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Which Type of Orthotic Do I Need?

Which Type of Orthotic Do I Need?

Orthotics are insoles that are worn in the shoes to provide additional support for the feet. They are used for different reasons, including overall foot health, abnormal foot structure, and various foot ailments. There are several kinds of orthotics to choose from. Orthotics that are prescribed by a podiatrist are designed to fit and correct an individual's unique foot and specific condition. They are made by taking an impression of the feet and can be successful in treating plantar fasciitis, flat feet, or heel spurs. Mass-produced inserts are referred to as prefabricated orthotics, and can fit a large range of foot types. They can be purchased in a pharmacy, and are available in numerous sizes and arch types. People who have mild foot pain may benefit from over-the-counter insoles, which may provide temporary relief. If you have any type of foot pain, it is strongly suggested that you consult with a podiatrist who can help you to choose the right type of orthotics based on the cause of your foot pain.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Footcare Now. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our offices located in Elmhurst Jackson Heights, and Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ankle Foot Orthotics for Athletes

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

3 Types of Wound Care

3 Types of Wound Care

Wound healing occurs when repair is done for skin damage. The first response from the body is known as the hemostasis phase, which happens as the injury occurs. This is the body’s natural response for wound care, as it stops any bleeding or fluids. Wounds can range from superficial to serious, and there are three types of wound care that are applicable, depending on what type of wound it is. Some wounds require staples, stitches or glue, and these are classified as primary wound healing. A large amount of tissue loss may result in having secondary wound healing performed. This is done when the wound is too large to stitch, or if the wound is in a place where stitches would be uncomfortable. Wounds that are infected may require a tertiary wound healing procedure, which is the delayed closure of a wound so proper drainage can take place. If you have a wound on your foot, it is strongly suggested that you speak with a podiatrist as quickly as possible who can determine what the proper type of wound care is for you.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Footcare Now. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our offices located in Elmhurst Jackson Heights, and Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care

Do You Suffer From Painful Feet?

Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Choosing the Right Running Shoe for Your Foot Type

Choosing the Right Running Shoe for Your Foot Type

Running may seem like a simple to do. However, running is actually a complex movement that puts stress on the ligaments, bones, and joints of the body.  Selecting the correct running shoe is important for increasing performance and avoiding risk of injury.  Running shoes should be selected based on your foot type.  Considerations such as trail versus road shoes are important. Your foot type dictates the degree of cushioning, stability and motion control you require.  The most accurate way to learn your foot type is to visit a local shop that specializes in running shoes.  Professionals can measure your arch type, stride and gait and help you with your shoe needs.

The design of running shoes is created around the idea of pronation.  Pronation is the natural rolling movement of your ankle from the outside to inside when your foot strikes the ground.  If you run properly you strike the ground on the outside of your heel and roll in the direction of your big toe before pushing off once more.  Pronation is beneficial because it assists the lower half of your body in absorbing shock and storing energy.  Those considered neutral runners pronate correctly and do not need running shoes that help correct their form.  Neutral runners can choose from a wide variety of shoes, including barefoot or minimal types.  However, those who have arch problems or who adopt an incorrect form while running may experience too much or too little pronation. They may require running shoes that offer additional support.

Those who overpronate experience an over-abundance of ankle rolling.  Even while standing, those who severely overpronate display ankles that are angled inward.  It is not uncommon for them to have flat feet or curved legs.  The tendency to overpronate may cause many injuries.  Areas that tend to become injured are the knees, ankles, and Achilles tendon.  If you find that you have a tendency to overpronate, you should look at shoes that provide extra stability and motion-control.  Motion-control shoes are straight and firm. Shoes of this type do not curve at the tip.  The restricted flexibility along the middle of the shoe prohibits the foot from rolling too far inward as your foot strikes the ground.

A less common problem is underpronation.  Underpronation, also called supination, is when the feet are unable to roll inward during landing.  Those who underpronate have feet that lack flexibility and high arches.  This prevents any kind of shock absorption, even though it does place less rotational stress on ankles and knees.  This added force can cause fractures, ligament tears, and muscle strains because the legs are trying to compensate for the impact.  Those who underpronate need shoes with more cushioning and flexibility.  If you have a tendency to underpronate, selecting stability or motion-control shoes may cause you more problems by continuing to prevent pronation.

3 Categories of Running Shoes

3 Categories of Running Shoes

People who enjoy running learn that they can benefit from wearing the right type of running shoes. Experts have shown there are three categories of running shoes, and it is important to choose the pair that best describes the preferred running style. Shoes that are supportive and controlling are worn to reduce excessive pronation, which is described as the feet rolling inward while running. These types of shoes are constructed with stronger materials on the inside of the heel. This design may help keep the heels stable. Stability and cushioned shoes are less heavy than controlling shoes and are considered to be the most popular type of running shoe. The lightest running shoes are referred to as cushioned and neutral trainers, and people who enjoy fast running may opt to choose this type of shoe. If you would like more information about what type of running shoes to purchase, it is suggested that you speak with a podiatrist who can address any questions you may have.

If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Footcare Now. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact our offices located in Elmhurst Jackson Heights, and Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Choosing the Right Running Shoe for Your Foot Type

Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place.  However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.

Top of the Foot Pain

Top of the Foot Pain

There are several reasons the top of your foot can hurt, including fractures and bruises. However, chronic foot conditions can also result in pain in this area. It is easy to forget how complex the foot is with its many tendons, muscles, joints, and bones. Health issues and foot injuries can upset the balance of the foot and cause pain and movement problems. The middle of the foot is referred to as the Lisfrank area, or the midfoot. It is made up of small bones that help form the arch of the foot. Pain in this area can be due to dropping something heavy on the foot, falling, or possibly from a  ganglion cyst pressing on a muscle or joint in the foot. A hairline fracture in this area of the foot from overuse or prolonged running can cause pain. Treatment ranges from rest to surgery. Due to the preponderance of reasons for this type of foot pain, it is suggested that you visit a podiatrist for a thorough evaluation and treatment based on an actual diagnosis.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Footcare Now. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our offices located in Elmhurst Jackson Heights, and Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain

Bunions

A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out.  As a result, the skin over the bunion may start to appear red and it may feel sore.

There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.

The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis. 

Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.

Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.

Various Types of Bunions

Various Types of Bunions

Research has shown that bunions are the most common medical condition that affects the front of the foot. It is easy to notice by the large bump that develops and protrudes on the side of the big toe. Severe bunions may cause the other toes to shift together, and larger shoes may need to be purchased. A bunion is considered to be a deformity and can happen from wearing shoes that do not have ample room for the toes to move freely in. High heels can fit into this category, and it is helpful to limit how frequently they are worn. There are various types of bunions, and a simple bunion is a bump on the side of the big toe joint. The same bunion may have skin irritation from rubbing against the shoes and a tailor’s bunion forms on the pinky toe. Bunions with hallux limitus can change the structure of the foot, which may cause the bunion to form on the top instead of on the side of the foot. Some people can help to wear a protective pad over the bunion for mild relief. If you have a bunion, it is strongly suggested that you visit a podiatrist who can offer you treatment options that are correct for you.

If you are suffering from bunions, contact one of our podiatrists of Footcare Now. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our offices located in Elmhurst Jackson Heights, and Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions

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