If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site

(718) 891-2706

2616 Ave U | Brooklyn, NY 11229

(718) 278-8020

4105 31st Ave | Astoria, NY 11103
Like us on facebook
Follow us on twitter
Review us on google

January 2023

Tuesday, 31 January 2023 00:00

Various Causes of Ankle Pain

Ankles are joints that connect bones in the feet with bones in the lower leg. They are comprised of bones, ligaments, muscles, tendons, blood vessels, and nerves. The ankle joint allows the foot to move side-to-side, as well as up-and-down.

Ankle pain can be caused by a variety of conditions, but is most commonly due to soft tissue injuries such as ankle sprains and strains. 

An ankle sprain occurs when one or more of the strong ligaments that support and stabilize the ankle become overly stretched or even torn if the ankle rolls, turns, or twists awkwardly. Depending on the grade of sprain (mild-moderate-severe), there will be varying degrees of pain, swelling, and restricted range of motion, along with tenderness, bruising, and ankle instability. There may even be an audible popping noise at the moment of injury.

Ankle strains can sometimes produce similar symptoms of pain, swelling, and loss of motion, however, they are due to overly stretched muscles and tendons—not ligaments. Ankle strains may also cause muscle cramps in the feet, calves and shins.

Ankle fractures are another common source of ankle pain and occur one or more of the three bones in the ankle become fractured (broken). These breaks can be stress fractures (due to repetitive stress) or traumatic fractures (due to an acute injury). Depending on where and how severe the fracture is, symptoms can include pain and swelling that can sometimes spread up to the knee, bruising or discoloration, and an inability to bear weight. A visible deformity or exposed bone may occur in severe fractures.

Various forms of arthritis may also cause ankle pain. Rheumatoid arthritis (RA) causes the immune system to attack healthy joints, like the ankle joint, by mistake, causing stiffness and swelling in both ankles. Osteoarthritis occurs when cartilage covering the ends of bones wears down, causing the bones to rub against each other. This results in pain, stiffness, and reduced range of motion in the ankle. Gout is a form of arthritis where excess amounts of uric acid in the bloodstream crystallize and build up on joints, causing severe pain and swelling. Reactive arthritis causes joint pain and swelling in the ankle in response to an infection in another part of the body.

Other forms of ankle pain include bursitis (an inflammation of a cushioning bursa sac between tendons and bone), scleroderma (a thickening of connective tissues), chronic ankle instability (caused by improperly healed ankle sprains), Achilles tendon injuriesflat feet, or an infection in the ankle.

The most common ankle problems, especially among athletes and runners, are sprains and strains. The ankle joint contains a variety of muscles, ligaments, and tendons that are subject to injury. Because the ankle sustains one and a half times the body weight with each step you take, and more than eight times the body’s weight when you run or jump, it is easy to see why it may be subject to injury. A sprain occurs when a ligament in the ankle is stretched beyond its limit, while a strain occurs when either a muscle or a tendon is overstretched or torn. Strains are more likely to be the result of overuse. A sprain can also be the result of overuse, but most often is caused by trauma, such as landing wrong on the foot and causing it to twist inward. This can be because of a misstep on a curb, or by stumbling during an athletic event. Whether it’s a sprain or a strain, if you have sustained an ankle injury that impedes your daily activities or causes extreme pain, please see a podiatrist for an exam and treatment options. 

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from Jill Einhorn, DPM and James Einhorn, DPM. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

 

Read more about Various Causes of Ankle Pain
Tuesday, 24 January 2023 00:00

Athlete's Foot

Athlete’s foot is an extremely contagious infection caused by a fungus that results in itching, burning, dry, and flaking feet. The fungus that causes athlete’s foot is known as tinea pedis and thrives in moist, dark areas such as shower floors, gyms, socks and shoes, commons areas, public changing areas, bathrooms, dormitory style houses, locker rooms, and public swimming pools. Athlete’s foot is difficult to treat as well because of the highly contagious and recurrent nature of the fungus.

Tinea is the same fungus that causes ringworm, and is spread by direct contact with an infected body part, contaminated clothing, or by touching other objects and body parts that have been exposed to the fungus. Because the feet are an ideal place for tinea to grow and spread, this is the most commonly affected area.  It is, however, known to grow in other places. The term athlete’s foot describes tinea that grows strictly on the feet.

The most commonly infected body parts are the hands, groin, and scalp, as well as the feet. Around 70% of the population suffer from tinea infections at some point in their lives, however not all of these cases are athlete’s foot. Just like any other ailment, some people are more likely to get it than others, such as people with a history of tinea infections or other skin infections, both recurring and non-recurring ones. The extent to which a person experiences regrowth and recurrent tinea infections varies from person to person.

Sometimes people will not even know that they are infected with tinea or that they have athlete’s foot because of a lack of symptoms. However, most experience mild to moderate flaking, itching, redness, and burning. However, some of the more severe symptoms include cracking and bleeding skin, intense itching and burning, pain while walking or standing, and even blistering.

Because of the recurring nature of the tinea fungus and the athlete’s foot it causes, the best way to treat this condition is with prevention. You can take some preventative measures such as wearing flip flops or sandals in locker rooms and public showers to reduce contact with the floor. It also helps to keep clean, dry feet while allowing them to breathe. Using powders to keep your feet dry is a good idea, as well as keeping your feet exposed to light and cool air, to prevent the growth of tinea. If you do happen to get athlete’s foot, opt for using topical medicated creams, ointments or sprays. These treatments help eliminate and prevent it from coming back.

Tuesday, 24 January 2023 00:00

Is Athlete's Foot Contagious?

The foot condition known as athlete’s foot is quite common, and it is considered to be contagious. Many people may notice symptoms but choose to ignore them until they become severe. These symptoms can include itchiness between the toes, redness, and flaky patches that may develop on various parts of the foot. In severe cases, small blisters may form and this can cause discomfort. Athlete’s foot is caused by a fungus that lives in moist areas like public swimming pools and locker rooms. Effective prevention methods are refraining from sharing shoes, towels, and socks. Wearing appropriate shoes is advised while in these types of environments. Research has shown that athlete’s foot will not improve without treatment and it is strongly urged that you are under the care of a podiatrist if you are afflicted with this condition.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact one of our podiatrists from Jill Einhorn, DPM and James Einhorn, DPM.  Our doctors will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

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

Read more about Athlete's Foot

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, 18 January 2023 00:00

Are You Wearing Shoes That Are Too Small?

Wearing shoes that are too small can cause serious health problems. As one ages, the arch of the foot falls and feet flatten and spread. This often requires wider and maybe longer shoes. If the edges of the shoes can be felt with the toes, the shoes are probably too tight. There should be plenty of room for the toes to move freely inside the shoes. Shoes should be purchased near the end of the day as the feet tend to swell as the day goes on. If shoes rub or pinch any part of the foot, they are likely too small as well. Most people do not really know their accurate shoe size as they do not often have their feet measured and different brands and models of shoes differ in size. Make sure to have a professional measure your feet and provide options if your feet are different sizes. It is recommended that the shoe size fit the longer foot. If you want to make sure you are wearing shoes that fit well and are best for your feet, consult with a podiatrist who is an expert in everything related to feet and ankles.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of one of our podiatrists from Jill Einhorn, DPM and James Einhorn, DPM. 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 offices located in Brooklyn and Astoria, 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
Tuesday, 17 January 2023 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

A foot stress fracture is considered to be a hairline fracture. When it is first noticed, the pain is often subtle. It can occur as a result of repetitive use, and is a common injury among runners. There are two treatment methods, and the correct one is chosen depending on the severity of the fracture. For mild stress fractures, effective treatment often begins with resting and elevating the foot, in addition to keeping weight off of it. Performing low-impact activities, such as swimming, is recommended for cardiovascular purposes. Keeping a compression bandage around the foot can help to stabilize it as the healing process occurs. For more severe fractures, surgery may be necessary for complete healing. An effective outpatient procedure is called internal fixation surgery, and pins, screws, and wires may be used to secure the affected bone in place. If you have endured a stress fracture, please confer with a podiatrist who can determine what the best form of treatment is 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 Jill Einhorn, DPM and James Einhorn, DPM. 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 offices located in Brooklyn and Astoria, 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, 10 January 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, 03 January 2023 00:00

How Tight Should You Tie Your Shoes?

One rite of passage into young adulthood is learning how to tie one’s shoes without any help. However, when it comes to running shoes, many runners are unsure about how tight one ought to tie their laces when lacing up running shoes. Although everyone’s needs will be slightly different, one important rule of thumb to keep in mind is that the shoes ought to fit snugly against the feet. However, the laces should not be tied so that the shoe is resting tightly against the foot. Selecting a running shoe involves making many important decisions, and the laces are just one kind of decision. If you are a runner and want to make sure that you are doing all that you can to select the correct running shoe and are tying the laces correctly, contact a podiatrist today. By scheduling an appointment, you can help ensure that you are receiving the guidance you need to protect your feet.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact one of our podiatrists from Jill Einhorn, DPM and James Einhorn, DPM. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

  • Be sure the shoes fit correctly right away
  • Ensure the ball of your foot fits comfortably in the widest portion of the shoes
  • Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
  • Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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

Read more about Proper Shoe Fitting
Page 1 of 2
Connect With Us

Podiatrists Jill Einhorn, DPM and James Einhorn, DPM on Facebook Podiatrists Jill Einhorn, DPM and James Einhorn, DPM on Twitter Brooklyn and Astoria NY Podiatry Blog
 
Latest NY Podiatry News