toe?

Your toes play a very important role when it comes to movement, especially for runners. Your toes stabilize your foot with each step that you take and help you push off the ground, and your big toes also play a role in stabilizing your arches. If you have broken a toe, you may experience symptoms such as severe bruising, pain, deformity, discoloration, and swelling. Naturally, this can make walking, and even standing, difficult. Running with a broken toe is therefore not suggested. A broken toe can take up to six weeks to heal, depending on the severity of the break, and engaging in high impact exercises like running before the toe is fully healed can lead to pain and further injury. If you have broken your toe, please seek the care of a podiatrist.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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.

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