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Posts for: July, 2017

By Foot Health Podiatry, PLLC
July 26, 2017

If you are experiencing lower calf, ankle and heel pain, especially first thing after arising, the culprit may be an inflammation of the Achilles tendon. This is the large tendon that connects your calf muscle to the back of your heel, and when it becomes overstretched or torn from excessive pressure, the result can be a painful condition called Achilles tendonitis.

What Causes Achilles Tendonitis?

Improper warm up before exercising, and having improperly treated flat feet are two possible factors. Others may include:

  • Repetitive stress—from intense sporting activities such as tennis and soccer, and from workouts that are too aggressive. Suddenly increasing the intensity or duration of a workout can also stress this tendon.
  • Starting an exercise program too rapidly—Many injuries to the Achilles tendon are caused by working out too enthusiastically after a long period of inaction. Middle aged men tend to overestimate their abilities when starting an exercise program, so always start off slowly to avoid injury.
  • Poorly fitting shoes—Shoes with proper heel and arch support are essential to maintaining foot health. Always choose an athletic shoe that is designed for the activity and that contains the adequate amount of cushioning and support.

Treatment Recommendations:

  • RICE (Rest, Ice, Compression, and Elevation.)—Rest your foot and use a walking boot or crutches. Ice the area for fifteen minutes whenever painful or inflamed. Wrap the area to minimize movement and to help reduce swelling. Elevate your leg on a pillow, and overnight.
  • Pain management—Ibuprofen or other pain reliever.
  • Orthotic inserts—These in combination with properly fitted shoes can relieve the strain on the tendon and cushion the heel area.
  • Physical therapy exercises—As the tendon heals, you will need to slowly strengthen and stretch the area.

If the pain in your heel is intense enough to prevent you from walking, you may have ruptured your Achilles tendon. This type of injury may need to be surgically repaired by your foot specialist.

The podiatrists at Foot Health Podiatry, PLLC, in New York City, NY, are experts in providing the best care for any problems you may be experiencing with your feet and ankles. Sorelis Jimenez, DPM, John W. Fletcher, DPM, and Kamilla Danilova, DPM and the rest of the staff at Foot Health Podiatry, PLLC, are happy to help with any questions or concerns you may have. Check out our Ask The Doctor page for answers to frequently asked questions, and never hesitate to give us a call to talk or make an appointment at 212-845-9991.

 


Diabetes can cause a host of serious medical complications such as glaucoma, kidney disease, liver problems, heart disease, and stroke. One of the early warnings that you may be developing diabetes is a condition called peripheral neuropathy which can cause numbness and tingling in your extremities. Your feet are often one of the first places that these symptoms may arise, so keep on the look out for the following:

  • Lack of feeling—As the nerves in your feet become more damaged, you will experience a sense of numbness and tingling which makes it difficult to know if you have hurt your feet. You could walk around all day with a rock in your shoe and not even realize it.
  • Healing takes longer—Due to the reduced blood flow to the feet you may notice that minor cuts or scrapes are taking longer to heal, or not healing at all. This can lead to complications like infection and even amputation of a toe or foot in extreme cases.

See your foot specialist right away if you notice such symptoms so a customized treatment plan can be developed. For those that have diabetes, maintaining good foot health is critical to avoiding major complications, so follow these quick and easy tips:

  • Inspect your feet daily—Look for sores or cuts, and make sure to check the bottom and between the toes. Use a mirror if necessary,
  • Wash your feet daily—and be sure to dry them completely. Dry between the toes also.
  • Trim your nails straight across—An ingrown toenail can lead to an infection and amputation, so be sure to cut your nails correctly or have someone cut them for you.
  • Wear special shoes—that have plenty of room in the toe box and provide good support and balance.
  • Quit smoking—Smoking constricts blood vessels and reduces blood flow which can make healing of wounds and cuts take much longer.
  • Corn and callus treatment—Because of the risk of cutting, it is best to leave this to your foot doctor.

If you are experiencing foot pain, numbness or wounds on your feet that are not healing, it is very important to get the advice of a foot specialist.

The podiatrists at Foot Health Podiatry, PLLC, in New York City, NY, are experts in providing the best care for any problems you may be experiencing with your feet and ankles. Sorelis Jimenez, DPM, John W. Fletcher, DPM, and Kamilla Danilova, DPM and the rest of the staff at Foot Health Podiatry, PLLC, are happy to help with any questions or concerns you may have. Check out our Ask The Doctor page for answers to frequently asked questions, and never hesitate to give us a call to talk or make an appointment at 212-845-9991.


By Foot Health Podiatry, PLLC
July 17, 2017
Category: Foot Care
Tags: ingrown toenail  

Has your ingrown toenail continued to grow into your skin despite your efforts to free it? Although ingrown toenails can be treated at home ingrown toenailif you recognize the problem when it first begins, home treatment isn't always effective. Our Manhattan and Amsterdam, NY, podiatrists, Dr. Sorelis Jimenez, Dr. John Fletcher and Dr. Kamilla Danilova of Foot Health Podiatry, share some information about the condition and explain how foot doctors treat ingrown toenails.

Why do I have an ingrown toenail?

Ingrown toenails are more likely to occur if you round your toenails instead of cutting them in a straight line. As your nails grow, the rounded corners grow into the skin surrounding your toenail. The condition is more likely to occur if you wear very tight shoes that push your nails into the skin. Curved nails, a toe injury or fungal infections may also increase your risk of developing ingrown toenails.

When should I see a foot doctor?

Attempting to forcefully remove your nail from the skin can tear your skin and possibly cause an infection. If you can't remove the ingrown part of the nail by placing a small piece of cotton under it after soaking your foot, the best thing to do is to make an appointment with our Manhattan or Amsterdam office.

Red streaks or pus are signs that your toe has become infected. If you notice these signs, call our office as soon as possible. People who have diabetes shouldn't attempt to treat an ingrown nail adue to the increased risk of an infection.

How are ingrown toenails treated?

In many cases, freeing your nail involves removing the trapped edge during a minor surgical procedure in our office. When ingrown toenails are a frequent problem, removal of the nail may be recommended. Before either of the procedures, you'll receive a local anesthetic to ensure that you don't feel any pain.

Do you have an ingrown toenail or another foot or ankle condition? Our Manhattan and Amsterdam, NY, podiatrists at Foot Health Podiatry offer treatments that will help get you back on your feet. Call to schedule an appointment.


By Foot Health Podiatry, PLLC
July 12, 2017
Category: Foot Care

Stretching and warming up before exercising is important to help avoid injury. This also applies to your feet.  By doing strength and flexibility routines you stretch the muscles, tendons, and ligaments of the feet to help prevent sprains and other injuries including plantar fasciitis, Achilles tendonitis, and shin splints.

Here are some simple exercises for your calves, toes, and soles that you can do at home or in the gym:

Calf  Extensions

Since your calf muscle connects to your Achilles tendon, these exercises help stretch your feet:

  • Edge lifts—Stand on the edge of a step on the balls of your feet and raise your heels up and down. Hold at the top and bottom briefly. Do ten repetitions.
  • Standing calf stretch—Stand with one leg in front while keeping the back leg straight at the knee and bend the front leg at the knee to feel the stretch in the calf of the other leg. Repeat 4 times.

Toe Stretches

  • While seated, cross one ankle over the opposite knee. Pull each of your toes down and hold for a few seconds and release. Also pull up and to the side, and hold and release. Repeat 10 times.
  • Stand on one foot. Curl your toes in the other foot under and flex. Repeat 10 times.

Sole Treatment

The bottom of your feet are often neglected when it comes to stretching. Try these simple tips:

  • Roll a tennis or golf ball underneath your foot to give the plantar fascia a good stretch.
  • While sitting on the floor with legs outstretched in front, wrap a towel around the middle of your foot and pull on the ends with your hands and hold for one minute. Repeat 5 times for each foot.

Keeping your feet healthy with exercises is an excellent way to prevent injuries, but it’s nice to know that if you do hurt yourself that your foot specialist is ready to help.

The podiatrists at Foot Health Podiatry, PLLC, in New York City, NY, are experts in providing the best care for any problems you may be experiencing with your feet and ankles. Sorelis Jimenez, DPM, John W. Fletcher, DPM, and Kamilla Danilova, DPM and the rest of the staff at Foot Health Podiatry, PLLC, are happy to help with any questions or concerns you may have. Check out our Ask The Doctor page for answers to frequently asked questions, and never hesitate to give us a call to talk or make an appointment at 212-845-9991.


By Foot Health Podiatry, PLLC
July 06, 2017

While there are a variety of breaks and fractures that can affect the feet and ankles, a condition that more frequently affects younger athletes is known as an avulsion fracture. Characterized by a small piece of bone tearing away with the injury to an overstressed ligament, this type of fracture can affect the hip, elbow and ankle areas. Since young athletes’ bones and ligaments are still undergoing development, they are more susceptible to this problem. While a minor avulsion break can often be treated with the RICE method (Rest, Ice, Compression, Elevation), more severe injuries will require reattachment by a skilled surgeon using pins, screws, or other hardware.

Signs that you may have a fracture in your foot include:

  • Often a fracture may occur with a popping or cracking sound
  • Swelling, bruising, and tenderness will occur rapidly at the site of the pain
  • Inability to bear weight on the affected foot
  • Difficulty taking your shoes on or off
  • Any obvious protrusion and/or bleeding

Seek medical attention for a proper evaluation if any of the above problems occur. Soft tissue damage and hairline breaks may not be immediately obvious, so it is important to have your foot specialist do imaging studies for an accurate diagnosis and recommendations for treatment. Immobilization of the foot with a cast or boot may be necessary for proper healing to occur. After the boot comes off, a regimen of physical therapy exercises will be undertaken to increase strength and flexibility and decrease the chances of a recurrence.

The podiatrists at Foot Health Podiatry, PLLC, in New York City, NY, are experts in providing the best care for any problems you may be experiencing with your feet and ankles. Sorelis Jimenez, DPM, John W. Fletcher, DPM, and Kamilla Danilova, DPM and the rest of the staff at Foot Health Podiatry, PLLC, are happy to help with any questions or concerns you may have. Check out our Ask The Doctor page for answers to frequently asked questions, and never hesitate to give us a call to talk or make an appointment at 212-845-9991.