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Understanding Sesamoiditis and Why It Hurts So Much

Sesamoiditis is a painful inflammation of the tiny sesamoid bones located beneath the big toe joint. These small bones act like pulleys, helping the tendons move smoothly and absorb pressure with every step. When they become irritated from overuse, repetitive impact, or increased activity on hard surfaces, pain develops directly under the big toe. Many people describe a deep ache or sharp discomfort that worsens when pushing off the toe while walking. Swelling, tenderness, and difficulty bending the big toe are common signs. Dancers, runners, people with high arches, and anyone who spends long hours on their feet are more prone to this condition. Without proper care, symptoms can progress and interfere with daily movement. Rest, wearing supportive footwear, and targeted treatments can provide relief. If you notice persistent pain beneath your big toe or difficulty bearing weight, it is suggested that you see a podiatrist for an evaluation and personalized treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Larry Cohen of New York City. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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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Red and Shiny Lesions on Children’s Feet

Dry, red, shiny patches on a child’s feet can look alarming, but several conditions may cause this appearance. One common source is juvenile plantar dermatosis, a condition that creates smooth, reddish areas on the forefoot due to friction, sweat, and tight footwear. Eczema can also create irritated, dry patches that become shiny when the skin is inflamed. Some children react to detergents, shoe materials, or dyes, leading to contact dermatitis that appears as bright, irritated skin. Although less frequent in younger children, fungal infections may cause peeling, redness, and discomfort. Psoriasis can occasionally involve the feet as well, creating distinct shiny plaques. Rarely, certain illnesses that cause redness and swelling of the feet may be involved. A podiatrist can identify the cause, guide treatment, and recommend ways to protect the skin. If your child’s symptoms continue or worsen, it is suggested that you see a podiatrist for an accurate diagnosis and effective treatment solutions.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during 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. Here are some things to consider...

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’. 

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 for 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.

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 a Tailor’s Bunion Can Affect Daily Life

A tailor’s bunion, which forms on the outer side of the foot near the little toe, can interfere with comfort and mobility more than many people expect. As the area becomes irritated or swollen, wearing regular shoes may feel increasingly difficult, leading to constant friction and aching during routine activities. People often change the way they walk to avoid pressure, which can create new problems in the ankles, knees, or back. Social activities, exercise, and even short errands may feel limited when every step causes discomfort. Sleep can also be disrupted if the area remains sore at night. With proper evaluation, treatment such as footwear adjustments, padding, orthotics, or targeted care can reduce symptoms and improve function. It is suggested that you see a podiatrist if a tailor’s bunion is affecting your comfort or quality of life.

If you are suffering from bunion pain, 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?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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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Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Foot Pain From Morton’s Neuroma

Morton’s neuroma is a painful condition affecting the nerves between the toes, most commonly between the third and fourth toes. Foot pain often feels sharp, burning, or tingling and may radiate into the toes. Causes include repetitive pressure or irritation from tight shoes, high heels, or abnormal foot mechanics. Symptoms can include numbness, a feeling of a pebble in the shoe, swelling, and discomfort that worsens with activity. Risk factors include wearing narrow or pointed shoes, participating in high-impact sports, and having foot deformities such as bunions or flat feet. A podiatrist can help by diagnosing the condition, recommending footwear modifications, providing orthotics, performing conservative treatments, and, if needed, guiding advanced care. If you have developed toe or forefoot pain it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Larry Cohen of New York City. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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 Morton's Neuroma
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