Items filtered by date: October 2023

Pressure ulcers are a significant concern in healthcare. These wounds develop due to prolonged pressure on the skin, often affecting individuals with limited mobility or those with underlying health conditions. Pressure ulcers can also result from reduced blood flow to the skin. Any break in the skin caused by pressure can lead to infection. Common infections related to pressure ulcers include localized infections, cellulitis, and osteomyelitis, which can progress to sepsis, a life-threatening condition. Prolonged pressure reduces blood flow to the skin, which can result in tissue damage. Foot pressure ulcers often occur on bony prominences such as the heels and ankles. People using improperly fitted prosthetics, those who wear shoes that rub on various parts of the foot, and people with fragile skin are more susceptible to these wounds. Early detection and treatment are essential for better outcomes. Daily foot checks can help detect pressure ulcers and result in timely intervention. If the skin breaks, vigilance should be practiced for signs of infection, such as pus, foul odor, and increased redness. Once a pressure ulcer forms, treatment includes wound cleaning, protection from pressure, and other medical care depending on the severity of the ulcer. If you have a foot wound, it is strongly suggested that you make an appointment with a podiatrist as quickly as possible for treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Lance Greiff, DPM from Great Neck Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our offices located in Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pregnancy is a transformative journey for a woman's body, which extends to her feet as well. As the body adapts to support the growing baby, several changes in the feet can occur. One common alteration is swelling, also known as edema, which is caused by increased blood and fluid volume. This can lead to a noticeable increase in foot size. Hormonal changes, specifically the hormone relaxin, can also affect the ligaments in the feet, potentially causing them to stretch and result in a broader foot shape. Weight gain during pregnancy adds extra pressure to the feet, often leading to fallen arches. These changes can be uncomfortable, but the good news is that they are usually temporary. Once the pregnancy is over, your feet will gradually return to their pre-pregnancy state. In the meantime, wearing comfortable, well-fitting shoes and having regular foot massages can help alleviate some of the discomfort and provide much-needed relief. If you are interested in learning more about how your feet can become affected by pregnancy, it is suggested that you confer with a podiatrist who can offer you useful information.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Lance Greiff, DPM from Great Neck Podiatry. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our offices located in Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot injuries resulting from slip and fall accidents are often underestimated but can have long-lasting consequences. Common foot injuries in falls may include strained and sprained ankles, broken ankles requiring surgery, or torn Achilles tendons. Additionally, complex Lisfranc fractures, dislocated toes, crush injuries, and lacerations can occur from falling. While casts, braces, and rehabilitation may help, these injuries can lead to chronic pain, loss of mobility, and other complications in the future. Over time, bone spurs may develop, damaged cartilage may degrade further, and stretched tendons may weaken, causing pain and mobility issues in other areas of the body. If you have sustained an injury to your feet or ankles due to a fall, it is suggested that you make an appointment with a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Lance Greiff, DPM from Great Neck Podiatry. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our offices located in Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Orthotic shoe devices are inserts made of various materials consisting of rubber, leather, or plastic that are placed inside shoes. They serve to stabilize the foot in a neutral position and provide cushioning to reduce impact. Custom-made orthotics can be beneficial for individuals with unique foot shapes or excessive pronation, which is an inward rolling of the foot. Investing in well-constructed athletic shoes with good arch support and heel cushioning, along with softer arch supports and heel cups, can also help to alleviate foot discomfort and absorb shock. If you suffer from foot pain and would like to see if orthotics may help you, it is suggested that you make an appointment with a podiatrist for a consultation.

If you are having discomfort in your feet and would like to try orthotics, contact Lance Greiff, DPM from Great Neck Podiatry. 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 offices located in Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout is a type of arthritis characterized by sudden, severe joint pain and inflammation, typically affecting the big toe, although it can occur in other joints as well. Understanding the causes and symptoms of gout is essential for early diagnosis and effective management. Gout is primarily caused by high levels of uric acid in the blood, a condition known as hyperuricemia. Uric acid crystals can accumulate in the joints, leading to painful gout attacks. Several factors can contribute to elevated uric acid levels, including genetics, and a diet rich in purines which are found in red meat, seafood, and alcohol. Additionally, taking certain medications and obesity may lead to developing gout. The symptoms of gout often appear suddenly and include intense joint pain, swelling, redness, and warmth surrounding the affected joint. Gout attacks can be excruciating, and the pain may persist for days or weeks if left untreated. Managing gout involves lifestyle modifications, dietary changes, and medications to lower uric acid levels. Prompt medical attention and understanding the causes and symptoms are crucial for preventing and mitigating the effects of gout. If you are afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Lance Greiff, DPM from Great Neck Podiatry. 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 offices located in Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.