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An ankle or foot fracture is a painful and debilitating injury that impairs mobility and disrupts normal daily activities. Occurring as either an isolated injury or in conjunction with other trauma, the severity of an ankle or foot fracture depends upon its location, the degree and type of fracture, and the damage to the surrounding tissues. When not treated promptly these fractures can have dangerous complications and result in long-lasting impairment.
Symptoms of a broken ankle or foot may include:
If any injury to any associated nerves or blood vessels has occurred, additional symptoms including paleness, numbness, or an inability to move the ankle, the foot, or the toes may be present. The treatment of a foot or ankle fracture depends upon the type and severity of the injury, which bone in the foot is broken, what part of the bone is broken, as well as where this bone is located in the foot. Foot or ankle fracture treatment can range from buddy taping an uncomplicated toe fracture to immobilization with a splint or cast as well as complex surgical procedures designed to restore bone integrity and function.
More than an unsightly bump, a bunion is actually a deformity of the framework of the foot. It develops when the joint at the base of a toe becomes unstable, causing both the bone and soft tissues to move out of place. Most often seen at the base of the big toe, a bunion can also develop on the little toe. Although imperfect foot mechanics may be at play, factors such as your gait, footwear, injuries, occupations that put stress on the feet, and other conditions contribute to bunion formation.
If you suspect that you have developed a bunion, it’s essential to contact our office for care. Despite the fact they tend to develop slowly, when left untreated, bunions become larger and more disfiguring over time. In addition to making it harder to find shoes that fit and feel comfortable, bunions lead to other foot problems. As they get bigger, bunions can begin to affect your balance, reduce your mobility, and have an impact on other parts of your body.
Our podiatrist will evaluate your bunion and develop a treatment plan designed to address your specific needs. In some cases, conservative treatment such as recommended footwear, padding, splinting, physical therapy, or taking medication provides relief. However, when non-surgical methods of care fail to restore comfort and function, we may recommend a surgical procedure.
While each surgical treatment plan is customized to address the specific requirements of each case, the following goals remain the same:
We provide expert care and support every step of the way. Bunion surgery is typically an outpatient surgery, which means you go home the same day. And, because we use the most advanced surgical techniques, we’ll get you back on your feet as quickly as possible.
For more information on bunion surgery and the many other services we provide, give us a call today!
Corns and calluses are thick and hardened layers of skin that develop as part of the body’s protective response to continuing pressure and friction. While they can form anywhere on the body, they most often develop on the hands or feet.
Typically seen on the feet, corns, and calluses can be distinguished from each other in several ways. Calluses are rough, hard patches of skin that appear slightly yellowish and are usually seen on the ball of your foot or on the heel. Varying in size and shape and lacking well-defined edges, they are not usually painful. Corns, on the other hand, are commonly found on non-weight bearing areas of the feet such as on the tops and sides of the toes and between the toes. Small cone-shaped bumps of skin with a core that points inward, corns can be painful.
Foot corns and calluses often develop as a direct result of pressure due to:
It is always a good idea to consult with our podiatrists about any unusual bumps or lesions on your feet. This is especially important if you are having pain and discomfort that is interfering with your daily activities or if you have diabetes, poor circulation or other serious medical conditions.
Our podiatrists can safely pare down or trim corns and calluses as well as prescribe the appropriate medicated patches and instruct you in the right methods of home care. In some cases, besides well-fitting footwear or specially designed padding, custom-made orthotics may also be prescribed to prevent further irritation and recurrence of the corns and calluses. A cortisone injection can be given in situations where persistent pain is present. If conservative treatments are not effective, other procedures may be recommended.
If you’re experiencing weakness or dysfunction in your foot or ankle following an injury, surgical procedure, or as the result of another condition, we’re well equipped to help! Our podiatrist will design a custom-made foot or ankle brace to offer you the stability and support that’s required. A custom-made brace also helps to promote healing while preventing re-injury.
As the first step in care, our podiatrist will assess the unique requirements of your case and determine the best type and design for your brace. To fabricate your custom-made brace, we take a detailed impression of your foot and/or ankle.
You can rely on our office for the best options in care. Our custom-made braces are made of comfortable, durable, and lightweight materials that distribute pressure, absorb shock and offer maximum stability as well as support.
Our goals are for every patient to enjoy optimal foot health and function. To learn more about custom-made braces and the many other services our office provides, give us a call today.
For people with diabetes even the smallest blister, sore, or cut on the foot can pose tremendous risks. Something as minor as an irritation from a small pebble in a shoe can quickly progress from a wound that doesn’t heal to a dangerous infection that can lead to an amputation and even a life-threatening situation. The statistics are alarming. Foot infections and their complications are the leading cause of hospitalization for diabetics. More than 60% of non-traumatic lower limb amputations occur in people with diabetes.
The keys to avoiding the foot related complications of the disease are the prevention and early detection of problems. If someone has diabetes it is extremely important that in addition to maintaining a healthy blood sugar level and healthy lifestyle, they practice a daily foot care regimen at home, and see a podiatrist for a thorough examination on a regular basis.
Our podiatrist will screen for the presence of diabetic neuropathy and vascular damage as well as check the foot and nearby structures for redness, swelling and non-healing wounds. Furthermore, our podiatrist will provide guidance and care to prevent foot ulcerations or injury. In cases of an existing cut or ulceration, our podiatrist will perform the most appropriate wound care as well as prescribe strategies to protect the foot from infection and accelerate the healing process.
We participate in the Diabetic Shoe Program that is recognized by most insurances as preventative medicine. Doctor’s prescriptions are welcomed. Our Certified Pedorthist will interpret your prescriptions and will order the shoes and inserts as per your doctor’s instructions.
We have a complete collection of fashionable and comfortable men’s and women’s casual and dress shoes, sneakers, sandals, and slippers. They are available in a variety of widths – medium, wide, extra wide and are made with extra depth to accommodate swelling or foot deformities such as bunions and hammertoes.
Shoes come with heat moldable inserts or orthotics, providing better support and stability as you walk. These shoes are great for anyone who is diabetic or just has sensitive feet. Some of our name brands include:
As your trusted partner in foot care, our office provides the guidance and treatment required to help lower your risk of diabetic complications. To protect the ongoing health of your feet as well as your overall well-being, we often recommend wearing diabetic socks.
Diabetic socks are typically made of materials that effectively wick away moisture from the feet. This feature helps to prevent bacteria and fungal growth that can produce or worsen an infection. They are also designed to protect your feet from injury and minimize your risk of irritation. For these reasons, diabetic socks are fabricated from materials that are non-elastic, non-binding, seamless, and padded.
By wearing diabetic socks, you’ll be keeping your feet warm to support improved circulation. And, because these socks are non-elastic, you won’t have to worry about any constrictions that might limit blood circulation should your feet swell.
Living with diabetes presents a challenge, and foot complications are a constant risk. A diabetic should always keep in mind that proper foot care is essential to overall health and well being. Being under the care of our podiatrist is the best step you can take to avoid pain and problems.
The purpose of arches in the feet is to add springiness and flexibility to the midfoot. Arches in the feet help to generate the strength to push off with movement, distribute body weight, absorb the shock of contacting the ground, and assist with balance. In addition to these functions, the arch of each foot acts as an energy store to support activities like walking, running, or jumping.
One of the most common and well-known deformities of the lower extremities is flat feet. They occur when the arches of the feet (the insteps) are either partially or completely collapsed. This deformity puts the soles of the feet, the plantar surface, in complete or near complete contact with the ground. When flat feet, which are also known as fallen arches, are present, the alignment of the legs may also be slightly altered. In some cases this can lead to pain and other problems in the feet, ankles, legs, knees, hips, and the lower back.
If you or your child has foot pain, it is a good idea to see our podiatrist for a thorough evaluation and treatment. This is the best way to prevent any additional and potentially debilitating complications from developing. Our podiatrist can provide the most suitable and therapeutic treatment options to stabilize the causes of flat feet, help restore and improve foot function, and alleviate any associated symptoms.
At the office of Westchester Foot Care, we provide skilled and experienced care to diagnose and treat a comprehensive range of issues affecting foot health and function. In some cases, to make a precise diagnosis or to monitor patient progress and healing, we take diagnostic images of the foot.
Diagnostic x-rays are essential in the following cases:
We provide state-of-the-art services and use the most advanced imaging systems to gather detailed and accurate information.
While we do our utmost to treat foot and ankle problems with conservative, non-surgical approaches to care, there are times when surgery is indicated. If your foot or ankle issue requires a surgical solution, you can rely on our office for the best options in care.
As a skilled and experienced specialist, our podiatrist performs a wide range of surgical procedures to address foot or ankle injuries, repair deformity, help resolve an infection, remove abnormal tissue, improve biomechanics, and establish the groundwork for increased mobility and function.
Our office is equipped with the latest technology to provide the highest quality of care and ensure your comfort every step of the way. While we perform many surgical procedures in our office, we also treat complex cases such as reconstructive surgeries in a hospital setting.
At the office of Westchester Foot Care, you can count on receiving skilled and compassionate care. Patient care and comfort are our top priorities, and we’re always on hand to address any questions or concerns.
Fungal nail infections are very common in adults and account for nearly half of all nail disorders. Technically known as onychomycosis, fungal nail infections can affect both your fingernails and toenails, but are most frequently seen in the toes. While the infection is a slow-growing one, a nail fungus can eventually cause the overlying nail to discolor, thicken, change texture, become increasingly brittle, break and even detach from the nail bed.
Left untreated an increasingly disfigured toenail can cause discomfort and irritation, especially while wearing shoes or walking. Not only that, fungal nail infections can spread to the other nails. If a diseased toenail breaks, it can also pierce the skin thereby allowing bacteria to enter, which can lead to a more serious type of infection. This is especially dangerous for individuals who have diabetes or a compromised immune system.
For all of these reasons, it is a good idea to give our office a call at the first sign of any discoloration, thickening or deformity of your toenails. Although a fungal nail infection can often be identified by its appearance, other conditions can produce a similar look, and an accurate diagnosis is essential for proper care. One thing is for certain; you can rest assured that our office will consider every aspect of your case in determining the best approach to care. Furthermore, we offer the most effective methods of care including the latest generations of topically applied medications, oral antifungal drugs, laser and surgical procedures.
One of the most common toe deformities seen by our office is a hammertoe. Most often attributed to wearing ill-fitting, tight footwear or high-heeled shoes that squish the toes into a bent position, a hammertoe can also be influenced by genetic factors, the result of a bunion, or caused by arthritis in the toe joint.
Just as the name implies, a hammertoe resembles a “hammer” with the toe bending at the middle joint into a claw-like deformity. While hammertoes usually affect women, men can develop them as well.
Hammertoes can cause discomfort while walking as well as when you simply try to move or stretch your toes. You may also develop corns or calluses on the top of the toe, and the ball of the foot and have difficulty fitting into your shoes. While in its early stages of development, the involved joint still feels flexible, left untreated, your hammertoe will become more rigid and less responsive to conservative modes of treatment.
Our podiatrist will develop an appropriate plan to treat your hammertoe. When designing an approach to care, we’ll consider the severity of your toe deformity, level of toe flexibility, existing medical conditions, along with any other factors that may influence treatment. In the case of mild deformities or for individuals with complex medical histories, conservative treatment may be recommended. A non-surgical plan may include strategically placed foot padding, wearing shoes with a roomy toe box, custom orthotics, splinting, or taking anti-inflammatory medication as needed to reduce pain and inflammation. However, severe toe deformities and joint rigidity warrant surgery. And, a combination of procedures may be recommended when a hammertoe is accompanied by other foot deformities.
The goals of surgery to correct hammertoes are to restore normal anatomy, comfort, and function. During a surgical procedure, the toe is straightened, and the joint between the involved bones stabilized. While healing, the newly realigned bones fuse, thereby permanently maintaining the toe in a straighter and healthier position.
As experts in foot anatomy, health, and function, we use the most advanced surgical techniques to achieve outstanding results of care. The success rate of hammertoe surgery is quite high, while the risk of complications is low. While hammertoe surgery is often performed as an outpatient procedure, we customize treatment and the delivery of care to address the unique requirements of each patient.
Sometimes hammertoes and a bunion go hand-in-hand. When that’s the case, both deformities can be addressed during one surgical procedure.
Whether it’s the treatment of hammertoes, or any other issue affecting foot health and function, you can rely on our office for skilled and experienced care. We’re dedicated to the care and comfort of our patients and are always on hand to address all questions and concerns.
For more information on the treatment or surgical correction of hammertoes and the many other services we provide, give us a call today.
The plantar fascia is a band of connective tissue that runs along the bottom of the foot from your heel to the base of your toes. Overuse or prolonged wear and tear on the heel can strain this band causing damage, inflammation, and pain. Pain under the heel is most frequently associated with a condition known as plantar fasciitis.
Plantar fasciitis affects both athletic and inactive individuals and can be triggered by any number of factors or activities that overload or overstretch the plantar fascia. Risk factors for plantar fasciitis include foot arch problems, a tight Achilles tendon, and tight calf muscles. Additionally, certain sports, exercises, being overweight, as well as worn or poorly constructed shoes may contribute to the problem. Plantar fasciitis is common among athletes who run and jump a lot. Runners in particular often complain of plantar heel pain.
Symptoms of plantar fasciitis can occur suddenly or gradually and can be quite painful. The most common symptom is pain and stiffness in the bottom of the heel. While an individual with plantar fasciitis may experience pain that is dull or sharp, sometimes aching or burning on the bottom of the foot is felt. In many cases, a heel spur is also present.
Once our podiatrist has determined that your heel pain is in fact due to plantar fasciitis, the appropriate treatment will be recommended. Most individuals will experience improvements with conservative therapy alone. If symptoms are disabling and persist even after an extended course of conservative therapy, other methods of care may be considered.
An ingrown toenail occurs when the edge of the toenail grows into and penetrates the underlying skin at the end of or side of the toe. While an ingrown toenail may not initially cause symptoms as it continues digging into the skin, it can produce increasing irritation, inflammation, redness and pain. An ingrown toenail can become so uncomfortable that wearing any shoes, other than ones with a wide, open toe may be impossible. With an ingrown toenail, extra skin, as well as other tissue, can begin to grow around the impinging portion of the nail. Furthermore, once the ingrown toenail penetrates the skin, an infection may develop with pus and worsening symptoms.
Common causes of ingrown toenails may include:
• Over-trimming the Toenails
• Improper Footwear
• Nail Disorders
• Faulty Foot Mechanics
If you are suffering from an ingrown toenail, the safest approach is to see your podiatrist for professional guidance, diagnosis, and care. This advice holds true for everyone and is especially important if an infection is present, if you suffer from diabetes, have nerve damage in your feet, suffer from poor circulation, or have a compromised immune system.
The good news is that fixing most ingrown toenails and relieving the associated symptoms can be accomplished with a minor in-office procedure. The extent of the procedure depends upon the severity of the case, whether or not your ingrown toenail is a chronic problem, and if there are other contributing medical factors.
Many common foot complaints like heel pain, arch pain, and ball of foot pain can be attributed to faulty foot mechanics. What this means is that even a tiny flaw in the complex arrangement of 26 bones, 33 joints, and intricate framework of muscles, tendons, and ligaments that make up each of the feet can cause issues such as gait abnormalities, foot instability, and areas of atypical or excessive pressure. Over time this can lead to foot pain and dysfunction including problems such as plantar fasciitis, heel spurs, Achilles tendon problems and flat feet. Faulty foot mechanics can also lead to uncomfortable symptoms in other parts of the body including the knees, hips and back.
The good news is that foot problems of this nature can often be treated with custom shoe inserts called orthotics. Custom made orthotics can be specifically designed to correct an abnormal or irregular walking pattern, provide the foot with improved support, correct or prevent worsening foot deformity, relieve areas of pressure, and help reduce discomfort. By promoting the proper alignment of the structures in the feet, and by working like shock absorbers, orthotics can improve foot function, restore balance, enhance sports performance while also alleviating foot pain as well as knee, hip and back discomfort.
Our office is skilled and experienced in treating all types of structural and functional foot problems and will thoroughly evaluate all issues and concerns related to your condition. If our podiatrist determines that an orthotic is needed, the appropriate records and impressions will be taken to design and fabricate the most effective one to address your specific needs.
As skilled specialists in the treatment of issues affecting the foot, ankle, and lower legs, podiatrists play an essential role in the diagnosis and management of peripheral neuropathy.
When nerves outside of the brain and spinal cord are damaged, it can cause decreased or abnormal sensations in the arms, hands, legs, and feet. Because these nerves are part of the peripheral nervous system, the condition is referred to as peripheral neuropathy. While diabetes is the most common cause of peripheral neuropathy, there may be other reasons for the condition. In some cases, certain medications, genetics, old age, arthritis, alcoholism, neurological disorders, or injury are contributing factors.
Symptoms of peripheral neuropathy can run the gamut from burning, tingling, sharp, dull, or searing pain to numbness, loss of balance, weakness, stiffness, and heaviness in the legs. The condition also causes other issues, including ones that affect the skin, hair, and nails.
To evaluate patients for the presence of peripheral neuropathy, we review their history, check for signs or symptoms, and perform a thorough clinical exam. One important test we may recommend when patients report pain, abnormal sensation, tightness, or coldness in the foot and ankle is an epidermal nerve fiber density analysis (ENFD).
ENFD testing offers a highly accurate way to demonstrate the presence of small fiber peripheral neuropathy. A simple, quick, and comfortable procedure for both the patient and the podiatrist, an ENFD requires a very tiny and superficial tissue biopsy for analysis. In addition to providing an objective diagnosis of peripheral neuropathy, the test also monitors the therapeutic effect of treatment.
Neuromas are nerve irritations that involve typically an enlarged or swollen segment of the nerve itself. In some cases, these neuromas can actually resemble a small grape in size and can cause significant discomfort to the patient. The individual with such an affliction will often complain of numbness, tingling, and/or burning sensations, which radiates into or involves two adjacent toes. Sometimes neuromas can be exquisitely painful. Most patients relate having to remove the shoe and rub their feet. In most cases, the neuroma will be located between the third and fourth digits of one foot with burning sensation involving the bottom of the metatarsal fat pad and the two involved toes. A second commonly involved site is between the second and third toes of the foot. The typical neuroma usually does not have redness, heat, swelling, or any apparent range of motion loss. Pressure on the bottom of the foot with manipulation of the involved digits will frequently produce the painful symptoms. Neuromas, generally speaking, do not go away on their own but usually require some form of professional care.
The most frequently agreed upon cause of neuromas is that of trauma or injury. This trauma might be the acute kind like a twisting of the foot or stepping on something or it might be the chronic kind like repeated micro-trauma from an excessively flat foot. The problem however, is that the onset of the neuroma pain might not appear for quite some time after the noted trauma. In other words, an injury to the foot may have occurred some two or more months prior to any neuroma formation but nevertheless, a cause and effect relationship still exists. Shoes might aggravate an existing neuroma but usually do not play a causative role.
The usual range of conservative care through surgical procedures applies in the approach to neuroma care. Appropriate shoe selection and modifications is a good start in trying to relieve pressure and allow additional room for the foot during walking. Various forms of physical therapy and localized injections of anti-inflammatory medication can frequently be helpful in the treatment of this annoying problem. Surgical procedures armed at identifying and removing the involved section of irritated nerve can provide a more permanent resolution in many cases. A discussion of possible recurrence rates, disability involvement, and procedural expectations should take place between the patient and foot specialist prior to surgery.
Much like every other aspect of growth, a pair of small feet becoming larger and stronger is a wonder to behold. During the first year of life, a baby’s feet grow to 50% of their adult size and reach the 90% mark by twelve years of age.
While an adult foot is comprised of twenty-six bones and an intricate network of thirty-three joints as well as over one hundred muscles, ligaments, babies are born with only twenty-two bones in each foot. However, the full complement of twenty-six bones will develop by the time a child turns five years of age.
The bones in a baby’s feet are soft at birth. For this reason, it’s recommended that babies only wear socks until they are walking on their own. In this way, their feet are not cramped and remain free to develop. While most toddlers are flat-footed, with toes that turn in, and legs slightly bowed, their anatomy aligns over time. However, if you’re concerned about the continued presence of bowed legs, knocked-knees, in-toeing, out-toeing, flat feet, or tiptoe walking, we advise you to contact our office for an assessment and care.
Because children are so active throughout the day, a variety of foot and ankle problems can occur. If your child is complaining of cramping or pain, is limping, and seems less interested in physical activities or playing outside, it may indicate the presence of a foot or ankle issue.
Common pediatric foot conditions include a wide range of foot injuries as well as everything from athlete’s foot, fungal nail infections, plantar warts, blisters, ingrown toenails, bunions, or bunionettes to corns and calluses, overlapping toes, foot odor, sweaty feet and more. Likewise, the significant heel pain of Sever’s disease, the pain, and stiffness associated with tarsal coalitions along with traumatic growth plate injuries can also affect a child’s foot health, function, and development.
Remember, healthy feet are vital to a child's development and overall well-being. To help ensure optimal foot health and development, contact our office for care.
As participation in sports by individuals of all ages increases, so does the frequency of foot injuries and associated conditions. According to statistics, approximately 25% of sports injuries are foot or ankle related. In addition to overuse and repetitive stress injuries, one-time traumatic injuries stemming from sports, recreational, and fitness activities are also on the rise.
In our office, we provide skilled, experienced foot care to help protect against sports-related trauma and offer treatment to support foot function to improve an athlete's comfort level, performance, and endurance. We're well equipped to treat a range of foot and ankle injuries as well as disorders, helping athletes to recover and return to the game.
Whether you're a professional athlete, weekend warrior, fitness buff, or just picked up the sport; we can provide the foot care you require. We recognize that every case is unique and tailor treatment to address individual needs.
A plantar wart is an epithelial growth that occurs on the sole or toes of the foot that is caused by a strain of the human papillomavirus (HPV). The most common area for a plantar wart to occur is on the ball of the foot or on the heel. Standing and walking, which both put direct pressure on these areas, push the wart inward, causing discomfort and pain.
While plantar warts are contagious, not everybody gets them. Some individuals are more susceptible than others and they are most common in children and young adults. The virus can be picked up anywhere, but warm moist places like shower floors, locker rooms, and public swimming pools are popular breeding grounds for the virus.
Plantar warts can appear flat rather than raised because they are covered by the top layer of tough skin on the sole of your foot. However, they can also have a rough, grainy surface texture and can occur singly, or in clusters. The little black dots that are seen near the center of the wart represent the blood supply to the wart. While plantar warts exhibit certain distinguishing features, they sometimes resemble other skin conditions and lesions of the foot.
Our podiatrist will be able to determine if what you are suffering from is actually a plantar wart and not a corn, a callous, or a more serious problem. It is of the utmost importance that individuals who have diabetes, circulatory problems, or are immune compromised get an appropriate diagnosis and prompt care.
As far as treating plantar warts is concerned, the ultimate goal is to completely eradicate the wart so that it will not recur. Depending on the response to treatment, the successful elimination of a plantar wart may involve topical applications of medications, cryotherapy, immune therapy, surgical procedures, or laser surgery.
Whirlpool therapy offers soothing and effective treatment to help reduce pain in the foot and ankle area. It provides significant relief from pain and pressure while easing tenderness and muscle tension.
Whirlpool therapy also improves blood flow in the foot and ankle, bringing oxygen to damaged tissues and promoting the healing process.
Ultrasound technology is useful for the diagnosis of podiatric problems and the delivery of therapeutic care.
A non-invasive and comfortable mode of care, electrical stimulation therapy improves muscle function in the foot and ankle. It offers an effective way to activate contraction with the intent of strengthening weak muscles, encouraging blood circulation, managing inflammation, controlling pain, and restoring function.
Occasionally even the smallest blister, sore, or cut on the foot can worsen and pose more severe consequences to foot health and overall well-being. This scenario is especially common in people with diabetes for whom foot infections and their complications are the leading cause of hospitalization. In fact, according to statistics, more than 60% of non-traumatic lower limb amputations occur in people with diabetes.
In cases of problematic cuts or ulcerations, our office provides the skilled and advanced care required to both protect the foot from developing an infection and treat an existing infection to help accelerate the healing process. When indicated, our podiatrists work as part of an interdisciplinary medical team to optimize healing, protect overall health, and restore function.