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November 2023

Tuesday, 28 November 2023 00:00

All About Plantar Warts

Plantar warts are warts that are only found on the feet, hence the term “plantar”, which means “relating to the foot.” They are caused by the human papillomavirus, or HPV, and occur when this virus gets into open wounds on the feet. The warts themselves are hard bumps on the foot. They are easily recognizable, mostly found on the heels or ball of the foot. Plantar warts are non-malignant, but they can cause some pain, discomfort, and are often unsightly. Removing them is a common step toward treating them.

Plantar warts can cause some pain while standing, sometimes felt as tenderness on the sole of your foot. Unless the wart has grown into the foot behind a callus, you will be able to see the fleshy wart. A podiatrist should only be consulted if there is an excessive amount of pain. Plantar warts are not cancerous or dangerous, but they can affect your walking and continually reappear. Anyone who suffers from diabetes or a compromised immune system disease should seek out care immediately.

Podiatrists are easily able to diagnose plantar warts. They usually scrape off a tiny bit of the rough skin to make tiny blood clots visible and examine the inside of warts. However, a biopsy can be done if the doctor is not able to diagnose them from simply looking at them. Although plantar warts usually do not require an excessive amount of treatment, there are ways to go about removing them. A common method is to freeze them off using liquid nitrogen, removing them using an electrical tool, or burning them off via laser treatment. For a less invasive treatment option, topical creams can be used through a doctor’s prescription. This treatment method takes more time, however. Keep the wart covered for protection in between daily treatments.

The best way to avoid developing plantar warts is to avoid walking barefoot in public places. Avoid this especially if you have open sores or cuts on your feet. It is also important to avoid direct contact with warts in general, as they are highly contagious.

Published in Featured
Tuesday, 28 November 2023 00:00

Definition and Causes of Plantar Warts

Plantar warts, often stealthy intruders on our feet, warrant a closer look to understand their nuances and origins. These warts, caused by the human papillomavirus, or HPV, appear on the soles of the feet. The HPV virus infiltrates the skin through tiny cuts or abrasions, thriving in warm, moist environments, such as communal showers or swimming pools. Plantar warts are characterized by their flat appearance and may have small black dots, often dubbed wart seeds, indicative of clotted blood vessels. The pressure applied to the soles while standing or walking makes these warts grow inward, causing discomfort. While plantar warts are generally harmless, they can be painful and stubborn. Understanding their definition and recognizing the causes including frequenting humid environments, compromised skin, or direct contact with the virus equips individuals to take proactive measures in preventing and addressing these pesky growths on their feet. If you have developed a plantar wart, it is suggested that you consult a podiatrist who can offer effective relief and treatment methods.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Larry Cohen from New York City. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate 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 and ankle needs.

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Published in Blog
Tuesday, 21 November 2023 00:00

Ankle Sprains

Ankle sprains occur when ligaments that support the ankle stretch beyond their limits and tear. These types of injuries are very common and can occur in people of all ages. Sprains may range from mild to severe, depending on how much damage is done to the ligaments. If a sprain goes untreated, a more severe sprain may occur which can further damage the ankle. Repeated ankle sprains can lead to chronic ankle pain.

There are some risk factors that can increase your risk of suffering a sprained ankle. Those who participate in sports, walk on uneven surfaces, have a prior ankle injury, are in poor physical condition, or wear improper shoes are more likely to get a sprained ankle.

There are a few symptoms to look out for if you suspect you are suffering from a sprained ankle. Some common symptoms are swelling, bruising, tenderness, and instability of the ankle. In cases where the tearing of the ligaments is severe, there may be a “popping” sound when the strain occurs.

The RICE method is proven to be effective in treating ankle sprains. RICE stands for Rest, Ice, Compression, and Elevation. Rest is important for treatment, especially within the first 24 to 48 hours. You should also ice your sprained ankle for the first 48 hours for 20 minutes at a time. A small piece of cloth should be placed between the ice and the affected area. For the compression step, you should wear a brace that is snug, but not too tight that it cuts off circulation. When choosing a brace, be sure to choose one that is suitable for the type of ankle sprain you have. Lastly, you should elevate your foot above the heart as often as possible.

After you treat a sprain, you should go through rehabilitation to prevent the injury from occurring again. There are three phases to the rehab process. The first phase involves resting, protecting, and reducing the swelling of the injury. The second phase consists of restoring the ankle’s flexibility, range of motion, and strength. The third phase consists of slowly returning to activity and maintenance exercises.

If you suspect you have an ankle sprain, you shouldn’t hesitate to consult with your podiatrist. Your podiatrist will be able to give you a proper diagnosis and a suitable treatment option for your condition.

Published in Featured
Tuesday, 21 November 2023 00:00

Facts About Chronic Ankle Sprains

Ankle sprains occur when the ankle twists or turns, particularly in an inverted position, affecting the lateral ligaments. This strain forces body weight onto the outer edge of the ankle, resulting in stretching and potential tearing of ligaments that help to hold the ankle joint together. Repeated ankle sprains can lead to ankle instability, where the ankle turns inward during physical activity. Individuals who experience chronic ankle sprains may face thickening and irritation of previously sprained ligaments, causing impingement problems and discomfort near the ankle joint's edge. A severe variant, known as a high ankle sprain, damages supportive ligaments above the ankle joint. Recovery from a recurring sprain takes at least twice as long compared to more common sprains. For that reason, prevention is key. This involves performing exercises to strengthen ankle supporting muscles, wearing appropriate footwear for specific activities, and staying mindful of uneven surfaces. Prioritizing ankle health through preventive measures, seeking prompt medical attention, and following a comprehensive rehabilitation plan, can minimize the long-term effects of ankle sprains. Strengthening exercises, wearing proper footwear, and certain ankle braces can help to reduce the risk of ankle sprains. If you have sprained an ankle, it is suggested that you make an immediate appointment with a podiatrist for treatment. 

Ankle sprains are common but need immediate attention. If you need your feet checked, 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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, 15 November 2023 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.

Published in Featured
Wednesday, 15 November 2023 00:00

Common Causes of Heel Pain

Heel pain is a prevalent issue that affects people of all ages, whether you are an athlete, a busy professional, or a parent. Plantar fasciitis is the most common complaint of heel pain. It occurs when excessive pressure on the feet damages the plantar fascia ligament, resulting in pain and stiffness. This condition is often associated with activities that put stress on the feet, like running or standing for extended periods. The next most common causes of heel pain are sprains and strains, which are injuries to the body. These ailments can range from minor to severe and are often the result of physical activities or accidents. A fractured heel can be caused by accidents, falls, or severe trauma. This is considered a medical emergency and requires urgent care. If you experience sudden, severe pain in your heel, in addition to swelling and difficulty bearing weight, it is beneficial to seek immediate medical attention. Achilles tendonitis is another common reason for heel pain, caused when the tendon connecting the calf muscles to the heel becomes inflamed due to overuse injuries. Finally, bursitis is an inflammation of the fluid filled sacs surrounding joints, where tendons, skin, and muscle tissues meet bones. It can lead to heel pain and discomfort. If you have any type of heel pain that inhibits your daily life, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options. 

Many people suffer from bouts of heel pain. 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.

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 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, 14 November 2023 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!

Published in Blog
Tuesday, 07 November 2023 00:00

Flatfoot

Flatfoot is a foot disorder that is not as straightforward as many people believe.  Various types of flatfoot exist, each with their own varying deformities and symptoms.  The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot.  Other signs of flatfoot include:

  • “Toe drift,” or the pointing outward of the toes and the front part of the foot
  • The tilting outward of the heel and the tilting inward of the ankle
  • The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
  • Hammertoes
  • Bunions

One of the most common types of flatfoot is flexible flatfoot.  This variation usually starts in childhood and progresses as one ages into adulthood.  Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing.  When not standing, the arch returns.  Symptoms of flexible flatfoot include:

  • Pain located in the heel, arch, ankle, or along the outside of the foot
  • Overpronation, or an ankle that rolls in
  • Shin splint, or pain along the shin bone
  • General foot aches or fatigue
  • Pain located in the lower back, hip, or knee

Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit.  X-rays may be taken to define the severity and help determine the treatment option best for your condition.  Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices.  If nonsurgical methods prove ineffective, surgery may be considered.  Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.

Published in Featured
Tuesday, 07 November 2023 00:00

Types of Flat Feet

Flatfoot is characterized by the loss of the foot's arch, leading to an abducted forefoot and a hindfoot deformity. The two types of flat feet are flexible and rigid flatfoot. In flexible flatfoot, the arch appears when not bearing weight, but disappears when weight is applied. Conversely, in rigid flatfoot, the arch is consistently absent. Flexible flatfoot often appears in young children and may self-resolve. Its frequency in adults is unclear, due to frequent misdiagnosis. The disorder can be either congenital or developed over time. Flexible flatfoot results from ligament laxity, while adult-acquired flatfoot is attributed to posterior tibial tendon insufficiency, potentially caused by factors like obesity, neuropathy, or trauma. Rigid flatfoot results from bone irregularities or arthritis. A missing foot arch and deformities are noticeable upon examination. If you have flatfoot and it is causing you discomfort, it is suggested that you make an appointment with a podiatrist who can determine which type of flat foot you have, in addition to providing appropriate relief and treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Larry Cohen from New York City. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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 Flatfoot
Published in Blog
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