Items filtered by date: October 2024

An unusual systemic condition that can affect the feet is Fabry disease, a rare genetic disorder that impacts the body's ability to break down a specific type of fat. This leads to the buildup of fat in various organs, including the skin, nervous system, and kidneys. In the feet, Fabry disease often causes painful burning sensations or tingling, particularly in the soles and toes, due to nerve damage, or peripheral neuropathy. These symptoms can be triggered or worsened by physical exertion, stress, or changes in temperature. Additionally, people with Fabry disease may experience decreased sweating, which can lead to dry, cracked skin on the feet, making them more prone to infections. Because Fabry disease affects multiple systems in the body, it requires careful management by specialists. If you suffer from Fabry disease or have these types of foot symptoms, it is strongly suggested that you consult a podiatrist for early intervention and control of foot problems to prevent long-term damage.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Lance Greiff, DPM from Great Neck Podiatry. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of 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.

Ankle and foot arthropathies refer to joint diseases that affect the ankle and foot. These conditions can cause pain, swelling, stiffness, and limited movement. Common types include osteoarthritis, rheumatoid arthritis, and gout. Osteoarthritis occurs when the cartilage between bones wears down, causing discomfort. Rheumatoid arthritis is an autoimmune disease where the body's immune system attacks the joints, and can be quite uncomfortable. Gout results from a buildup of uric acid crystals in the joints, leading to sudden pain and swelling. Treatment typically involves rest, and depending on the severity of the condition, targeted stretching, and medications to reduce pain and inflammation. In some cases, surgery is required. Wearing supportive shoes or using orthotics can also help relieve pressure on the joints. If you are experiencing persistent foot or ankle pain, it may indicate arthritis, and it is suggested that you consult a podiatrist for an accurate diagnosis and treatment plan.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Lance Greiff, DPM of Great Neck Podiatry. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.

Neuropathic ulcers are serious foot wounds often associated with conditions like diabetes. They develop as the result of nerve damage, which can reduce sensation and lead to injuries going unnoticed. Common symptoms of foot ulcers include localized redness, swelling, and a foul odor. The ulcer itself may appear as an open sore, often located on pressure points like the heel or ball of the foot. Treatment is important to prevent complications, such as infections or amputations. Initial steps include keeping the ulcer clean and dry, often using saline solutions for cleansing. Debridement, or removal of dead tissue, may be necessary to promote healing. Offloading the affected area by using specialized footwear or orthotic devices helps alleviate pressure and facilitates recovery. If you suspect you have a neuropathic foot ulcer, it is suggested you schedule an appointment with a podiatrist. This specialist can provide expert care tailored to your needs and help ensure a successful recovery.

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.

Your feet endure a lot, but certain habits can damage them over time. For starters, wearing high heels or shoes that are too tight can lead to a host of issues, like bunions, corns, and even chronic pain. High heels, while stylish, alter your gait and put extra pressure on the toes and balls of your feet. To avoid these problems, opt for well-fitting shoes with ample room in the toe box and supportive soles. Additionally, do not overlook the impact of flip-flops. While they might be a go-to for the beach, they offer little support and can contribute to issues like plantar fasciitis and arch pain. Do not forget about socks. They are not just for warmth. Wearing socks helps prevent friction and blisters, keeping your feet more comfortable throughout the day. Finally, remember to replace worn-out shoes. As shoes age, their support diminishes, which can lead to foot pain and alignment issues. If you are experiencing foot pain, it is suggested you schedule an appointment with a podiatrist for personalized advice and solutions for healthier, happier feet.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Lance Greiff, DPM from Great Neck Podiatry. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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.

Sever’s disease is a common cause of heel pain in active children aged eight to 14. It typically occurs during puberty when growth spurts are rapid. Sever's disease is the result of irritation or inflammation of the growth plate in the heel, a region that is more vulnerable to injury during this period of development. The pain often intensifies during or after sports activities that involve a lot of running or jumping. Symptoms include heel pain, swelling, tenderness, or stiffness in one or both heels, especially when walking or getting up after rest. Children might limp or walk on their tiptoes to avoid discomfort. Sever's disease is primarily caused by tight muscles and tendons pulling on the growth plate, which can worsen with physical activity. A podiatrist can offer expert guidance and treatment options to help manage symptoms. If your child has heel pain after sportng activities, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Lance Greiff, DPM from Great Neck Podiatry. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their 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 injuries.