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Larry Cohen, DPM

June 2020

A nerve tissue that has become thickened is referred to as a neuroma. If the tissue that is found between the toes near the ball of the foot becomes inflamed, it is a condition that is known as Morton’s neuroma. It can happen as a result of wearing shoes that are too narrow, or from participating in sporting activities where pressure is placed on the front of the foot. Additionally, it may develop from existing foot deformities that can include flat feet and bunions. A noticeable symptom that patients could have is a burning pain on the sole of the foot, which may travel to the toes. Mild relief may be found when orthotics are worn, and this may give the affected foot the support that is needed as the pressure is reduced. It can be beneficial to avoid wearing high heels, and choosing to wear shoes that are wider in the toe area may be more comfortable. If you have a sharp pain on the bottom of your foot, it is suggested that you speak with a podiatrist who can properly diagnose and treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Larry Cohen of New York City. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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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Monday, 22 June 2020 00:00

Two Types Of Heel Spurs

Patients who have developed a bone spur are often aware of the pain and discomfort it can cause. Heel spurs that develop on the bottom of the heel is classified as heel spur syndrome. When a bone spur forms at the back of the heel at the point where the Achilles tendon fits into the bone, it is known as insertional Achilles tendonitis. Heel spurs can develop as a result of frequently participating in running and jumping activities that can overstretch the plantar fascia. Limited range of motion can occur with Achilles tendonitis, and it may be more common among patients who are middle-age. If you have pain in your heel, it is strongly suggested that you consult with a podiatrist who can diagnose heel spurs, and offer the correct treatment for you.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Larry Cohen from New York City. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Midtown, Manhattan. We offer the latest in diagnostic and treatment technology to meet your needs.

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While high heels are often uncomfortable, they can also cause harmful foot problems for frequent wearers. To start, high heels can cause cosmetic issues, such as bunions or hammertoes. High heels can lead to tendonitis by straining the ankle and tendons as well. High heels also lead to overuse of the natural cushioning on the foot, causing it to diminish over time. Some ways to mitigate the effects of high heels include massaging and stretching the legs after use, alternating heel heights, and wearing heels in moderation. A podiatrist will be able to help diagnose and treat any issues that a person has endured due to high heels. For further information about preventing injuries while wearing high heels, please consult with a podiatrist.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Larry Cohen from New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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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Many people who stand and walk for the majority of the day for work may experience tired and aching feet. The feet are considered to be the foundation of the body, and people can generally feel tired when foot pain is present. Conditions that can occur as a result of standing for extended periods of time can include blisters and corns. It is also possible to develop the painful ailment that is known as plantar fasciitis. Relief may be found when shoes that are worn fit properly, in addition to soaking the feet at the end of the work day. Research has shown it is beneficial to perform gentle foot stretches throughout the day, and it may help to wear custom made orthotics. If you would like additional information about how to alleviate foot pain, please consult with a podiatrist for professional care.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Larry Cohen from New York City. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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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Monday, 01 June 2020 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Published in Blog
Monday, 01 June 2020 00:00

Are PRP Injections Effective?

Patients who have chronic heel and foot pain may find it beneficial to learn about PRP injections. These can help to greatly diminish pain. The injections can be successful in treating medical conditions such as plantar fasciitis and Achilles tendon injuries. They are administered by taking a portion of the patient's blood, and spinning it in a centrifuge, which is an effective method in separating growth platelets, and then it is injected into the impacted area. In the majority of cases, this procedure takes approximately thirty minutes, and there may be minimal discomfort for a few days. If you have any type of foot pain that can be helped by using PRP injections, please consult with a podiatrist who can determine if this treatment method is correct for you.

If you are suffering from a foot condition, contact Dr. Larry Cohen of New York City. Our doctor will assist you with all of your podiatric concerns.

What Is PRP?

Platelet Rich Plasma, or PRP, is blood taken from a patient and spun in a centrifuge, concentrating the amount of platelets. The plasma is then re-injected into the site of injury or damage, assisting the body in repairing damage to muscles, tendons, ligaments, and tissue. PRP helps the body speed up its healing process.

Uses of PRP

Injuries affecting the foot sometimes don’t heal properly because of poor blood circulation. The healing time slows down, and recovery time is affected by poor blood supply. PRP injections will speed up recovery and resolve this issue.

Treatment

PRP is the first regenerative treatment for damaged muscles, tendons, and ligaments. No surgery needed. It is only applied with an insertion of a needle.

Ultrasound – An ultrasound is needed for proper placement of the platelets.

Injection – When the first injection is received, the patient will return to the doctor in about 2 to 3 weeks and monitor the recovery process.

Recovery time – Some people respond to treatments differently. Therefore, depending on your condition, the doctor will make any remaining decisions on how many more injections are needed, or if any additional ones are even required.

Benefits

One may be able to avoid major surgery, and recovery time will be cut down. PRP injections also avoid creating scar tissue and damage to the area. Risks are also very low using PRP as a treatment. There is no risk of rejection, contracting a disease from using another person’s blood, or infection.

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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