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All about plantar fasciitis in Levittown, NYThere’s tissue that connects in the foot and supports the foot’s arch. When something affects it, it’s called Plantar Fasciitis and people who get it have pain in the bottom of the foot as well as the heel. It usually starts when they put their feet on the ground and start walking and shows up as pain in the heel.

 

People who usually stand on their feet all day tend to get this problem Fortunately, for most, there are ways to deal with it. 

Read more to learn about how to deal with plantar fasciitis. 

Diagnosis and Treatment

First, the doctor will examine your foot and have you have X-rays and an MRI to rule out things like stress fractures. 

The good news is that most of the people who have plantar fasciitis tend to not need surgery. Instead, they will likely need to do the following: 

  • Resting - This is the best thing to do since it allows the condition to subside. Stay off your feet for as long as possible.
  • Stretching - Doing certain stretches involving the arch of the foot can prevent plantar fasciitis from rearing its head again. It will keep everything loose throughout the day.
  • Icing - People do this to keep any swelling from possibly occurring. Be careful to only do it for 20 minutes at a time to avoid damaging the skin or foot via frostbite.
  • Taking painkillers - These can reduce the discomfort and inflammation - take things like Motrin or Aleve. Do this especially if your job will be difficult about having to stay on your feet instead of being able to sit. 

 

Other Methods

Additionally, once they have done enough of the above, they can proceed to the next set of things, which include: 

  • Night Splints - People wear these while sleeping overnight in order to stretch out their calves and feet
  • Orthotics - Sometimes these can support the arch of the foot, especially those who have flat feet and can give them a curve. These are inserts that can go into regular footwear.
  • Physical Therapy - Seeing a physical therapist can be beneficial - they can perform stretches on you and then show you certain ones you can do in the comfort of your own home to stay on track. 

 

Last-Resort

If the conventional ways do not work, then there are other options, including and up to surgery: 

  • Extracorporeal shockwave therapy - Shockwaves are sent into the foot to stimulate healing.
  • Injections - A doctor may inject a steroid, but this should not be done often since the fascia can weaken and rupture. Also, there is an option for platelet-rich plasma which can help healing.
  • Surgery -This is the worst-case scenario where all else has failed. The surgeon will detach the fascia from the heel bone. They can do it through a small incision.
  • Ultrasonic Tissue Repair - This is done to break up damaged tissue which is then suctioned out. 

Other things that people can do is watch their weight. Extra pounds can cause extra stress on the feet. They also need to change any athletic shoes that are worn out since they provide no support whatsoever to the feet. They could also do low-impact sports like swimming or biking since neither of those have any impact on the feet, 

Ultimately, this is something that goes away with rest, but there are some people who require surgery. Athletes can have continual problems. NBA player Tyreke Evans lost an entire season due to it in 2011 - it can make running and jumping extremely painful and basketball is a sport predicated on those two. For the vast majority, they will be able to resume normal life. 

Dr. John J Hickey has been working with podiatry patients for many years at Levittown Podiatry and he has helped quite a few of them deal with plantar fasciitis- often without having to use any of the last options. If you feel like you have this and live in the Levittown area, give him a call at 516-735-4545.

Published by:

Levittown Podiatry

2870 Hempstead Tpke, Suite 103,

Levittown, New York 11756

Phone: (516) 735-4545

Website: https://www.levittownpodiatry.com/

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.

 

Pernio

 

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.

 

Falls

 

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

Website: https://www.levittownpodiatry.com/

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

Website: https://www.levittownpodiatry.com/

 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.

 

Causes

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.

 

Symptoms 

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.

 

Treatment 

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.

 

Prevention

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

Website: levittownpodiatry.com

Tips for choosing the best shoes to avoid Foot Injuries For Women  The fall season can be rough on a woman’s feet. That’s not to say that men don’t have foot woes then, but the fashion trends, especially after having their feet exposed for several months during the summer, can be more unforgiving for women.

 

The closed-toe shoes, coupled with high heels, can bring about results like bunions and other damage to the foot. What can be done about it?

 

Here are a few things that women can think about when picking out fall shoes - along with a couple of pointers for men:

 

Monitor The Toe Space

Summer is a time when women wear open-toed shoes or sandals. They like to let their feet breathe. It’s an easy time, for the most part, assuming that their choice in footwear actually fits. 

 

Have Comfortable Shoes Available

This is especially effective for people who work office jobs where they keep their feet under a desk for much of the day. They can wear the fashionable shoes in to work and then slip into the more practical, comfortable shoes.

 

When they do this, they minimize the amount of damage that can be done to the feet. Of course, when they get home, they can just kick off the shoes and relax, too. This is a way that prevents long-term discomfort and damage.

 

Protect the Feet

That’s not to say that autumnal foot pain is the exclusive domain of women. Men can have a hard time re-adjusting to wearing dress shows, especially if they wore nothing but flip-flops all summer. That can lead to chafing and even cuts on the feet. They need to do these things: 

 

- Ensure that the shoes fit well. 

- Try to break them in before wearing them for extended time

- Put protection on problem places like the heel.

 

People need to assess what their job situation calls for. Are they seated a lot? Standing all day? If they need to do a lot of walking then the more sensible shoes are the best option. 

 

Living in a place like New York, the urge to stay current with fashion can be a strong one. It’s better to sacrifice a little bit and preserve one’s feet for all the other seasons coming up in the future.


Come see Dr. John J Hickey at Leavittown Podiatry. He knows the best type of shoes for all the different types of feet out there. Give him a call at 516-735-4545.

Published By

Dr. John J Hickey

2870 Hempstead Tpke,

Suite 103, Levittown New York

Phone: 516-735-4545

Website: levittownpodiatry.com