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Geriatric Foot Problems in Levittown, NYAlthough the distance of the years between your date of birth and your age may have widened some, that doesn’t mean that you have to feel older. Then again, certain parts of your body do show some signs of aging, no matter how young your spirit may feel. Feet have a particular bothersome habit of developing issues as you get older. Fear not. There are many ways that you can still enjoy your life in Levittown - you just have to add a few foot care routines each day. It’s not that time-consuming and you can reap tremendous benefits.


It’s always good to do research beforehand. But be sure to look at reputable sites that give you sound medical advice for your feet. Since the Internet has made it really simple for people to create web sites and sell unproven things or suggest possibly dangerous remedies, make sure that your source is a well-known one, like WebMd or something similar.


Here are some geriatric foot problems that you might encounter.


Common Issues


The main issues tend to be mild ones that can affect people of all ages. They include corns, calluses, and ingrown toenails. Make sure that you have the right footwear for your feet. Your immune system is not quite as robust and may have trouble keeping pathogens out - that may open the door for things like athlete’s foot and nail fungus.


Another thing to look out for is gradual flattening of the feet. Your connective tissues may loosen and you can develop tendonitis or plantar fasciitis. The skin of your feet, like much more your body, will get thinner and you will be losing padding in the heel, which means you don’t have protection from the ground. Metatarsalgia, which is pain in the ball of the foot can result as well as neuromas, which is pressure on the nerves of your foot.


Arthritis is where joints in your feet wear down and might even damage your feet to the point where walking is extremely painful or even impossible. Foot deformity is something you definitely do not want to have happen to you. Address arthritis as soon as you feel symptoms.


More Severe Ones

You want your feet to have adequate blood flow. Diabetes and circulatory issues present a big danger there. If that is compromised, that can lead to damage to your feet… up to and including tissue death, which might mean amputation. You need to pay strict attention to your overall health there and make sure that you are not losing sensation in your feet - which can then mask a host of other problems like cuts or bruises that won’t heal.


Overall Care


Check your shoes. Check your foot grooming equipment. Check your socks. Are they suitable for your needs? If you’re using a dull clipper, then it’s time to get a new one. Thin socks might feel comfortable but you need to have a well-fitting shoe to keep friction from causing blisters or calluses. Thick socks might be better but that might require a small bump in shoe size to accommodate that. But make sure that the socks are made of material that wicks moisture away instead of retaining it.


The most important thing to do is inspect your feet each day. See if there are any changes in the skin color, any cuts, or anything else. If the pain seems to worsen, then definitely seek out medical care. You need to find a balance to make sure that your quality of life continues to be excellent.


Of course, before you self-diagnose yourself of the above conditions, it’s always best to see a podiatrist to ensure that there are no underlying causes of your foot issues that might need more medical attention. That’s one drawback of the Internet. It has TOO much information at times. Only a doctor can verify. Once they have given you the OK, then you can go ahead and help your feet feel the best that they can.


Dr. John J Hickey is a podiatrist with many years of experience in helping people have healthy feet, no matter their age. He’s always happy to tell you what you can do for your foot care regimen. Give him a call at Levittown Podiatry to make an appointment: 516-735-4545.


Published by:

Levittown Podiatry

2870 Hempstead Tpke, Suite 103,

Levittown, New York 11756

Phone: (516) 735-4545


All about ingrown toenails in Levittown, NYDoes your big toe hurt? Does it feel like something is biting down into it? Chances are good that you have an ingrown toenail - the medical term is onychocryptosis. (tuck that one away for a possible appearance on “Jeopardy!”) A corner or a side of your toenail is growing into the skin and if you leave it unchecked, it could wind up becoming infected - including a possible bone infection. This can be problematic for many and very dangerous for people who have diabetes. 


This is a problem that affects many people and is often the reason for a good portion of visits to a podiatrist. While these appointments can help in the short term, they can also become recurring if your foot is not properly attended to afterwards at home. 


Here’s all you need to know about ingrown toenails




The first thing that you will likely notice is that your toe is very sore and tender to the touch. There may even be redness around the area where the toenail is growing into the skin. If it’s not treated it could possibly become infected and pus may come out of the area.




While incorrectly cutting your toenails is often the culprit, things like wearing shoes that crowd your toenails can do it. The shape and length of your toenails can also play a part - some are just curved and that can cause an ingrown toenail. Even something that may seem relatively harmless, like stubbing your toe, can lead to the toenail growing inward. 




There are ways that you can deal with this at home, including soaking your feet and then lifting the nail and putting a piece of dental floss or cotton under it. Put antibiotic ointment on it and bandage it. Pain relievers like Tylenol may help. This is only for irritated areas, not infected ones. If there’s pus, see a podiatrist immediately. Other options may involve getting part or all of the nail removed, depending on how bad it is. 


Once the issue is fixed, you need to remember to trim your toenails straight across. Don’t curve the nail. The same goes for if you visit nail salons - the person doing it should cut across. Also, don’t let them grow too long… but don’t keep them too short, since that might also cause the nail to grow into the skin. 


It’s important to wear shoes that fit properly and also protect your feet. Consider wearing steel-toed shoes if you work at a job that puts your feet at risk. You only get two feet. Guard them. 


Diabetes and Ingrown Toenails


The reason why ingrown toenails can be especially dangerous for diabetics that there’s usually already a lack of blood flow in the foot area and that can lead to difficulty in healing if the toe becomes infected. Add the fact that patients often may be unaware that there’s even an issue down there because they lose feeling in that area and it can be a dire situation that may even wind up resulting in amputation. It’s important that diabetics check their feet daily for any cuts, blisters or ingrown toenails. If anything is found, they need to see a medical professional as soon as possible.


Ingrown toenails can be an aggravation for many people, with three million annual cases. But all it takes is some sense and care when it is treated and everything can resolve within a few months. Be diligent, though, and pay attention to the shoes that you wear and the way that you cut your toenails. If you are worried about that last part, you can even ask your podiatrist to do it during an exam. They do this all the time, and it’s not anything to be embarrassed about.


When it comes to ingrown toenails, Dr. John J Hickey has seen a good amount of them over the course of his career. If you live in the Levittown area, he can help ensure that your situation gets under control. He will also show you the best way to cut your toenails so that it doesn’t happen again. Give him a call to make an appointment: 516-735-4545.


Published by:

Levittown Podiatry

2870 Hempstead Tpke, Suite 103,

Levittown, New York 11756

Phone: (516) 735-4545



How to avoid winter foot injuries in Levittown, New YorkWinter has arrived. That means that bone-chilling weather is bound to stick for the next several months. Since it’s still getting dark quite early, that opens the door for a variety of foot injuries that can make one grumpy the whole season.


Of course, frostbite is one of the main things that people need to look out for. It’s far from the only thing, though. There are a host of conditions and injuries that could wind up waylaying people for much of the winter - and they can easily be prevented with some preparation.


Knowledge is definitely power. These are some of the foot injuries that can happen during the coldest months of the year and how one can ready oneself.




This is not some warm dish that one eats after being out in the cold. Pernio, which is also sometimes called chilblains, is when one exposes their feet and toes to the cold for too long. That makes the capillaries spasm, which can then cause itching, blisters, and even ulceration.

Just like preventing frostbite, the best way to keep this at bay is to wrap up one’s feet with thick socks. It will keep the toes from being exposed and a possibly quite unpleasant scenario can then be avoided.


Cracked Feet


Just like chapped lips can rapidly worsen from being an annoyance to making one’s life miserable every time they open their mouth, dry feet can develop cracks and fissures and make taking a few steps an exercise in determination.


The solution for this one is fairly simple and can be bought at any local drugstore or supermarket. Just apply moisturizing lotion to the feet at least once a day. This will help keep the feet soft and will make waking or standing significantly less painful.




During the winter, the most likely cause of a fall is ice. Freezing temperatures can make even a modest rain become treacherous for pedestrians. Also, snow that either melts during the day can become icy. In any event, one misstep can lead to disaster.


A fall can be dangerous for people of all ages, but senior citizens are the most at-risk due to their bones being more brittle and thus even more breakable. They can suffer anything from a sprained ankle to a cracked hip.


Raynaud’s Phenomenon


This one tends to strike women and can also be caused by other underlying conditions. Again, the small capillaries are affected when toes and fingers are exposed to cold. Warm, thick socks will get the job done in preventing this from occurring.


Stress Fractures


Winter is a time where people like to do things like skiing or snowboarding. The twisting and turning, along with the unforgiving stiffness of the boots can lead to stress fractures. Skaters can also be prone to getting these. Being physically fit and adhering to proper form along with wearing thick socks can help prevent something like this from happening.


These don’t happen to just active people. There have been times when someone has stood on their feet for a long time on a hard surface - situations like an older person working at a polling station without the proper footwear.


There are precautions that people can take - like ensuring that their footwear is correct, not allowing their feet to get wet for long and also seeking a foot surgeon at a hospital immediately after the injury, though doing the RICE method can help in a pinch. RICE is Rest, Ice, Compression and Elevation. It can allow any swelling to go down and may make a trip to the doctor easier afterwards.


Ultimately, what it comes down to is preparation. Know what the conditions are like outside, wear the proper clothes and also be extra vigilant about what lies in front - like ice. If it’s possible, try to be out only during the day, but if that’s not an option, then just leave extra time to get to the destination because walking quickly in the dark can be even more dangerous.


Dr. John J Hickey has seen many types of foot injuries over the course of his career. He can work with all kinds of patients to ensure that their feet will be better protected while they recover. Come to Levittown Podiatry to see what he can do - call 516-735-4545 to make an appointment.


Published by:

Levittown Podiatry

2870 Hempstead Tpke, Suite 103,

Levittown, New York 11756

Phone: (516) 735-4545


Winter foot care mistakes with Levittown Podiatry, NYIt’s winter in Levittown and much of the country will be trying to stay warm. While people usually take care of the upper parts of their bodies by wearing heavy jackets, hats, and gloves and some lower parts by wearing thick pants, they often treat their feet like an afterthought. 


They remember, though, when their feet start hurting or worse. It doesn’t have to be that way. There’s a bunch of things they do wrong - and correcting them is not time-consuming at all. 


If these same people avoid making these mistakes, the winter should be really easy on their feet.


Not Moisturizing Feet Properly


Just like one’s lips and hands, people’s feet can get very dry over the course of the winter. This is because the heat in their place is usually very high because of either a radiator or a fireplace. It’s important to moisturize one’s feet like they would their hands and lips lest the skin cracks and things get very uncomfortable.


In this same vein, feet can sweat a lot inside the boots and this can be a breeding ground for bacteria. It might be good to put baby powder on their feet in the morning before putting on the boots so that the moisture can be absorbed. 


Not Switching Out of Winter Boots


It’s tempting to just leave the winter boots on at work. After all, it took 10 minutes of grunting and pulling just to get the things on, right? Why have to go through all that exertion when getting ready to leave? Very bad idea. 


Once inside, it’s extremely prudent to switch to regular shoes. Otherwise, keeping the winter boots on can cause people’s feet to get sweaty, which then can lead to bacteria growing on the skin. It’s also a good idea to turn the boot upside down once inside so that any moisture can drain out. 


Wearing Ill-Fitting Boots


Don’t sacrifice comfort for fashion. WInter boots should fit comfortably - and allow for extended walking outside. People wear poorly-fitting shoes that put feet into uncomfortable positions in the name of looking good. It’s cold outside - the vast majority of those out and about are not going to be playing fashion judges.


Also, because of things like dry skin, those boots can cause everything from blisters to cuts on the feet to infection. This is the time of year to really pay attention to how their boots feel and adjust accordingly.


Not Replacing Old Boots


The reason for this may be because people don’t want to spend money on new boots, figuring they can get a lot of wear on them. The only way this is a good move is if they live in an area where there is not a lot of snow. Otherwise, the boots will crack from wear and tear, allowing cold air and wet snow or rain to get in, which defeats the purpose.


Also, contrary to popular belief, adult feet don’t stop growing. Feet can change size, and it’s very uncomfortable to wear boots that are a fraction too snug. Replace the boots.


Rushing To Warm Cold Feet


It makes sense to wriggle out of one’s boots or shoes and then immediately stick them under a nice stream of hot water, right? Not so fast - doing that can lead to 


This is an especially crucial time of year for diabetics, since the circulation around their feet is cut off enough as it is and the cold can’t help. They should inspect their feet every day, wear proper shoes that don’t rub or cut and also keep their feet dry at the same time.


Also, wear the proper footwear. If it’s really cold and there’s snow on the ground, don’t try to get through with sneakers. They are going to get soaked and open up the possibility of frostbite - which would make the season quite miserable indeed.


Lastly - if people’s feet are not improving despite doing the above, it’s best to go see a doctor to ensure that there is no underlying cause - like diabetes, an underactive thyroid, or Reynaud’s. 


This piece is not meant to bash the upcoming season. There are people who love winter - which is fine for them. These tips should make it at least tolerable for you and your feet.


Dr. John J Hickey has seen many different kinds of winter foot care snafus over the course of his career as a podiatrist at Levittown Podiatry. He will be glad to discuss proper care at your next appointment - 516-735-4545.


Published by:

Levittown Podiatry

2870 Hempstead Tpke, Suite 103,

Levittown, New York 11756

Phone: (516) 735-4545


 Foot NeuromaWhen people hear the word “neuroma”, they may think it has to do with the brain, since it’s close to “neural”, which does deal with one’s grey matter. No, it actually has to do with one’s feet. It’s a nerve tumor or a pinched nerve. Fortunately, it’s benign, but it can be painful for those who have it. Typically, it’s found between the third and fourth toe, but they have appeared all over the foot.


It’s also commonly diagnosed as “Morton’s neuroma” or an “intermetasartal neuroma.” The second one is referring to the location, which is in the ball of the foot. A 19th-century surgeon named Thomas George Morton discovered the neuroma.


People who have it can feel burning, tingling, and numbness and can make walking a chore. Here is what people should know about this condition.



While what makes this occur has not been definitively pinpointed, researchers and doctors have several ideas. There are several possible things that can theoretically be linked to making a neuroma: 

- Deformities that are biomechanical in nature. People with high arches or flat feet may be prone to this. This is due to the fact that when they walk, the toe joints are not stabilized, which opens the door to a neurons.

- Foot trauma can damage nerves, which can cause swelling or inflammation around them.

Footwear that squeezes the toes together can help cause this. High-heel shoes with a heel that is more than two inches can cause a lot of pressure on the toes.

- Jobs that cause stress on the feet. People who have to be on their feet all day and may not be wearing the most comfortable of shoes.

- Certain sports, like running, can be quite hard on the feet. People who ski or rock climb may wear shoes that are too tight.



Neuromas can behave differently for each individual.People who have neuromas will usually have one or more of these symptoms:

- They will feel pain in the front of their feet and between their toes.

- There will be numbness and tingling at the balls of their feet

- They will see swelling between their toes

- If they put weight on the balls of their feet, there will be pain.



People can do the following, often in conjunction with their podiatrist:


- Wear padding in their shoes. This will support the arch of their foot.

- Put ice on the foot to reduce swelling.

- Wear orthotic devices to support their foot and stop nerve compression.

- Change their everyday activities to stop putting pressure on the neuroma

- Take anti-inflammatory drugs like ibuprofen.

- Modify their shoes to fit their feet better.

- Possibly do injections of medicine like cortisone.


If the neuroma has progressed too far or the foot has not responded to other treatment, surgery may be the best option - but actual procedures and recovery will vary with each individual.



Vigilance is key when it comes to dealing with this.. People need to go see a podiatrist when they feel any of the above symptoms. It’s not something that they should try to gut through. Neuromas tend to worsen over time and can cause a great deal of discomfort and pain. 


Sadly, people tend to neglect their feet, treating them as an afterthought… until pain dictates otherwise. Even then, some may want to sacrifice in the name of fashion, particularly those who prefer to wear high heels.  It’s better to set oneself up for consistent comfort, particularly in their later years, then spending that time with regret.

Dr. John J Hickey has extensive experience in helping people wear the best-fitting shoe that can help prevent neuromas or alleviate the situation should one develop. Give him a call at 516-735-4545 to see him at Levittown Podiatry.

Published By

 Dr. John J Hickey

2870 Hempstead Tpke,

 Suite 103, Levittown New York

Phone: 516-735-4545