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foot-care2Dr. Tim Tollestrup of Henderson, NV is said to have “tunnel vision.” This is because he spends so much of his time correcting the pain of tarsal tunnel syndrome with a peripheral nerve decompression surgery. Tollestrup spends much of his time trying to fix the ailments of his patience so they can live a medication and pain free life and is part of a small group of surgeons capable of eliminating pain from the syndrome. The surgery allows the surgeon to correct a compressed nerve by stripping it of the surrounding tissue that is causing the pinching or compression. The surgery is very specific and takes a lot of education and understanding of how the body works. “You have to know the nerve anatomy very well and know where the compression points are,” Tollestrup stated.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors will treat your foot and ankle needs.

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 Valley Stream, NY. We offer the newest technologies and diagnostic treatments. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about tarsal tunnel syndrome.

toenail-fungus7According to a recent study conducted by Leger 360 Marketing, one third of Canadians living with toenail fungus have given up on treating the condition and nearly two thirds of those suffering from the condition are embarrassed about their fungus. In recent years treating toenail fungus has not been very effective since topical treatments applied to the toenail or taken orally have not completely remedied the fungus and can have negative side effects; which may be why so many people have given up on treating the condition. The study also found that 83% of respondents agree that seeing a doctor is the best way to get assistance in treating toenail fungus.

While toenail fungus is troublesome to eradicate, it is not impossible. For more information about treatment, consult with Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors will attend to all of your podiatric needs.

Toenail Fungus Treatment

Toenail fungus is a problem which affects many people and is hard to get rid of. Fortunately, there are several methods to go about treating toenail fungus.

Antibiotics & Treatments

Lamisil – is the most commonly effective treatment for toenail fungus. It is available as an antibiotic Terbinafine tablet and cream. Terbinafine is a chemical component which kills fungal growth on the body. Applying regular doses will gradually kill the fungal growth. It is important to keep the area clean and air free.

Talcum powder – applying powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well

Alternative Treatments

There are always surgical procedures that are available for toenail fungus. Some people would like immediate quick removal of toenail fungus. Surgeons will be able to cut through and remove the growth using laser surgery. It is important not to try and remove it yourself. Once removed, your old shoes will need to be replaced to avoid reinfection.  

If you have any questions please feel free to contact our office located in Valley Stream, NY. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toenail Fungus

plantar-fasciitis6Margaret Dabbs has stated that the key to keeping older feet looking young and healthy is to just give the lower extremities some care. Dabbs states that with age the sweat glands in the feet stop working, making them drier than normal. Elderly individuals should moisturize and file dry skin at least once a week to maintain the hydration levels of the feet. Dabbs also recommends wearing shoes that are wider and more supportive with age.

Proper foot care is something many older adults forget to consider. For more information, consult with one of our podiatrists of Valley Stream Podiatry. Our doctors will assist you with all of your podiatric concerns.

The Elderly and their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions

Neuropathy – can reduce feeling in the feet, and can hide many life threating medical conditions.

Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.

Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:

Gouging toenails affecting nearby toe

Shoes that don’t fit properly

Pressure sores

Loss of circulation in legs & feet

Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions, please feel free to contact our office in Valley Stream, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Elderly and Feet

bunions10Hallux valgus, or more commonly known as bunions, occurs when the joint of the big toe turns into a large bump and the big toe starts to turn into the smaller toes. Accordingly, the foot condition occurs in nearly one in three adults and can occur due to family genetics and through improper footwear. Bunion treatment typically begins with non-surgical treatments such as wearing a shoe with a wider toe box or wearing pads over the bump to cushion the area. When nonsurgical treatments do not work, surgery is considered as a last resort. With the surgery come risks such as scarring, bunion recurrence, arthritis, and other ailments. Recovery usually takes up to 12 weeks and a protective sandal or boot is necessary for proper healing.

The pain and discomfort caused by bunions can put a halt to everyday activities. If you have any concerns contact one of our podiatrists of Valley Stream Podiatry. Our doctors will treat your foot and ankle needs.

What is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs by the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why do Bunions Form?

  • Genetics – susceptibility to bunions are often hereditary
  • Stress on the feet – poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can cause bunions to form
  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

How are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How are Bunions Treated?

If you have any concerns please feel free to contact our office located in Valley Stream, NY. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about bunions.

 

ankle-injury4Tennis player Milo Raonic recently underwent surgery to operate on a pinched nerve in his foot. The treatment caused Raonic to skip the Italian Open in Rome and is expected to spend a week and a half to two weeks recovering. The player hopes to recover in time for the French Open, but he might not recover on time. The fourth ranked player in the world is expected to be completely healed by the start of the Roland Garros.

Foot surgery is sometimes necessary to fix a foot ailment. If you have any concerns about your foot and ankle needs contact Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors will treat 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 help with the problem. Some of the cases in which surgery may be necessary are:

  • Removing foot deformities like bone spurs and bunions
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction
  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

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:

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 Valley Stream, NY. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about foot surgery.

toenail-fungus7According to a study featured in the Journal of Bone and Joint Surgery, 65 percent of patients living with plantar fasciitis saw relief with shockwave therapy. The study used 246 plantar fasciitis patients from all over the United States randomly receiving placebo, or extracorporeal shock wave therapy (ESWT) sessions three times a week reaching 2,000 impulses. Compared to the placebo group at 34.5 percent reduction of pain, the ESWT group saw a 69.2 percent reduction. Study author Dr. Hans Gollwitzer states, “our study demonstrates that ESWT is effective in the treatment of chronic, recalcitrant cases of plantar fasciitis.”

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 of Valley Stream Podiatry. Our doctors will provide you with quality foot and ankle information and treatment.

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, attacking the source of the problem so treatment lasts 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 Valley Stream, NY. We offer the newest diagnostic tools and treatment to treat your foot and ankle needs.

Read more about Shockwave Therapy

childrens-feet14Children all around the world grow out of their shoes so quickly that many parents, especially, in third world countries, cannot afford to buy their children shoes. The Shoe That Grows, designed by Kenton Lee, was created to combat this problem by allowing the shoe to expand up to five sizes and by lasting up to five years. Lee was inspired when he went on a trip to Kenya and saw many children running around barefoot, making them especially susceptible to diseases and infections. The leather and rubber materials make the shoes especially durable and come in size small (for children grades kindergarten to fourth grade) and size large (grades fifth to ninth).

Having shoes for children is essential in allowing them to grow properly and keeping them disease free. If you have any concerns contact podiatrists Dr. Andrew Shapiro and Dr. Michael Barkin of Illinois. Our doctors will treat your foot and ankle needs.

Keeping Children's Feet Healthy

Having healthy feet in childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care from birth to school-age.

Although babies do not walk yet, it is still very important to take care of their feet.

  • Avoid putting tight shoes or socks on his or her feet
  • Allow the baby to stretch and kick his or her feet to feel comfortable

As a toddler, kids are now on the move and begin to develop differently. At this age toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.  Be sure the child wears comfortable and protective shoes so that they can grow into their feet properly.

As your child gets older, it is important to teach them how to take care of their feet

  • Show them proper hygiene to prevent infections such as fungus
  • Be watchful of any pain or injury
  • Have all injuries checked by a doctor as soon as possible
  • Comfortable, protective shoes should always be worn, especially at play

Children of all ages are constantly developing and growing, and as a parent you want to make sure that nothing is hindering their maturation.

If you have any concerns feel free contact our office located in Valley Stream, NY. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about keeping children’s feet healthy.

runningnewAccording to Huffington Post Healthy Living, the best forms of agility, speed, balance, and power start with a properly supported foot. Although athletic footwear is designed to support and protect the foot with standard shock absorption, it does not protect the natural biomechanic movement of the foot or abnormal pronation of the foot and joints.
To fill that void, athletes can purchase arch supports that are inserted in the shoes specific to the sport they participate in. Having a stable lower half will increase overall performance and help athlete’s prevent injury.
Proper foot support is of utmost importance in foot health. To learn more, consult with one of our podiatrists of Valley Stream Podiatry. Our doctors will provide you with the foot and ankle information you seek.

The Importance of Proper Foot Support
Walking is an everyday function for both men and women, and in order to keep your body’s balance in order, you are going to need shoes that provide the proper kinds of support. 

Poor foot support can cause pain and discomfort in the lower back, hips, knees, neck and shoulder. It also can lead to emotional stress, and physiological changes in the body. In order to avoid these problems, you must have proper foot support.

The arch is the most important part of the foot, which is where most of the support and balance of your feet lies. The arch of your foot varies in height, and as you age, this height can change. Proper foot support will help musculoskeletal issues, which causes inactivity or disability.

When looking for shoes that give proper support to your feet, you should refrain from wearing ill-fitting shoes.  If footwear is too tight, this can affect the body’s posture, stress, bone deformities, and other foot and back pain. Therefore, it is important that shoes fit well in order to avoid these complications.

If you have any questions please feel free to contact our office located in Valley Stream, NY. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Proper Foot Support

diabetic2For those suffering from diabetes, it is important that they pay close attention to their feet on a daily basis in order to prevent and treat and problems that may arise.

Odd Color, swelling, sores, drainage, temperature, pain, blood sugar, and fever are all things to look out for when it comes to maintaining diabetic foot health. If your feet are swollen and appear to a pink, red, purple or yellow green color, they may be infected. When open sores occur in the feet and toes, most patients would treat it right away, but diabetic patients often feel numbness in their feet and toes making them unaware of the wound.

Since diabetic wounds are easily infected, it is important that patients check their socks daily to bring any issues to immediate attention. If you have any concerns about your diabetic feet contact one of our podiatrists of Valley Stream Podiatry. Our doctors will treat your foot and ankle needs.

Diabetic Foot Care
Diabetes affects millions of people every year. Diabetes can damage blood vessels in many parts of the body, including 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 because 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 Valley Stream, NY. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about diabetic feet.

highthealsAngela Kelly of England says she was left crippled after a lifetime of wearing high heels. The 67-year-old first became aware of the problem four years ago while on a shopping trip. The former All England badminton mixed doubles champion was in so much pain she was latching onto her cart to help her move.

Kelly had suffered damage in her feet and knees due to wearing only high heels for nearly thirty years. Although many women wear high heels to boost their confidence, the ending results of high heel wearing can have extremely negative effects on the body.

The effects of high heels can cause many complications in the feet. If you have any concerns about your feet contact one of our podiatrists of Valley Stream Podiatry. Our doctors will treat your foot and ankle needs.

Effects of High Heels on the Feet
High heels are popular shoes among women because they are associated with femininity.  Despite their appeal, they can cause many health problems if worn too frequently.
What parts 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.  Also, 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. 

If you have any questions please feel free to contact our office located in Valley Stream, NY. We offer the newest diagnostic tools and technologies to treat your foot and ankle needs.

Read More about the effects of high heels.

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