In-office surgery is an evolving trend in podiatry, offering numerous benefits for both patients and their doctors. This type of procedure can be less expensive and time-consuming, as well as more convenient, for both. In-office surgery eliminates the need for patients and podiatrists to travel to hospitals or ambulatory surgical centers, which can save a lot of time. Also, having certain procedures performed at your podiatrist’s office may be the perfect solution for patients seeking more affordable options for their foot health needs. In addition, medical advancements, such as mini C-arms and the use of local anesthesia, contribute to a safer surgical environment. Plus, in-office surgery procedures often can reduce patient anxiety because they are viewed as being easier and less costly. Many common foot conditions, such as bunions, nail problems, neuromas, and warts, can be effectively treated in the podiatrist’s office. It is thought that about 80 percent of podiatry surgical cases fall into this category. To find out more about in-office surgery, it is suggested that you consult your podiatrist to see what options are available.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Robert Stein, DPM of South Shore Foot Care. 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 offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal tunnel syndrome, abbreviated TTS, is a relatively lesser-known but impactful condition affecting the feet. It is comparable to the more recognized carpal tunnel syndrome but occurs in the ankle. TTS is characterized by compression or irritation of the tibial nerve as it passes through the tarsal tunnel, a narrow space on the inside of the ankle, behind the medial malleolus. Various factors can contribute to TTS, with the most common cause being excessive pressure on the nerve due to inflammation or injury. Additional potential causes include overpronation, diabetes, and systemic diseases such as arthritis. Symptoms often include tingling, burning sensations, and pain along the inner ankle and sole that can radiate into the toes. Treatment options for tarsal tunnel syndrome depend on its severity. Conservative approaches include getting adequate rest, taking anti-inflammatory medications, or wearing orthotic devices. These treatments can help to alleviate pressure on the nerve. In severe cases, surgical intervention may be necessary to decompress the tibial nerve. Early diagnosis and appropriate management are essential to relieving the discomfort associated with tarsal tunnel syndrome and restoring normal foot function. If you have this condition, it is strongly suggested that you are under the care of a podiatrist who can effectively manage tarsal tunnel syndrome.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Robert Stein, DPM of South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Understanding how your choice of footwear can affect your feet, legs, and joints is crucial. Ill-fitting or unsupportive shoes can exert pressure on these areas during physical activity, potentially resulting in discomfort and injuries. Inappropriate footwear choices may contribute to common sports injuries such as shin splints and Achilles tendon pain, as well as foot problems that can include corns, bunions, ingrown nails. These issues can severely limit or even halt your physical activity. Different activities require specific types of footwear, such as beach and road running. Wearing unsuitable shoes can worsen existing problems, such as hip, knee, ankle, or foot pain or arthritis. Even short periods of wearing in ill-fitting shoes can cause stress and pain in your bones, joints, and supporting soft tissues, especially if you stand for extended periods at a time. Your choice of shoes can significantly affect your walking style or gait. The correct step involves the heel making initial contact with the ground, followed by a slight inward roll of the arch. This can allow the ball of the foot and big toe to follow. The heel then lifts off the ground, enabling you to push off from the ball of your foot and big toe. Some individuals have arches that roll excessively inward or outward, both of which can impact how effectively your feet absorb shock. If you have questions about how the shoes you wear are affecting the biomechanics of your feet, it is suggested that you make an appointment with a podiatrist for a consultation.

If you have any concerns about your feet, contact Robert Stein, DPM from South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ingrown toenails can be more than just a nuisance. They can cause considerable discomfort and pain. This common condition occurs when the edge of a toenail grows into the surrounding skin, leading to inflammation. The causes of ingrown toenails can vary, ranging from improper trimming techniques to wearing ill-fitting shoes. Symptoms often include pain, redness, and swelling at the affected site. Additionally, pus or clear fluid may develop if an infection sets in. Certain risk factors heighten the likelihood of developing ingrown toenails, such as genetics, having curved nails, poor foot hygiene, and engaging in activities that put pressure on the toes. Understanding the causes, recognizing the symptoms, and being aware of risk factors can empower individuals to take preventive measures and seek timely treatment for this uncomfortable condition. If you have an ingrown toenail, it is suggested that you consult with a podiatrist who can offer you treatment options that are correct for you.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Robert Stein, DPM of South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

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

Causes

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

Prevention

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

Treatment

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

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Proper wound care for the feet is a crucial aspect of maintaining overall health and mobility. Whether managing minor cuts, blisters, or more substantial injuries, tending to foot wounds can help to prevent complications and expedite healing. Wound care can begin by cleaning the affected area gently with mild soap and lukewarm water, and patting it dry without rubbing. This can be followed by applying an appropriate antiseptic, which can help to prevent infections. Covering the wound with a sterile bandage or dressing can safeguard it from dirt and friction. It is beneficial to regularly change the dressing and monitor the wound's progress, keeping an eye out for signs of infection, such as increased redness, swelling, or pus. If the wound does not show signs of improvement or healing, seeking medical attention is essential to ensure a seamless recovery process for your feet. If you have a foot wound, it is strongly suggested that you confer with a podiatrist who can effectively treat wounds on the feet.

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 Robert Stein, DPM from South Shore Foot Care. 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 offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Selecting the right running shoes is a crucial step in ensuring a comfortable and injury free running experience. Various types of running shoes cater to different needs and preferences. Neutral running shoes are suitable for those people who have a natural gait, providing balanced cushioning. Stability shoes offer added support to prevent overpronation. Motion control shoes are designed for severe overpronators, offering maximum stability. Trail running shoes are equipped with rugged soles for off-road terrains. When choosing running shoes, it is beneficial to consider factors such as foot arch, pronation type, and intended terrain. Remember to prioritize comfort, proper fit, and the specific demands of your running style. Investing time in finding the right shoes ensures your running journey remains both enjoyable and injury free. If you would like to have more information about how to choose the right running shoes, it is suggested that you consult with a podiatrist who can provide you with useful tips. 

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Robert Stein, DPM from South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

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

Tips for Finding the Right Running Shoe

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

If you have any questions please feel free to contact our our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The risk of falling increases with age due to declining physical health, greater mobility issues, a more sedentary lifestyle, vision problems, hazards in the home, and side effects of medications. Falling can be serious for older people and is one of the leading causes of injury, disability, or even death in this age group. Stability and balance can be issues for seniors, which makes falling a risk. Because vision declines with age and older people have more eye-related diseases, seeing and judging distances becomes harder and it is easier to fall over obstacles in their environments. Issues with poor lighting, clutter, and improper maintenance in homes are more likely in this population, which also contribute to falling. Sadly, an elderly person is also more likely to fall for no obvious reason, but this can happen from a medical condition, such as a heart issue, circulation problems, or dehydration. To minimize falling and the consequences it might have, if you are a senior, it would be wise to assess and tend to home risks, get regular physical and eye exams, wear supportive and well-fitting shoes, use walking devices as needed, and try to stay as active as possible. Including a podiatrist among the health care professionals you see for routine foot exams and treatment of any current or brewing issues can increase your confidence that your mobility and independence will continue unharmed.

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 Robert Stein, DPM from South Shore Foot Care. 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 Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The Brannock device, a seemingly simple yet ingenious tool, is the key to accurately measuring shoe size. Invented in 1927 by Charles Brannock, it remains the industry standard for footwear fitting across the globe. The Brannock device consists of a metal platform with graduated scales for the length and width of the foot, a sliding pointer, and a movable heel cup. To determine shoe size, the individual places the heel against the heel cup and stretches the foot along the platform. The pointer slides to the tip of the longest toe, while the width scale ensures a comfortable fit. This measurement provides the foot's length and width, aiding in selecting the perfect size shoe and ensuring optimal comfort and support. The Brannock device remains an indispensable part of the shoe fitting process, guaranteeing a seamless experience for finding the ideal pair of shoes for every foot. If you would like additional information on how to select a proper shoe size, it is suggested that you confer with a podiatrist. 

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Robert Stein, DPM from South Shore Foot Care. Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

If you have any questions, please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.