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October 2024

Plantar fasciitis surgery is considered for individuals who have not found relief from conservative treatments after an extended period. Two primary surgical options are open surgery and endoscopic surgery. Open surgery involves a larger incision to release the plantar fascia or remove inflamed tissue, while endoscopic surgery uses smaller incisions and a camera for a minimally invasive approach. Good candidates for surgery typically include those with persistent pain, significant functional limitations, and no improvement despite comprehensive non-surgical treatments. Recovery times can vary based on the type of surgery, as open surgery may require a longer recovery period of several weeks, while endoscopic surgery often allows for a quicker return to normal activities, typically within a few weeks. If you have plantar fasciitis and are considering surgery for relief, it is suggested that you consult a podiatrist who can determine if this is the right decision for you.


 

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 office located in Midtown, Manhattan . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Published in Blog
Tuesday, 22 October 2024 00:00

Diabetes Inhibits Foot Wound Healing

Diabetes can significantly affect the body’s ability to heal foot wounds, making even minor injuries challenging to treat. High blood sugar levels can hinder the wound-healing process by disrupting cellular activity and reducing the body’s ability to fight off infections. Poor circulation, common in people with diabetes, further complicates wound healing by restricting blood flow and nutrient delivery to affected areas. Neuropathy, or nerve damage, can make it difficult for patients to detect foot wounds, increasing the risk of unnoticed injuries becoming serious infections. A podiatrist plays an essential role in managing diabetic foot wounds by assessing the injury, providing specialized wound care, and recommending preventive strategies. If you have foot wounds that do not heal, it is suggested that you schedule an appointment with a podiatrist for an exam and 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 feel free to contact our office located in Midtown, Manhattan . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Published in Blog
Tuesday, 15 October 2024 00:00

Types of Foot Pain in Cyclists

Foot pain is a common issue among cyclists, often stemming from improper bike fit or inadequate footwear. One prevalent type of pain is hot feet, which occurs when blood flow is restricted due to wearing tight shoes or poor positioning on the pedals. This sensation can lead to discomfort and fatigue during long rides. Another common complaint is arch pain, often caused by insufficient arch support in cycling shoes, leading to strain on the plantar fascia. Additionally, pain in the ball of the foot, or metatarsalgia, can result from pressure on the forefoot, especially when cycling in a forward-leaning position. Understanding these types of foot pain is essential for cyclists to make necessary adjustments, ensuring a more comfortable and enjoyable riding experience. If you enjoy cycling and have developed foot pain, it is suggested that you consult a podiatrist who can offer you advice and relief tips.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

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Published in Blog
Friday, 11 October 2024 00:00

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!

Published in Blog
Tuesday, 08 October 2024 00:00

What to Do About a Bunion

Bunions are bony bumps that form at the base of the big toe, where the joint becomes enlarged and misaligned. This condition often causes the big toe to lean toward the other toes, resulting in discomfort, swelling, and redness surrounding the joint. Symptoms include pain, difficulty wearing shoes, and stiffness, especially during walking or standing. Over time, bunions can lead to other foot issues, such as calluses, hammertoes, or arthritis. Bunions are caused by factors like genetics, wearing improper footwear, and foot stress from conditions like flat feet. Prevention involves wearing properly fitted shoes with enough room for toes to move. Treatment options range from non-invasive methods like orthotics to surgical correction for more severe cases. Early intervention helps prevent progression and improves quality of life. If you have an uncomfortable and painful bunion, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment individualized to you.

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

What Is a Bunion?

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

Causes

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

Symptoms

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

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

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

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Published in Blog
Tuesday, 01 October 2024 00:00

What Are Hallux Valgus and Hallux Rigidus?

Hallux valgus and hallux rigidus are two different conditions affecting the big toe. Hallux valgus, commonly known as a bunion, is a deformity where the big toe deviates outward, causing the joint to protrude. It often results from wearing improper footwear, genetics, or arthritis, leading to pain, swelling, and difficulty wearing shoes. Hallux rigidus is a form of arthritis where the joint at the base of the big toe stiffens, limiting movement. Unlike hallux valgus, which involves deformity, hallux rigidus focuses on joint stiffness and decreased mobility. In terms of pain, both conditions can be quite painful, but hallux rigidus may be more limiting due to the loss of motion. Surgery may be required for either condition if conservative treatments do not provide relief or if the pain severely impacts daily activities. If you have pain in your big toe, it is suggested that you consult a podiatrist for a diagnosis and treatment that is deemed right for you.

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

  • Exercises that stretch the foot can prevent further pain and injury and increase mobility
  • Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
  • Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

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

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