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What Is Hereditary Multiple Exostoses?

Hereditary multiple exostoses, or HME, is a rare genetic condition causing benign cartilage tumors to form near bone growth areas. It is often inherited, more commonly from the father. While it mostly affects males and is usually diagnosed before the age of 10, females can also carry and pass on the condition. These tumors, known as osteochondromas, can develop in various bones, such as in the feet. They can lead to discomfort, especially if the tumors press against nerves or surrounding tissues. Additionally, as the tumors grow, they can cause mechanical pain, specifically if they interfere with joint movement or cause bone deformities. Treatment typically involves surgical removal when symptoms arise or if there is a risk of cancerous changes. If you have foot pain, it is suggested that you schedule an appointment with a podiatrist. Despite its rarity, HME can significantly affect individuals' daily lives, emphasizing the importance of early diagnosis and appropriate management.

Some foot conditions may require additional professional care. If you have any concerns, 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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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Essential Considerations for Purchasing Running Shoes

Selecting the right pair of running shoes is vital for both comfort and performance. Start by understanding your foot type and running gait, as this will influence the type of shoe you need. Consider factors such as arch height, pronation, and foot width to determine the appropriate level of support and cushioning. Next, prioritize fit, and your running shoes should feel snug but not constrictive, with ample room in the toe box to prevent discomfort and injuries such as black toenails or blisters. Look for shoes with breathable materials to promote airflow and prevent moisture buildup, reducing the risk of fungal infections. Additionally, consider the terrain and distance you'll be running, as different shoes are designed for various surfaces and distances. Finally, it is beneficial to include durability and quality in your shoe choice. This can consist of investing in well-constructed shoes from reputable brands to ensure longevity and support for your running endeavors. By carefully considering these factors, you can find the perfect pair of running shoes to support your fitness journey and enhance your running experience. If you are seeking additional knowledge about what to look for in running shoes, it is suggested that you consult a podiatrist who can provide you with pertinent information.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

  • Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
  • There should be little to no slipping at the heel
  • Don’t assume your size in one shoe brand will be your size in another
  • Do not lace up your shoes too tightly
  • Walk around in the store with your new shoes before you buy them

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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It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Sports Injuries in Children That Can Affect the Feet

Sports activities are a way people express their love for moving, playing, and competing. Many kids and teens take part in sports, but because sports involve a lot of physical activity injuries can happen. Approximately 30 to 40 percent of all injuries in kids and teenagers occur during sports. However, younger kids are generally less likely to get injured than older teenagers. The kind of foot injuries kids can get depend on the sport being played. The risk also depends on how hard the child plays. Some sports, like swimming, have a lower risk of foot injury. Others, such as ball sports, have a medium risk. And some, like riding or ice skating, have a high risk. Each sport has its typical types of injuries. The lower part of the body is more likely to get injured in sports like soccer, skiing, and running. If your child has incurred a foot injury from sports or from anything else, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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 Hammertoe

Hammertoe, a common foot deformity characterized by an abnormal bending of one or more toes at the middle joint, can develop due to various factors. First, genetics can play a significant role, as individuals with an inherited foot structure that predisposes them to hammertoes may be more susceptible. The choice of footwear is another critical factor, as tight, narrow, or ill-fitting shoes can force the toes into unnatural positions, subjecting the toe joints to excessive pressure. High-heeled shoes, in particular, can push the toes forward into a bent position, contributing to hammertoe development. Additionally, a toe length discrepancy, where one toe is longer than the others, can increase the risk, especially if it consistently rubs against the inside of the shoe. Conditions like arthritis can also lead to joint inflammation and deformities, including hammertoes. Past toe injuries or trauma can disrupt toe joint alignment, and muscle imbalances affecting toe movement can also play a role. If you have developed a hammertoe, it is suggested that you schedule an appointment with a podiatrist for early intervention and treatment to help manage the condition and prevent it from worsening.

Hammertoe

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

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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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Managing a Broken Foot

A broken foot, resulting from various causes such as sports injuries, falls, or accidents, can significantly impact your daily life. With 26 delicate bones in each foot, fractures are common and can lead to changes in physical appearance and movement. Symptoms of a broken foot include sudden or gradual pain, difficulty in bearing weight, swelling, bruising, altered gait pattern, and poor balance. Long-term treatment is needed for effective recovery. It typically involves the use of protective casts, boots, or supportive footwear to shield the foot during the healing process. The healing process for bones usually spans six to eight weeks, though the duration may extend based on the severity of your fracture. Beyond immediate care, rehabilitation exercises play an important role in restoring range of motion, mobility, strength, and balance. Because neglecting proper treatment can result in complications, it is imperative to prioritize comprehensive and sustained care for a broken foot. By adhering to these measures, individuals can optimize the healing process, minimize risks, and regain full functionality, ensuring a smoother road to recovery. If you have broken your foot, it is suggested that you schedule an appointment with a podiatrist as quickly as possible for an exam and appropriate treatment methods,

A broken foot requires immediate medical attention and treatment. If you need your feet checked, 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.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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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Exploring the Link Between Vitamin Deficiencies and Cracked Heels

Cracked heels, a common and often painful foot ailment, may be more than a superficial concern. It could be a subtle indicator of underlying nutritional deficiencies. Essential vitamins like A, C, and E, along with minerals such as zinc, contribute significantly to skin health. Insufficient intake of these vital nutrients can compromise the skin's elasticity and integrity, leading to dryness and fissures, particularly on the heels. Vitamin A plays a vital role in skin regeneration, while vitamin C supports collagen synthesis, essential for maintaining skin suppleness. Vitamin E functions as an antioxidant, protecting skin cells from damage. Zinc aids in wound healing, essential for repairing cracks in the skin. Understanding the correlation between vitamin deficiencies and cracked heels highlights the importance of a well-balanced diet and, when necessary, nutritional supplements. If you have cracked heels, it is suggested that you confer with a podiatrist who address the problem and offer treatment options.

Cracked heels are unsightly and can cause further damage to your shoes and feet. 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

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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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Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Common Causes of Blisters in Runners

Running is an exhilarating pursuit, but for many avid runners, the nagging presence of blisters can turn each stride into a painful ordeal. Blisters are pockets of clear fluid that form on the feet and toes but are largely preventable with the right precautions. These bubbles arise from the friction and heat generated during running. The body's response is the formation of a protective fluid bubble between layers of skin, in an effort to prevent further harm. Blisters are characterized by clear liquid-filled bubbles, occasional redness, or bruising. They can even form beneath toenails, potentially resulting in black toenails if they burst. The primary causes of running blisters are improper shoe fit and wet running conditions. Ill-fitting shoes, whether too large or too tight, create friction, leading to these blister formations. Running in wet conditions simply compounds the issue. Rain, mud, or snow softens the skin, while the heat and sweat produced during running create a humid environment inside the shoe. This supplies a perfect environment for blisters. Neglecting proper care of blisters can increase pain and risk of infection. If you have persistent problems with blisters from running or have one that has become infected, it is suggested that you schedule an appointment with a podiatrist for treatment.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, 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.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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 and Symptoms of Ankle Sprains

Ankle sprains, a prevalent issue, often occur unexpectedly during everyday activities or dynamic pursuits, like sports. The injury typically results from sudden twists or impacts on the foot, causing the tearing of ligaments. In severe cases, a distinctive popping sound or sensation may accompany the tearing of ligaments, serving as a clear indicator of an ankle sprain. Activities such as walking on an uneven surface or stepping off a curb may result in a sprained ankle. Engaging in sports with abrupt movements, like basketball, tennis, football, soccer, and trail running, heighten the risk of ankle sprains. Pain is a common symptom of a sprain, varying in intensity from mild discomfort to intense throbbing. Tenderness around the affected area indicates inflammation and potential ligament damage. Swelling is a natural response to injury, and managing it promptly can aid in reducing overall discomfort. Individuals with sprained ankles may also experience a sense of instability or weakness in the affected ankle, making weight-bearing challenging. Additionally, bruising may occur as blood vessels break due to the injury, leading to discoloration around the affected area. If an ankle sprain is suspected, it is suggested that you make an immediate appointment with a podiatrist for a thorough exam, which may include imaging tests, and an appropriate treatment plan.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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 Does a Podiatrist Assess Vascular Disease?

Podiatrists play a pivotal role in assessing vascular disease, a condition that impacts blood circulation throughout the body, including the lower extremities. A thorough examination begins with a detailed medical history, as podiatrists inquire about symptoms such as leg pain, cramping, or numbness. Clinical assessment involves inspecting skin color, temperature, and the presence of wounds or ulcers on the feet, key indicators of compromised blood flow. Podiatrists employ palpation techniques to evaluate pulses in the feet, gauging the strength and regularity of blood flow. The capillary refill test assesses the time it takes for color to return to the toenails after gentle pressure, providing insights into microcirculation. In cases of suspected vascular disease, podiatrists may collaborate with vascular specialists for more advanced diagnostic tests such as Doppler ultrasound or angiography. If you have poor circulation, it is suggested that you schedule an appointment with a podiatrist who can effectively diagnose and treat vascular disease.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, 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 Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

  • Ankle-Brachial Index (ABI) examination
  • Doppler examination
  • Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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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Types of Ingrown Toenails

Ingrown toenails, a common foot ailment responsible for approximately 20 percent of podiatric visits, can be attributed to a variety of causes. Among these, improper nail trimming plays a significant role, as cutting nails too short or rounding them incorrectly encourages ingrowth. Wearing tight shoes or high heels that exert pressure on the toes is another prevalent cause. Trauma to the toe, such as injuries, can also contribute to the formation of an ingrown toenail. Three main types of ingrown toenails are categorized by their location on the toe. The lateral ingrown toenail, occurring most frequently, involves the side of the nail edge growing into the skin at the sides of the toe. A distal ingrown toenail can occur when the nail edge grows or curls into the skin at the end of the toe, where the top of the nail meets the skin. Proximal ingrown toenails happen when the nail grows into the skin at the base of the toe, near the cuticle area. This type is characterized by new toenail growth pushing the old nail upwards, causing it to become thick and embedded. Avoiding excessive shortcuts and wearing well-fitted footwear can significantly diminish the risk of ingrown toenails. In instances of persistent discomfort or suspected ingrown toenails, seeking professional advice from a podiatrist is suggested. Podiatrists possess the expertise to accurately diagnose the issue, determine the severity and type of ingrown toenail, and suggest suitable treatment options. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Broken Toes Can Result in Complications

People can drop a heavy object on their foot, and may wonder if it is a temporary pain or something more serious like a broken toe. Broken toes are often the result of such accidents as having a heavy object drop on the foot, jamming it into a piece of furniture, or from missing a step. They can also occur due to an aggravated stress fracture, abnormal foot structure, or conditions such as osteoporosis. When a toe breaks, it causes severe pain, swelling, and bruising. Walking becomes difficult, but it is important to note that the ability to walk on a broken toe does not rule out a fracture. Diagnosis typically involves a visual examination and may require X-rays to be taken. Treatment options range from rest and elevation for minor fractures to splinting or buddy taping for more severe cases. In rare instances, surgery may be necessary to ensure proper healing. Complications such as toenail trauma, chronic pain, stiffness, and deformity can arise if a broken toe is not treated correctly. If you suspect you have broken your toe, it is suggested that you schedule an appointment with a podiatrist for a timely and effective recovery.

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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Causes of Metatarsal Joint Pain

Metatarsal joint pain, or pain in the ball of the foot, commonly results from misalignment of the joint surfaces. This puts pressure on the joint lining and destroys cartilage in the joints. Metatarsophalangeal, or MTP, joint misalignment can be caused by rheumatoid arthritis, a disorder that inflames the joints. In rheumatoid arthritis, hammer toes can develop, which can worsen joint pain and misalignment. Fat tissue, which helps cushion the joints when bearing weight, can be pushed forward under the toes, resulting in a loss of cushioning in the ball of the foot. A lack of cushioning normally occurs as many people age. It can make people more susceptible to pain when the ball of the foot is stressed or injured repeatedly, by running or walking excessively. A loss of cushioning also may cause damage to the nerves of the foot and lead to the development of calluses. MTP joint pain can also result from osteoarthritis or stiffening of the joints of the ball of the foot, often at the big toe joint. Many people with these disorders have an abnormal motion of the foot while bearing weight and walking. Walking is painful for people with metatarsal joint pain. The skin over the joint may feel mildly warm to the touch, and swelling may be present. Over time, pain and stiffening can be disabling. If you are experiencing extreme pain in the ball of the foot, it is suggested that you schedule an appointment with a podiatrist. This specialized foot doctor can examine the foot and suggest appropriate treatment options. 

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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Definition and Causes of Plantar Warts

Plantar warts, often stealthy intruders on our feet, warrant a closer look to understand their nuances and origins. These warts, caused by the human papillomavirus, or HPV, appear on the soles of the feet. The HPV virus infiltrates the skin through tiny cuts or abrasions, thriving in warm, moist environments, such as communal showers or swimming pools. Plantar warts are characterized by their flat appearance and may have small black dots, often dubbed wart seeds, indicative of clotted blood vessels. The pressure applied to the soles while standing or walking makes these warts grow inward, causing discomfort. While plantar warts are generally harmless, they can be painful and stubborn. Understanding their definition and recognizing the causes including frequenting humid environments, compromised skin, or direct contact with the virus equips individuals to take proactive measures in preventing and addressing these pesky growths on their feet. If you have developed a plantar wart, it is suggested that you consult a podiatrist who can offer effective relief and treatment methods.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Larry Cohen from New York City. Our doctor will assist you with all of 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

  • Lesions 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, can 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 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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Facts About Chronic Ankle Sprains

Ankle sprains occur when the ankle twists or turns, particularly in an inverted position, affecting the lateral ligaments. This strain forces body weight onto the outer edge of the ankle, resulting in stretching and potential tearing of ligaments that help to hold the ankle joint together. Repeated ankle sprains can lead to ankle instability, where the ankle turns inward during physical activity. Individuals who experience chronic ankle sprains may face thickening and irritation of previously sprained ligaments, causing impingement problems and discomfort near the ankle joint's edge. A severe variant, known as a high ankle sprain, damages supportive ligaments above the ankle joint. Recovery from a recurring sprain takes at least twice as long compared to more common sprains. For that reason, prevention is key. This involves performing exercises to strengthen ankle supporting muscles, wearing appropriate footwear for specific activities, and staying mindful of uneven surfaces. Prioritizing ankle health through preventive measures, seeking prompt medical attention, and following a comprehensive rehabilitation plan, can minimize the long-term effects of ankle sprains. Strengthening exercises, wearing proper footwear, and certain ankle braces can help to reduce the risk of ankle sprains. If you have sprained an ankle, it is suggested that you make an immediate appointment with a podiatrist for treatment. 

Ankle sprains are common but need immediate attention. If you need your feet checked, 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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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Common Causes of Heel Pain

Heel pain is a prevalent issue that affects people of all ages, whether you are an athlete, a busy professional, or a parent. Plantar fasciitis is the most common complaint of heel pain. It occurs when excessive pressure on the feet damages the plantar fascia ligament, resulting in pain and stiffness. This condition is often associated with activities that put stress on the feet, like running or standing for extended periods. The next most common causes of heel pain are sprains and strains, which are injuries to the body. These ailments can range from minor to severe and are often the result of physical activities or accidents. A fractured heel can be caused by accidents, falls, or severe trauma. This is considered a medical emergency and requires urgent care. If you experience sudden, severe pain in your heel, in addition to swelling and difficulty bearing weight, it is beneficial to seek immediate medical attention. Achilles tendonitis is another common reason for heel pain, caused when the tendon connecting the calf muscles to the heel becomes inflamed due to overuse injuries. Finally, bursitis is an inflammation of the fluid filled sacs surrounding joints, where tendons, skin, and muscle tissues meet bones. It can lead to heel pain and discomfort. If you have any type of heel pain that inhibits your daily life, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options. 

Many people suffer from bouts of heel pain. For more information, 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.

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 condition of the past.

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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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!

Types of Flat Feet

Flatfoot is characterized by the loss of the foot's arch, leading to an abducted forefoot and a hindfoot deformity. The two types of flat feet are flexible and rigid flatfoot. In flexible flatfoot, the arch appears when not bearing weight, but disappears when weight is applied. Conversely, in rigid flatfoot, the arch is consistently absent. Flexible flatfoot often appears in young children and may self-resolve. Its frequency in adults is unclear, due to frequent misdiagnosis. The disorder can be either congenital or developed over time. Flexible flatfoot results from ligament laxity, while adult-acquired flatfoot is attributed to posterior tibial tendon insufficiency, potentially caused by factors like obesity, neuropathy, or trauma. Rigid flatfoot results from bone irregularities or arthritis. A missing foot arch and deformities are noticeable upon examination. If you have flatfoot and it is causing you discomfort, it is suggested that you make an appointment with a podiatrist who can determine which type of flat foot you have, in addition to providing appropriate relief and treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Larry Cohen from New York City. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is 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. About 20-30% of the population generally has flat feet because their arches 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 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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