August 2022

Tuesday, 30 August 2022 00:00

Foot Pain

The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.

Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.

Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.

Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.

If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.

Tuesday, 30 August 2022 00:00

Common Causes of Foot Pain

Almost everyone experiences foot pain at some point. Barring traumatic injury, the most common causes of foot pain are bunions, plantar fasciitis, ingrown toenails, and athlete’s foot. A bunion is a bony protrusion at the base of the big toe, often caused by genetics and made worse from arthritis. Improper footwear can aggravate a bunion, which then may cause hammertoes, calluses, and metatarsal pain. Plantar fasciitis is an inflammation of the band of tissue that runs along the sole of the foot. While painful, it can be alleviated to a degree by wearing shoes with more cushioning and by doing certain exercises. Ingrown toenails can be quite painful, but they may be prevented by keeping toenails properly cut and wearing shoes with more room in the toe box. Athlete’s foot is a fungal infection that enters the foot through a tiny crack or sore. It causes itching, scaling and painful splitting of the skin between the toes. Highly contagious, athlete’s foot is often spread in moist, warm areas, including shower rooms and swimming pools. If you have any of these conditions, it is a good idea to check in with a podiatrist for a full examination, diagnosis, and options for treatment.

Foot Pain

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

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 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.

Tuesday, 23 August 2022 00:00

Why Does Gout Develop?

A form of arthritis known as gout can cause severe pain and discomfort and many people have difficulty in walking. Gout develops because of excess uric acid in the blood and may result from genetic factors or eating foods that have high levels of purines. These foods can include shellfish, red meat, alcohol, or drinks that are made with large amounts of sugar. This can cause crystals to develop in the joints of the big toe and may cause debilitating pain as well as redness and swelling. For many people, maintaining a healthy eating regimen can limit the number of gout attacks. It can help to drink plenty of fresh water daily and to engage in a gentle stretching and exercise program. It is beneficial to find out why they may be recurring and learn about methods to control them. If you have gout, it is strongly advised that you are under the care of a podiatrist who can guide you toward correct treatment options and educate you about effective preventive methods.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Tuesday, 23 August 2022 00:00

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Tuesday, 16 August 2022 00:00

What Is Hallux Rigidus?

Hallux rigidus is a condition that typically affects the joint between the first long bone of the foot and the big toe. It is called the metatarsophalangeal joint, or MTP for short. Pressure on the bones, ligaments, and tendons of the MTP joint caused by wearing ill-fitting shoes or standing for long periods of time can result in inflammation. The big toe becomes stiff and painful, making it difficult to walk with a normal gait. A faulty distribution of body weight further aggravates the joint and can lead to the destruction of the cartilage. The big toe will hurt when it is moved up and down and sometimes a bone spur will form on the end of the first metatarsal bone. Alterations to footwear, such as avoiding high heels and wearing shoes with a roomier toe box, can bring some relief, but will not stop the progression of the hallux rigidus. It is wise to treat it early for better results. If the stiffness in the big toe does not go away after a few days, please seek the guidance of a podiatrist, who may prescribe both medication and custom orthotics. In more advanced cases, surgery may be an option.

Toe pain can disrupt your daily activities. If you have any concerns, 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

Trauma
Sports injury
Wearing shoes that are too tight
Arthritis
Gout
Corns and calluses
Hammertoe
Bunions
Blisters
Ingrown toenails
Sprains
Fractures (broken bones)
Dislocations

When to See a Podiatrist

Severe pain
Persistent pain that lasts more than a week
Signs of infection
Continued swelling
Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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 tools and technology to treat your foot and ankle needs.

Tuesday, 16 August 2022 00:00

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures.

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.

Wednesday, 10 August 2022 00:00

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.

Wednesday, 10 August 2022 00:00

Foot Surgery for Hammertoe

Foot surgery can sometimes be used as a last resort option to address serious problems in the feet that could not be solved by more conservative treatment plans. Hammertoe is one condition that might be able to be resolved by a surgical procedure. Hammertoe primarily affects the second, third, and fourth toes of the feet, causing the toe joints to become frozen in a flexed position. As a result, the toe sticks up at the middle point and appears like a hammer. Surgery might be a viable way to straighten the joint out, and both adults and children might potentially benefit from undergoing a surgical procedure. One type of procedure for hammertoe is known as a tendon transfer whereby tendons in the toes are transferred from the bottom of the toes to the top to help straighten out the joint. Another kind of procedure is called a joint resection. Through this surgery, the end of the bone at the affected joint is effectively taken out of place. Pins are then temporarily put in their place to help the joint straighten out to its natural shape. If you have a hammertoe, consult with a podiatrist to see what options you might have at your disposal to address the issue.

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.

Tuesday, 09 August 2022 00:00

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Tuesday, 02 August 2022 00:00

Sever’s Disease and Sports

Sever’s disease is an affliction of the foot that can threaten your child’s health, so it is important to be fully aware of what this condition is. Primarily affecting children, Sever’s disease occurs when excessive strain is placed on the growth plate of a child’s heel. The condition can produce pain in the heel. A child is most susceptible to developing Sever’s disease during the onset of a growth spurt. Sever’s disease in children has an interesting link to sports and physical activities that parents should be aware of. Playing high-impact sports puts children at an increased risk of developing Sever’s disease because it can place extra strain on the growth plate of the heel. Specifically, soccer, basketball, track, and gymnastics are all common sports that can put children at an increased risk. Additionally, physical activities and other sports that include children engaging in a lot of running or jumping can make the development of Sever’s disease more likely. It is therefore no surprise that cases of Sever’s disease are usually seen prominently at the beginning of sports seasons. If your child is engaged in a sport or some kind of comparable physical activity, then consider contacting a podiatrist who can help you learn how to prevent or treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor 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.