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broken-foot4German horseback rider, Michael Jung, won the Longines FEI European Championship despite having a broken ankle. Although Jung attempted to make the injury seem less serious than it was, he was seen riding a Segway around the competition at Blair Castle while his groom brought his horse, FischerTakinou, to and from the competition. While falling off his first horse, FischerRocana, earlier in the month, Jung broke a bone just above his ankle, leaving him with two screws. Despite the injury, Jung was able to make a comeback with FischerTakinou..

Broken ankles need immediate treatment. If you have any concerns about your feet and ankles contact Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors will treat your foot and ankle needs.

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  • Swelling around the area
  • Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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 broken ankles.

fungal-toenail2Heel pain caused by plantar fasciitis or heel spurs often occurs due to wearing high heels, gaining weight, or an increased amount of walking or stair climbing. Wearing high heels regularly and for long periods of time can cause the fascia along the bottom of your foot to shorten, causing pain when you try to stretch it or walk barefoot on it. When you gain weight and wear shoes that lack proper support, the pad of fatty tissue that usually protects the feet may wear down and cause tension and heel pain. Runners or someone who has recently increased their walking habits may experience heel pain especially if worn out shoes are being used or walking on a rocky terrain.  

Anyone can wind up suffering from heel pain. If your heel is hurting, see Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctorswill treat your heel pain symptoms in addition to other podiatric-related needs.

Causes of Heel Pain

● Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

● Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

● Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

- Wearing ill-fitting shoes                  

- Wearing non-supportive shoes

- Weight change         

- Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a thing of the past.

With the advancements in technology and greater knowledge of how muscles and joints work, physical therapists can turn things around dramatically.  

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 care needs.

Read more about Heel Pain

plantar-fasciitis6According to the American Orthopaedic Foot and Ankle Society, plantar fasciitis occurs more in females, those that are overweight, walking or standing often on the job, running or walking for exercise, and having tight calf muscles. Plantar fasciitis is an overuse injury that occurs when the tissue connecting the heel bone to the toes becomes inflamed. Although the condition can become chronic, most people know they have it when they feel pain at the heel during their first few steps in the morning. Applying ice, taking anti-inflammatories, stretching as well as taping the foot are all great ways to heal the injury. Surgery is typically used as a last resort.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, visit Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors can treat your heel pain as well as any other foot or ankle condition.

What is Plantar Fasciitis?

Plantar fasciitis is the inflammation of a the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

·     Excessive running

·     Non-supportive shoes

·     Overpronation

·     Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

·     Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices

·     Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis

·     Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Read more about Plantar Fasciitis

childrens-feet17Babies have many bones in their feet that need to close and grow to become a proper joint later in life. Many of these bones make up the arch that usually starts out as flexible flat feet. For 80-90% of children, those flat feet will eventually turn into arches, but for the rest pediatric flat feet occurs. Children with pediatric flat feet may experience pain, tenderness, cramping in the feet and legs and should seek treatment especially if they have difficulty walking. Treatment for flat feet includes activity modifications, such as cutting down on sports, orthotic inserts, physical therapy, and surgery.

Certain sports and physical activities may become difficult for children with flat feet. If you suspect that your child has the condition, speak to Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors will answer any of your foot and ankle related questions and attend to all of your podiatric needs.

What are Flat Feet?

Flat feet are 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. Standing about 20-30% of the population generally has flat feet because their arch 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 Valley Stream, NY. We offer the newest diagnostic tools and treatments for your foot and ankle needs.

Read more about Flat Feet

xrayAccording to research conducted by scientists at the Leiden University Medical Centre in Holland, rheumatoid arthritis may be triggered through a microbial infection. Researcher Diahann Jansen has stated that the study shows common bacteria in the flu virus as well as acne. “It doesn’t necessarily mean if you get acne you will get rheumatoid arthritis, but it is possible that if you encounter such a pathogen at some point your immune system will start a response to that pathogen,” stated Jansen. This new discovery is only the beginning in understanding the relationship between microbes and rheumatoid arthritis.

Understanding where RA starts will help treat and prevent the condition. If you are suffering from rheumatoid arthritis contact, Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors will treat your foot and ankle needs.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Severe pain and immobility are caused by an inflammation of the lining of your joints, and in worse cases the destruction of the joint’s cartilage and bone can occur.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, many cases result in pain in the foot or ankle area. Pain will often initially present in the toes before the condition worsens and spreads throughout the entire foot.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of the feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that your podiatrist can treat the area effectively. Your doctor may ask you about your medical history and lifestyle to help determine possible causes of your RA.

Treatment

Unfortunately, there is no cure for RA, so treatment options are designed to specifically target the symptoms of it, most notably the pain it causes. Two types of anti-inflammatory drugs – non-steroidal or NSAIDs and corticosteroids – may be prescribed by your doctor. In some severe cases where the joints are too badly damaged, surgery may be an option. As always, speak with your podiatrist to help determine the appropriate treatment options available to you.

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 rheumatoid arthritis of the feet.

toenail-fungus7Corns, hardened layers of skin formed through pressure or friction on the feet, are known to be unsightly and painful. Without the proper treatment, abnormalities in the gait of the foot can arise. Experts suggest wearing proper fitting shoes, toe splints, or orthotics to reduce any pressure that may cause corns. Diabetics especially need to pay attention to this condition as diabetic feet are more susceptible to complications.

Corns can be a huge nuisance for the feet. If you have any foot or ankle concerns contact Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors will attend to your foot and ankle needs.

Corns: What are they? And how do you get rid of them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:
- Well-fitting socks
- Comfortable shoes that are not tight around your foot
- Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Salicylic acid can help in getting rid of these corns because it dissolves keratin, which is the protein that makes up a good majority of corns. Podiatrists recommend that people with diabetes not use salicylic acid but should consult with their podiatrist regarding the treatment of corns.

If you have any questions 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 Corns on the Feet

broken-foot4Antonio Allen of the New York Jets has torn his right Achilles tendon during training camp, making him ineligible to play during the upcoming season. The injury occurred as Allen was coming out of his stance during a practice run and needed to be helped off the field. Although the team initially did not know how long the injury would keep the safety off of the roster, it seems as though everyone fully understands that Allen will be out for the rest of the season.

Achilles tendon injuries and problems need immediate attention to avoid future complications. If you have any concerns about your feet or ankles contact Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors will treat your foot and ankle needs.

What is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can cause severe difficulties and should immediately be presented to a doctor.

What are the symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

- Inflammation

- Dull to Severe Pain

- Increased blood flow to the tendon

- Thickening of the tendon

Rupture Symptoms

- Extreme pain and swelling in the foot

- Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

- Thorough stretching of the tendon before and after exercise

- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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 Achilles tendon injuries.

runningWhile the present day has become an era where going to the gym is widely practiced by people all over the world, the area has also become a breeding ground for infections and viruses such as plantar warts. Although a common foot ailment easily treated with the help of a doctor, plantar warts can be avoided by wearing flip flops in showers or any area where the ground is wet. Keeping yourself clean and staying away from surrounding bodily fluids, rashes, and other conditions are the best ways to keep you and your feet protected while at the gym.

Plantar warts can be very uncomfortable. If you have any concerns with plantar warts on your feet contact Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors will treat your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Legions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, will help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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 plantar warts.

hammertoe4Arthritis affects approximately 52 million people in the United States—and these are the people officially diagnosed by a physician. Those suffering from arthritis and its symptoms, however, can benefit from several steps to help cope with the condition. The first steps one can take involve learning more about the condition, knowing what kind of arthritis one has, and responding to prolonged symptoms by seeing a physician. Excess weight can add pressure on the joints—especially the feet; therefore exercising, losing weight, and leading an active lifestyle is important. Protect the joints by avoiding using the same joints constantly and alternating movement. Rest and relaxation is also important to avoid straining affected areas.

The feet are one of the most common sites for arthritis to occur in the body. If you are struggling with arthritis in your feet or ankles, call Dr. Andrew Shapiro and Dr. Michael Barkin of New York. Our doctors can examine your lower extremities to help alleviate your joint pain.

Arthritic Foot Care

Arthritis is a joint disorder that involves inflammation of different joints in your body, such as in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. On top of this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

  • Exercises that stretch the foot can prevent further pain and injury and increase mobility
  • Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
  • Massages can help to temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

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

Read more about Arthritic Foot Care

runningIn the last five years, the United Kingdom has seen a 17% increase in diabetic amputations, performed on average 135 times per week. Experts blame this increase on Britain’s obesity epidemic where there has been in a 62% increase in diabetes overall within the past decade. Despite these figures, Diabetes UK believes that these numbers can change and amputations can be avoided if diabetic patients are given the correct care and education.

Feet associated with obesity and diabetes need regular care and attention. If you have any concerns about your feet contact Dr. Andrew Shapiro, DPM and Dr. Michael Barkin, DPM of New York. Our doctors will treat your foot and ankle needs

Obesity and your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Solutions

Footwear – Specially made footwear that supports your joints, arches, and ankles, and allows room for good circulation is a great option to mitigate pressure and pain. A podiatrist will help you decide what works best for your specific needs.

Exercise – Exercise will help alleviate the pain and give your feet the strength it needs to support your body. Exercise also increases blood flow to your feet, allowing them to remain healthy and strong.

Most importantly, seek the help of a podiatrist for foot care if something is wrong or doesn’t seem to be working. A podiatrist will help you with any questions or information needed.

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 obesity and the feet.

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