Tuesday, 11 March 2025 00:00

Symptoms and Causes of Stiff Big Toe

A stiff big toe, medically known as hallux rigidus, affects the larger joint at the base of the big toe, reducing its ability to move freely and causing pain during activities like walking. Initially, people may notice mild stiffness in the big toe, which progressively worsens as movement becomes increasingly limited. Hallux rigidus is often linked to osteoarthritis, a condition involving joint wear-and-tear. This can lead to symptoms like persistent pain, swelling, limited range of motion, and eventual loss of joint mobility. Risk factors for a stiff big toe include prior toe injuries, repetitive stress from sports or work activity, genetic predisposition, specific foot structures, and inflammatory arthritis. Early symptoms include difficulty bending the toe and pain that intensifies with activity, eventually becoming constant, even at rest. A podiatrist can conduct a thorough examination of the big toe joint through imaging studies like X-rays to determine the correct treatment. Options range from custom orthotics to surgery, in advanced cases. If your big toe becomes unusually stiff and continually painful, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Nassau Foot & Ankle. Our doctors 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 offices located in Oceanside, Franklin Square, and East Norwich, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 11 March 2025 00:00

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

Sunday, 09 March 2025 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Tuesday, 04 March 2025 00:00

Explaining Charcot Foot

Charcot foot is a serious condition that affects the bones, joints, and soft tissues of the foot and ankle. It is most common in people with diabetes who have peripheral neuropathy. Charcot foot leads to inflammation that weakens the bones, making them more prone to fractures and dislocations. Because neuropathy reduces sensation, people may continue walking on an injured foot without realizing the extent of the damage. Over time, this can cause severe deformities, such as a collapsed arch, known as a rocker-bottom foot. Symptoms often include swelling, warmth, redness, and changes in foot shape. Without proper treatment, Charcot foot can increase the risk of wounds and infection, which may lead to limb loss. A podiatrist can assess the condition using imaging studies and clinical evaluations. Treatment typically involves immobilization with a cast or brace to prevent further damage. In more severe cases, surgery may be needed to restore foot stability and function. If you believe you have symptoms of Charcot foot, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of Nassau Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our offices located in Oceanside, Franklin Square, and East Norwich, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

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Tuesday, 04 March 2025 00:00

Rare Foot Conditions

A podiatrist will be able to address a variety of rare foot conditions, particularly the ones that affect children. The most common are Kohler’s disease, Maffucci syndrome, and Freiberg’s disease. They can be properly diagnosed by having an X-ray taken, but in more serious cases an MRI may be needed. Kohler’s disease generally affects younger boys and bone deterioration may result from an interruption of blood supply. Children who have Kohler’s disease may find relief when the affected foot is rested, and a special boot is worn. Benign growths in the long bones of a child’s foot may lead to the development of bone lesions, and this is known as Maffucci syndrome. People who have this condition find mild relief when custom-made orthotics are worn. Freiberg’s disease targets the ball of the foot and can typically affect pre-teen and teenage girls. The metatarsal bone becomes deteriorated and flattened, and common symptoms include swelling and stiffness. A cast is often necessary to wear with this disease as it can help to reduce existing pain. Erythromelalgia is a rare foot condition, and its cause is unknown. Symptoms of this disease can include intense burning pain and the feet may appear red or feel warm. Relief may be found when the affected foot is immersed in ice water. It can also be beneficial to elevate the foot frequently. If your child complains of foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rare foot conditions. 

Tuesday, 25 February 2025 00:00

Types of Surgery for Common Foot Issues

Foot surgery may be necessary for anyone dealing with painful or persistent foot conditions. One common procedure is hammertoe surgery, which corrects the abnormal bending of the toes, restoring their proper alignment and alleviating pain. Heel surgery is another option, particularly for conditions like heel spurs or plantar fasciitis, aimed at reducing pain and inflammation. Metatarsal surgery addresses issues with the bones in the ball of the foot, such as in cases of bunions or fractures. Neuroma surgery may be required for individuals with Morton’s neuroma, a condition where a thickened nerve causes pain in the ball of the foot. Additionally, tendon surgery can be performed to repair or release tendons that may be causing discomfort or limited mobility. If you have persistent foot pain or chronic foot issues, it is suggested that you are under the care of a podiatrist who can determine whether foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Nassau Foot & Ankle. Our doctors 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 offices located in Oceanside, Franklin Square, and East Norwich, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 25 February 2025 00:00

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition.  A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case.  Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery.  Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome.  A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications.  Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered.  Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed.  Typically, all postoperative care involves rest, ice, compression, and elevation.  To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes.  He will also determine if and when you can bear weight.  A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.  

Tuesday, 18 February 2025 00:00

Plantar Heel Pain in Middle Age and Beyond

Plantar heel pain becomes increasingly common in middle age and older adults due to years of wear and tear on the feet. The plantar fascia, a thick band of tissue supporting the arch, loses elasticity over time, making it more prone to microtears and inflammation. Conditions like plantar fasciitis and heel spurs often develop, leading to sharp, stabbing pain, especially during the first steps in the morning. Age-related changes such as reduced fat padding in the heel, decreased flexibility, and weakened foot muscles contribute to the problem. Standing for long periods of time during the day, excessive walking, or wearing unsupportive shoes can worsen symptoms. Maintaining foot health through wearing proper footwear, stretching, and orthotic support can help alleviate discomfort. If you have heel pain that persists or interferes with daily movement, it is suggested that you seek professional evaluation and treatment from a podiatrist.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Nassau Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our offices located in Oceanside, Franklin Square, and East Norwich, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 18 February 2025 00:00

Heel Pain

Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.  

One condition is plantar fasciitis.  Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.

There are various options your podiatrist may suggest for heel pain.  Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.

Preventing heel pain is possible.  If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.

Tuesday, 11 February 2025 00:00

What Causes Blisters on the Feet?

Blisters on the feet are small pockets of fluid that form as a protective response to friction, heat, or pressure. They commonly occur from wearing ill-fitting shoes, which cause rubbing, or during intense physical activities like running or hiking. Moisture from sweat can worsen friction, increasing the likelihood of blister formation. Other causes include burns, frostbite, or allergic reactions to footwear materials. Infections, such as athlete’s foot, may also trigger blistering, as can certain medical conditions like diabetes or eczema. Repeated stress in specific areas, like the ball of the foot or heel, makes these spots more prone to blisters. Proper footwear, moisture-wicking socks, and reducing friction with protective padding can help prevent blisters. If blisters become frequent, painful, or show signs of infection, it is strongly suggested that you see a podiatrist for a proper diagnosis and effective treatment.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact one of our podiatrists of Nassau Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can 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.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

If you have any questions, please feel free to contact our offices located in Oceanside, Franklin Square, and East Norwich, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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