What Is Erythromelalgia?
Erythromelalgia is a rare condition resulting in intense burning pain, redness, and warmth in the feet, often triggered by heat, exercise, or stress. This condition occurs due to abnormal blood flow and increased skin temperature in the affected areas, which leads to discomfort that can be severe and debilitating. The exact cause of erythromelalgia is not always clear, but it may be linked to nerve damage or blood vessel abnormalities. In some cases, it is associated with other medical conditions, such as autoimmune disorders or blood diseases. Symptoms include episodes of severe burning pain, redness, and swelling in the feet, which may last from minutes to hours. These episodes can be unpredictable, causing significant disruption to daily life. Diagnosis is usually made based on symptoms and clinical examination, sometimes supported by tests to rule out other conditions. Treatment focuses on managing symptoms, often through cooling measures, medications, and in some cases, addressing underlying conditions. If you are suffering from any of the symptoms described, it is strongly suggested that you visit a podiatrist for care.
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 one of our podiatrists from William Street Podiatry. Our doctors 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 one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Systemic Diseases of the Foot
There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis, among others.
In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.
Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.
There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.
Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.
All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.
Possible Causes and Treatments of Plantar Fasciitis
The plantar fascia is a long, thick band of tissue that spans from the heel bone along the bottom of the foot to the toes. The plantar fascia supports the bottom of the feet and toes during walking, running, and jumping. It can become overly stressed, or even tear or rupture, from overuse or injury that causes pain and inflammation, termed plantar fasciitis. Being obese, standing or working on your feet for prolonged periods of time, or having flat feet or high arches can all contribute to this condition. Engaging in activities that involve dancing, marching, or running can also add to, or possibly worsen, the symptoms of plantar fasciitis. Certain footwear, such as high heels, flip flops, worn out shoes, or other types of footwear with inadequate support, can also increase the risk of developing this condition. A podiatrist will use a variety of ways to treat plantar fasciitis depending upon the severity of the condition and how long the patient has been suffering from it. If you have been dealing with pain from plantar fasciitis, it is suggested you schedule an appointment with a podiatrist for a diagnosis and comprehensive treatment plan.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from William Street Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
If you have any questions please feel free to contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fasciitis
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.
There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.
People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.
Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.
If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.
What Is Morton’s Neuroma?
Morton's neuroma is a painful condition affecting the ball of the foot, typically between the third and fourth toes. It involves the thickening of tissue surrounding one of the nerves leading to the toes, causing sharp, burning pain, numbness, or a sensation of something being lodged in the foot. To diagnose Morton's neuroma, a podiatrist will perform a physical examination, checking for tenderness and a palpable mass between the toes. Imaging tests like ultrasound or MRI scans may be used for confirmation. Treatment options include modifying footwear to reduce pressure on the affected area, using orthotic inserts, and administering corticosteroid injections to reduce inflammation. In severe cases, surgical removal of the affected nerve may be necessary to alleviate symptoms and restore normal foot function. If you have pain in the ball of your foot, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment plan.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of William Street Podiatry. Our doctors will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
- Ill-fitting high heels or shoes that add pressure to the toe or foot
- Jogging, running or any sport that involves constant impact to the foot
- Flat feet, bunions, and any other foot deformities
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Morton's Neuroma
A neuroma is a thickening of nerve tissue and can develop throughout the body. In the foot, the most common neuroma is a Morton’s neuroma; this typically forms between the third and fourth toes. The thickening of the nerve is typically caused by compression and irritation of the nerve; this thickening can in turn cause enlargement and, in some cases, nerve damage.
Neuromas can be caused by anything that causes compression or irritation of the nerve. A common cause is wearing shoes with tapered toe boxes or high heels that force the toes into the toe boxes. Physical activities that involve repeated pressure to the foot, such as running or basketball, can also create neuromas. Those with foot deformities, such as bunions, hammertoes, or flatfeet, are more likely to develop the condition.
Symptoms of Morton’s neuroma include tingling, burning, numbness, pain, and the feeling that either something is inside the ball of the foot or that something in one’s shoe or sock is bunched up. Symptoms typically begin gradually and can even go away temporarily by removing one’s shoes or massaging the foot. An increase in the intensity of symptoms correlates with the increasing growth of the neuroma.
Treatment for Morton’s neuroma can vary between patients and the severity of the condition. For mild to moderate cases, padding, icing, orthotics, activity modifications, shoe modifications, medications, and injection therapy may be suggested or prescribed. Patients who have not responded successfully to less invasive treatments may require surgery to properly treat their condition. The severity of your condition will determine the procedure performed and the length of recovery afterwards.
Are You Suffering From Ingrown Toenails?
If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!
Proper Footwear for Restaurant Workers
Proper footwear is essential for restaurant workers as a way of maintaining health and comfort throughout long shifts. These jobs often involve extended periods of standing and walking on hard surfaces, which can lead to foot, leg, and back pain if the right shoes are not worn. Proper footwear provides necessary support, cushioning, and stability, helping to absorb shock and reduce the risk of injuries such as sprains or stress fractures. Shoes with slip-resistant soles also enhance safety by preventing slips and falls in potentially hazardous kitchen environments. Additionally, wearing well-fitted, supportive shoes can help alleviate common issues like plantar fasciitis and bunions. Investing in high-quality, ergonomic footwear ensures that restaurant workers remain comfortable and protected. If you work in the restaurant industry and have endured a foot injury or have developed chronic foot pain, it is suggested that you speak with a podiatrist. This type of doctor can offer effective treatment options, in addition to guiding you toward wearing appropriate footwear for the job.
While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from William Street Podiatry. Our doctors will treat your foot and ankle needs.
Working on Your Feet
Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.
Positive Changes
Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.
Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.
Eliminate Pain
Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.
Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.
With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.
If you have any questions please feel free to contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Working on Your Feet
Foot care is important regardless of your profession, but those who work on their feet must pay special attention. Bunions, calluses, blisters, and plantar warts are just a few of the many conditions that can arise after standing all day. While painful at their worst, these conditions can easily be avoided with the right foot care. This includes both appropriate footwear and proper posture—important elements that affect the health of your feet.
Choosing appropriate footwear means choosing a shoe that has a negative heel. This means that the heel is slightly lower than the ball of your foot, which places less of a strain. If you have a profession that requires you to be on your feet all day, investing in a pair of high-quality shoes is pertinent. High-quality shoes can be purchased from a respected manufacturer that emphasizes foot care and foot health.
Despite the regularity of wearing shoes, the feet are naturally not designed to be enclosed. Regular “barefoot” time for your feet can be beneficial for foot health. Among other methods, allowing your feet to breathe can help alleviate the pain and pressure your feet may be experiencing from being on your feet all day.
Simple foot exercises and yoga positions can help improve both the health and function of your feet. Active foot exercises that create movement will stimulate your foot’s blood flow and circulation, and yoga positions that place your feet flat onto the floor will stretch out their muscles. Yoga is particularly beneficial for your Achilles tendon and calf muscles, which are areas that can become especially problematic if not taken care of. Foot exercises and yoga positions can be easily performed every day at virtually any location and any time; whether it is at the office, at the gym, or at home right before you go to bed. Simple stretching can increase your foot health by miles.
The foot pain you experience after lengthy hours working on your feet may seem inevitable and unavoidable; in reality, however, that is not the case. Wearing proper footwear and performing simple foot exercises and stretches can help ease foot pain and allow you to truly avoid frustrating foot problems.
Your feet can easily be kept healthy with some education and a little effort. Pain that begins at the feet can eventually affect the whole body. Begin taking care of your feet now!
The Diabetic Foot
Diabetic foot is a term used to describe various complications that arise in the feet of individuals with diabetes. Due to prolonged high blood sugar levels, diabetic patients often experience nerve damage, neuropathy, and poor circulation. This can lead to a loss of sensation in the feet, making injuries and infections more likely and harder to detect and heal. Common issues include ulcers, infections, and, in severe cases, gangrene, which can necessitate amputation. To manage and prevent diabetic foot complications, daily foot care is crucial. Inspect your feet daily for cuts, blisters, redness, or swelling. Keep feet clean and moisturized, but avoid applying lotion between the toes to prevent fungal infections. Wear well-fitting shoes and avoid walking barefoot. If you have diabetes, it is strongly suggested that you make regular appointments with a podiatrist to monitor your foot health.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from William Street Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
