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March 2022

Tuesday, 29 March 2022 00:00

What Is Tarsal Tunnel Syndrome?

If you feel numbness, pins and needles, or pain in the bottom of your foot, you may have a condition known as tarsal tunnel syndrome. These symptoms may also extend to the toes and heel. The cause is likely to be an obstruction under the band of tissue that attaches the inner ankle to the heel and forms the tarsal tunnel. A number of blood vessels and tendons, along with the tibial nerve, pass through the tunnel. Pressure on the posterior tibial nerve may be caused by excess fluid following an ankle injury, fallen arches, footwear that is too tight, obesity, cysts, or bone spurs. A podiatrist can help determine the exact cause of the pain and offer treatment options such as steroid injections, orthotics, and/or braces. In some cases, surgery is necessary. It is a good idea to consult a podiatrist for an examination and diagnosis.

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.

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Published in Blog
Wednesday, 23 March 2022 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
Tuesday, 22 March 2022 00:00

When Do I Need Orthotics?

Orthotics, or inserts that fit into your shoes, come in all shapes and sizes. Some are available over the counter, and others may need to be prescribed and made specifically for your foot. Leading indicators that orthotics may be a necessity in your life include corns or calluses, tendonitis, recurring ankle sprains, heel pain, and even knee, hip and lower back pain. The type of orthotic you use depends on the part, or parts, of your body that are affected. Some orthotics work to correct your posture, others to cushion pressure spots, and others to correct a specific problem with your gait or weight distribution. If you think you may need help with choosing an orthotic device, it’s a good idea to consult a podiatrist who can examine your feet, gait, and posture in order to suggest the appropriate treatment for your feet.

If you are having discomfort in your feet and would like to try orthotics, 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.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please 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
Tuesday, 15 March 2022 00:00

Painful Broken Toe

A broken toe can be surprisingly painful. We have probably all stubbed a toe while rushing around barefoot in the dark or trying to get somewhere too fast. When that happens, it hurts. Sometimes, after elevating the foot and taking an over-the-counter pain reliever, the pain subsides and all is well. Other times, the toe is swollen or bruised, the pain persists, and it becomes hard to bear weight on the affected foot. Your toe bone may have come out of alignment and point at an odd angle, there may be a deep cut, and if a break heals improperly, other problems can develop. If the toe does not feel better in a day or two, it is suggested that you see a podiatrist for proper diagnosis and treatment so you can get back to normal functioning as quickly as possible.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Dr. Larry Cohen from New York City. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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
Wednesday, 09 March 2022 00:00

Baseball’s Potential Toll on the Feet

There are a variety of injuries that can impact the feet and ankles that come from playing baseball. One of the most common injuries that occurs in baseball, due to running, sliding, and stepping on bases, is an ankle sprain. Athletes who overtrain can also develop heel injuries, such as plantar fasciitis or Achilles tendinopathy. There are also a number of injuries that can be caused by cleats. If the cleats don’t fit properly, they could cause issues such as bunions, hammertoes and neuromas. Ingrown toenails are also common among baseball players, since toenails that are cut too short or at an angle can dig into the skin and get infected. Baseball players who are dealing with any sort of pain or aggravation in their feet or ankles would be wise to consult with a podiatrist for a proper diagnosis and treatment plan.  

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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
Tuesday, 01 March 2022 00:00

Achilles Tendon Disorders

The Achilles tendon is a thick band of fibrous tissue that runs along the back of the lower leg, connecting the heel bone to the calf muscles. When the Achilles tendon is injured, resulting symptoms may include pain, aching, stiffness, soreness or tenderness in the heel or back of the leg, enlargement of the tendon, and damage to the surrounding tissues. There are two main types of Achilles tendon disorders – Achilles tendonitis and Achilles tendonosis. Tendonitis is a typically short-lived inflammation of the tendon. Tendonosis, which can evolve from tendonitis if the former is not treated promptly, can lead to tears in the tendon and degeneration over time. If you have symptoms of an Achilles tendon injury, it is suggested that you consult with a podiatrist.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, 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 the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

Read more about Achilles Tendon Injuries
Published in Blog
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