When the Outside of the Foot Becomes a Problem

A tailor’s bunion, also known as a bunionette, develops at the base of the small toe when the 5th metatarsal bone shifts outward. This condition may be caused by inherited foot structure, repetitive pressure, or tight footwear that crowds the toes. Symptoms include aching pain, swelling, and irritation on the outside of the foot, along with signs such as redness, callus formation, and tenderness. The area may look like a small bony bump and can feel sore or burning, especially when wearing narrow shoes or walking for long periods. Over time, discomfort may interfere with daily activities. A podiatrist can help by starting with a careful examination and imaging when needed to confirm the diagnosis and assess bone alignment. Treatment usually begins with footwear changes, padding, and custom orthotics, and may progress to medications, targeted exercises, or corrective procedures when conservative care does not provide relief. If you have a painful tailor’s bunion, it is suggested that you make an appointment with a podiatrist.

If you are suffering from bunions, contact Lance Greiff, DPM of Great Neck Podiatry. Our doctor 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?

Podiatrists 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 provider.

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 Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Foot Anatomy and Stability

Foot and ankle anatomy plays a vital role in movement, balance, and daily comfort. The structure includes joints, tarsal bones, metatarsals, and phalanges that work together to support body weight and allow smooth motion. Ligaments connect these bones and help create stability by guiding proper alignment during walking and standing. When an imbalance occurs, stress may be placed on certain joints or tissues, leading to foot pain, inflammation, or difficulty with mobility. Problems such as heel pain, arch strain, and joint discomfort can develop over time. If you have foot pain, it is suggested that you consult a podiatrist who can assess foot structure, identify imbalance, and provide treatment options such as custom orthotics, supportive care, or other targeted treatments. 

If you have any concerns about your feet, contact Lance Greiff, DPM from Great Neck Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

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Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Preventing and Treating Ankle Sprains in Children

Ankle sprains in children are common injuries that occur when the ligaments supporting the ankle stretch or tear, often due to running, jumping, or sudden twists during sports and play. The ankle may look swollen, bruised, or slightly deformed, and the child may have difficulty putting weight on the affected foot. Many children describe sharp pain at the time of injury, followed by tenderness, stiffness, or a feeling of instability. Repeated ankle sprains in childhood can increase the risk of chronic ankle instability later in life if not properly treated. A podiatrist can begin by examining the ankle, assessing the range of motion, and using imaging if necessary to rule out fractures or growth plate injuries. Treatment may include elevation, supportive braces, targeted exercises, and guidance on safe return to activity. Early care supports proper healing, prevents recurring injuries, and maintains mobility. If your child experiences persistent pain, swelling, or difficulty walking after an ankle injury, it is suggested that you make an appointment with a podiatrist.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Lance Greiff, DPM from Great Neck Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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

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The Role of a Podiatrist in Foot and Ankle Health

A podiatrist is a medical specialist who focuses on the diagnosis, treatment, and prevention of conditions affecting the feet and ankles. This type of doctor plays an important role in promoting foot health, improving mobility, and supporting overall wellness. Podiatrists treat a wide range of foot and ankle conditions, including injuries, infections, deformities, and chronic pain. This type of doctor also plays a key role in diabetes care by monitoring circulation, nerve health, and skin integrity to help prevent ulcers and serious complications. Through regular exams, education, and preventive care, podiatrists help patients stay active and independent. If you are experiencing foot pain, changes in sensation, or difficulty walking, it is strongly suggested that you consult a podiatrist to improve comfort and protect your feet.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Lance Greiff, DPM from Great Neck Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

  • Physical therapy
  • Drugs
  • Orthotic inserts or soles
  • Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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

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