ETL Podiatry

Experienced Podiatric Care in Queens and Melville, NY

Melville Office: (631) 549-8637

801 Walt Whitman Rd. Melville, NY 11747

Briarwood Office: (718) 657-8921

84-75 Main St. Briarwood, NY 11435

Peripheral Artery Disease in Your Feet

Peripheral artery disease is unfortunately a frequent circulation problem with many people that often goes undiagnosed for years and years until the symptoms have progressed. Many of the indications that you may have a problem with your overall circulatory system are first detected by subtle changes that occur in your legs, feet, and ankles.

The narrowing of the arteries that is caused by this disease produces a wide variety of symptoms which can include the following:

  • Muscle cramps and pain—This may be the most noticeable complication that occurs after exercising or spending a hard day working on your feet.
  • Wounds, cuts, and scrapes heal very slowly—Compromised circulation and the reduction in blood flow slows down the immune system, causing cuts, scrapes, bruises, and other wounds to heal much more slowly. This problem can become exacerbated for patients with diabetes since even a small infection can quickly spread and increase the risk of amputation of a toe, foot, or even the entire lower leg.
  • Slow growth of nails and hair—Impaired circulation also slows down the growth of hair and nails.
  • Skin color and texture changes—Your skin will often become rough and dry due to the blood flow decrease. You will also notice color fluctuations.
  • Increasing foot and leg pain and discomfort—These can become severe enough to interfere with restful sleep.
  • Lowered temperature of the legs and feet—Your legs and feet are apt to become cold easily, even during high temperatures.

If you are experiencing signs of peripheral artery disease in your feet and ankles, your podiatrist can diagnose this condition and bring to your attention any related complications. The foot specialists at ETL Podiatry in Briarwood and Melville, NY, have unparalleled experience in treating all aspects of foot and ankle problems. Our team of doctors is dedicated to serving you with all of the newest diagnostic and treatment technologies. If you have any questions or would like to make an appointment, please feel free to contact one of our offices located in Melville, NY (631)-549-8637 and Briarwood, NY (718)-657-8921.

How to Treat Bunions

Bunions are a very common foot abnormality that tend to develop very slowly. Some people choose to ignore the problem until the bunion has reached a more advanced stage, where the toes may even be overlapping and much harder to treat.

Bunions are thought to have a hereditary component and development is exacerbated when the big toe joint is stressed and bent out of position by poorly-fitting shoes. Poor foot mechanics caused by either high arch problems or flat feet can also contribute to bunion formation, and arthritis or other inflammatory joint diseases like gout can further complicate the diagnosis and treatment.

  • Physical therapy and stretching exercises—Performing stretching and strengthening exercises can help to keep the big toe joint flexible. These exercises can offer pain relief and help in increasing strength and flexibility after bunion surgery. Doing towel scrunching exercises and picking up marbles with your toes are great strengthening exercises.
  • Proper shoes—The friction of your big toe rubbing on your footwear can cause painful corns to develop on the bunion. Wearing shoes with a wide toe box can help prevent this rubbing and provide room for braces and other inserts.
  • Pads and cushions—A variety of pads and cushioning solutions are available to isolate the bunion and treat any corns or calluses that may have formed.
  • Orthotics and toe braces—Custom orthotic shoe inserts and night braces can be used to spread the toes apart and prevent the bunion from pushing into your other toes.

If your bunion worsens and becomes more painful, treatment involving surgery by your foot doctor may be necessary for relief. The foot specialists at ETL Podiatry in Briarwood and Melville, NY, have unparalleled experience in treating all aspects of foot and ankle problems. Our team of doctors is dedicated to serving you with all of the newest diagnostic and treatment technologies. If you have any questions or would like to make an appointment, please feel free to contact one of our offices located in Melville, NY (631)-549-8637 and Briarwood, NY (718)-657-8921.

The 2 Types of Achilles Tendonitis

The stress of repetitive exercise activities encountered in sports such as tennis and basketball often cause aggravation to the Achilles tendon that can become extremely painful and debilitating.

There are two types of Achilles tendonitis determined by the part of the tendon that is affected:

  1. Non-Insertional Achilles tendonitis – Non-insertional Achilles tendonitis is characterized by a degeneration and tearing of the fibers in the middle part of the tendon, causing it to swell and thicken. This type of tendonitis tends to affect younger, active people.
  2. Insertional Achilles tendonitis – Insertional Achilles tendonitis involves the lower heel area at the point where the tendon attaches (or “inserts”) to the heel bone. Although tendonitis that affects the insertion of the tendon can occur to anyone even in patients who are not very active it usually happens after years of stress and overuse that occur from activities such as long distance running and high-impact sports.

In both forms of Achilles tendonitis, the damaged tendon fibers may also become calcified. Bony growths called heel spurs are more likely to form in patients with insertional Achilles tendonitis.

Treatments for Achilles tendonitis

Treatments include rest, icing, and elevation to relieve stress and swelling. Custom orthotic inserts can insulate and isolate the heel area while the tendon heals. Switching to a low-impact activity such as swimming can provide relief while still being able to exercise. A variety of stretching exercises can be used to increase the flexibility and strength of the Achilles tendon.

If you notice pain developing in your heel while exercising, take a break and evaluate the extent of the injury. Be sure to give yourself some time to heal when you first notice symptoms to avoid further damage.

If you are experiencing the symptoms of Achilles tendonitis, see your podiatrist for the proper diagnosis and treatment. The foot specialists at ETL Podiatry in Briarwood and Melville, NY, have unparalleled experience in treating all aspects of foot and ankle problems. Our team of doctors is dedicated to serving you with all of the newest diagnostic and treatment technologies. If you have any questions or would like to make an appointment, please feel free to contact one of our offices located in Melville, NY (631)-549-8637 and Briarwood, NY (718)-657-8921.

The Causes and Treatment of Heel Spurs

A heel spur is a bony growth on your heel that is often the cause of severe pain and discomfort. Daily activities including just standing and walking can become painful and very difficult. A heel spur can form as your body’s defense mechanism to increased pressure and stress in the heel area, often by the wearing of tight-fitting shoes such as pumps.

Heel Spur Causes

The risk factors for developing heel spurs include the following:

  • Constricting shoes—Footwear that creates excessive pressure and rubbing on the heel area should be replaced or avoided.
  • Physically stressful activities—High impact sports that involve a lot of jumping and running can contribute to the formation of this growth. Jobs that require you to be on your feet all day can also be a factor.
  • Carrying too many extra pounds—Increased pressure on the heel bones from being too heavy can have this consequence.
  • Complications from diabetes—Heel spurs and other foot problems are more likely to occur and cause difficulty in diabetic patients.

Treatment for heel spurs

Small heel spurs may not cause any trouble and can even go undetected for years. In more severe cases, custom orthotic inserts can be utilized to correct the abnormal foot mechanics that may have caused the spur to form.  Always be certain that your shoes are not causing the problem, and get your feet properly measured before shopping for new shoes. Several physical therapies are available to treat heel spurs including ultrasound, electrical stimulation, and massage therapy.

When the conservative measures are not providing relief, the skill of a foot surgeon may be required to excise the bony protrusion. The foot specialists at ETL Podiatry in Briarwood and Melville, NY, have unparalleled experience in treating all aspects of foot and ankle problems. Our team of doctors is dedicated to serving you with all of the newest diagnostic and treatment technologies. If you have any questions or would like to make an appointment, please feel free to contact one of our offices located in Melville, NY (631)-549-8637 and Briarwood, NY (718)-657-8921.

 

What Is Morton’s Neuroma?

The feeling of walking around with a small rock in your shoe can be infuriating, especially when you see that there is no actual pebble that is causing the feeling. But this sensation is one of the primary symptoms of a condition called Morton’s Neuroma that causes a nerve to become trapped and inflamed, usually between the second and third, or third and fourth toe bones.

This condition is often the result of injury, soreness, and pressure on one of the nerves that extends into the metatarsal bones that extend into your toes. Females tend to be diagnosed with this problem more frequently than men since wearing high heeled shoes is a major risk factor. High impact sports including basketball, football, tennis, and jogging can cause the repetitive trauma to the nerve that creates this condition. It also tends to occur more often in individuals who have untreated flat feet.

Treatments for Morton’s Neuroma

Your foot doctor will determine the proper course of action depending on the severity of your neuroma and your particular situation. Based on individual circumstances, suggestions may include:

  • Give your feet a rest—By limiting sports or other strenuous activities.
  • Wear proper shoes—Wear shoes that have a wider toe box to relieve pressure on the nerve.
  • Pads and orthotic inserts—Foam pads may relieve pressure and irritation, and your podiatrist can provide custom-made orthotic inserts for more severe cases.
  • Pain medications—Anti-inflammatory medications such as ibuprofen can provide some relief from discomfort.
  • Ice packs—Icing the area will relieve inflammation and pain.
  • Surgery—In cases that do not respond well to conservative treatments, surgery on the nerve may be necessary.

If you feel like you have a painful phantom pebble in your shoe, see your foot doctor for the correct diagnosis and care. The foot specialists at ETL Podiatry in Briarwood and Melville, NY, have unparalleled experience in treating all aspects of foot and ankle problems. Our team of doctors is dedicated to serving you with all of the newest diagnostic and treatment technologies. If you have any questions or would like to make an appointment, please feel free to contact one of our offices located in Melville, NY (631)-549-8637 and Briarwood, NY (718)-657-8921.