Wednesday, January 12, 2011

Bunions - Podiatrist in Clearwater, FL

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One of the more common conditions treated by podiatric surgeons is the painful bunion. Patients with this condition will usually complain of pain when wearing certain shoes, especially snug fitting dress shoes. Treatment may involve shoe gear modification, padding and orthoses. When this fails to provide adequate relief, surgery is often recommended. There are several surgical procedures to correct bunions. Selection of the most appropriate procedure for each patient requires knowledge of the level of deformity, review of the x-rays and an open discussion of the goals of the surgical procedure. Almost all surgical procedures require cutting and repositioning the first metatarsal. In the case of mild to moderate bunion deformities the bone cut is most often performed at the neck of the metatarsal (near the joint).

 

Cause of Bunion Deformity

 

The classic bunion, medically known as hallux abductovalgus or HAV, is a bump on the side of the great toe joint. This bump represents an actual deviation of the 1st metatarsal and often an overgrowth of bone on the metatarsal head. In addition, there is also deviation of the great toe toward the second toe. Shoes are often blamed for creating these problems. This is inaccurate. It has been noted that primitive tribes, where going barefoot is the norm, will develop bunions. Bunions develop from abnormal foot structure and mechanics which place an undue load on the 1st metatarsal. This leads to stretching of supporting soft tissue structures such as joint capsules and ligaments with the end result being gradual deviation of the 1st metatarsal. As the deformity increases, there is an abnormal pull of certain tendons, which leads to the drifting of the great toe toward the 2nd toe. At this stage, there is also adaptation of the joint.

 

Symptoms Related to Bunion Deformity

 

The most common symptoms associated with this condition are pain on the side of the foot. Shoes will typically aggravate bunions. Stiff leather shoes or shoes with a tapered toe box are the prime offenders. This is why bunion pain is most common in women whose shoes have a pointed toe box. The bunion site will often be slightly swollen and red from the constant rubbing and irritation of a shoe. Occasionally, corns can develop between the 1st and 2nd toe from the pressure the toes rubbing against each other. On rare occasions, the joint itself can be acutely inflamed from the development of a sac of fluid over the bunion called a bursa. This is designed to protect and cushion the bone. However, it can become acutely inflamed, a condition referred to as bursitis.

 

Treatment of Bunion Deformity

 

Early treatment of bunions is centered on providing symptomatic relief. The use of pads and cushions to reduce the pressure over the bone can be helpful for mild bunion deformities. Functional foot orthotics, by controlling abnormal pronation, reduces the deforming forces leading to bunions in the first place. These may help reduce pain in mild bunion deformities and slow the progression of the deformity. When these conservative measures fail to provided adequate relief, surgical correction is indicated. The choice of surgical procedures (bunionectomy) is based on a biomechanical and radiographic examination of the foot. Because there is actual bone displacement and joint adaptation, most successful bunionectomies require cutting and realigning the 1st metatarsal (an osteotomy). Simply "shaving the bump" is often inadequate in providing long-term relief of symptoms and in some cases can actually cause the bunion to progress faster. The most common procedure performed for the correction of bunions is the 1st metatarsal neck osteotomy, near the level of the joint. This refers to the anatomical site on the 1st metatarsal where the actual bone cut is made. Other procedures are preformed in the shaft of the metatarsal bone or are selected by the surgeon.

 

 

Visit our website: http://www.drlorenmiller.com

Podiatrist in Clearwater, FL - Heel Pain

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Treatment

 

Taping and oral anti-inflammatory agents can sometimes be helpful. Functional foot orthotics might be considered. A functional orthotic is a device that is prescribed and fitted by your foot doctor which fits in normal shoes like an arch support. Unlike an arch support, the orthotic corrects abnormal pronation of the subtalar joint. Thus orthotics address the cause of the heel pain; abnormal pronation of the foot. Surgery to correct heel pain is generally only recommended if all other treatment has failed. There are some exceptions to this course of treatment and it is up to you and your doctor to determine the most appropriate course of treatment. Following surgical treatment to correct heel pain the patient will generally have to continue the use of orthotics. The surgery does not correct the cause of the heel pain. The surgery may eliminate the pain but the process that caused the pain will continue without the use of orthotics. If orthotics have been prescribed prior to surgery they generally do not have to be remade.

 

 

Visit our website: http://www.drlorenmiller.com

Podiatrist in Clearwater, FL - Loren Miller, DPM

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We are dedicated to serving our community by providing superior health care and personal attention for our patients. Our mission is to take pride and gain satisfaction in providing ongoing service to others in a gentle, caring environment.

 

We realize and firmly believe that every individual has value and worth. Each and every one should be treated with the highest level of respect and integrity.

 

To accomplish our mission, we will provide:

 

1. A highly trained and professional staff

2. State of the art equipment and technology

3. A concern for our patient's time

4. Ongoing interaction and interest

5. Patient education and home care advice/supplies

 

As a result of these provisions, we hope that:

 

1. Our patients will be highly satisfied with the personalized care and service they will experience here

2. They will continue as a part of our practice family

3. They will enjoy healthy, comfortable and improved foot function

4. Our patients will feel a desire to refer their friends and family

 

One thing we promise and guarantee is:

 

WE WILL DO OUR VERY BEST TO SERVE YOU!

 

 

Dr. Miller has been a Podiatric Physician and Surgeon since 1987, with the majority of this time building a succesful practice in the St. Petersburg area.

 

In 1981, Dr. Miller received his Bachelor of Science Degree from Wayne State University in Detroit, Michigan. He then went on to the Dr. William M. Scholl College of Podiatric Medicine in Chicago Illinois to receive his Doctor of Podiatric Medicine Degree.

 

Dr. Miller completed his residency training in Podiatric Medicine and Surgery at the Foot Clinic of Youngstown, Ohio prior to relocating to Florida to open his practice.

 

Dr. Miller is a Diplomate with the American Board of Podiatric Surgery, Diplomate, Wound Management and a Fellow of the American College of Foot and Ankle Surgeons. He is trained and qualified to treat patients from infancy to geriatrics. In addition to being board certified in foot surgery, he is also trained and certified in laser, arthroscopic, and endoscopic surgery.

 

 

 

Visit our website: http://www.drlorenmiller.com

Monday, January 10, 2011

Patient Discusses Nerve Surgery - North Jersey Podiatry

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Podiatrist in Northern New Jersey

Nerve surgery is performed as an outpatient procedure taking about an hour. Appropriate anesthesia is administered by an Anesthesiologist. Using microsurgical techniques, Dr. Klein finds the damaged area of the nerve , cuts it out and buries or implants the healthy end into a muscle. A surgical dressing is applied at the end of surgery. Some patients notice an immediate difference in their pain in the recovery area and for others it may take months. Postoperative care is followed closely by Dr. Klein. As in all nerve surgery risks do exist. Risks are similar to neuroma excision with the added caveat that some patients continue to have pain and their body never responds to the removing of the nerve. These patients have "centralized pain" which means their pain doesn't respond to the procedures on the nerve itself and instead these patients  require the expertise of pain management specialist.

Visit our website: http://www.northjerseypodiatry.com

Patient Discusses Bunions and Nerve Surgery - North Jersey Podiatrist

 

Surgical Treatment

 

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.

Nerve surgery is performed as an outpatient procedure taking about an hour. Appropriate anesthesia is administered by an Anesthesiologist. Using microsurgical techniques, Dr. Klein finds the damaged area of the nerve , cuts it out and buries or implants the healthy end into a muscle. A surgical dressing is applied at the end of surgery. Some patients notice an immediate difference in their pain in the recovery area and for others it may take months. Postoperative care is followed closely by Dr. Klein. As in all nerve surgery risks do exist. Risks are similar to neuroma excision with the added caveat that some patients continue to have pain and their body never responds to the removing of the nerve. These patients have "centralized pain" which means their pain doesn't respond to the procedures on the nerve itself and instead these patients  require the expertise of pain management specialist.

North Jersey Podiatry - Paul Klein, DPM

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Dr. Paul G Klein is a foot, ankle and lower limb podiatric physician specialist. The overlying precept to his practice of podiatric medicine and surgery is " Offer the highest level of care -- Do what is best for the patient and treat them as if they are family" . For the past 28 years this has been accomplished. Recognizing that education doesn't stop with graduation or a degree, Dr. Klein has pursued advanced training in various sub specialities to ensure the continuation of his philosophy of excellence. Having graduated from Queens College, CUNY 1977 and  The New York College of Podiatric Medicine 1981 he served a Residency in Medicine and Surgery at Jewish Memorial Hospital 1982 in New York City. Admitted as an attending to various New York and New Jersey Hospitals, Dr. Klein began a 20 year labor of love teaching surgery to podiatric surgical residents. Dr. Klein has authored numerous medical and surgical papers while lecturing extensively. Dr. Klein continues today to seek out the best remedies for his patients.

Visit our website: http://www.northjerseypodiatry.com

Heel Pain Treatment Podiatrist in North Jersey

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Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.

 

Laser Treatment - Podiatrist in North Jersey

 

At North Jersey Podiatry we use lasers to treat toenail conditions, warts and  soft tissue lesions.

 

Visit our website: http://www.northjerseypodiatry.com

Wednesday, January 5, 2011

Wound Care - Podiatrist in Columbus, OH

Patient Discusses Diabetic Feet - Podiatrist in Columbus, OH

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http://www.columbusfoot.com

 

According to the American Diabetes Association, about 15.7 million people (5.9 percent of the United States population) have diabetes. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands.

Heel Pain Diagnosis and Treatment - Podiatrist in Columbus, OH

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Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult our office before taking any medications. In persistent cases, Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.

Visit our website: http://www.columbusfoot.com

Ingrown Toenails - Podiatrist in Columbus, OH

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 http://www.columbusfoot.com

Ingrown toenails, also known as onychocryptosis, is usually caused by trimming toenails too short, particularly on the sides of the big toes. They may also be caused by shoe pressure (from shoes that are too tight or short), injury, fungus infection, heredity, or poor foot structure. Ingrown toenails occur when the corners or sides of the toenail dig into the skin, often causing infection. A common ailment, ingrown toenails can be painful. Ingrown toenails start out hard, swollen, and tender. Left untreated, they may become sore, red, and infected and the skin may start to grow over the ingrown toenail.

Diabetic Foot Care - Columbus, OH Podiatrist

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According to the American Diabetes Association, about 15.7 million people (5.9 percent of the United States population) have diabetes. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands.

Warts - Podiatrist in Columbus, OH

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Most foot warts are harmless, even though they may be painful. They are often mistaken for corns or calluses, which are layers of dead skin that build up to protect an area which is being continuously irritated. A wart, however, is caused by a viral infection which invades the skin through small or invisible cuts and abrasions. Foot warts are generally raised and fleshy and can appear anywhere on the foot or toes. Occasionally, warts can spontaneously disappear after a short time, and then, just as frequently, they recur in the same location. If left untreated, warts can grow to an inch or more in circumference and can spread into clusters of warts. Children, especially teenagers, tend to be more susceptible to warts than adults.

 

Plantar warts, also known as verrucas, appear on the soles of the feet and are one of several soft tissue conditions that can be quite painful. Unlike other foot warts, plantar warts tend to be hard and flat, with a rough surface and well-defined boundaries. They are often gray or brown (but the color may vary), with a center that appears as one or more pinpoints of black. Plantar warts are often contracted by walking barefoot on dirty surfaces or littered ground. The virus that causes plantar warts thrives in warm, moist environments, making infection a common occurrence in public pools and locker rooms.

 

Like any other infectious lesion, plantar warts are spread by touching, scratching, or even by contact with skin shed from another wart. The wart may also bleed, another route for spreading. Plantar warts that develop on the weight-bearing areas of the foot (the ball or heel of the foot) can cause a sharp, burning pain. Pain occurs when weight is brought to bear directly on the wart, although pressure on the side of a wart can create equally intense pain.

 

To prevent the spread of warts, follow these tips:

 

•Avoid direct contact with warts, both from other persons or from other parts of the body.

•Avoid walking barefoot, except on sandy beaches.

•Change your shoes and socks daily.

•Check your children's feet periodically.

•Keep your feet clean and dry.

It is important to note that warts can be very resistant to treatment and have a tendency to reoccur. Over-the-counter foot wart treatments are usually ineffective because their use can inadvertently destroy surrounding healthy tissue. Please contact our office for help in effectively treating warts. Our practice is expert in recommending the best treatment for each patient, ranging from prescription ointments or medications to, in the most severe cases, laser cautery.

 

Visit our website: http://www.columbusfoot.com

 

Heel Pain Treatment - Podiatrist in Trenton, TN

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Foot and Ankle Disorders

Did you know the foot has 26 bones, 33 joints, 107 ligaments, 19 muscles, and numerous tendons? These parts all work together to allow the foot to move in a variety of ways while balancing your weight and propelling you forward or backward on even or uneven surfaces. It is no wonder that 75 percent of all Americans will experience foot problems at one point or another in their lifetimes.

Visit our website: http://www.gibsoncountypodiatry.com

Trenton Tennessee Podiatrist - Kathy Riffe, DPM

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We welcome you as a patient to our podiatry practice in Trenton, Tennessee. We are grateful that you have chosen us as the health care provider for your foot and ankle problems. We believe that prompt diagnosis, early intervention and prevention are essential for care and treatment.

This web site has been designed to offer information and answer frequently asked questions. We want you to feel comfortable in our office. Please do not hesitate to discuss areas of concern.

Our mission is to serve our patients in a professional manner by providing quality up-to-date medical and surgical care for their podiatric problems. We strive to provide all services honestly and compassionately to the best of our ability.

Everyone in this office is a trained professional and works as a team member, taking pride in their work. Our growth in the community is a direct result of the caring and personal treatment we give our patients

Visit our website: http://www.gibsoncountypodiatry.com

Seattle Podiatrist - Rion Berg, DPM

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At Foot and Ankle Center of Lake City, our priority is to deliver quality care to informed patients in a comfortable and convenient setting.

Quality Care

When you have problems with your feet, you need to turn to a podiatrist who listens and responds ... an experienced doctor who knows the field and can effectively diagnose and treat your needs ... a friendly physician who counsels you on the best ways to maintain and improve your health. Our physician meets all these criteria. Plus, you benefit from a dedicated team of trained professionals who give you the individualized attention you deserve.

Informed Patients

Foot and Ankle Center of Lake City believes that informed patients are better prepared to make decisions regarding their health and well being. That is why we've included an extensive section on this web site covering the full array of topics associated with podiatry and podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet.

Comfortable, Convenient Setting

The best care in the world doesn't mean anything if you can't access it. At Foot and Ankle Center of Lake City, we strive to make our Lake City office as efficient and convenient as possible. Included in these web pages is information about Foot and Ankle Center of Lake City's office, including our Lake City location, maps, directions, hours, free parking, insurance policies and appointment scheduling.

 

Visit our website: http://www.bergdpm.com

Heel Pain Treatment - Seattle Podiatrist

Podiatrist in Seattle

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Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.

Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications. In persistent cases, Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.

 

Visit our website: http://www.bergdpm.com

Monday, January 3, 2011

Heel Pain Treatment - Manhattan Podiatrist NYC

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http://www.doctorisaacson.net

Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.

Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications. In persistent cases, Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.

Visit our website: http://www.doctorisaacson.net

Laser Treatment for Fungal Toenails - Manhattan Podiatrist NYC

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http://www.doctorisaacson.net

Safe — Our new, innovative laser avoids all of the potentially serious side effects of other leading toenail fungus treatments.

Little to no discomfort — No anesthesia is required.

Fast and efficient — Treatment takes about 30 to 40 minutes.

No drugs or topical ointments — Treat your toenail fungus without having to remember to take pills or apply topical solutions.

Visit our website: http://www.doctorisaacson.net

Midtown Manhattan Podiatrist - Ernest Isaacson, DPM

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If you are looking for a podiatrist in Manhattan, we welcome you to our practice.

Welcome to our office

Dr. Isaacson's priority is to educate and inform his patients in a comfortable and convenient setting.

Quality Care

When you have problems with your feet, whether its heel pain, bunions, or other common foot injuries, you need to turn to a quality podiatrist in Manhattan who listens and responds ... with experience in foot surgery and all aspects of podiatry ... who knows the field and can effectively diagnose and treat your needs ... a friendly physician who counsels you on the best ways to maintain and improve your health. Plus, you benefit from a dedicated highly trained professional who give you the individualized attention you deserve.

Informed Patients

Dr. Isaacson believes that informed patients are better prepared to make decisions regarding their health and well being. That is why we've included an extensive section on this web site covering the full array of topics associated with podiatry and podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet.

Comfortable, Convenient Setting

At our office we strive to make our Manhattan office as efficient and convenient as possible. Included in these web pages is information about Dr. Isaacson's office, including our 40th Street location, maps, directions, hours, insurance policies and appointment scheduling

Visit our website: http://www.doctorisaacson.net

Midtown Manhattan Podiatrist - Ernest Isaacson, DPM

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If you are looking for a podiatrist in Manhattan, we welcome you to our practice.

Welcome to our office

Dr. Isaacson's priority is to educate and inform his patients in a comfortable and convenient setting.

Quality Care

When you have problems with your feet, whether its heel pain, bunions, or other common foot injuries, you need to turn to a quality podiatrist in Manhattan who listens and responds ... with experience in foot surgery and all aspects of podiatry ... who knows the field and can effectively diagnose and treat your needs ... a friendly physician who counsels you on the best ways to maintain and improve your health. Plus, you benefit from a dedicated highly trained professional who give you the individualized attention you deserve.

Informed Patients

Dr. Isaacson believes that informed patients are better prepared to make decisions regarding their health and well being. That is why we've included an extensive section on this web site covering the full array of topics associated with podiatry and podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet.

Comfortable, Convenient Setting

At our office we strive to make our Manhattan office as efficient and convenient as possible. Included in these web pages is information about Dr. Isaacson's office, including our 40th Street location, maps, directions, hours, insurance policies and appointment scheduling

Visit our website: http://www.doctorisaacson.net

Bunions - New York City Podiatrist NYC

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A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Valgus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.

Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.

Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.

Treatment for Bunions

Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain cause by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:

•The use of protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.

•Removal of corns and calluses on the foot.

•Changing to carefully-fitted footwear designed to accommodate the bunion and not contribute toward its growth.

•Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.

•Exercises to maintain joint mobility and prevent stiffness or arthritis.

•Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.

Surgical Treatment

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.

Visit our website: http://www.doctorisaacson.net

Patient Discusses Diabetic Foot Care - New York City Podiatrist NYC

Diabetic Foot Care - New York City Podiatrist NYC

 

If you have diabetes, you should inspect your feet every day. Look for puncture wounds, bruises, pressure areas, redness, warmth, blisters, ulcers, scratches, cuts, and nail discoloration. Get someone to help you, or use a mirror

Visit our website: http://www.doctorisaacson.net

Manhattan Podiatrist NYC - Ernest Isaacson, DPM

Dr. Ernest L. Isaacson - Manhattan Podiatrist NYC

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Visit our website: http://www.doctorisaacson.net