Dr. Perlstein Blog

How to Prevent Foot Ulcers while Living with Diabetes

Tue, 08 May 2012 08:00:00 GMT

There are many health problems associated with living with diabetes. One of the more common and well-known problems is the prevalence of foot amputations necessary for people with diabetes. But there are ways to avoid amputations and keep yourself healthy.

The problem with diabetic feet that can lead to amputations is that a lack of blood flow affects the foot’s ability to heal itself. A normal foot can take care of minor scrapes and scratches with no problems, moving blood through, clotting, and repairing the skin with few, if any, problems. The diabetic foot doesn’t heal with the same ease.

Special care should be taken with the feet, because simple issues can lead to big problems. An untreated hangnail or blister or cut can easily turn into an ulcer, which can lead to an unnecessary amputation.

There are steps a person with diabetes can take to protect his feet:

Regular doctor’s visits. Some people ignore what they think are minor injuries, but a doctor is in a better position to decide what could be a bigger problem.
Diabetic shoes and socks. Footwear designed specifically for people with diabetes can help increase blood flow, which promotes foot health and the foot’s ability to heal itself.
Foot hygiene. People with diabetes need to focus on keeping their feet dry, clean, and protected from unnecessary injuries.
Inspect feet regularly. Keep an eye out for any breaks in the skin like blisters or cuts, which can lead to foot ulcers.

If you have further questions about maintaining the health of your feet, contact an experienced Brooklyn foot doctor to help create a plan to keep your feet safe. Dr. Michael Perlstein works with people with diabetes and offers advice on foot safety. You can order his book Diabetes and Your Feet for free online.

Five Tips for Dealing with Corns and Calluses

Wed, 11 Apr 2012 08:00:00 GMT

Your feet go through a tremendous pounding every day. Rubbing, bumping, and cramming your feet every which way can take its toll on your foot health after a while. Blisters, cuts, scrapes and hangnails are regular foot problems. Slightly less regular than those problems are corns and calluses, which can happen when your foot gets too much friction or rubbing from shoes or regular work.

Corns form from friction, usually from shoes that don’t fit correctly, and can be somewhat painful. Calluses build over time from fiction also, and can actually help if you perform similar tasks over and over again. But they can be unsightly as well.

Here are five tips that can help get rid of unsightly corns and calluses.

1) Wear shoes that fit properly. There shouldn’t be an excessive amount of slipping and sliding inside the shoe, which can cause corns or calluses.

2) Moisturize. Putting mild lotion on the feet regularly can soften up the affected skin areas and make it easier for the corns or calluses to heal naturally.

3) Soak your feet. Soaking the feet in warm water will also soften the skin so the feet can heal. It will also make it easier to rub the skin growth down if it comes to that.

4) Use corn pads. Donut-shaped pads can be found in any pharmacy near the bandages. They provide support around the corn, which reduces pain and friction, which will help the feet heal.

5) Rub down the skin. Use a heavy washcloth or pumice stone to brush down the excess skin after a shower, when the skin is softened. This shouldn’t be dangerous unless you try to cut away or dig out the skin growth, which can lead to infection.

These are some helpful tips that can help alleviate some of the foot pain or discomfort that can go along with corns and calluses. If the pain persists and the skin does not begin to heal after home remedies, you may need to seek medical attention.

Further questions and concerns about your foot health can be directed to Dr. Michael Perlstein, an experienced Manhattan foot doctor who can work with you on a plan to regain and maintain your foot health. Order his book Lumps and Bumps, available for free online.

To Shoe or Not to Shoe Children’s Feet

Mon, 02 Apr 2012 08:00:00 GMT

The development of a child is a fascinating and exciting time. For parents, it seems there are new milestones every day. One of the major events for a child early in their development is when they take their first steps, and begin their life of walking.

When most adults walk, shoes are typically a given. But adults walk farther and their feet are usually fully grown. With children, there is a bit of debate about when to start putting on shoes. Shoes and going shoe-less both have their ups and downs for children, and it’s difficult to say which is better. (Shoes before walking, however, can stunt foot growth and lead to other problems.)

Here are some pros and cons to lacing up those tiny feet:

Pros:
Faster Walking
Longer strides
Increased weight-bearing ability
Longer range of knee and ankle motion
Increased tibialis anterior activity

Cons:
Higher rate of flat foot cases
Reduced foot motion
Reduced foot flexibility
Higher prevalence of foot deformity

The pros of getting tiny little shoes for new walkers seem to be more immediate benefits, while the cons can have a greater (negative) influence over time, but aren’t necessarily sure to be problems.

Parents should be informed about these facts and decide what is best for their child as he or she develops. Shoes have both benefits and bad results and shouldn’t be worn around the clock. Feet need to grow on their own and have room to develop, but children’s shoes can also help build strength.

As with almost everything, there is no perfect answer for when to start putting shoes on your children. If you would like to discuss the positives and negatives of children’s footwear more with an experienced Brooklyn foot doctor, contact Dr. Michael Perlstein. You can order his book Little Feet: A User’s Guide for free online.

Bone Spurs: The Who, What, Where, When and Why

Wed, 07 Mar 2012 08:00:00 GMT

Bone spurs can range in size, causes, pain levels, and treatments. Here is some basic information about those obnoxious little foot growths.

Who:

Bone spurs can affect anyone from a teenaged athlete to an elderly person, because they are caused by the wear and tear on the bones that can come from repeated stress and pressure, or just from growing older as the body starts breaking down naturally. Overweight people are also at risk because of the extra stress placed on their joints.

What:

Spurs grow on the bone near joints, as the protective barriers break down and the bones rub against each other or other hard surfaces of the joint. As new bone tissue grows in response to the wear and tear, it can overgrow and cause a bone spur.

Where:

Anywhere there is bone, a bone spur can develop. But bone spurs generally grow at the joints and are most often located in the feet, back, and shoulders due to the constant movement of those areas.

When:

A life of poor footwear, obesity, high-impact sports like running, stress, and aging in general can lead to bone spurs. The combination of these factors can make it possible for a person of any age to develop bone spurs.

Why:

The body is trying to protect itself by growing bones in stressed areas. The natural breakdown of protective layers between bones, like cartilage, or repeated stress to the bone or tendons nearby causes the body to go into bodyguard mode.

If you have questions about bone spur treatments or general foot health, contact Dr. Michael Perlstein, a Manhattan podiatrist who can help you develop a plan to get your feet healthy again and keep them that way. You can order the free book Lumps and Bumps on his website.

Arthritis Prevention: How You Can Keep Yourself out of Pain

Fri, 02 Mar 2012 08:00:00 GMT

Arthritis can be a terribly painful affliction, especially because it usually affects the smaller joints in the hands and feet, which are some of the most used bones in the body. It generally begins affecting people between the ages of 40 and 60. Doctors have not been able to pinpoint a single cause of arthritis, but many agree that it is inherited condition and exacerbated by an environmental catalyst.

While it may be difficult to point the finger at the cause of arthritis, there are steps that can be taken to prevent the onset of it later in life.

Vitamins and Minerals

The body is not perfect, and it sometimes needs some help keeping itself in top shape. Vitamin D helps absorb calcium into the body, and low levels can lead to problems. A good daily multi-vitamin typically provides all the extras you may not be getting.

Smoking and Drinking

Smoking and drinking are bad for your body – every part of your body. Drinking in excess and smoking only destroy your health, including muscles, tendons, and joints.

Exercise

Keeping your body active helps to strengthen the muscles and increase bone density, both of which are key in joint health.

Footwear

While proper footwear won’t keep arthritis at bay, improper footwear can exacerbate the symptoms of arthritis. A well-fitting shoe with good support can help delay the effects and definitely keep your feet feeling better if you already have arthritis.

While these precautions may not prevent arthritis forever, they will help to keep your feet, and body overall, a little bit healthier, which will help in the long run. If you have questions about arthritis and what you can do to delay or minimize its effects on your life, contact Dr. Michael Perlstein, an experienced Brooklyn foot doctor who can work with you on a plan to keep you on your feet. Order his book How to Keep Your Feet Healthy and Feel Good online for free.

Typical Achilles Tendon Injuries

Sat, 18 Feb 2012 08:00:00 GMT

There are many issues relating to the Achilles tendon. It does not always result in the wince-inducing highlight reels from professional sports. While the tears and ruptures are the most notable and produce the best stories, there are other types of injuries that are just as common and not as severe. Many go undiagnosed as basic soreness and temporary injuries.

The Achilles tendon is the largest and toughest tendon in the body and it connects the heel to the calf muscles. Because it connects those two, it is responsible for moving the foot up and down, which is a motion used in just about every movement of a standing body. Because of its usage, it is very susceptible to injury, but also usually easy to diagnose and treat.

There are three basic types of Achilles tendon injuries:

Achilles Tendinosis: This injury comes from the buildup of pain and swelling going undiagnosed over time. It gets worse as time goes on and can result in scar tissue building on itself from tiny tears.

Achilles Tendonitis: This injury is a result of continual stress on the tendon over time and can affect athletes and those not-so-athletic. Tight calf muscles, bone spurs, and increased physical exertion can lead to increased pain in the heel.

Achilles Tendon Rupture: This is the Achilles injury that is often seen sidelining professional athletes. This is when the tendon tears partially or completely, and can result in inability to walk or even stand. It is often a result of Achilles tendonitis.

Questions regarding Achilles tendon injuries can be directed to a Brooklyn foot doctor who can discuss the injury and provide a recovery plan. Contact Dr. Michael Perlstein for a free consultation, and order his book, Heel Pain.

What to Do after You Sprain Your Ankle

Tue, 14 Feb 2012 08:00:00 GMT

So you’ve rolled your ankle playing volleyball, shooting hoops, walking on an icy sidewalk, missing a step on the stairs, or doing one of any countless activities that leaves the human body vulnerable to such an injury.

The swelling hasn’t gone down after a few hours and you’re worried that it’s more than just a rolled ankle and that it might actually be sprained. Just because it’s a fairly common injury doesn’t mean that it should be taken lightly. Not properly caring for a sprained ankle injury can be just as hazardous as the initial injury itself.

Now what?

First: Get off your feet! This may sound obvious, but not everyone is willing to show vulnerability, especially if it happened on the court or field. Sit down and get the weight off the ankle immediately.

Second: Look for clues to the sprain. There will be a sharp pain where the ligament is damaged and an internal bruise will probably begin to form, which can eventually reach the surface of the skin. Not being able to support weight is another symptom at this stage.

Third: Give yourself the RICE treatment.

Rest: This might be for the evening or for the month.
Ice: Keep ice on your ankle for up to three days after the injury. The ice helps to prevent and reduce swelling. Some trainers say a rotation of 20 minutes with ice and 20 minutes without ice is enough to keep swelling down without going numb.
Compression: Wrapping the ankle with athletic tape or a reusable wrap can help reduce swelling and bruising. Keep this going for two days or so.
Elevation: Try to keep your ankle raised above your chest for a couple hours a day, which will also help prevent bruising and swelling.

Some ankle sprains are treatable with a recliner and a couple pillows, but if the pain and swelling continues for more than a day or two, the injury may be more severe and you may need to seek medical assistance. Dr. Michael Perlstein, an experienced Manhattan foot doctor, may be able to answer your questions on the phone, online, or in person. His book, Running and Exercise: A Guide to Your Foot Health, is available to order online.

Shin Splints: How to Ease Your Lower Leg Pain

Tue, 15 Mar 2011 08:00:00 GMT

Although a shin splint is commonly used to describe various pains between the ankle and the knee, it actually refers to a specific inflammatory condition of the tibia -- a condition called medial tibial stress syndrome.

A type of "overuse injury" to the legs, the most common causes of shin splints include excessive running, poor conditioning and over-pronation (flattening of the arch). The result is pain in the front or inside of the lower leg that usually gets worse with a sudden increase in distance or intensity of training. Shin splints are a common problem for many runners and athletes. Muscle weakness, non-supportive shoes and overtraining are also contributing factors.
To prevent shin splints, warm up and stretch muscles before starting any work out activity and choose supportive footwear. Begin work outs gradually and avoid over-training. All of these methods will go a long way in helping to prevent many lower leg problems. Conservative treatment for most shin splint pain includes rest, ice, compression and elevation. Strengthening exercises, anti-inflammatory agents and custom foot orthotics may also be recommended to reduce symptoms.
Shin pain isn't always indicative of a shin splint. Lower leg pain may actually signal a more serious problem, including a stress fracture, partial muscle tear and tendonitis, all of which require special treatment. Always seek the professional care of a podiatrist if:

Severe pain in your shin follows an injury
Your shin is hot and inflamed
Swelling in your shin increases
Shin pain persists during rest

Proper diagnosis of the cause of pain is necessary in order to administer the most appropriate treatment. If you suffer from shin pain, visit Dr. Perlstein for an evaluation and proper treatment.

Healthy Footwear Promote Healthy Feet

Tue, 01 Mar 2011 08:00:00 GMT

Looking fabulous in your favorite pair of heels does have a price. In fact, poor fitting shoes are a frequent cause of foot problems and discomfort, including calluses, corns, bunions and blisters, just to name a few.
All footwear eventually shows signs of wear and tear. Inspect the condition of your own shoes, and if they appear stretched out or worn, you probably need a new pair. Creasing of the midsole is also a good indication that your shoes have lost their cushion and support.

Maximize Fit, Minimize Discomfort: How to choose the best shoes for your feet

The following tips can help you avoid purchasing a pair of shoes that may contribute to a long list of foot problems.

Try on shoes late in the day, when the feet tend to be a bit larger due to natural swelling
Women should opt for low, stable heels
Try on both shoes to be sure that they fit comfortably on both feet
Choose breathable shoe materials, such as leather to prevent excessive sweating and blisters
Have your feet measured to ensure the best fit
Avoid pointy-toed shoes which cause bunions and hammertoes
Walk around the store with both shoes on to make sure the fit is comfortable
For athletes, choose shoes that are specific to the sport you play
Choose the right shoe for your foot type (e.g. if you have flat feet, select shoes with good arch support)

Still not ready to part with your favorite pair of sneakers or trendy heels? Not sure if the shoes you currently wear are right for your feet? Visit us at Dr. Perlstein. A professional podiatrist at our Brooklyn office can evaluate the condition of your feet and work with you to find the best pair of shoes for your feet.

A Look at Painful Plantar Warts

Wed, 16 Feb 2011 08:00:00 GMT

Plantar warts are benign growths that develop on the bottom of your feet caused by direct contact with the human papilloma virus (HPV) -- the same virus that causes warts on other areas of the body. Some people are more susceptible than others to HPV, and not everyone will develop plantar warts if they come into contact with the virus. Individuals with weak immune systems or damaged skin on the feet are at a higher risk for plantar warts.
Plantar warts most often develop on the weight-bearing areas of the foot -- the heel or the ball of the foot -- causing sharp, burning pain. They can appear as a single wart (solitary) or a cluster of warts (mosaic). Common symptoms may include:

Pain or discomfort when walking or standing
Thick, scaly skin that often resembles a callus
Hard, flat growths with well-defined boundaries
Tiny black specks (clotted blood vessels) that often appear on the surface of the wart

Most warts disappear with home care and do not require medical treatment. You can take steps to prevent and treat plantar warts, which include:

Changing your shoes and socks daily
Keeping your feet clean and dry
Avoid picking at warts as the virus may spread
Avoid direct contact with an individual who has plantar warts
Checking your child's feet periodically
Refrain from walking barefoot, especially in public areas like showers, swimming pools and locker rooms
Never ignore skin growths or changes in your skin

You should always seek care from a podiatrist when warts interfere with your daily life, aren't responding to home treatments, or if you have circulatory disorders. Contact Dr. Perlstein if your warts:

Change color or shape
Cause unbearable pain and discomfort
Interfere with activities
Multiply or reappear

Without treatment, plantar warts can grow, spread and prompt new warts to grow as fast as the old ones disappear. If you can't confidently identify a growth on your foot, visit Dr. Perlstein to ensure a correct diagnosis. Early diagnosis and treatment from our Brooklyn office can decrease the risk of the wart spreading and multiplying.

Plantar Fasciitis: Put Your Heel Pain to a Halt

Tue, 01 Feb 2011 08:00:00 GMT

Heel pain is most often caused by plantar fasciitis, an inflammation of the long, dense band of connective tissue (the plantar fascia) that runs from the heel to the ball of the foot.
Repeated strain on the plantar fascia can cause tiny tears in the ligament. As tension and tearing increases, so does inflammation and irritation of the affected area. Risk factors of plantar fasciitis include foot arch problems (flat foot and high arches); excess weight; running; and a tight Achilles tendon.
The most common complaint of plantar fasciitis is pain in the bottom of the heel that develops gradually. The pain is usually worse in the morning and after sitting or standing for a long period of time. For some, the pain subsides after walking or stretching.
To reduce pain associated with plantar fasciitis:

Rest. Limit and/or avoid activities that make your heel hurt.
Ice. Reduce pain and swelling by icing the affected area each day.
Stretch. Stretch your heel throughout the day, especially when you first wake up in the morning.
Footwear modifications. Wear shoes that provide good arch support and a cushioned sole. Ask your podiatrist about pads and shoe inserts to relieve your heel pain.

When conservative treatments aren't effective or your pain persists for more than a few weeks, schedule an appointment with Dr. Perlstein to discuss your symptoms and treatment options. A podiatrist can recommend an appropriate treatment plan for your individual needs. This may include, stretching exercises, shoe padding, orthotic devices, night splints or therapy. Most patients respond to non-surgical treatments, but for pain that won't go away, surgery may be considered.
With proper rest and treatment, recovering from plantar fasciitis can take just a few months. Visit us at Dr. Perlstein when you first experience pain for a proper diagnosis and an appropriate treatment plan for your individual needs.

Say Goodbye to Embarrassing Toenail Fungus with New PinPointe FootLaser

Mon, 17 Jan 2011 08:00:00 GMT

Characterized by thick, unsightly, discolored nails, fungus-infected toenails can be irritating, embarrassing and painful. For years, the only treatments available for toenail fungus were topical and oral medications or removal of the nail. Typically, the medications were largely ineffective and removal of the nail plate was painful and debilitating.

Fast, Effective and Pain Free Nail Fungus Treatment from Dr. Perlstein

A new breakthrough in technology is making it possible to get rid of your nail fungus fast- a new procedure known as PinPointe FootLaser. The new, patented laser technology treats nail fungus safely and quickly with no drugs, no anesthesia and no pain. It's specially designed to penetrate your toenail, vaporizing the fungus embedded deep in your nail bed. Better yet, the powerful laser beam targets the infection only and has no effect on surrounding healthy tissue. In just one appointment at our Brooklyn NY office we can treat your nail fungus, and within months following the treatment, the toenail will replace itself with a healthy, clear, fungus free nail.

Avoiding Irritating Toenail Fungus

Prevention is key to avoiding a fungal infection. The following tips can help you avoid toenail fungus.

Practice good hygiene and inspect feet and toes regularly
Try not to injure your nail by cutting it too short, as trauma to the nail may lead to infection
Wear moisture wicking socks
Wear dry, proper-fitting shoes that allow air to circulate around your feet
Wear shower sandals when you are at a public pool or shower

Left untreated, a fungal infection can spread to other toenails, the skin on the feet and even the fingernails. Severe cases can impair one's ability to walk or lead to painful ingrown toenails. It's important to seek care when you notice signs of infection.
If you're ready to eliminate your toenail fungus, contact our Brooklyn NY office and learn more about the new PinPointe FootLaser. We can evaluate your fungal infection and make recommendations for best treating and eradicating your toenail fungus once and for all.

Morton’s Neuroma: What is it and How to Stop the Pain

Mon, 03 Jan 2011 08:00:00 GMT

A neuroma is a thickening of nerve tissue that can develop in various parts of your body. In the foot, the most common occurring neuroma develops at the base of the third and fourth toes. This condition is referred to as Morton's neuroma.
There are typically no physical signs of Morton's neuroma, such as a lump or a knot. Instead, symptoms may include:

A sharp, achy or burning pain in the ball of your foot
Numbness, tingling, or cramping in the toes or forefoot
Feeling as if you're standing on a pebble in your shoe

While the exact cause of Morton's neuroma is unknown, the growth of the neuroma seems to occur in response to injury, pressure or irritation to one of the nerves that lead to the toes. People with certain foot deformities - bunions, hammertoes and flatfeet- are at higher risk for developing a neuroma. Women are also more likely to develop this condition as wearing high-heels or narrow-toed shoes can increase pressure on the toes. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running.
Morton's neuroma can make walking and performing normal activities difficult and painful. Treatment options vary with the severity of each neuroma, and identifying the neuroma in its earliest stage of development is important to avoid more invasive treatments or surgical correction. Left untreated, neuromas tend to worsen, so it's always best to visit our Brooklyn NY office at the first sign of pain.
Early treatments aim to relieve or reduce pressure on the area around the affected toes. Depending on the severity of your neuroma, a podiatrist may recommend:

Modifications to footwear. Wide-toed shoes relieve pressure on the neuroma.
Shoe inserts or padding to provide support for the arch of the foot, which removes pressure from the nerve.
Anti-inflammatory medications can help ease any pain and inflammation. Ask your doctor first.
Icing to reduce inflammation.
Rest to lessen repetitive pressure on the neuroma.

In the most severe cases, surgery may be recommended for patients who do not respond to conservative treatments. Dr. Perlstein can help you determine the best approach for your specific condition.

Pregnancy and Foot Pain: How Mothers-to-Be Can Relieve Aching Feet

Wed, 15 Dec 2010 08:00:00 GMT

During pregnancy, it's not uncommon for women to experience an array of aches and pains all over the body. Among these complaints are tired, swollen, achy feet- a common and painful symptom experienced by mothers-to-be during their nine months of pregnancy.
One of the most common foot problems that occur during pregnancy is swelling, or edema, which results from the extra accumulation of blood. The natural weight gain and enlarging uterus puts pressure on the veins that lead to the legs, causing circulation to slow down and increasing fluid retention. The legs and feet may become swollen, making shoes tight, and in some cases causing pain and discomfort. Slight swelling during pregnancy is normal and usually subsides after giving birth. Women should pay close attention to edema symptoms. Swelling to the face or a sudden onset of swelling could be a sign of a more serious condition called preeclampsia and should be reported immediately.
Another troubling foot problem that can occur during pregnancy is over-pronation (flat feet) which is caused when a person's arch flattens out upon weight bearing causing the feet to turn in abnormally. This condition develops when the dense band of tissue in the arch of the foot called the plantar fascia becomes strained and inflamed due to increased flattening of the feet. Over-pronation is common in pregnancy due to the increased weight gain which stresses the feet and flattens the arches. Walking can become very painful, and women may experience increased discomfort and strain on the feet, calves and back.

There are various remedies available to help minimize and alleviate foot pain during pregnancy.

Take short breaks during the day and elevate your feet to relieve pressure and swelling.
Drink plenty of water.
Wear shoes that are soft, comfortable and give your feet room to move.
Wear seamless socks that do not constrict circulation.
Exercise or walk regularly to promote overall health.
Stretch legs frequently and avoid crossing your legs when sitting.
To prevent arch pain, stretch daily, avoid going barefoot and wear supportive low-heeled shoes.

When foot pain persists, visit Dr. Perlstein. We'll work with you to find the best treatments for your foot pain. Pregnancy and pending motherhood should be a pleasant, enjoyable experience. Understanding the causes of foot pain and learning easy home remedies can help women step more comfortably throughout these special nine months.

Metatarsalgia: Ball of Foot Pain

Wed, 01 Dec 2010 08:00:00 GMT

Metatarsalgia denotes a common foot condition characterized by pain and inflammation of the joints and bones of the ball of the foot - the area just before the toes, also called the metatarsal region.

Symptoms of metatarsalgia can develop suddenly, especially after an increase in exercise or high-impact activities, but normally the problems develop over time. Common symptoms of metatarsalgia include:

Sharp, aching or burning pain in the ball of your foot -- the part of the sole just behind the toes
Pain that intensifies when you stand, walk or run
Pain that radiates from the balls of the feet into the toes
Numbness or tingling in the toes
A feeling in your feet as if you are walking with a pebble in your shoe
Pain that increases when walking barefoot

Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:

Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
Other foot disorders. High arches, hammertoes, bunions, stress fractures and Morton's neuroma can all trigger metatarsalgia symptoms.
Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
Excess weight. Extra weight places excess pressure on your metatarsals.
Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.

Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain.
When conservative treatments aren't affective and pain persists, visit Dr. Perlstein, for a full exam and a proper diagnosis. In most cases, metatarsalgia can be treated non-surgically. An experienced podiatrist at our Brooklyn NY office may prescribe specially-designed orthotics or shock-absorbing insoles and arch supports to prevent and minimize future problems with metatarsalgia.

Easy Ways to Prevent and Treat an Ingrown Toenail

Mon, 15 Nov 2010 08:00:00 GMT

Ingrown toenails, also known as onychocryptosis, can be embarrassing, annoying and painful. This common condition occurs when the surrounding skin on one or both sides of the nail grows over the edges of the nail, or when the nail itself penetrates the skin. As the nail digs into the skin, redness, swelling, and pain are often the result.
People develop ingrown toenails for various reasons. Poor nail-trimming is the most common cause, as this encourages the skin to fold over the nail. Other causes include trauma, such as stubbing a toe, or skin conditions, such as fungal infections or nails that are simply too large. In some cases, the condition may even be inherited. Poor-fitting shoes generally aggravate the condition, making it worse.
Many cases of ingrown toenails may be prevented by:

Wearing well-fitted shoes and socks
Protecting feet from trauma when possible
Trimming toenails straight across and avoiding repeated trimming of the nail borders
Keeping feet clean and dry to prevent infection

If an infection is not suspected of your ingrown, it can usually be safely treated from home by soaking your foot in warm water. Avoid "bathroom surgery" and repeated cutting of the nail as this will only make the condition worse.
When attempts to reduce your symptoms from home fail, or when pain, inflammation, swelling or discharge accompany your ingrown, the toenail is most likely infected and should be treated by a podiatrist at our Brooklyn NY office. People with diabetes, nerve damage or poor circulation should always seek care immediately if an ingrown nail is detected, regardless of the severity.
A podiatrist can examine the affected toe and determine the best treatment for your condition. For an infection, an antibiotic may be prescribed. Other treatments may involve trimming or removing the infected nail with a minor in-office surgical procedure.
Ingrown toenails may be annoying, but rest assured that they can easily be prevented and treated with the help of your podiatrist. If you think you have an ingrown toenail, visit Dr. Perlstein for quick and easy treatment.

When It Comes To Hammertoe, There Are Management Options For Every Patient

Mon, 01 Nov 2010 08:00:00 GMT

A hammertoe is one of the most common toe conditions, usually stemming from muscle imbalance in which the joints of the second, third, fourth or fifth toe are bent into a contracted, claw-like position. In the early stages, hammertoes are flexible and can be corrected with simple conservative measures, but if left untreated, they can become fixed and require surgery.
The most common cause of hammertoe is a muscle imbalance. Tight-fitting and high-heeled shoes often aggravate the condition, crowding your toes forward. A hammertoe can also be the result of injury in which you break or jam the toe, or from conditions like arthritis or stroke that affect nerves and muscles. In some cases, hammertoes may even be inherited.
Because of their clenched, claw-like appearance, hammertoes will generally be visibly present. Other signs and symptoms include:

Difficult or painful motion of a toe joint
Redness or swelling at a toe joint
Development of calluses and corns
Open sores in severe cases

The foot and ankle professionals at our Brooklyn office recommend the following for preventing and reducing the symptoms associated with hammertoe:

Wear comfortable, proper-fitting shoes that provide support and allow enough room for your toes
Avoid high-heeled or narrow-toed shoes
Stretch your toe muscles to relieve pressure and pain
Apply splints, cushions or pads to relieve pressure
Moisturize with cream to keep the skin soft

Generally, a modification of footwear will reduce the symptoms associated with hammertoe. Other non-surgical treatment includes padding to shield corns and calluses and orthotic devices that are placed in the shoe to help control muscle imbalance. Dr. Perlstein can help you determine the best treatment for your symptoms. Severe cases that don't respond to conservative measures may require surgery to restore your toe's flexibility and eliminate the pressure.
Hammertoes are progressive - they don't go away by themselves and the condition usually gets worse over time. Once a podiatrist at Dr. Perlstein has evaluated your hammertoe, a treatment plan can be developed that is suited to your needs.

Is Your Child’s Leg Pain Caused By Growing Pains Or Another Health Issue?

Fri, 15 Oct 2010 08:00:00 GMT

If your child has ever complained of not being able to sleep at night due to leg pain, he or she may be experiencing what many people refer to as growing pains -- a common occurrence seen in kids during their growth and development years.
Growing pains are often characterized by a sharp, throbbing pain in the leg muscles, usually occurring during the night and sometimes late afternoon without an apparent cause. The nighttime pain can be so intense that it is enough to wake the child from sleep. While there is no evidence that a child's growth is painful, these pains often occur during an active day of running, jumping or swimming.
Whenever a child is afflicted by episodes of recurrent leg pain, it is always best to have them evaluated by Dr. Perlstein. Other foot and leg conditions should be ruled out before a diagnosis of growing pains is made. If the examination is normal, with no redness, tenderness, swelling, or limitation of movement, then it is generally safe to say the child is suffering from growing pains.
Consult with a physician or a podiatrist at Dr. Perlstein if aching legs are a chronic complaint or if the pain is so severe it interferes with the child's daily activities. Persistent pain and other unusual symptoms may indicate a more serious problem. The following symptoms are not due to growing pains and should be evaluated by a doctor:

Persistent pain
Swelling or redness in one specific area or joint
Limping
Fever
Loss of Appetite
Weakness
Fatigue
Abnormal behavior

There are no treatments or medications available for growing pains, but parents can help ease the pain with simple home remedies.

Massage and rub the child's ache until the pain passes
Stretch your child's legs throughout the day and before bed
Heating pads or warm baths can help soothe sore muscles
Over-the-counter pain relievers (always consult with physician first)

While growing pains are commonly seen in young children during the growth and development years, lower extremity pain can also be caused by mechanical misalignments and structural imperfections. A thorough evaluation is crucial in order to determine the exact cause of your child's leg pain. If growing pains are the cause of your child's discomfort, rest assured that the pain is only temporary and will pass with time.

Fight Back Against Foot Odor!

Fri, 01 Oct 2010 08:00:00 GMT

The feet have more sweat glands than any other part of the body, which means they have the ability to sweat profusely. With your feet encased in your shoes all day and the sweat unable to evaporate, bacteria will begin to grow rapidly. The presence of certain bacteria begins to break down the sweat, generating an unpleasant odor from the direction of your feet. Other factors can contribute to increased perspiration including anxiety, hormonal changes, medications and various skin conditions.
Foot odor is a common problem, especially among those who perspire excessively, but it can be both embarrassing and physically uncomfortable. If you suffer from foot odor, rest assured that simple lifestyle changes and improved personal hygiene can help reduce and eliminate the smell.

Easy Ways to Eliminate Foot Odor

Since most foot odor is caused from excess sweat and the growth of odor-causing bacteria, it's relatively easy to control and reduce foot odor on your own. Start by taking the following preventative steps:

Keep your feet clean by washing them with an antibacterial soap on a regular basis to minimize bacteria.
Keep feet dry as moisture enables the growth of bacteria.
Alternate shoes and avoid wearing the same pair for multiple days in a row.
Choose open shoes such as sandals when possible, allowing air onto the feet which evaporates sweat and slows the growth of bacteria.
Wear cotton socks which whisk away moisture and absorb perspiration.
Apply foot sprays and powders to the feet. Ask Dr. Perlstein for recommended products.
Disinfect, wash and discard foul smelling shoes as necessary.

The causes of foot odor are typically not harmful to your health, but do create an environment for the growth of fungus and bacteria. It's not unusual for infections such as toenail fungus and athlete's foot to develop as a result.
When improving your foot hygiene doesn't help reduce the smell, you may need to visit Dr. Perlstein, as persistent foot odor can indicate an infection or a severe case of hereditary sweating. In these cases, a prescription ointment may be required to treat the problem. Visit our Brooklyn NY office and we'll work with you to determine the cause and most effective treatment for your condition.

Running the Race to Good Foot Health

Wed, 15 Sep 2010 08:00:00 GMT

If you're a runner, it goes without saying that your feet take the brunt of the punishment. In fact, for runners the feet are more vulnerable to injury than any other part of the body. Luckily, both long-distance runners and casual joggers can improve their performance by paying extra attention to their feet and taking steps to prevent common foot problems. Poor fitting footwear is often the source of many foot problems caused by running. A visit to Dr. Perlstein can help you determine the best shoes for your foot structure.

A Runner's Road Block

While many running-related foot injures can result from a fall or twisted ankle, most running injuries are caused by overuse, meaning the majority of runners experience foot and ankle pain because they do too much for too long. Runners should be aware of the signs of foot problems that can slow them down if not treated promptly. Common foot and ankle injuries experienced by runners include:

Achilles Tendonitis: Achilles tendonitis and other calf-related injuries are prevalent in runners. Poor training, overuse and improper footwear are the three most common reasons for this condition. A sudden increase in distance or pace can strain the muscles and tendons in the foot and ankle, causing small tears within these structures that result in pain and inflammation. Appropriate shoes and training are the most important steps to preventing Achilles tendonitis. Conservative treatment includes, rest, ice, stretching, and sometimes orthotics or physical therapy.

Heel Pain: Runners develop heel pain more than any other foot-related injury. Plantar fasciitis is the most common cause of heel pain, which is the result of excess stress placed on a ligament in the bottom of the foot. Rest, stretching and support are the best ways to ease the pain and inflammation. Reduce your mileage and avoid hill and speed workouts. Stretch before and after you run, and ice your heel after each workout. Special splints and shoe inserts from Dr. Perlstein may also provide support and relief for your heel pain.

Stress Fractures: Stress fractures are small cracks in the surface of a bone. Runners generally notice gradual muscle soreness, stiffness, and pain on the affected bone, most often in the lower leg or the foot. Early diagnosis is critical as the small fracture can spread and eventually become a complete fracture of the bone. Stress fractures are typically caused by an increase in training that occurs more quickly than the body's ability to build up and strengthen the bone. If you have symptoms of a stress fracture, you should stop running immediately and see a podiatrist at Dr. Perlstein. This injury can keep a runner off the roads for several weeks and is not an injury that you can run through. Depending on the severity of the stress fracture, a cast may be necessary.

If you experience chronic foot pain from running, make an appointment with a podiatrist at our Brooklyn office. Leaving foot injuries untreated could result in more serious conditions, ultimately keeping you from your best performance. Keep in mind that these are not the only foot ailments caused by running, and when at-home foot care isn't effective, you'll need to be evaluated by a podiatrist. As in most cases, prevention is your best treatment. Good footwear, proper training and recognizing a problem before it becomes serious are your keys to staying on the road and avoiding foot injuries.