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Monday, 29 April 2019 00:00

Possible Causes of Gout

Symptoms that are often associated with the form of arthritis known as gout include joints that are stiff, red, or swollen. It develops as a result of excess uric acid in the body and collects in the joints of the big toe. This build up comes from eating foods that have elevated levels of purines, which include red meat and shellfish, or it can develop from genetic traits. Additionally, people who consume large amounts of alcohol can be afflicted with gout, in addition to patients who take low-dose aspirin or diuretics. People who have gout often experience severe pain and discomfort, and it may be difficult to walk. A proper diagnosis is typically performed by extracting a small amount of fluid from the affected joint, which is effective in noticing any crystals that are present. If you have this condition, it is suggested to counsel with a podiatrist who can begin the correct treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Larry Cohen from New York City. Our doctor will treat your foot and ankle needs.

What is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Read more about Gout
Published in Blog
Tuesday, 23 April 2019 00:00

What Causes a Stress Fracture?

Consistent overuse of the muscles in the foot often produces a condition that is known as a stress fracture. Repeated impact that comes from running or jumping activities can cause the muscles to lose shock absorption, and the result may be a small fracture in the bone. It is possible that stress fractures can be prevented when the feet are strong. This can be accomplished by incorporating a healthy diet into your lifestyle, wearing shoes that fit correctly, and gradually increasing the power of your workout. The symptoms that are associated with stress fractures include pain while walking or completing daily activities, tenderness if the foot is touched, or possible bruising. If you feel you have a stress fracture, it is suggested to consult with a podiatrist who can guide you toward proper treatment options.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Larry Cohen from New York City. Our doctor 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 office located in Midtown, Manhattan. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Published in Blog
Monday, 15 April 2019 00:00

Are Bunions Genetic?

A large bony protrusion on the side of the big toe is indicative of a condition that is referred to as a bunion. Foot pain may be a common symptom if a bunion exists, and it may be difficult to wear shoes. There are several reasons why bunions may develop. These may include a genetic disposition or a possible injury that has occurred to the foot. Research has shown that bunions are less common in non-western countries, and this may possibly be due to the type of footwear that is worn. Mild relief may be found while using a bunion pad, in addition to wearing shoes that do not cramp the toes. If you have developed a bunion, speak to a podiatrist who can offer advice on effective treatment options.

If you are suffering from bunions, contact Dr. Larry Cohen of New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

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

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

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

How Are Bunions Diagnosed?

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

How Are Bunions Treated?

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

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

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Published in Blog
Monday, 08 April 2019 00:00

What Is Tarsal Tunnel Syndrome?

Tarsal tunnel syndrome is a condition that affects the posterior tibial nerve. This nerve runs along the inside of the ankle and foot, and when it becomes compressed and damaged it will become inflamed. This damage can be caused by continuous overuse of the foot and ankle. This might happen while participating in strenuous physical activities. Tarsal tunnel syndrome can also occur after a traumatic injury, and sometimes it develops suddenly without any obvious cause. Luckily, this is considered a rare condition. If it goes untreated, however, it can cause permanent nerve damage. If tarsal tunnel syndrome is caught early, then it is relatively easy to treat. If the condition becomes severe, then more aggressive treatments may need to be performed. Examples of treatment for severe cases include corrective devices, therapies, and sometimes surgery. If you believe you might have tarsal tunnel syndrome, then it is strongly recommended you consult with a podiatrist.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Larry Cohen of New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Read more about Treating Tarsal Tunnel Syndrome
Published in Blog
Monday, 01 April 2019 00:00

Different Types of Peripheral Nerves

Patients who have a type of neuropathy that is referred to as peripheral neuropathy may often notice a numbing or tingling sensation in their toes. As this condition worsens, there may be a burning pain that is felt, and this may be more noticeable at night. Additional symptoms may include weakened muscles or cramping, and balance and coordination may be affected. Research has shown there are three types of nerve groups, which may be distressed. Impulses that are sent from the brain and spinal cord to the muscles in the body are known as motor nerves. If damage to this group of nerves occurs, the result may be difficulty in walking. The function of the sensory nerves is to help people determine if an object is hot or cold, or rough or smooth. Tingling and numbness may happen if these nerves are affected by neuropathy. Additionally, the heart rate and blood pressure are controlled by autonomic nerves, and a patient who is afflicted with this type of neuropathy may experience dizziness or may have difficulty in swallowing. If you have any of these symptoms, please consult with a podiatrist who can guide you toward beginning the proper treatment.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dr. Larry Cohen from New York City. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

Read more about Neuropathy
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