Items filtered by date: December 2023

Tuesday, 26 December 2023 00:00

Can Vitamin Deficiencies Cause Cracked Heels?

Cracked heels are a common foot problem, causing discomfort and often aesthetic concerns. While several factors contribute to this issue, vitamin deficiency is an often overlooked culprit. Specifically, vitamins A, C, and E play important roles in maintaining skin health. Vitamin A is essential for skin repair and maintenance. This type of deficiency can lead to dry, flaky skin, making it more prone to cracking. Vitamin C is known for its role in collagen production, a protein vital for skin strength and elasticity. Without enough vitamin C, skin can become fragile and susceptible to fissures. Additionally, vitamin E is a powerful antioxidant that helps protect skin from damage and maintains its moisture balance. A shortage of vitamin E can result in dry, rough skin, making the heels more likely to crack. To combat cracked heels, a balanced diet rich in these essential vitamins, along with proper foot care, is essential. Ensuring you have an adequate intake of these vitamins can go a long way in keeping your heels smooth and healthy. If you have cracked heels, it is strongly suggested that you are under the care of a podiatrist who can offer effective prevention techniques and treatment for this condition.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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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Tuesday, 19 December 2023 00:00

Causes of Ankle Pain Without Injury

Ankle pain, even in the absence of apparent injury, can be a perplexing and discomforting experience. Arthritis, a common culprit, may inflame the ankle joints, causing persistent pain and stiffness. Inflammatory conditions, such as rheumatoid arthritis, can exacerbate discomfort. Likewise, Achilles tendinitis, marked by inflammation of the Achilles tendon, often induces ankle pain, particularly during movement. Structural issues such as flat feet or high arches may contribute to ankle pain by altering the distribution of weight and impacting joint alignment. Nerve compression, as seen in conditions like tarsal tunnel syndrome, can also manifest as ankle discomfort without external trauma. Additionally, overuse or repetitive strain from activities like prolonged standing or walking may strain the ankle ligaments and muscles, resulting in pain. Understanding the diverse sources of ankle pain beyond visible injuries is important for an accurate diagnosis and targeted intervention. If you have unexplained ankle pain, it is suggested that you contact a podiatrist who can determine what the reason is, and offer correct treatment methods. 

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Lance Greiff, DPM from Great Neck Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures


Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain


To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.


Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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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Tuesday, 12 December 2023 00:00

Peripheral Neuropathy

Common peroneal nerve dysfunction, also known as common fibular nerve dysfunction, involves damage to the peroneal nerve, affecting movement and sensation in the foot and leg. This condition can occur at any age and is a type of peripheral neuropathy, specifically mononeuropathy, where a single nerve is damaged. Causes can range from knee trauma, fibula fracture, tight casts, habitual leg crossing, to pressure during sleep or surgery. It is also seen in individuals with anorexia, autoimmune conditions, diabetes, alcohol use, or inherited disorders like Charcot-Marie-Tooth disease. Symptoms include decreased sensation, numbness, tingling in the leg, foot dropping, a slapping gait, toe dragging, and muscle weakness. Diagnosis involves a physical exam, electromyography, nerve conduction tests, MRI, and nerve ultrasound. Potential complications may include reduced walking ability and permanent sensation loss or weakness in the legs or feet. If you have symptoms of peripheral neuropathy, it is suggested that you schedule an appointment with a podiatrist to discuss treatment options.


Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Lance Greiff, DPM from Great Neck Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.


To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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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Tuesday, 05 December 2023 00:00

Causes of Poor Foot Circulation

Effective blood circulation is vital for overall health, and when it comes to your lower extremities, poor circulation can have profound consequences. Several factors contribute to poor foot circulation. A primary culprit is atherosclerosis, a condition characterized by the buildup of fatty deposits in the arteries, restricting blood flow. Diabetes, with its potential impact on blood vessels, can increase circulation issues in the feet. Peripheral artery disease, or PAD, another common cause, involves the narrowing of arteries outside the heart, often affecting the legs and feet. Lifestyle choices, such as a sedentary routine or smoking, can contribute to poor circulation by impeding blood vessel function. Blood clots, whether originating in the legs or forming elsewhere and traveling to the feet, can obstruct blood flow. Nerve damage, often associated with conditions like neuropathy, may disrupt the signals that regulate blood vessel dilation and constriction. Additionally, varicose veins, characterized by enlarged and weakened veins, can impede efficient blood circulation. Aging also plays a role, as blood vessels may lose elasticity over time. If you have poor circulation in your feet, it is strongly suggested that you are under the care of a podiatrist who can determine the cause and offer effective treatment options.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. 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

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.


Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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 care needs.

Read more about Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.