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Tuesday, 16 May 2023 00:00

Proper Shoe Sizing

Getting the correct shoe size requires trying shoes on and walking around to ensure they are comfortable. Measuring the feet with a Brannock device, often available in most shoe stores or departments, or outlining the feet on paper and cutting them out to have a pattern to be compared to shoes can also help. Other recommendations for ensuring proper shoe size include making sure there is a thumb’s worth of room between the tip of the toes and the front of the shoe and a finger’s worth of space between the heel and the back of the shoe to prevent unwanted friction and a host of resulting foot problems. Wearing the socks intended to be worn with shoes when trying them on and trying on shoes later in the day, when feet are at their largest, can help in getting the correct shoe size and fit. If insoles in new shoes are not substantial and do not provide adequate cushioning, they can be swapped out for those providing extra support and comfort. If you are having trouble finding the best shoe size for your feet and you often have foot discomfort, it is suggested that you visit a podiatrist who can help you on your quest to find the right shoes.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of one of our podiatrists from Livingston Foot Care Specialists. Our doctors 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 office located in North Bellmore, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Getting the Right Shoe Size: To Keep Your Feet Happy

People are constantly wearing improperly-fitting shoes. Though it isn’t hard, picking the right shoes does require keeping a few things in mind.

Shoe stores have rulers so you can get an exact measurement of your feet. Be sure to always measure your feet with your shoes on. Measuring just your foot will give you a shoe size that is 1-2 inches too small for picking the right size shoe.

To ensure that your toes won’t be cramped, make sure there is wiggle room. Approximately one inch should be between your toes and the tip of your shoe. It is easy to tell if your shoes are too tight, because you will start to experience pain, blisters, and swelling.

Additionally, do not always assume your shoe size will be the same at every store. Manufacturers sometimes run differently, and your size will vary from brand to brand. Make sure the stores you purchase from have return policies, in case there is a problem.

Rather than shoe shopping in the morning, it is advised to shop for shoes later in the day. Your feet will swell as the day passes. If shoes are purchased in the morning, they may not be as snug as they should be. Furthermore, not all two feet are the same size. Therefore, accommodations may be necessary.

An overall concern in buying shoes is making sure they are comfortable and supportive. There is no such thing as a shoe being ‘broken in’. If they are uncomfortable at the store, they likely will always be uncomfortable.

Since we do a lot of walking, it is important that we pick the right shoes. Our feet will benefit from this, and we will be happier and healthier because of it.

Wednesday, 17 May 2023 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tuesday, 09 May 2023 00:00

Stress Fractures Happen Gradually

A stress fracture is a broken bone. There are several types of fractured bones, and stress or hairline fractures generally happen gradually. The feet are a common place for stress fractures which typically result from overuse. People who enjoy running may experience stress fractures, but they may be prevented when proper warming up and cooling down are practiced. Research has shown that people who frequently wear high heels or other shoes that do not fit correctly may develop stress fractures from the consistent pressure the feet endure. Additionally, this type of fracture may happen from increasing running speed and distance too soon, as the feet need time to adapt. Patients who perform weight training on opposite days may notice their bodies becoming stronger, and running can become easier. If you develop a stress fracture, it is strongly suggested that you speak with a podiatrist who can provide the best treatment for you.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Livingston Foot Care Specialists. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

Read more about Stress Fractures of the Foot and Ankle
Tuesday, 09 May 2023 00:00

Stress Fractures of the Foot and Ankle

Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.

The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.

Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.

Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.

It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture.  Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.

The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.

Tuesday, 02 May 2023 00:00

Cycling and Ankle Sprains

When an individual sprains their ankle, it can significantly limit the extent to which he or she can engage in physical activity. The reason for this is that torn ligaments in the ankle area makes it susceptible to pain. This might pose a particular problem for patients that enjoy burning their daily calories by engaging in cycling. For this reason, cyclists may ask a medical professional if they can continue cycling while recovering from an ankle sprain. The answer will depend significantly on the individual patient’s particular case and the severity of the ankle sprain. However, it might be possible for one recovering from an ankle sprain to cycle if they do not put too much pressure on the pedals. Avoiding this extra pressure can minimize the force exerted on the sensitive ankle. If you are someone who has recently sprained an ankle, it is suggested that you consult a podiatrist for treatment and advice.  

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Livingston Foot Care Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

Read more about Three Grades of Ankle Sprains
Tuesday, 02 May 2023 00:00

Three Grades of Ankle Sprains

An ankle sprain occurs when one or more ankle ligament gets overly stretched. Ligaments are strong bands of tissue that bind and support the bones and other structures that make up the ankle. In more severe ankle sprains, the ligament(s) tear—either partially or completely—and there may be an audible popping noise at the moment of injury.

Ankle sprains are quite common and can occur when the ankle rolls outwardly (eversion) or inwardly (inversion), causing the ligament(s) to stretch beyond normal limits, or even tear. Falls, twists, or blows to the ankle during sports or other activities can cause this injury, as well as wearing improper footwear, running on uneven surfaces, or having weak ankles.

Depending on the injury’s severity, an ankle sprain will be classified as Grade I, Grade II, or Grade III. Grade I sprains involve ligament(s) being overly stretched but not torn, with symptoms of mild pain, swelling, and ankle instability. There may also be some difficulty bearing weight. A Grade II sprain usually involves a partial tear of the ligament which brings more intensity in these symptoms, along with possible bruising. With a Grade III sprain, the ligament is completely torn, the symptoms are severe, and it may not be possible to put weight on the affected foot at all. 

To diagnose and grade an ankle sprain, a podiatrist will perform a physical examination, checking for tenderness and range of motion in the ankle. For more severe sprains, X-rays or other imaging studies may be necessary. 

It is vitally important to have an ankle sprain treated properly as improper healing often leads to future ankle sprains and possibly even chronic ankle stability. Treatment for an ankle sprain will vary, depending on its severity, and may include the RICE method (Rest/Ice/Compression/Elevation), physical therapy, bracing, medications, and possibly even surgery to repair a torn ligament. Rehabilitation is very important for the sprain to heal properly and to restore functionality.

Tuesday, 25 April 2023 00:00

Facts About Plantar Warts

Plantar warts, also called verruca, are hardened growths that usually develop on the sole of the foot. They appear as rough, grainy, rounded lesions that may be covered by calluses and have tiny black dots. Plantar warts typically cause pain on the ball or heel of the foot, where they are most likely to form. This can affect both the way you stand and your gait, or the way you walk, which in turn can contribute to pain in other body parts. Because plantar warts are contagious, they can easily spread into clusters called mosaic warts. Plantar warts are caused by the human papillomavirus, or HPV, which usually enters through cracked dry skin or small cuts or sores on the feet. Children, teenagers, and people with weakened immune systems are particularly at risk of plantar wart infection. A plantar wart can take up to two years to go away on its own, and for that reason it is suggested that you see a podiatrist who can offer advanced treatment methods, including freezing off the warts and prescription medication.

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Livingston Foot Care Specialists. Our doctors 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 office located in North Bellmore, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Warts
Tuesday, 25 April 2023 00:00

Plantar Warts

Plantar warts are growths that typically appear on the heels or other weight-bearing areas of the feet. These warts are caused by the human papillomavirus (HPV). The virus enters the body through breaks in the skin, such as cuts, that are on the bottom of the feet. Plantar warts are more likely to affect children and teenagers, people with weakened immune systems, people who have a history with plantar warts, and people who walk barefoot in environments exposed to a wart-causing virus.

If you suspect you have plantar warts, you may have the following symptoms: pain or tenderness while walking, a lesion that interrupts the ridges in the skin of your foot, small fleshy lesions on the bottom of the foot, or a callus where a wart has grown inward over a well-defined spot on the skin.

HPV causes plantar warts to form and is very common. There are more than 100 kinds of the virus in existence. However, only a few of them cause warts on the feet. The other types of HPV are likely to cause warts on other parts of the body.

If you have plantar warts, your podiatrist may try different treatment methods depending on your specific case. Some treatments for plantar warts are peeling medicines (salicylic acid), freezing medicines (cryotherapy), or surgical procedures. Laser treatments and vaccines are also used to treat plantar warts.

Tuesday, 18 April 2023 00:00

Common Deformities of the Feet

The majority of people have straight feet and toes. However, others have what are termed deformities, some that are genetic and others that are caused by external factors. Probably the most commonly recognized foot deformity is a bunion. This can be the result of having a splayed foot formation of the metatarsal bones which causes the feet to be wider at the top than normal and is often instrumental in the formation of a bunion. Another detrimental formation of the foot is flat foot, where the sole of the foot covers the ground while standing, and no arch is present. The opposite of flat feet is high arches, where the instep is higher than normal. This can lead to pain in the ball of the foot as well as causing difficulty in finding shoes that fit properly. Foot deformities can affect the gait, which is the way you walk, and contribute to pain in the knees, hips, and back. If you have a foot deformity that is causing pain, it is suggested that you make an appointment with a podiatrist for an exam and treatment options.

If you have any concerns about your feet, contact one of our podiatrists from Livingston Foot Care Specialists. Our doctors 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 office located in North Bellmore, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Biomechanics in Podiatry
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