Items filtered by date: January 2024

Tuesday, 30 January 2024 00:00

Managing a Stubbed Toe

Managing a stubbed toe can be a surprisingly painful experience. Stubbing a toe often results from accidentally kicking the toe into a wall, tripping over objects, or catching it on various surfaces. The symptoms, whether the injury is minor or severe, typically include intense and sometimes sharp pain, radiating discomfort through the foot or ankle, and pain when putting weight on the injured area. The pain of stubbed toes can be significant because of the abundance of nerves in the toe. This heightened sensitivity is compounded by the lack of substantial cushioning in some shoes, along with minimal fat in the toe to absorb impact. This can increase the risk of more severe injuries, such as bone bruises and fractures. If the toe begins to swell and persistent pain lingers even after several hours, it is a sign you may need to see a podiatrist. Additionally, if the toenail either detaches, or the surrounding area experiences significant swelling, you may be at risk of an infection. For these reasons, it is suggested that you schedule an appointment with a podiatrist to ensure proper care and prevent potential complications. 

Toe pain can disrupt your daily activities. If you have any concerns, 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking


In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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.


Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

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Tuesday, 23 January 2024 00:00

Suitable Shoes for Walking and Running

When it comes to choosing between running and walking shoes, understanding the key differences can make all the difference. Both walkers and runners have distinct footwear needs, and these needs are reflected in the design of their shoes. The important factors to consider include shoe weight, cushioning, and flexibility. Running shoes are typically lightweight, facilitating quick movements, while walking shoes are generally heavier to provide stability and support during a slower, consistent pace. Running shoes offer more cushioning in the forefoot and heel to absorb the impact of continuous running strides. Walkers require good foot support over extended periods. Running shoes are more flexible in the midfoot or arch, accommodating the runner's constant strike at their midfoot or the ball of their foot. Additionally, walkers need arch flexibility since they rely on their toes to push off. Regardless of your choice, monitor how your shoes support your needs during your walk, and remember to replace them after every 300 to 400 miles or every four to six months to maintain optimal comfort and prevent injury. If you need help in determining what the right shoes are for running or walking, it is suggested that you consult with a podiatrist who is an expert in feet and ankle knowledge.

For more information about walking shoes versus running shoes, consult with Lance Greiff, DPM from Great Neck Podiatry. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.


Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

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 Walking Shoes vs. Running Shoes

Newborns are a marvel of nature, but they can also exhibit a range of physical characteristics, including some common foot deformities. One of the most frequently encountered conditions is metatarsus adductus, where a baby's feet curve inward. This condition often corrects itself over time, but in severe cases, medical intervention may be required. Another common newborn foot deformity is congenital vertical talus, characterized by an upward bending of the foot's arch. This condition typically necessitates early treatment to ensure proper foot development. Clubfoot is another condition where the baby's feet point inward and downward, making it challenging for the child to walk. Fortunately, early intervention with casting and corrective footwear can help normalize the foot position. Understanding these common newborn foot deformities is essential, as early diagnosis and treatment can make a significant difference in a child's long-term foot health and overall well-being. Podiatrists play a vital role in addressing these issues and guiding parents through the necessary steps for proper management and treatment. If your child has a congenital foot deformity, it is strongly suggested that you seek the counsel of a podiatrist who can begin the correct treatment method.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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

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Tuesday, 09 January 2024 00:00

Treatment of Toenail Fungus

Fungal nail infections, which are known as onychomycosis, are widespread and can affect up to 14 percent of the general population, with toenail infections being more common than fingernails. While usually not severe, they can cause discomfort and affect nail appearance. Symptoms include nail discoloration, thickening, fragility, and separation from the nail bed. Often, fungal toenail infections coincide with fungal skin infections on the foot, such as athlete's foot. These infections result from various environmental fungi entering small cracks in nails or surrounding skin. While anyone can get them, certain factors increase susceptibility, such as nail injuries, diabetes, and weakened immune systems. Prevention measures involve keeping hands and feet clean and dry, maintaining short, clean nails, and avoiding walking barefoot in public areas. Diagnosis requires laboratory testing, with podiatrists typically collecting nail clippings for microscopic examination or laboratory analysis. Effective treatment often involves prescription anti-fungal pills, initiated early. Severe cases may require nail removal. Recurrence is possible, especially in those with underlying health conditions, necessitating prompt attention if symptoms return. If you have toenail fungus, it is suggested that you schedule an appointment with a podiatrist for a prompt evaluation and the correct treatment method.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.


  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail


If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.


In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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 How to Treat Your Toenail Fungus
Wednesday, 03 January 2024 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Tuesday, 02 January 2024 00:00

Reasons for Swollen Feet During Pregnancy

Swollen feet are a common companion to the miraculous journey of pregnancy, stemming from a combination of physiological changes and increased demands on the circulatory system. As the body nurtures a growing life within, blood volume surges, causing fluid retention in various tissues, including the feet. Hormonal shifts play a pivotal role, promoting relaxation of blood vessels and allowing for increased fluid accumulation. The expanding uterus exerts pressure on major blood vessels, hindering efficient circulation and contributing to swelling in the lower extremities. Prolonged standing or sitting can exacerbate this swelling, emphasizing the importance of regular movement and elevation of the feet. While edema during pregnancy is typically benign, it is essential to distinguish it from conditions like preeclampsia. If your feet become swollen during your pregnancy, it is suggested that you speak to a podiatrist who can offer you effective relief methods.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Lance Greiff, DPM from Great Neck Podiatry. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

Read more about Pregnancy and Foot Health