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When a Broken Toe Needs Medical Care

A broken toe can happen after a heavy object lands on the foot, the toe strikes a hard surface, or the foot twists during sports. Repeated pressure can also cause a stress fracture. Pain usually starts near the injured bone and can worsen while standing or walking. Other signs include swelling, bruising, and tenderness. The toe can look bent when the broken ends have shifted. A cut, bleeding around the nail, or bone showing through the skin needs prompt medical attention. The big toe plays an important role in balance and push-off, so an injury there can strongly affect movement.

It can be hard to tell a toe fracture from a sprain based on appearance alone. A podiatrist will ask how the injury happened and examine the toe for pain, position, and skin damage. This foot doctor can also check blood flow and numbness. X-rays can show where the bone broke and whether the pieces remain lined up. More detailed imaging is sometimes useful when the break is hard to see or extends into a joint. An accurate diagnosis matters because a poorly aligned bone can lead to stiffness, pain, or trouble fitting into shoes.

Treatment depends on the toe involved, the break's location, and how far the bone has moved. A podiatrist can stabilize a simple fracture by securing the injured toe to the toe beside it. The doctor can also provide a stiff-soled shoe or walking boot to limit painful motion and offer protection. When bone fragments are out of line, the podiatrist can return them to the proper position. Serious open, crushed, or joint-related fractures may require surgery. Seek prompt care after treatment when pain is severe, the toe appears crooked, or numbness develops. If you have broken your toe, it is suggested that you schedule an appointment with a podiatrist for effective treatment tips.

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 Dr. Larry Cohen from New York City. Our doctor 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 offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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When Plantar Fasciitis Surgery Becomes an Option

Plantar fasciitis develops when tissue along the bottom of the foot becomes irritated or damaged. This strong band connects the heel to the front of the foot and supports the arch. The resulting pain can make standing, running, or walking difficult. A podiatrist can examine the foot, review the patient’s health history, and diagnose the problem. In most cases, treatment from a podiatrist can help to reduce strain and improve foot function. However, surgery is an option when heel pain remains severe after months of professional care and limits activities.

The surgery is called a plantar fasciotomy, also known as a plantar fascia release. The podiatric surgeon detaches part of the fascia from the heel bone, which reduces built-up tension in the damaged tissue. Endoscopic surgery uses tiny cuts and a small camera to guide the surgeon. The choice depends on the patient’s health, symptoms, and the surgeon’s recommendation. Both approaches are outpatient procedures, so patients can return home the same day. Risks include infection, nerve injury, and continued heel pain. A podiatrist can explain the benefits and risks.

Recovery follows a plan created by the surgeon and podiatrist. Patients must protect the incision and follow instructions about placing weight on the foot. Many people can bear weight within two to three weeks, although timing depends on the procedure and wound healing. Full recovery takes about two months. Follow-up visits allow the podiatrist to check healing, evaluate foot movement, and address swelling or tenderness. Patients should call the medical office if they notice increasing pain, drainage, or fever. Gradual improvement is expected, but discomfort can remain as the tissue heals. The care team will explain when it is safe to return to work, exercise, and wear normal shoes. If you have severe heel pain, it is suggested that you schedule an appointment with a podiatrist who can discuss the benefits of this type of foot surgery with you.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Larry Cohen  from New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of 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 feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Understanding Joint Pain and Foot Surgery

Joint pain in the foot or ankle can make movement difficult. Pain can develop when a joint becomes damaged from arthritis, an injury, a fracture, or another condition. Arthritis can wear down the tissue that helps bones move together. As this damage progresses, pain and stiffness can make it harder to walk, stand, or stay active. A podiatrist can examine the painful area, review your symptoms, and use imaging tests to determine what is affecting the joint. The goal is to identify the cause of pain and determine which treatment is appropriate.

When joint damage is severe, surgery may be considered. Joint replacement surgery removes damaged portions of a joint and replaces them with an artificial joint designed to restore movement. Joint replacement can improve pain, mobility, and quality of life. It also found that patient satisfaction can be affected by factors like pain control, mobility, and the cost of care. Because surgery is a major decision, a podiatrist can explain whether surgery is appropriate for a foot or ankle joint problem, and discuss what the procedure and recovery could involve. Your podiatrist can also monitor your condition and help coordinate the next steps when surgery is being considered.

Recovery after joint surgery is an important part of treatment. Early movement after surgery can help reduce complications and support a return to walking. Your podiatrist can provide follow-up care, monitor healing, and assess pain and movement. This foot doctor can any address concerns during recovery. Every patient has different needs, so the expected results and recovery process can vary. A careful evaluation can help you understand your options before deciding whether surgery is the right choice. If you have joint pain, it is suggested that you schedule an appointment with a podiatrist who can discuss the benefits of this type of foot surgery with you.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Dr. Larry Cohen from New York City. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Understanding the Connection Between Obesity and Foot Pain

Obesity can place significant stress on the feet because they support the body's weight with every step. As body weight increases, the bones, joints, and soft tissues in the feet must absorb greater pressure during standing and walking. This added stress may contribute to foot pain, reduced mobility, and changes in the way the feet function. People who are overweight may be more likely to develop heel pain, flat feet, or arthritis affecting the foot and ankle. Ongoing discomfort can make everyday activities more difficult and may reduce overall physical activity. Because foot pain has many possible causes, a professional evaluation is important to identify the underlying problem and recommend the most appropriate treatment.

 

Excess weight can also affect the structure of the feet and alter normal walking patterns. As movement patterns change, additional strain may be placed on the ankles, knees, and hips. This altered body mechanics can increase discomfort and reduce stability over time. Obesity has also been linked to a higher risk of tendon problems and joint degeneration in the feet. A thorough podiatry evaluation helps determine how weight-related changes are affecting foot function and mobility. Identifying these concerns early allows treatment to focus on relieving pain, improving movement, and helping prevent further complications.

 

A podiatrist plays an important role in evaluating and treating foot problems related to obesity. During an examination, the podiatrist assesses foot structure, walking mechanics, and joint function to identify the source of discomfort. Treatment is tailored to each patient's condition and focuses on reducing pain, improving mobility, and supporting healthier foot function. Regular podiatry care may also help reduce stress on the feet and monitor changes before they become more severe. If foot pain or difficulty walking is affecting your daily life, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned about your feet, contact Dr. Larry Cohen from New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.

Problems & Complications Stemming from Obesity

  • When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
  • Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
  • Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.

If you have any questions please contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Ankle Pain and Modern Ankle Arthroplasty Options

Ankle pain is a widespread condition that can limit movement, affect balance, and reduce overall quality of life. It may result from a sudden injury or develop gradually due to joint wear and degeneration. Common causes include sprains, fractures, and cartilage damage within the joint. Individuals often report swelling, reduced range of motion, and ongoing discomfort during walking or standing. Risk factors such as aging, excess body weight, repetitive strain, and a history of ankle injuries can increase the likelihood of developing chronic symptoms. Without proper care, ankle pain may worsen over time and interfere with daily activities.

When non-surgical treatments such as rest, bracing, and orthotics do not provide relief, ankle arthroplasty may be considered. This type of foot surgery, often referred to as total ankle replacement, involves removing damaged joint surfaces and replacing them with artificial components. The goal is to restore smoother movement while reducing pain. In contrast to ankle fusion, which restricts motion, this approach is designed to preserve flexibility and support a more natural walking pattern.

The surgery is performed in a sterile setting by a trained podiatric surgeon. Damaged bone and cartilage are carefully removed, and prosthetic components made of durable metal and medical-grade plastic are inserted to recreate the joint. Following surgery, patients participate in a structured recovery plan that includes gradual weight-bearing and guided rehabilitation. Many patients experience improved alignment, decreased pain, and better overall function after healing.

Ankle arthroplasty is not appropriate for every patient. Those with severe deformity, compromised bone quality, or active infection may require alternative treatment options. A detailed evaluation is essential to determine candidacy and ensure the best outcome. If you have chronic ankle pain and are considering this procedure, it is suggested that you consult a podiatrist who can determine if this type of foot surgery is appropriate for your condition.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Larry Cohen of New York City. 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 our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Causes of Cracked Heels

Heel fissures, commonly known as cracked heels, are splits in the skin along the heel that develop when dryness and pressure cause the skin to lose elasticity. The heel naturally supports body weight, and when the skin becomes thick and dry, it can begin to crack under stress. These fissures may start as superficial lines but can deepen over time, leading to discomfort and difficulty walking if not treated properly.

Symptoms of cracked heels include dry, rough skin along the heel, visible cracks, and discomfort while standing or walking. In more advanced cases, the fissures may become deep and painful, sometimes leading to bleeding. The surrounding skin may appear thickened and callused, and the area can feel tight or irritated. These symptoms often worsen without proper hydration and care.

 

Several causes contribute to heel fissures, with extreme dryness being the most common. Environmental factors such as cold weather, low humidity, and prolonged exposure to dry conditions can reduce skin moisture. Nutritional deficiencies may also impact skin health and increase the risk of cracking. In addition, medical conditions such as diabetes can affect circulation and skin integrity, making the heels more prone to fissures.

 

Risk factors include standing for long periods of time, wearing open back shoes, and poor foot care habits. Preventive measures include regular moisturizing, proper footwear, and maintaining overall skin health. Cracked heels can be uncomfortable, and  early attention can reduce discomfort and prevent complications. If you have cracked heels, it is suggested that you consult a podiatrist for effective treatment solutions, which may include prescribed medication.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Dr. Larry Cohen from New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

  • Invest in a good foot cream
  • Try Using Petroleum Jelly
  • Ease up on Soaps
  • Drink Plenty of Water

Ways to Prevent Cracked Heels

  • Moisturize After Showering
  • Skip a Shower
  • Keep Shower Water Lukewarm
  • Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Everyday Habits That Can Lead to Foot Pain

Foot pain is a common issue that can develop from daily habits and lifestyle choices. It refers to discomfort in any part of the foot, including the heel, arch, or sole. While injuries and medical conditions can contribute, many cases of foot pain are linked to preventable behaviors. Activities such as running barefoot, wearing shoes without socks, choosing worn-out running shoes, and frequent use of high heels can place excessive stress on the feet and lead to ongoing discomfort.

Symptoms of foot pain vary depending on the cause but often include aching, burning sensations, or sharp pain during movement. Running barefoot may lead to strain on the plantar fascia and increased pressure on the heel and forefoot. Wearing shoes without socks can cause friction, leading to blisters, irritation, and skin infections. Worn-out running shoes lose their cushioning and support, which can result in joint stress and fatigue. Frequent use of high heels shifts body weight forward, increasing pressure on the ball of the foot and toes.

The causes of foot pain from these behaviors are related to poor support, repetitive stress, and improper alignment. Barefoot running on hard surfaces reduces shock absorption and increases impact forces. Shoes that have lost their structure no longer provide stability, which can affect gait and balance. High heels alter natural foot mechanics and can contribute to deformities over time. Friction from not wearing socks can weaken the skin barrier, making it more prone to injury.

Risk factors include active lifestyles, long periods of standing, improper footwear choices, and lack of foot care awareness. Preventive measures, such as wearing supportive shoes, replacing worn footwear regularly, and using moisture-wicking socks, can reduce the risk of pain. Making small adjustments to daily habits can protect long-term foot health. If you have developed foot pain, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment for long-term relief.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Larry Cohen from New York City. 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 our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Gout Attacks in the Foot and What You Need to Know

Gout is a painful form of arthritis that frequently affects the joint at the base of the big toe. Arthritis is inflammation of a joint, causing pain, swelling, and stiffness. Gout develops when too much uric acid builds up in the blood and forms sharp crystals inside a joint. These crystals can trigger sudden attacks of severe pain, redness, warmth, and swelling. The pain frequently begins without warning and can become intense within a few hours. Even the pressure of a sock or bedsheet can feel unbearable. Although the big toe is the most common location, gout can also affect the ankle, heel, or other joints in the foot. Some patients experience repeated attacks that become more frequent without proper medical care.

A podiatrist can help determine whether gout is causing your foot pain or whether another condition is responsible. Several foot problems can produce similar symptoms, making an accurate diagnosis important. The examination includes checking the affected joint, reviewing your medical history, and discussing when the pain began. X-rays or ultrasound imaging can help evaluate the joint and rule out other causes of pain. Blood tests that measure uric acid levels can provide helpful information, although a normal result does not always rule out gout during an attack. Identifying gout early helps reduce joint damage and lowers the chance of future flare-ups.

Treatment focuses on relieving pain, reducing inflammation, and preventing future attacks. A podiatrist can prescribe medication to control inflammation and coordinate care with your primary care physician or another specialist when long-term treatment is needed. Patients with repeated attacks sometimes need medicine that lowers uric acid levels to reduce crystal formation. A podiatrist can also monitor the health of the affected joint and evaluate changes in walking that result from pain. Prompt treatment can protect the joint and help patients return to daily activities with greater comfort. If you have symptoms of gout, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Larry Cohen from New York City. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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How Flip-Flops and Sandals Can Cause Foot Pain

Warm-weather footwear is popular because it is lightweight and easy to wear. However, sandals and flip-flops can contribute to foot pain when they do not provide enough support. Many styles have thin soles, limited cushioning, and little stability. As a result, the feet must work harder to maintain balance and absorb impact while walking. This extra strain can affect the muscles, joints, and soft tissues of the feet. Common problems include arch pain, heel pain, and soreness in the ball of the foot. Some people also develop discomfort in the ankles, knees, or lower back because of changes in walking patterns. Wearing flip-flops or sandals that lack adequate support for extended periods of time can place repeated stress on the feet and increase the risk of painful conditions.

Several foot conditions are linked to frequent use of flip-flops and sandals. Plantar fasciitis, which is an irritation of the thick band of tissue along the bottom of the foot, is one common example. Limited arch support can place extra tension on this tissue. Heel pain is another frequent complaint because thin soles provide little shock absorption. Poorly fitting sandals can also cause calluses, blisters, and skin irritation from repeated rubbing. Open-toed sandals also leave the feet more exposed to cuts, scrapes, and other injuries. High-heeled sandals provide limited stability, increasing the risk of ankle sprains when walking on uneven surfaces.

A podiatrist can determine whether footwear is contributing to foot pain and related symptoms. A thorough examination can identify areas of strain, changes in foot structure, and problems with the way a person walks. Digital imaging scans and X-rays may be ordered to evaluate joint alignment and other concerns. Treatment focuses on reducing pain, improving function, and helping patients choose footwear that better supports foot health. Early evaluation can prevent minor discomfort from developing into a more serious problem. If you have foot pain after wearing sandals or flip-flops, it is suggested that you schedule an appointment with a podiatrist for relief and treatment options.

Flip-flops can cause a lot of problems for your feet. If you have any concerns about your feet or ankles, contact Dr. Larry Cohen from New York City. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

Flip-flops have managed to become a summer essential for a lot of people. While the shoes may be stylish and easy to slip on and off, they can be dangerous to those who wear them too often. These shoes might protect you from fungal infections such as athlete’s foot, but they can also give you foot pain and sprained ankles if you trip while wearing them.

When Are They Okay to Wear?

Flip-flops should only be worn for very short periods of time. They can help protect your feet in places that are crawling with fungi, such as gym locker rooms. Athlete’s foot and plantar warts are two common fungi that flip-flops may help protect your feet against.

Why Are They Bad for My Feet?

These shoes do not offer any arch support, so they are not ideal for everyday use. They also do not provide shock absorption or heel cushioning which can be problematic for your feet. Additionally, you may suffer from glass cuts, puncture wounds, and stubbed toes since they offer little protection for your feet.

More Reasons Why They Are Bad for Your Feet

  • They Slow You Down
  • May Cause Blisters and Calluses
  • Expose Your Feet to Bacteria

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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When to Seek Treatment for Hammertoe

Hammertoe is a foot deformity that causes one or more toes to bend abnormally at the middle joint, creating a curled or hammer-like appearance. The condition most often affects the second, third, or fourth toes and can develop gradually. In the early stages, the affected toe may still be flexible, but it can become more rigid as the condition progresses. Hammertoe may cause discomfort while walking, standing, or wearing shoes. Many people also develop corns, calluses, or areas of irritation where the bent toe rubs against footwear. Because hammertoe can worsen over time, early evaluation is important for maintaining foot health and mobility.

Several factors may contribute to the development of hammertoe. Muscle imbalances within the foot can cause the toe to remain in a bent position, while certain foot structures may increase the likelihood of the condition. Previous injuries and underlying joint conditions can also play a role. As the toe becomes more contracted, pressure on the affected joint often increases. This added stress can lead to pain, swelling, and difficulty fitting comfortably into shoes. In some cases, hammertoe may affect balance and walking patterns, placing additional strain on other areas of the foot. Identifying the cause of the condition is an important step in determining the most effective treatment approach.

A podiatrist can evaluate the severity of hammertoe and assess how the condition is affecting overall foot function. Through a comprehensive examination, a podiatrist can identify contributing factors and recommend appropriate treatment options. Professional care focuses on improving comfort, reducing pressure on the affected toe, and helping maintain proper foot mechanics. Early intervention may help prevent the condition from becoming more severe and reduce the risk of complications. Maintaining healthy foot alignment is important for long-term mobility and comfort. If you have developed hammertoe, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Larry Cohen of New York City. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Types and Benefits of Orthotics

Orthotics are specially designed devices placed inside footwear to support, align, and improve the function of the feet and lower limbs. Off-the-shelf orthotics are prefabricated inserts that provide general support and cushioning for common foot issues. Functional foot orthoses are designed to correct abnormal movement patterns and improve biomechanics while walking or running. Custom molded total contact insoles are individually crafted to match the exact shape of the foot, offering precise support and pressure distribution. These devices can help treat plantar fasciitis, flat feet, heel pain, and overuse injuries. Benefits include improved comfort, better posture, reduced pain, and enhanced mobility. A podiatrist can assess foot structure and gait to recommend the most suitable orthotic option. If you have foot pain, it is suggested that you consult a podiatrist who can discuss the benefits of custom-made orthotics with you. 

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Larry Cohen from New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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When Shoes Do Not Fit Right

Wearing the wrong size shoes can lead to several painful foot conditions that develop over time. Blisters are small fluid-filled pockets that form from friction when shoes rub against the skin. Bunions appear as a bony bump at the base of the big toe, often caused by tight footwear that pushes the toe out of place. Additionally, hammertoes occur when the smaller toes bend unnaturally due to crowding inside the shoe. These problems may start with mild discomfort, but can worsen into chronic pain and difficulty walking. Poor shoe fit, narrow toe boxes, and long periods on your feet increase risk. A podiatrist can evaluate foot structure, diagnose these conditions, and guide proper shoe fitting to prevent further damage. If you have foot pain from wearing shoes that do fit right, it is suggested that you consult a podiatrist who can offer effective relief tips and guidance on how to find the right shoe size.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Dr. Larry Cohen from New York City. Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

  • When visiting the shoe store, use the tools available to measure your foot.
  • Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
  • Do not always assume you are the same size, as manufacturers run differently.
  • Purchase shoes later in the day, as your feet swell as the day progresses.
  • If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Managing a Bunion

A bunion results when a bony bump forms at the base of the big toe, as the tip of the toe pushes against the other toes. This deformity can cause pain, redness, and swelling. Bunions also make wearing certain shoes uncomfortable while walking or standing for long periods of time. Causes include inherited foot structure, arthritis, and shoes that squeeze the toes together. Some people develop bunions because of poor foot alignment or abnormal walking patterns. A podiatrist can examine the foot, check joint movement, and use X-rays to determine the severity of the bunion. Treatment options include custom orthotics, padding, and wearing supportive shoes with a wider toe box. More advanced bunions may require surgery to straighten the toe joint and improve alignment. Early treatment can help slow the condition and reduce discomfort. If you have pain from a bunion, it is suggested that you schedule an appointment with a podiatrist for effective relief and management tips.

If you are suffering from bunions, contact Dr. Larry Cohen of New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

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 due to 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 worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists 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 provider.

How Are Bunions Treated?

  • 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

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What Are Bunions?

Pain on the Bottom of the Foot

A number of conditions, including plantar fasciitis, nerve irritation, and Morton’s neuroma, can cause  pain on the bottom of the foot. Plantar fasciitis involves inflammation of a thick band of tissue along the arch. It often causes sharp heel pain, especially with the first steps in the morning. Nerve-related pain may feel like burning, tingling, or numbness and can worsen with activity. Morton’s neuroma is a thickening of tissue around a nerve, usually between the toes. It may feel like walking on a pebble or cause a sharp, shooting pain in the ball of the foot. Symptoms can become more noticeable with pressure or when wearing certain shoes. Causes include overuse, wearing improper footwear, foot structure, or repetitive stress. A podiatrist can evaluate the source of pain and order imaging or physical examination to confirm the diagnosis. Treatment may include supportive footwear, padding, anti-inflammatory care, and targeted exercises. If you have pain on the bottom of the foot, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Larry Cohen from New York City. 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 our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Gout and Its Lasting Impact on the Feet

Gout is often thought of as a sudden, painful attack in the big toe, but it is more than an occasional flare. It is an ongoing condition that can affect foot health over time. Gout develops when uric acid builds up and forms crystals in the joints, leading to inflammation, redness, and severe pain. While attacks may come and go, repeated episodes can lead to joint damage, stiffness, and changes in foot shape. Walking and daily activities can become more difficult if the condition is not managed well. Over time, firm deposits may form under the skin surrounding joints, which can add to discomfort. Early care and proper treatment can help control symptoms and reduce long-term effects. If you have recurring foot pain, swelling, or sudden joint discomfort, it is suggested you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Larry Cohen from New York City. 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 our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Everything You Need to Know About Gout

Effective Treatments for Diabetic Foot Wounds

Diabetic foot wounds require prompt, specialized care to prevent infection and support healing. Treatment often begins with antimicrobial wound dressings, which help control bacteria and maintain a healthy wound environment. Compression therapy can improve circulation and reduce swelling, especially in patients with vascular concerns. Regular debridement is critical for removing dead or infected tissue, allowing healthy tissue to grow. Advanced therapies like negative pressure wound therapy use controlled suction to promote healing by reducing fluid buildup and increasing blood flow. Off-loading devices, including custom footwear or braces, relieve pressure on the affected area and help prevent further damage. A comprehensive, personalized approach using these treatments can greatly improve healing outcomes and reduce complications. If you or a loved one has a diabetic foot wound, it is suggested that you schedule an appointment with a podiatrist for expert care and prevention.

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 Dr. Larry Cohen from New York City. Our doctor 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 contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Athlete’s Foot and How It Spreads

Athlete’s foot is a contagious fungal infection that affects the skin of the feet and can move from person to person or across different areas of the body. Athlete’s foot develops when certain fungi settle into damp areas of the skin, particularly between the toes. The fungi spread easily in shared environments, such as gyms, locker rooms, and pool decks. They can also transfer through contact with contaminated items like shoes or towels. The skin may appear flaky, soft, or whitened, and can feel itchy, irritated, or mildly painful if small fissures form. Without treatment, the infection may persist or spread to the soles or toenails. A podiatrist can assess the affected skin and confirm the diagnosis through an examination. Treatment focuses on antifungal therapy, along with strategies to reduce moisture and prevent reinfection. If you have symptoms of athlete’s foot, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Dr. Larry Cohen from New York City. Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

  • Thoroughly washing and drying feet
  • Avoid going barefoot in locker rooms and public showers
  • Using shower shoes in public showers
  • Wearing socks that allow the feet to breathe
  • Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

  • Redness
  • Burning
  • Itching
  • Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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