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Department of Orthopaedic Surgery
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Foot Associates of NY Blog (43)

Blistered feetVirgin Atlantic is joining the list of airline-designer collaborations by bringing on designer Vivienne Westwood to design new flight attendant and crew member uniforms. Over the years Pierre Balmain has collaborated with Singapore Airlines and Christian Lacroix has designed for Air France. Overall, the global wearer trial of the uniforms have received positive reviews, unfortunately, some of Virgin’s 7,500 crew members have reported that Westwood’s shoes are causing blisters. Westwood designed the shoe based on an adaptation of her signature hourglass heel. In response to the reports, a Virgin Atlantic spokesperson stated that the company is working to ensure its employees are “happy and comfortable in their working environment.”

If you work in an environment that requires extensive standing and walking, you may develop blisters on the feet. To learn more about blister treatment and prevention, speak to one of our associates at Foot Associates New York. We will assist you with all of your foot and ankle concerns and answer any of your related questions.

Blisters on the Feet

When tight or ill-fitting footwear is worn, many times a foot blister may develop. Blisters can even develop by constant rubbing from the shoe, often times leading to pain.

What is a Foot Blister?

A foot blister is a small pocket that is filled with fluid, forming on the upper most layer of the skin. Blisters are filled with clear fluid, and may lead to drainage of blood or pus if the area has become infected.

How do they Form?

Blisters of the feet are almost always the result of shoe rubbing and constant friction of the skin and material. Long periods of walking in shoes, sandals, or boots which don’t fit properly can result in a blister. Those who often have moisture or humidity in the feet, are prone to blister formation easily.

Prevention & Treatment

Proper care is vital to alleviate pain and prevent infection to the affected area of the foot. The best treatment is to leave them alone. New skin will develop under the blister and during the healing stages, your blister will pop.

For more information about Blisters on the Feet, follow the link below.

If you have any questions please feel free to contact one of our offices, located in New York. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Blisters on the Feet

Scientists from Guangzhou Dongsheng Hospital and the Guangzhou Social Welfare House collaborated on a research study that focused on acupuncture. The study showed that acupuncture can be highly effective when it comes to treating heel pain. The procedure is especially effective when it comes to treating plantar fasciitis or Achilles tendonitis.
A group of scientists used sixty-six patients that were dealing with ongoing heel pain. After a six month period, the scientists found that the patients that completed the acupuncture treatment gave it an effectiveness rating of 97% while those who only used drugs were only granted a 76% rating.
Your life can greatly be affected by even simplest heel pain. If your heel hurts, see one of our three podiatrists of Foot Associates of New York. Dr. Bar-David can treat your heel pain.  

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 thing of the past.

With the advancements in technology and greater knowledge of how muscles and joints work, physical therapists can turn things around dramatically.  

FOR MORE INFORMATION
Additional information about podiatrists can be found by visiting www.footassociatesny.com.

If you have any questions, please contact one of our offices. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Heel Pain  

Marvin Jones' Foot Injury: What to Know About His Broken 5th MetatarsalCincinnati Bengals’ wide receiver Marvin Jones is set to miss eight weeks of the season due to a broken foot. Jones fractured the fifth metatarsal in one of his feet. He will have a scheduled surgery where metal screws will be rooted into his broken foot to ensure proper healing. If all goes according to plan, Jones could be back on the field early.
Jones will have to keep the weight off of his foot and get routine x-rays after the surgery is complete. The player has a major role in the Bengals’ success, so it is vital that he heals accordingly. Complications could occur if Jones is put back on the roster before his lower extremity is healed all the way, leaving him out of the game for even longer.
Fractures in the foot occur very often and can be effectively treated with the right assistance. If you think you have a broken foot, contact one of our three podiatrists of Foot Associates of New York. Dr. Armstrong can give you a formal diagnose and get you started on a treatment plan right away.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot ‘breaking’, or fracturing. Bones typically break when the bone is either 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 (foot)
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those who are experiencing any of these symptoms, or suspect that they have a broken foot, should seek medical attention in a center where x-rays can be performed. This is especially urgent if any of the symptoms include numbness, blue coloring, cold feet, cuts, misshapen toes or deformities as these indicate more severe cases.

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. Trying to keep the foot rested is important as the bones need plenty of time to heal and recover.

If you have any questions, please feel free to contact one of our offices in New York. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Broken Feet

Twenty three year old Maria Schneider was recently rescued from a peak on the Dobratsch Mountain after trying to mountain climb while wearing flip-flops. The Vienna native was not wearing the correct attire for the cold temperature on the 7,109 foot high peak and she was not using the proper Alpine gear for mountain climbing. A police helicopter, an Alpine policeman, and eight mountain rescuers had to make the trip to save the young woman. Schneider is very lucky that she remained uninjured while attempting to climb a mountain under these conditions. 

Footwear that lacks arch support and does not protect the feet is not suitable for mountain climbing and can cause serious damage to the feet. For more information about long-term flip-flop-wear and its negative effects, consult with Dr. Tzvi Bar-David at Foot Associates NY. Dr. Bar-David will assist you with all of your foot and ankle concerns and answer any of your related questions.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off, perfect for any summer beach goer.  However, these shoes can cause harm to the feet.


How Can Flip-Flops Affect Me Long-Term?

  • Ankle problems
  • Hip problems
  • Lower back problems
  • Pain in the balls of the feet
  • Problems with foot arches
  • Changes in the way you walk

Are there injuries associated with flip-flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

  • Sprained ankles
  • Blisters
  • Infections
  • Cuts and Scrapes

I like wearing flip-flops, are there safe alternatives?

When buying flip-flops, try to find ones that have sturdy soles and are made of high quality materials that will support for your feet.  These flip-flops will cost more, but will also last longer as a result.

For more information about Flip Flops, follow the link below.


If you have any questions, please contact one of our offices located in New York. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.


Read more about Flip Flops and Your Feet

Tuesday, 16 September 2014 21:16

Correlation between Gout and Temperature

 Dr. Tuhina Neogi and other faculty members of Boston University School of Medicine revealed conducted an experiment that correlated that excessive humidity and warm temperatures to an increase in gout attacks. The researchers used an online questionnaire to collected data using 619 individuals who have been diagnosed with gout by their doctors. The participants had a wide variety of age ranging from 21 to 88 years old.

Neogi and other researchers concluded that temperatures between 70°-79° F would cause a 43% increase in potential gout attacks. Temperatures just above 80° F showed at 40% increase in the likelihood of agout flare up. The results showed that temperatures less 30° F decreased the risk of a flare up by 40%. All results were compared the probability of gout flare-ups occurring in the 50°-59° F range.

Gout is a very uncomfortable condition and should be treated as soon as possible. If you have gout in your feet, consider speaking with podiatrist Dr. Tzvi Bar-David, of Foot Associates New York. Dr. Bar-David can work with you to alleviate your symptoms and give you advice about how to prevent flare-ups from occurring.

What is gout?

Diseases of the feet can affect the whole body, and symptoms usually arise within the feet. A condition like gout can make a patient’s ability to walk unbearable.  The pain caused by this disease is often so agonizing that it requires elevation of the feet and some time off for them to fully recover.

Known in the past as “the disease of kings”, Gout is caused by an excess of uric acid in the body. Some common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. This buildup of acid is typically seen on the big toe of the foot and can cause inflammation, redness and swelling. Although these are common symptoms of the diseases others include joint pain, extreme fatigue and a high fever. 

Gout can be treated by NSAIDs, which relieves pain and inflammation and other drugs which lowers the acid levels in the body.

For more information about Gout, please follow the link below.

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

Read more about Gout

The Nurses’ Health Study and the Nurses’ Health Study II are two scientific studies that indicate a woman’s chances of developing a form of rheumatoid arthritis (RA) can increase up to 63% if she consumes regular soda on a regular basis.  Alarmingly, this increase spikes up to 164% if the patient happens to be over the age of 55.

The first of the two scientific studies involved 79,000 women in the U.S, while the second consisted of 107,330. The participants involved in the study were interviewed every four years about how often they drank soda.  The data did not show any correlation between drinking diet soda and contracting RA.

Rheumatoid arthritis is a very painful disease. For foot and ankle care, visit podiatrist Dr. Tzvi Bar-David of Foot Associates of NY. Dr. Bar-David can treat your podiatric needs.  

What Is Rheumatoid Arthritis?
Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occurs, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet
Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area. Pain often initially presents in the toes before the condition worsens and spreads throughout the entire foot. Rheumatoid arthritis appears to be genetically inherited, so if you have a family history of RA, you may be predisposed to suffer from it as well.

Symptoms
- Swelling & pain in the feet
- Stiffness in the feet
- Pain on the ball or sole of feet

Diagnosis
Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition.

 

FOR MORE INFORMATION
Additional information about Shockwave Therapy can be found by visiting www.footassociatesny.com.

If you have any questions, please contact one of our offices. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Rheumatoid Arthritis

Tuesday, 02 September 2014 00:00

Ingrown Toenails Can Happen to Children Too

ingrown-toenail3Parents should know their kids can develop ingrown toenails in their feet if their nails are cut too short. To prevent this from happening, be sure to cut their nails evenly and avoid trimming them down too much. Ingrown nails can also occur if a child wears socks and shoes that aren’t big enough for his or her feet.

Other cases of ingrown toenails can simply be caused by a child’s genetic predisposition to curved nails. No matter how the ingrown toenail was caused, do not attempt to treat this condition at home. Removing a young one’s ingrown nail with a “bathroom surgery” can lead to a bacterial infection.

Ingrown toenails are terribly uncomfortable, and in the worst cases surgery might be required to get rid of them. If you think you have an ingrown toenail, consult podiatrist Dr. Tzvi Bar-David of Foot Associates of NY. Dr. Bar-David will confirm your diagnosis and do everything she can to treat your problem.

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

There are a number of risk factors for ingrown toenails. Some include cutting your nails too short, participating in strenuous sports, diabetes, obesity, and fungal infection. Some are genetically predisposed to ingrown nails, although wearing ill-fitting or damp shoes can exacerbate the problem.

Treatment
There are a number of steps you can take to treat ingrown nails:

-Let your toenails grow out
-Soak the toes in hot water with antibiotic soap or Epsom salts
-Placing a piece of cotton under the affected nail may allow the toe to grow up instead of into the nail bed
-Rest with your feet up

If however, your pain is severe, or you see red streaks running up your leg, you should see a podiatrist. Your podiatrist may make a small incision and remove part of the toe nail to relieve the pressure. A local anesthetic may be used to lessen the discomfort of the operation.  Topical medication may also be prescribed to prevent the regrowth of the problem nail.

FOR MORE INFORMATION
Additional information about Shockwave Therapy can be found by visiting www.footassociatesny.com.

If you have any questions, please contact one of our offices. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ingrown Toenails

vicky-hollandTriathlete Vicky Holland is getting ready to cap off a great season by completing two final faces in Stockholm and Edmonton. After winning gold at this year’s Commonwealth Games, she feels confident that she can earn one of the places at each competition.

Holland has been dealing with a painful case of plantar fasciitis in her foot recently. “I’m not sure what the plan is at the end of the season, whether I will be in a boot or have shockwave therapy again, or have injections … So it’s important for me now to finish the season early, address the issues I have and then go again,” she said.

When traditional forms of treatment don’t work, sometimes shockwave therapy is needed to cure a foot problem. If you are interested in getting shockwave therapy for your lower extremities, call podiatrist Dr. Tzvi Bar-David of Foot Associates of NY. Dr. Bar-David will assess your needs and give you his professional opinion.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. This technique is used on patients that do not respond well to physiotherapy. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, attacking the source of the problem so treatment lasts for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia.

FOR MORE INFORMATION
Additional information about Shockwave Therapy can be found by visiting www.footassociatesny.com.

If you have any questions, please contact one of our offices. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Plantar Fasciitis

Monday, 18 August 2014 00:00

Kids Can Stay in Shape by Running

childrens-feet11The benefits of running are pretty obvious, and many adults use this technique to get in shape. However, running can also be a great activity for kids, especially those who aren’t who aren’t very interested in playing organized sports.

Children’s bones are still growing, so they may be susceptible to running injuries, but with careful supervision and practice these risks should diminish quickly. Running doesn’t require much preparation besides a good pair of footwear, and it can even be a bonding experience if kids do it with friends or family. 

All children need to have healthy feet. To ensure your child has healthy feet, see podiatrist Dr. Tzvi Bar-David of Foot Associates of NY. Dr. Bar-David can treat your child’s podiatric needs.  

Keeping Children's Feet Healthy

Having healthy feet in childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care from birth to school-age.

Although babies do not walk yet, it is still very important to take care of their feet.

  • Avoid putting tight shoes or socks on his or her feet
  • Allow the baby to stretch and kick his or her feet to feel comfortable

As a toddler, kids are now on the move and begin to develop differently. At this age toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.

As your child gets older, it is important to teach them how to take care of their feet

  • Show them proper hygiene to prevent infections such as fungus
  • Be watchful of any pain or injury
  • Have all injuries checked by a doctor as soon as possible
  • Comfortable, protective shoes should usually be worn

FOR MORE INFORMATION
Additional information about podiatrists can be found by visiting www.footassociatesny.com.

If you have any questions, please contact one of our offices. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Keeping Children’s Feet Healthy

diabetic-foot-care3A new stick-on device, determined by Oxford University studies to be 86% accurate, may help diabetics detect neuropathy and seek help. The pad will not change color if neuropathy is present; color changes indicate no trouble. The pad works by detecting sweat which can indicate possible nerve damage.

"This is an exciting innovation. In association with a yearly foot screen and referral to the podiatry services, this will reduce the risk of amputations," said Lond Diabetic Foot Network chair Stella Vig. "At present, up to 50 per cent of amputations may be preventable - no patient should ignore their feet."

Diabetics need podiatric care. If you are diabetic, see podiatrist Dr. Tzvi Bar-David of Foot Associates of NY. Dr. Bar-David will treat your foot and ankle needs.  

Diabetic Foot Care

Diabetes affects millions of people of all ages each year. Diabetes damages blood vessels in many parts of the body, including the feet. When damage occurs to nerves in the feet, they may be unable to send the proper signals to the peripheral nervous system, resulting in a condition known as neuropathy. Once a diabetic patient develops neuropathy, it is imperative that the feet are well taken care of to avoid possible amputation of the feet.

The Importance of Caring for Your Feet

- Regularly check your feet for bruises or sores.
- Wear socks that fit your feet; socks shouldn’t be tight.
- Wear properly fitting shoes that are comfortable.

Patients with diabetes should have their doctor monitor their Hemoglobin A1C levels as this test lets the physician know how well the blood sugar levels have been controlled during the past 3 months. It is important to keep the blood sugar levels in a normal range (70-110mg/dl). It is advisable to visit a podiatrist if the diabetic patient is experiencing any conditions involving the feet.

FOR MORE INFORMATION
Additional information about podiatrists can be found by visiting www.footassociatesny.com.

If you have any questions, please contact one of our offices. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Diabetic Foot Care

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an affiliate of:
Department of Orthopaedic Surgery
Columbia University Medical Center