Items filtered by date: January 2023

There is an area that connects the Achilles tendon and the plantar fascia to the heel. It is called the growth center, and the medical term for this is known as the calcaneal apophysis. It is fully developed at approximately 12 to 14 years old, as it fuses to the bone. If the heel undergoes direct impact, resulting in excessive tension on the Achilles tendon and plantar fascia, it may result in Sever’s disease. This condition generally affects children and young teenagers between the ages of 9 and 13, and can cause considerable heel pain. Children who frequently participate in running and jumping activities may be prone to developing Sever’s disease. Mild relief may be found when the activity is temporarily stopped that caused the condition, and the foot is elevated and rested. It is beneficial to perform specific stretches that may help to accelerate the healing process. If your child has heel pain, please schedule an appointment with a podiatrist who can confirm the diagnosis of Sever's disease, and treat it accordingly.  

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Ernest Levi, DPM from Grand Central Podiatry. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

A bunion is identified as a bony protrusion that gradually forms on the side of the big toe. It affects women more than men, and this may be a result of the type of shoes that are frequently worn. High heels fall into this category, because they have little room for the toes to move freely in. Limiting the time wearing high heels is suggested. If medical attention is not sought, the growing bunion can cause the other toes to shift toward each other, and larger shoes may need to be purchased. Research has shown that men are also affected by bunions, most commonly due to genetic reasons. Foot structure and bunions tend to run in families, and it is beneficial for men to be aware of the type of shoes they choose to wear. Effective prevention methods include buying shoes that can adequately accommodate the width of the toes. If you have a bunion, it is suggested that you consult with a podiatrist who can determine what the right course of treatment is for you.

If you are suffering from bunions, contact Ernest Levi, DPM of Grand Central Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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

The feet are complex structures, and it may be easy for several bones, muscles, and tendons to move out of alignment. The feet are responsible for balancing the body, and certain foot conditions may cause foot pain, possibly affecting the entire body. Many patients look for relief and comfort, and may find it beneficial to wear custom-made orthotics. These are insoles that are specifically designed for an individual's feet and may provide stability, correct misalignments, and reduce existing foot pain. Additionally, the benefits of wearing orthotics can include preventing injuries, improving general well-being, and enhancing athletic performance. There are different types of orthotics that can be considered. If you have foot pain, please consult with a podiatrist who can determine if orthotics are right for you.

If you are having discomfort in your feet and would like to try orthotics, contact Ernest Levi, DPM from Grand Central Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

A bunion is defined as a bony protrusion that is found on the side of the big toe, which may shift toward the other toes as it becomes larger. Corns may form on the side of the bunion from rubbing against the shoe, and this is often uncomfortable. Patients may choose to have bunion surgery, which is generally successful in removing the bunion, and straightening the big toe. A cast is often worn that can stabilize the foot, and existing pain and swelling will gradually diminish in approximately six weeks. Research has shown that adequate rest may accelerate healing, and many people choose to take time off from work. The foot may become stronger when specific exercises are performed, in addition to improving flexibility and range of motion. If you have a bunion and are considering surgery for permanent removal, please consult with a podiatrist who can determine if this is correct for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Ernest Levi, DPM of Grand Central Podiatry. 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 office located in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Snowboarding can be dangerous, and injuries are common for those who participate in this sport. While there are ways to prevent such injuries, there are no guarantees that they will not happen. In snowboarding, it is possible to roll an ankle or twist a foot in a way that leads to mild or severe injuries. A sprained ankle is a frequent injury in this sport. It can result from landing awkwardly on the board or wearing boots that do not fit as well as they should. It can also happen as part of a knee injury. Sprained or bruised heels can also happen in snowboarding. For example, a bruised heel can occur when one goes off of a jump and lands hard. Snowboarding within one’s ability can help prevent ankle and foot injuries. Wearing properly fitting boots is also suggested to limit risk of injuries. If you have hurt your feet or ankles while snowboarding, see a podiatrist as soon as you can for diagnosis and treatment.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Ernest Levi, DPM from Grand Central Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

People who enjoy running may notice that they have developed pain in their big toe. This pain can cause difficulty when walking or running and can occur for various reasons. These causes may include the amount of force the joints in the big toe endure while running, in addition to how the heel strikes the ground. This can lead to your foot pronating, meaning the foot rolls inward to absorb the shock. This is followed by pushing off, and the weight of the body travels to the big toe. Some people may have bunions and they appear as a bony bump on the side of the big toe. Bunions often arise from wearing shoes that do not fit correctly. People who run can experience increased toe pain if they are afflicted with a bunion. It is suggested that the shoes worn fit correctly for the style of running that is desired, and this may help to reduce toe pain. If you would like more information about why toe pain occurs, in addition to learning about effective prevention methods, please consult with a podiatrist.

Toe pain can disrupt your daily activities. If you have any concerns, contact Ernest Levi, DPM of Grand Central Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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