June 2024

Gout is a type of arthritis caused by high levels of uric acid in the blood, leading to the formation of sharp crystals in the joints. The big toe is often affected, and the pain may become debilitating, some patients have difficulty in walking and completing daily activities. This condition can be triggered by factors such as genetics, obesity, and certain medical conditions. Diet plays a significant role in managing gout. Foods high in purines, such as red meat, organ meats, and certain seafood like sardines and shellfish, should be avoided as they can increase uric acid levels. Additionally, sugary beverages and alcohol, particularly beer, can exacerbate gout symptoms. On the other hand, a diet rich in low-purine foods can help manage gout effectively. These include fruits, vegetables, whole grains, and low-fat dairy products. Drinking plenty of water and maintaining a healthy weight can also help reduce uric acid levels. Individuals who have gout often experience extreme pain and discomfort, especially in their big toe. If this applies to you, it is strongly suggested that you are under the care of a podiatrist who can treat this condition, and lead you to making correct food choices.

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.

Foot stretches offer a simple yet powerful way to improve flexibility, relieve tension, and prevent injuries. One effective stretch is the toe stretch, where you sit back on your heels, gently pressing your toes into the ground to stretch the top of the foot. Another beneficial stretch is the calf stretch, achieved by placing hands on a wall, stepping one foot back, and pressing the heel into the ground while keeping the back leg straight. Additionally, the plantar fascia stretch targets the sole of the foot, as you sit with one leg crossed over the other, gently pulling your toes back towards the shin. These stretches can alleviate discomfort caused by conditions like plantar fasciitis and Achilles tendonitis, while also enhancing overall foot mobility and function. Incorporating these stretches into your daily routine, especially before and after physical activity. If you are interested in learning more about specific foot stretches and how they can help relieve foot pain, it is suggested that you contact a podiatrist.

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with 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.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

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.

Selecting the right running shoes is important for both performance and injury prevention. Good running shoes should provide adequate support, cushioning, stability, and proper fit. Look for shoes that match your foot type, whether you have flat feet, high arches, or neutral arches. Additionally, consider the terrain you will be running on and choose shoes with appropriate traction and durability. When buying running shoes, try them on in the afternoon when your feet are slightly swollen, ensuring a proper fit. Leave about a thumb's width between your longest toe and the end of the shoe. Transition gradually from old to new shoes to allow your feet to adjust to the differences in support and cushioning. If you are looking for well-fitting running shoes, it is suggested that you visit a podiatrist for personalized guidance on selecting shoes and to address any specific foot concerns. This foot doctor can assess your gait, foot structure, and biomechanics to recommend the most suitable shoes for your needs, helping you enjoy a safe and comfortable running experience.

If you are a runner, wearing the right running shoe is essential. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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.

Morton's neuroma, named after the American surgeon Thomas G. Morton who first described it in the 19th century, is a painful condition affecting the nerves in the foot. This benign growth typically forms between the third and fourth toes, resulting from compression or irritation of the interdigital nerve. The exact cause of Morton's neuroma remains elusive, but factors such as wearing tight or high-heeled shoes, engaging in repetitive high-impact activities, or foot deformities may contribute to its development. Symptoms of Morton's neuroma often include a sharp, burning pain or sensation of a lump or foreign object in the ball of the foot. Individuals may also experience numbness, tingling, or a feeling of walking on a pebble. As the condition progresses, discomfort may worsen and become more persistent, particularly during weight-bearing activities. If you have pain in this part of your foot, it may be Morton's neuroma, and it is suggested that you visit a podiatrist. This type of doctor can accurately diagnose and effectively treat this condition.

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.