New York City Podiatrists Are Experts In The Treatment of Foot, Ankle & Heel Pain
HEEL PAIN | PLANTAR FASCIITIS
At our practice, Park Avenue Podiatry Center, our Foot Doctors treat heel pain or plantar fasciitis.
WHY DO MY HEELS HURT?
The most common cause of heel pain comes from moving your foot incorrectly while walking or running. This can be place too much stress on the heel bone and the soft tissue around it. The result is pain.
WHAT CAUSES INCORRECT FOOT MOVEMENT?
The way you move your foot can be affected by:
Inherited muscle and bone problems
Heel injury or bruising
Poorly fitted or worn-out shoes
WHY DO MY FEET HURT WHEN I GET OUT OF BED OR STAND UP?
You may have a plantar fasciitis, a common cause of heel pain. This is an inflammation of the plantar fascia, the band of connective tissue that runs from the heel to the ball of the foot and supports the arch of the foot. Excessive walking, running, or jumping flattens and lengthens the plantar fascia. Eventually, the stress can cause small tears in the plantar fascia. When you are off your feet, the plantar fascia rests. When you stand or take a few steps, a sudden strain is put on that and of tissue and it hurts. Although the pain may subside as you walk, plantar fasciitis can be serious.
TREATMENTS FOR PLANTAR FASCIITIS
Heel pain can be incredibly debilitating on a day-to day basis. Our Foot Doctors will stop this destructive process the moment you step or limp into the office.
Our treatments begin with simple solutions such as better shoe gear and arch supports, and oral medication if necessary.
We progress to stretching devices worn at night, physical therapy, customized arch supports, compounded pain creams including homeopathic treatments if this is your preference.
Depending on the severity of your problem, heel pain treatments can include injections into the inflamed area under Ultrasound Guidance, crutch use for rest, cam walkers, casts, surgical shoes, or surgery in more severe, resistant cases.
HEEL & BONE SPURS
WHAT IS A HEEL SPUR?
If you dread that first step in the morning due to pain, do not hesitate to make an appointment to start your foot and body on the road to recovery.
A heel spur is a bony growth on the underside of the heel bone. Some heel spurs are painless. Others cause chronic pain. A heel spur often accompanies inflammation of the plantar fascia – the band of connective tissue that runs from the heel to the ball of the foot.
Treatment options for heel spurs may include removal of the spur, releasing the plantar fascia or additional noninvasive treatments. Afterwards, your foot may be in a cast and crutches may be necessary.
SURGERY FOR HEEL AND BONE SPURS
A bone spur is an overgrowth of bone that can cause pain and reduced motion. It can occur on the side of a bone, the top of a bone, or underneath the nail.
Minimal incision surgery involves making a small incision and smoothing the bone. A stitch may be required to hold the incision closed while it heals
Contact Park Avenue Podiatry Center, for a complete evaluation.
WHAT IS A BUNION?
A bunion is an enlarged bone on the side of the big toe that is angled outward. Depending on the severity of the bunion, the big toe may be angled mildly or sharply toward the other toes.
WHAT CAUSES BUNIONS?
Bunions can be caused by:
Loose joint movement
Poorly fitting shoes
HOW DO BUNIONS DEVELOP?
Most bunions form as the big toe responds to abnormal pressure on foot joints. For example, your foot may roll excessively inward during walking. Over time, this stress may cause the big toe to move toward the other toes. This, in turn, pushes the big toe joint outward.
A positional bunion is a bony growth on the base of the big toe. It enlarges the joint. In a positional bunionectomy, the bump is removed and some soft tissue that has tightened may be released. Afterwards, you might have to wear a special surgical shoe or a splint.
METATARSAL HEAD OSTEOTOMY
Structural bunions occur when the angle between the first and second toe bones increases beyond normal. Sometimes bony growths may form, resulting in irritation and swelling. In a metatarsal head osteotomy, the bone is cut and repositioned. Any bumps are also remolded. Afterwards, you may have to wear a surgical shoe or cast until the bone heals.
METATARSAL BASE OSTEOTOMY
Severe structural bunions result when the angle between the first and second toe bones is excessive. To treat these, a metatarsal base osteotomy may be conducted. A wedge of bone is removed from the base of the first metatarsal (large toe) bone and the bone is repositioned. Wires or screws may be inserted to stabilize the bone. Afterwards, you may have your foot in a cast.
WHAT ARE HAMMERTOES?
A hammertoe is an arched toe, the result of an abnormal contraction or “buckling” that leaves the toe in a claw-like position. Once stiffened into position, hammertoes rub against shoes and cause painful corns and calluses.
WHAT CAUSES HAMMERTOES?
A hammertoe usually stems from muscle imbalance, but it is often aggravated by poor-fitting shoes or socks that cramp the toes. Often, a foot with a bunion will also have a hammertoe, caused by the bunion pushing the big toe under a second toe that then becomes arched.
Those with rheumatoid arthritis, high arches, or a tendency to rotate their feet inward when walking are especially susceptible to hammertoes.
In treating a flexible hammertoe, the tendons are repositioned to allow the toe to lie flat. Afterwards, you may wear a surgical shoe for several weeks.
For rigid hammertoe, several types of treatments are available:
Arthroplasty. A portion of the joint is removed and the toe is straightened.
Fusion. Cartilage between the two toe bones is removed and the bones fuse to form one longer bone.
Implant. In some situations, a portion of the bone is removed and replaced with an implant
Contact our Hammertoe Specialists at Park Avenue Podiatry Center, and find relief today.
NEUROMA & NEUROPATHY
A neuroma or Morton’s Neuroma is a benign growth that occurs when the nerves in the foot are pinched and inflamed. It is most commonly found between the third and fourth toes. Symptoms include pain, burning, tingling or numbness between the toes and in the ball of the foot.
WHAT CAUSES A NEUROMA?
Abnormal bone structure, foot injury or tight shoes can cause a neuroma. Women who wear high heels are especially susceptible.
Neuromas are treated with the most effective treatments such as Radiofrequency (computer generated signal using a needle). well as state-of-the art sclerosing injections under ultrasound guidance. Our neuroma treatments include mild steroid injections as well as specialized arch supports which may eradicate your pain without further treatment.
When the nerves are compressed between two toe bones, the nerve becomes enlarged. A benign growth, called a neuroma, results. When a neuroma is removed, or “excised,” a small portion of the nerve is cut out. Often a small area is left without feeling, but this is usually preferable to pain.
Do your feet feel numb, do they tingle, are they burning? Are you experiencing shooting pains, a loss of balance or the feeling that your sock is rolled up under your toes? If so, you may have peripheral neuropathy.
There are over 100 known causes of peripheral neuropathy and you may be especially prone to developing this condition if you are a diabetic.
At Park Avenue Podiatry Center, our Podiatrists can perform a simple skin biopsy in which we will determine the concentration of small nerve fibers in your lower extremity. This allows us to diagnose and effectively treat your condition.
Treatment for peripheral neuropathy includes nutritional supplements, prescription medications, injection therapy and in some cases surgical procedures to release swollen and compressed nerves. So, if you're experiencing any of these symptoms or have been diagnosed with diabetes, it is essential that you arrange an appointment for a comprehensive evaluation.
ACHILLES TENDINITIS – TENDON INJURY
Achilles tendinitis is a medical condition that causes pain along the back of the leg near the heel. This happens when the Achilles tendon is constantly abused. This condition is common among athletes and middle age people who are actively engaged in sport activities.
The Achilles tendon is a band of tissue that connects calf muscles at the back of the lower leg to your heel bone. It allows a person to extend the foot and point the toes to the floor. This is also the thickest, longest and strongest tendon of the body.
Generally, tendons such as the Achilles tendon do not heal rapidly or completely. A lifestyle change is sometimes needed to prevent the recurrence of Achilles tendinitis. The aim in treating Achilles tendinitis is to relieve the pain and reduce the swelling. Treatment of the symptoms includes:
Resting the leg
Cold compression therapy
Non-steroidal anti-inflammatory medication
Using of a brace or cast to keep the heel and tendon still
Surgery may be needed if the symptoms do not improve. Consult with our Foot Doctors to assess the severity of the condition and select the best procedure to repair the Achilles tendon. Contact Park Avenue Podiatry Center today for a comprehensive evaluation.
Ankle sprains are an extremely common injury. They involve possible joint damage resulting in swelling, instability and pain, to more severe damage, such as torn ligaments, bruised cartilage and broken bones. Immediate treatment includes rest, ice, compression and anti-inflammatories.
Unfortunately, as many as 80% of untreated sprained ankles result in prolonged symptoms. These can include chronic pain or ankle instability, that makes a person prone to repetitive injury later in life and arthritic changes.
In our practice, Park Avenue Podiatry Center, our Foot & Ankle Doctors utilize the latest technology to determine if there is a fracture, dislocation or torn ligaments. If you've sprained your ankle or have a history of ankle sprains, early evaluation and aggressive treatment is the best way to avoid chronic pain, instability and arthritis of the involved joints.
Schedule an appointment immediately to be evaluated and to learn more about all of your treatment options.
A broken bone is also known as a fracture. There is a common misconception that a broken bone is worse than a fracture. In reality they are the same. There are many different types of fractures or breaks.
A bone can be broken and the fragments can be out of position. We call this a displaced fracture. Conversely, if they are in good alignment it's called a non-displaced fracture. If a bone is broken and you can barely see it on an x-ray, it is a hairline fracture. Finally, if a bone is broken and one of the fragments has punctured the skin, we call this an open or compound fracture. Since open fractures can easily become infected immediate surgical management is required.
Broken bones are usually splinted initially to prevent bone movement and further damage to the soft tissues that surround them. If the fracture is displaced it may need to be set. In certain fractures, setting them can be difficult. In these types of fractures, surgery is also indicated. This will provide the best opportunity for healing.
Even though all of this sounds very scary, most fractures can be managed in a cast without going to the OR. Even simple fractures of the toes respond very well to this treatment. And yes, we do put casts on toes. Not the plaster or fiberglass most people think of. Instead, we use a mesh tape which holds the toe in place.
FOOT & ANKLE SURGERY
AT HEALTHY FEET NY, OUR FOOT & ANKLE SURGEONS SPECIALIZE IN COMPLETE & COMPASSIONATE CARE OF ALL OF YOUR FOOT AND ANKLE CONDITIONS.
Our Foot & Ankle Doctors always look for conservative means of alleviating foot and ankle problems. However, there are circumstances when conservative treatment alone will not produce the desired outcomes and surgical intervention may be necessary.
Once surgical intervention has been determined to be a viable course of action, we work closely with our patients to keep them informed from the point of evaluation, pre-op, the surgical procedure itself and the post-operative course of care. Minor procedures can be performed under local anesthesia in our office. More complex surgeries such as reconstructive foot surgeries are done in the hospital with mild sedation and local anesthesia.
Contact Park Avenue Podiatry Center for a complete evaluation.