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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.

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.

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.

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.