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Signs You May Have an Ingrown Toenail

An ingrown toenail develops when the edge of the nail grows into the surrounding skin instead of over it. This often causes tenderness, swelling, and redness along one or both sides of the nail, most commonly on the big toe. In the early stages, the area may feel sore when pressure is applied, especially while wearing shoes. As it progresses, the skin may become inflamed or even show signs of infection such as warmth, pus, or increased pain. Trimming nails too short or at an angle, wearing tight footwear, or stubbing the toe can contribute to the problem. Left untreated, an ingrown toenail may worsen and lead to further complications. If you notice ongoing pain, swelling, or signs of infection near the edge of your toenail, it is suggested that you see a podiatrist to receive proper care and avoid further irritation.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. 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 are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Why Diabetic Foot Care Matters

Taking care of the feet is especially important for individuals living with diabetes. High blood sugar over time can damage nerves and reduce blood flow, making it harder to feel injuries and for wounds to heal. A small cut or blister can turn into a serious infection, if left unnoticed. Dry skin, thick nails, and poor circulation can also contribute to foot problems that may not be immediately painful. Checking the feet every day for changes in color, swelling, or sores can help catch problems early. Wearing well-fitting shoes and keeping the skin clean and moisturized are simple steps that make a big difference. Regular foot exams by a podiatrist can also help prevent more serious complications. If you have diabetes and notice any signs of irritation, numbness, or changes in the skin of the feet or nails, it is suggested that you see a podiatrist for a diagnosis and appropriate treatment.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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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Key Facts About Ankle Sprains

Ankle sprains are one of the most frequent injuries affecting the lower leg and occur when the foot twists in a way that overstretches the ligaments. These bands of tissue help hold the joint together, and when they are strained or torn, pain and swelling can follow. Sprains can vary widely in severity. Some involve only slight overstretching, while others cause more serious damage. Ignoring a sprain or returning to activity too soon can lead to long-term instability or repeated injuries. Early attention is important and may include limiting movement, protecting the joint, and gradually restoring strength. Wearing supportive footwear and avoiding uneven surfaces may reduce the chance of future problems. If the discomfort does not improve or walking remains difficult, it is suggested that you consult a podiatrist for a full evaluation and appropriate care 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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Causes and Relief for Heel Pain

Heel pain is a common condition that affects people of all ages and activity levels. It can result from plantar fasciitis, where the thick band of tissue along the bottom of the foot becomes inflamed. Other causes include soft tissue sprains and strains due to overuse or injury, and joint pain from arthritis or structural issues. Prolonged standing, poor footwear, or increased physical activity can trigger or worsen symptoms. A podiatrist can accurately diagnose the source of heel pain and offer tailored treatments, such as stretching programs, orthotic support, and footwear guidance. If heel pain is affecting your mobility or comfort, it is suggested that you schedule an appointment with a podiatrist for expert care and appropriate treatment solutions.

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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Symptoms and Risks of Peripheral Artery Disease

Peripheral artery disease, or PAD, can seriously affect the feet by limiting blood flow through narrowed arteries. This often causes pain while walking that eases with rest. As peripheral artery disease progresses, pain may continue even when not moving. Common symptoms in the feet include numbness, tingling, coldness, and skin discoloration. In some cases, one foot may feel significantly cooler than the other. PAD can also lead to slow-healing ulcers on the feet or toes, which may become infected and require prompt medical care. Skin on the feet may appear pale or take on a bluish tone, and toenail growth can slow or stop due to poor circulation. In advanced stages, tissue damage may occur, increasing the risk of limb loss, if left untreated. A podiatrist can help by identifying early signs of PAD and providing appropriate treatment to improve foot health. If you have symptoms of PAD that are affecting your feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Larry Cohen from New York City. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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 Peripheral Artery Disease

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Why Safety Footwear Matters in the Construction Field

Wearing proper safety footwear in the construction field is essential for protecting workers from common job site hazards. Puncture resistant soles help guard against sharp objects on the ground, while slip resistant materials reduce the risk of falls on wet or uneven surfaces. For long hours on the job, breathable materials and ergonomic design support comfort and reduce fatigue. Poor footwear can lead to muscle strain, joint pain, and spinal stress. A podiatrist can assist by addressing foot issues caused by wearing improper shoes, relieving pain, and offering advice on supportive footwear choices. If you have developed foot conditions from wearing the wrong shoes, it is suggested that you contact a podiatrist who can treat various foot issues, and guide you on the proper shoes to wear for your workday.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Larry Cohen from New York City. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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 Fasciitis and Podiatry Care

Plantar fasciitis is caused by inflammation of the plantar fascia, the thick band of tissue that runs along the bottom of the foot and supports the arch. This condition often leads to sharp heel pain, especially with the first steps in the morning or after long periods of rest. Risk factors include prolonged standing, flat feet, high arches, obesity, and wearing footwear that lacks proper support. Symptoms include aching, stiffness, or a burning sensation in the heel. If left untreated, the pain can become chronic and interfere with daily activities. A podiatrist can diagnose plantar fasciitis, provide targeted stretching exercises, and offer custom orthotics or treatments to relieve pain and promote healing. If you have heel pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat the condition.

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.

Read more about Plantar Fasciitis

Foot Pain Related to Obesity

Foot pain related to obesity often develops due to the strain that excess weight places on the feet, toes, and ankles. This additional pressure may cause persistent aching, swelling, and heel pain, especially during walking or standing. The arches of the feet can flatten under the excess weight, leading to changes in foot structure and discomfort in the joints. Conditions like plantar fasciitis and overpronation may also develop, as the feet work harder to support the body. A podiatrist can evaluate your foot alignment and function, recommend custom orthotics for support, and provide medical treatment for pain and inflammation. In advanced cases, surgery may be considered if structural damage has occurred. Left untreated, obesity-related foot pain may lead to mobility problems, joint strain, and further complications. If you are experiencing foot pain that may be related to your weight, it is suggested that you schedule an appointment with a podiatrist for a diagnosis, guidance, and appropriate treatment.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. 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

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

Problems & Complications

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

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

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom 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.

Read more about How Obesity Affects Your Feet

When a Cut on the Foot Should Be Left Open

Not every foot cut needs to be covered all the time. In some cases, letting a minor wound breathe can help it to heal faster. Small, clean cuts without signs of infection may benefit from short periods of air exposure, which can dry the surface and support natural healing. However, this only applies when the area is protected from dirt, pressure, and further injury. Cuts in moist areas or places that rub against shoes should usually stay covered to avoid irritation. If a wound is deep, bleeding heavily or shows redness, swelling, or drainage, it should be kept clean, protected, and watched closely. People with diabetes or poor circulation should always cover foot cuts to reduce the risk of infection. If a cut on your foot does not heal or becomes painful, it is suggested you see a podiatrist for appropriate treatment.

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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Ankle Exercises After a Sprain

Recovering from a sprained ankle involves a gradual process of restoring motion, building strength, and improving balance to protect the joint from future injury. A podiatrist may recommend ankle exercises, starting with light range-of-motion exercises like flexing the foot upward and downward or tracing the alphabet with the toes within the first 48 hours to encourage flexibility. Strengthening exercises are added as healing progresses, including ankle eversion and inversion movements. Ankle eversion strengthens the muscles on the outer side of the ankle by turning the foot outward against resistance, while ankle inversion works the muscles on the inner side by turning the foot inward. These exercises help stabilize the ankle and prevent chronic sprains. By the third or fourth week, a patient may perform standing stretches to loosen tight calf muscles and practice toe rises to build endurance. Moving too quickly can place unnecessary stress on healing tissues, so guidance from a foot specialist is important. If you have sprained your ankle, it is suggested that you schedule an appointment with a podiatrist for initial treatment as well as a recovery plan.

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.

Read more about Three Grades of Ankle Sprains

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Health Conditions in the Elderly That Can Lead to Falls

Falls are a leading concern for elderly individuals and are often linked to underlying health conditions that affect balance and stability. Poor vision from conditions like cataracts or macular degeneration can make it difficult to navigate safely, increasing the risk of tripping or misjudging steps. Diabetes can contribute to falls through nerve damage in the feet, known as peripheral neuropathy, which reduces sensation and affects coordination. Cardiovascular conditions, including irregular heart rhythms or low blood pressure, can cause dizziness or fainting episodes that lead to sudden falls. Other factors such as muscle weakness, joint pain, or medication side effects may also play a role. Falling can seriously impact the feet, possibly causing difficulty in maintaining independence. If you have injured your feet or ankles from falling or want your fall risk assessed, it is suggested that you consult a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Larry Cohen from New York City. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious 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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Definition and Causes of Webbed Toes

Webbed toes, also known as syndactyly, refer to a condition where two or more toes are fused together by skin, soft tissue, or, in rare cases, bone. This occurs during early fetal development when the toes fail to separate completely. Webbed toes are often inherited and may appear as an isolated trait or as part of a genetic syndrome. In most cases, the condition does not cause pain or interfere with walking, although it may be noticeable in appearance. Environmental factors during pregnancy, such as exposure to certain medications or substances, may also contribute to its development. Webbed toes can vary in severity and may be found in both feet or just one. While usually harmless, surgical correction is an option for individuals who desire a change in function or appearance. If you have been born with this condition and are experiencing discomfort, it is suggested that you are under the care of a podiatrist who can discuss relief options, including the possibility of surgery.

Congenital foot problems require immediate attention to avoid future complications. 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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 of Ingrown Toenail Surgery

When an ingrown toenail becomes painful, infected, or keeps coming back, a podiatrist may recommend surgery to fix the problem. One common procedure is a partial nail removal, where the podiatrist carefully removes the edge of the nail that is growing into the skin. To help prevent the nail from growing back in the same way, a chemical may be applied to the base of the nail to stop regrowth in that area. This often leads to long-term relief. In more severe cases, especially when the problem keeps returning or involves swelling at the base of the nail, the entire toenail may need to be removed. This procedure may be necessary when a new toenail begins to grow underneath an old one, instead of pushing it forward like it normally should. If you have an extremely stubborn or painful ingrown toenail, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

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

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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The Importance of Wearing Good Footwear During Pregnancy

Pregnancy brings many physical changes, and the feet are no exception. As the body adapts to support added weight and shifting posture, the arches may flatten, and swelling can increase. These changes can lead to foot pain, instability, and discomfort with everyday activities. Wearing supportive and properly fitting shoes during pregnancy is essential for maintaining balance and preventing strain on the feet, ankles, and lower back. Footwear with good arch support, cushioning, and a wide toe box can help accommodate changes in foot size and shape. Choosing the right shoes can also reduce the risk of falls and improve overall mobility. If you are pregnant and are experiencing foot pain, it is suggested that you visit a podiatrist who can guide you toward selecting supportive shoes that are right for you.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Larry Cohen from New York City. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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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Why Live with Pain and Numbness in Your Feet?

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Comparing Treadmill and Outdoor Running

Running outdoors and on a treadmill each place different demands on the feet, toes, and ankles. Treadmill running offers a flat, cushioned surface that may reduce impact and be easier on the joints, but it can also limit the engagement of stabilizing muscles in the ankles and feet. Because the treadmill belt assists forward movement, runners may experience shorter strides and reduced ankle flexing movement. In contrast, outdoor running requires the body to adapt to uneven terrain, which strengthens the smaller muscles in the feet and ankles, but may also increase the risk of sprains, stress fractures, and tendon strain. Foot positioning, stride length, and ankle alignment can vary significantly depending on the running surface, and these differences can affect the arches, toes, and heel strike. Plus, improper footwear or technique in either setting can lead to pain or injury over time. A podiatrist can evaluate foot mechanics, identify imbalances, and recommend running strategies or footwear to help prevent injuries for either running surface. If you have foot problems related to running, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. Larry Cohen of New York City. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause 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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Causes of Achilles Tendon Injuries

An Achilles tendon injury occurs when the tendon that connects the calf muscles to the heel becomes strained, inflamed, or torn. This tendon plays a vital role in walking, running, and jumping. Injuries may develop gradually due to repetitive stress or suddenly from excessive force. Common causes include overuse, wearing improper footwear, sudden increases in physical activity, and inadequate warm-ups before exercise. Engaging in high-impact activities, such as basketball or running, can place significant strain on the tendon. Having tight calf muscles or structural foot imbalances may also contribute to added stress on the tendon. If you experience pain in the lower part of your calf, it is suggested that you consult a podiatrist who can accurately diagnose and provide appropriate treatment for Achilles tendon injuries.

Achilles tendon injuries need immediate attention to avoid future complications. 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.

What Is the Achilles Tendon?

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

What Are the Symptoms of an Achilles Tendon Injury?

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

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

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

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Achilles Tendon Injuries
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