Rheumatoid arthritis is an autoimmune disease in which the body’s immune system attacks healthy joints and surrounding tissues. This leads to joint stiffness, inflammation, swelling, and pain. Rheumatoid arthritis often affects the joints of the feet and ankles. Although this is a chronic condition and does not have a cure, rheumatoid arthritis can be treated, and its symptoms can be managed. If your arthritis affects your feet and ankles, your podiatrist can help by prescribing custom orthotics, recommending exercises, and suggesting lifestyle modifications that may reduce the symptoms of rheumatoid arthritis.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Robert Stein, DPM of South Shore Foot Care. Our doctor will assist you with all of your podiatric concerns.

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 occur, 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.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

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. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.

Plantar warts are warts that appear on the bottoms of the feet due to a human papillomavirus (HPV) infection. Plantar warts often look like circular spots of thick, callused skin. These spots will typically have tiny black dots on the surface, which are actually bits of dried blood. Plantar warts are usually flat and grow inwards as pressure from walking is applied to them. This often leads to pain. A plantar wart can occur on its own, multiply to form additional satellite warts, or can appear as a “mosaic” of several plantar warts growing closely together. Warts on the bottom of the feet can be treated with topical or oral medications, laser therapy, or cryotherapy. To learn more about plantar warts, please speak with a podiatrist. 

Plantar warts can be very uncomfortable. If you need your feet checked, contact Robert Stein, DPM from South Shore Foot Care. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

The ankle is a joint that connects leg bones (the tibia and fibula) with a foot bone (talus), providing up-and-down movement, stability, and shock absorption for the foot. Ankle fractures typically occur when either or both of these leg bones break. Fractures are characterized as either stable (if talus moves normally), or unstable (if talus moves abnormally). To the average person, it can be hard to tell whether they are experiencing an ankle fracture or an ankle sprain—which occurs when the ligaments on the ankle are damaged. Some telltale signs of a fracture can be: a cracking sound when the injury occurs, numbness or tingling, pain over the ankle bone, or even a misshapen ankle. While both ailments are painful, an ankle fracture is much more serious. Consult with a podiatrist who will be able to diagnose the injury properly and provide necessary treatment.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

Cuboid syndrome refers to a partial dislocation of the cuboid bone, which is located in the middle of the foot. This often occurs secondary to an ankle sprain. The main symptom of this condition is pain on the outside of the foot, especially when bearing weight. There are several different treatments for cuboid syndrome. A podiatrist can physically manipulate the dislocated bone back into proper alignment, tape or pad the affected foot to realign the bone, or prescribe custom orthotics. At home, you may be encouraged to rest and ice the affected foot to reduce pain and perform stretching exercises to strengthen the foot. For more information about cuboid syndrome, please consult with a podiatrist.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.

Pinched nerves occur when excessive pressure is placed on a nerve by the surrounding tissues. This can happen in the feet due to an injury, from wearing poorly fitted shoes, or from having flat feet, bone spurs, or arthritis, among many other possible causes. A pinched nerve can cause a variety of symptoms, including aching, sharp, or burning pain, numbness, tingling, or a “pins and needles” sensation in the affected foot, along with muscle weakness. The symptoms can occur on the bottom of your foot, at your heel, or in the ball of your foot. Nerve pain may radiate out to the arch or toes. To learn more about pinched nerves in the feet, please consult with a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot 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.

A toenail that has turned black, whether suddenly or gradually, can be an alarming sight. Sometimes, a toenail may turn black following repetitive injuries to the nail. In many cases, the nail can grow out naturally, but in more severe cases when the nail begins to lift off of the nail bed, medical attention will be required. A one-time blunt force injury, like dropping a heavy piece of furniture on your toes, can also turn your toenail black and often causes pain and swelling. Fungal nail infections typically cause toenails to turn white or yellow, but as debris builds up near the infection, the toenail can also turn black. Natural changes in pigmentation that can occur with age may turn the nails darker in people with darker skin. Other potential causes of black toenails include melanoma, and underlying medical conditions such as diabetes, kidney disease, heart disease, and anemia. If you notice a change in the color of your toenails, it is suggested that you seek the care of a podiatrist.

For more information about treatment, 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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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

The largest joint in the big toe is referred to as the metatarsophalangeal (MTP) joint. The MTP joint helps to balance the body’s weight while performing daily activities.  A bunion is a bony protrusion that is considered to be a deformity that forms at this specific joint. It can develop from genetic factors, or from wearing shoes that do not have adequate room for the toes to move freely in. It may cause the second and third toe to overlap, and larger shoes may need to be worn. In larger bunions, a callus may form on top of the toe, and this is generally a result of excess friction that is caused by the shoe. Mild relief may be found when a protective pad is worn over the bunion. If you have developed this condition, it is best that you speak with a podiatrist who may suggest surgery for permanent removal.

If you are suffering from bunion pain, 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.

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 offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A tingling sensation, or “pins and needles,” is a common occurrence among patients who have neuropathy. A common reason why neuropathy exists is elevated blood sugar levels, which can result in diabetes. Some of the symptoms that are associated with diabetic neuropathy can include extreme fatigue, nausea, headaches, and dizziness. Additionally, pregnant women may experience this ailment, as this can be a result of the growing baby exerting pressure on the nerves in the legs. Vitamin deficiencies may lead to the development of neuropathy, particularly with a lack of  vitamin B-12. Neuropathy can be a serious condition, and if you are experiencing these symptoms, it is suggested that you consult with a podiatrist who can determine what the best course of treatment is for you.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.