Items filtered by date: August 2022

People with diabetes can also suffer from peripheral arterial disease (PAD). This is a disease in which elevated blood glucose levels cause your arteries to narrow. A narrowing of the arteries can restrict the flow of blood to the extremities,  otherwise known as poor circulation. PAD symptoms include numb or cold feet, intermittent claudication (leg pain that goes away when resting), bluish colorization in the skin of the legs, loss of hair on the legs or feet, brittle toenails and more. One of the more serious symptoms of PAD is an impaired ability to heal wounds and sores, which can be potentially dangerous for the diabetic patient. As a diabetic, it is wise to be under the care of a podiatrist. They will be able to determine if you have PAD with a non-invasive test of the blood flow in your feet called a brachial pressure index test, or ABPI test. If you have been diagnosed with PAD, your podiatrist will be able to help manage your symptoms and help prevent complications from arising.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Lance Greiff, DPM of Great Neck Podiatry. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.

Running shoes are worn for various reasons that can range from training for a marathon to getting in shape. The right shoes will fit correctly from the beginning and will not need a break-in period. It helps to wear shoes that have approximately a half inch of space between the top of the shoe and the top of the toe. This can help to improve comfort as running can negatively impact the feet. A shoe that fits slightly tighter is the running preference for speed. This type of shoe may provide a heel that is form-fitting and can hold the foot in place easily. It is important to be aware of the kind of arch the foot has and there are different types of running shoes that can be accommodating. Neutral running shoes will benefit those people who have medium arches and offer added shock absorption. People who have low or flat arches may want to choose stability running shoes as they may be helpful in minimizing overpronation. Motion control shoes can help runners who have excessive pronation since these shoes can help to stabilize the foot. A podiatrist is qualified in determining what type of running shoes are best for you, and it is suggested that you speak with this type of doctor who can provide you with correct information.

If you are a runner, wearing the right running shoe is essential. For more information, 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.

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

The heel of the foot may be affected when there are abnormalities of the skin, nerves, and bones. The foot condition that is known as plantar fasciitis is common, and can cause severe pain and discomfort. Existing medical conditions that include peripheral vascular disease or arthritis can produce heel pain, in addition to Sever’s disease which affects children and young teenagers. Additionally, many people have heel spurs that are diagnosed as small bones that grow under the heel. These can develop from obesity or from wearing shoes that do not fit properly. Patients who have Achilles tendonitis may have heel pain. The Achilles tendon is found in the calf, and connects the heel to the calf muscles. If it becomes inflamed from an injury, it may result in severe heel pain. Frequently practicing high-impact physical exercise may lead to heel pain, and relief may be found when the activity is temporarily stopped. There are various ways to treat heel pain, and it is strongly suggested that you are under the care of a podiatrist who can offer you correct treatment options.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

Many women wear high heels as a fashion statement and to increase their height. While these are certainly two important benefits of wearing high heels, there are also many risks. One potential risk of wearing high-heeled shoes is that it might detrimentally alter one’s gait, or walking pattern. For example, women who wear high heels sometimes exhibit shorter gait patterns and unconsciously point their toes. As a result, the gaits of these women exert more pressure on the calf muscles and can ultimately facilitate strain on the feet. Some women who wear high heels might even demonstrate these gait changes when they are not wearing high heels, such as when they are walking barefoot or in a pair of flats. Of course, sometimes wearing high heels can be an unavoidable choice. However, there are several things one might do to mitigate the extent to which high heels can change the gait. Namely, someone might limit the time that high heels are worn throughout the day and set a limit on the number of days in the week in which these shoes are worn. Contact a podiatrist for more information about how high heels can alter your gait.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads 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 and ankle needs.