October 2019

Many patients choose to have foot surgery performed as an option to relieve severe pain and discomfort. Relief may be found when toenail removal is chosen to correct chronically infected ingrown toenails. Bunion surgery may be a choice to consider if the bunion is painful and unsightly. Research has indicated it is helpful to wear orthotics following a bunionectomy, as this may help to achieve long lasting relief. If pain is felt from a deformed ankle, the surgery that may help diminish the discomfort is referred to as an ankle fusion. Additionally, this type of surgery may help patients who have ankle arthritis, and neuromuscular disorders. If you have foot pain, and are considering surgery, it is strongly advised that you schedule a consultation with a podiatrist who can properly guide you toward making the choice that is correct for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. Our doctor 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 one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal tunnel syndrome occurs in the foot and ankle. It is similar to carpal tunnel syndrome, which occurs in the wrist. Both disorders arise from the compression of a nerve in a confined space. Tarsal tunnel syndrome is a constriction, or squeezing, on the posterior tibial nerve that produces symptoms anywhere on the path of the nerve running from the inside of the ankle into the foot. The posterior tibial nerve is the focus of tarsal tunnel syndrome. This nerve runs down the back of the calf and into the sole of the foot. When tissues around the tarsal tunnel become inflamed, they can swell and press on the nerve, causing severe pain. If you have pain in your foot or ankle and want to identify the source, it is suggested to consult with your local podiatrist. Your podiatrist may prescribe corticosteroid injections, orthoses, and in some cases, surgery to treat this ailment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. Our doctor 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 one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The condition that is known as ingrown toenails happens as a result of the edge of the nail growing into the skin surrounding the nail. It can typically cause severe pain and discomfort, and it may be difficult to wear shoes that are normally worn. The edges of the nail can appear red, swollen, and tender when touched, and it is beneficial to begin treatment as quickly as possible. This can consist of soaking the affected nail in warm water, which is helpful in softening the skin around the nail. This may also make it easier to move the edge of the toenail away from the skin with a piece of cotton. If an ingrown toenail should become infected, surgery may be required to remove a portion of the nail. If you are afflicted with this ailment, it is strongly suggested that you consult with a podiatrist who can offer you proper treatment techniques.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. Our doctor 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 one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Research has indicated it is beneficial to perform stretching techniques before and after running or jogging. This can help the body to properly warm up prior to beginning a running practice, and to cool down when it is completed. When ankle rotations are done, the bones and ligaments may be protected from injury. These are practiced while rotating your ankle several times in a clockwise direction, then switching to counterclockwise. The overall health of the foot may become stronger when one-legged heel hops are routinely practiced. The hamstrings can be adequately stretched by practicing seated calf stretches, in addition to warming up the calf muscles. This is done by placing a resistance band around the soles of the feet while in a seated position, and gently pulling the feet toward you. If you would like additional about the benefits of stretching the feet, it is suggested that you schedule a consultation with a podiatrist.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

• Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
• Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
• Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

If you have any questions, please feel free to contact one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The symptoms that often accompany poor circulation can include a tingling and numbing sensation in the hands and feet, swollen toes, and toenails may be brittle and discolored.  Some patients experience dry skin, dizzy spells and headaches, and these may be indicative of this condition. Raynaud’s disease is a type of poor circulation, and this may cause the fingers and toes to turn white, and may feel cold for the majority of the day. It is helpful to know that symptoms of circulation conditions may be diminished by performing a gentle exercise routine as frequently as possible. This may help to improve blood flow in the body. Additionally, it may be beneficial to limit or stop smoking, which may stop the arteries from becoming narrow. If you would like to learn more about how poor circulation can affect the feet, please schedule an appointment with a podiatrist.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

If you have any questions, please feel free to contact one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.