If you have pain on the bottom of your foot in the heel/arch area, you may be experiencing plantar fasciitis. This is a condition where the connective tissue spanning the bottom of your foot (plantar fascia) becomes irritated and inflamed, and sometimes even torn. Plantar fasciitis can occur for a variety of reasons. Being obese, working on your feet all day, or wearing shoes with inadequate heel support can all put undue stress on the plantar fascia tissue. Also, with older age, both the plantar fascia tissue and fat heel pads wear down and may lead to plantar fasciitis. Other contributing factors such as wearing high heels, having flat feet, high arches, or problems with posture or gait may contribute to this painful condition developing. Podiatrists treat plantar fasciitis patients frequently and very successfully, as it is the most common form of heel pain. Treatments may include resting, icing, shoe modifications and custom orthotics, pain relievers, and possibly even night splints to keep the Achilles heel and plantar fasciitis stretched and the arch supported. A podiatrist may treat pain and help heal damaged tissue in more severe cases of plantar fasciitis with corticosteroid injections, sound wave or ultrasound therapy, or in worst case scenarios, surgical intervention.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Charles Passet, DPM from Forest Hills. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

 

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Tuesday, 30 November 2021 00:00

Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.

There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.

People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.

Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.

If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.

Tuesday, 23 November 2021 00:00

What to Know About a Broken Toe

Trauma to the foot, especially the toes, can occur in many ways. Banging them, stubbing them, or dropping something on them are a few different ways this trauma can occur. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break or fracture. Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, or when there is an open, bleeding wound present on the toe.

Generally, a minor toe break will heal without long-term complications. However, it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe and immediately get a splint or cast to prevent any more additional movement of the toe bones. You can also immobilize your toe by placing a small cotton ball between the injured toe and the toe beside it. Then, tape the two toes together with medical tape. Swelling can be alleviated by placing an ice pack on the broken toe directly as well as elevating your feet above your head.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery, especially when the big toe has been broken. Due to its position and the pressure the big toe endures with daily activity, future complications can occur if it is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications. Prescription pain killers may be necessary for severe toe fractures.

The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. You should immediately speak with your podiatrist if you think you have broken your toe due to trauma. They will be able to diagnose the injury and recommend the appropriate treatment options. 

Tuesday, 16 November 2021 00:00

Psoriasis on the Feet

Psoriasis is a skin condition characterized by a red, scaly rash that can appear anywhere on the body, including on the feet. Although there are different types of psoriasis, the most common type is plaque psoriasis. With this type of psoriasis, red, dry patches of skin can form. The scales of the dry skin can get itchy and sore, crack, and even bleed. Another type of psoriasis seen on the feet is palmoplantar pustulosis, which is characterized by tiny, pus-filled blisters on the soles of the feet. Psoriasis is sometimes confused with athlete’s foot, but there are several key differences. While athlete’s foot typically affects the areas between the toes, is itchy, and can make the toenails yellow and brittle, psoriasis typically affects the soles of the feet, causes pain and soreness, can make nails swollen or pitted, and causes joint stiffness. If you have a rash or blisters on your feet, it is suggested that you seek the care of a podiatrist. 

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Charles Passet, DPM of Forest Hills. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

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Tuesday, 16 November 2021 00:00

Blisters

Blisters are pockets of fluid that occur under the top layer of your skin. These fluid pockets are usually filled with pus, blood, or serum. Blisters may itch or hurt and can appear as a single bubble or in clusters.

The most common types of blisters are friction blisters. This type of blister may be caused by wearing shoes that are too tight. Friction blisters can also occur on the hands. A change in temperature may also cause blisters on the feet. In the freezing air, frostbite on your toes can lead to blisters, as well as sunburn from hot weather.

The best way to treat a blister is to keep it clean and dry. Most blisters will get better on their own. Once the skin absorbs the fluid within the blister, it will flatten and eventually peel off. You should avoid popping your blister unless you podiatrist does it for you. Additional treatment options include applying an ice pack to the blister or using over-the-counter blister bandages to cover the affected area.

If your blister becomes discolored, inflamed, or worsens it is advised that you speak to your podiatrist. Blisters that are yellow, green, or purple may be infected and require immediate medical attention. Blisters that are abnormally colored may be a sign of a more serious underlying health condition such as herpes.

Friday, 12 November 2021 00:00

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Tuesday, 09 November 2021 00:00

Do I Need Bunion Surgery?

Bunions can form when the main joint at the base of the big toe gets pulled out of line and is turned toward the rest of the toes. This can also cause a bony bump to form at the base of the big toe, which can be very painful. While more conservative treatments are often attempted first, surgery is one option for correcting a bunion. Surgery is intended to restraighten the big toe. During the 30–60-minute surgery, a variety of things may be done to fix the bunion, including releasing tight ligaments, realigning the big toe’s bones, and straightening out the joints of the big toe. Patients who are struggling with pain should consult with a podiatrist to figure out the best form of treatment.

If you are suffering from bunion pain, contact Charles Passet, DPM of Forest Hills. 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 office located in Forest Hills, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 09 November 2021 00:00

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.

A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.

Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.

For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.

Tuesday, 02 November 2021 00:00

How Obesity Affects Your Feet

Gaining weight can happen suddenly and at any time. Usually you won’t notice the extra weight until your feet start hurting at the end of the day. This happens as your feet begin adjusting to carrying more weight. Foot swelling and pain are two of the biggest side effects of having gained weight.

Many foot-related problems can occur even after just putting on a few pounds. This includes the body ‘compensating’ by changing the way it moves. You may find yourself putting extra weight on the wrong parts of your feet and even leaning forward a bit. Your feet were designed to carry a healthy, normal body weight. Extra weight places undue stress on them.

Being overweight often causes the development of Type-2 diabetes, causing leg and foot pain. Older people who do not attempt to control their condition can even lose sensation and feeling in their legs and feet. This can lead to the development of small sores that can lead to serious infection.

Extra stress placed on the joints, tendons and muscles in the feet as a result of extra body weight may also cause heel spurs, or plantar fasciitis. Plantar fasciitis is an inflammation of the foot tissue, causing stiffness and pain when walking and climbing stairs. This can usually be relieved by foot stretches and custom made orthotic shoe-inserts.

Problems in the feet triggered by obesity can be treated by paying special attention to footwear. Proper support shoes that allow for good circulation, especially in the arch and ankle, are vital. A podiatrist can help you find what sort of shoe is most suitable for your feet. They can also measure you for special orthotics if necessary.

It could also be high time to start losing weight in order to treat and prevent diabetes as well as other life threatening diseases. Some methods include yoga and water aerobics, which benefit your entire body without placing stress on your feet. Don’t risk losing your feet by losing interest in them. Take care of your feet and your body, as they deserve the very best.

Tuesday, 26 October 2021 00:00

How Does the Ankle-Brachial Index Test Work?

The Ankle-Brachial Index (ABI) test is a screening measure that a podiatrist can use to determine a patient’s risk of having peripheral artery disease (PAD). As many as 50% of people who have PAD are asymptomatic. This makes screenings very important for detection, diagnosis, and treatment. During an ABI test, the doctor uses a blood pressure cuff or ultrasound to take your blood pressure at the brachial artery in both upper arms and at the anterior and posterior tibial arteries in both lower legs. The doctor then takes the higher of the two brachial blood pressures and the highest of the anterior or posterior tibial artery blood pressures and compares the two numbers to form a ratio. This ratio correlates to one’s risk of having PAD. A ratio of 1.0-1.4 is considered within the normal range, while a ratio below 0.90 is considered abnormal. It is said that the lower the ratio, the more severe the PAD. For more information about vascular testing, please consult with a podiatrist. 

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Charles Passet, DPM from Forest Hills. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

  • Ankle-Brachial Index (ABI) examination
  • Doppler examination
  • Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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

 

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