An isolated medial malleolar fracture is a break in the inner part of the ankle, at the bony bump on the inside called the medial malleolus. The word isolated means the fracture occurs on its own, without other parts of the ankle being broken. This injury often happens from a sudden twist, fall, or direct hit during sports or everyday movement. Common symptoms include pain, swelling, bruising, and trouble putting weight on the foot. Even though the break is in one area, it can still affect balance and walking. A podiatrist can diagnose the injury with an exam and imaging, then guide treatment such as casting, bracing, or surgery, if needed. This type of doctor also monitors healing to help restore movement safely. If you have ankle pain after an injury, it is suggested that you seek care from a podiatrist.

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Thick toenails are often caused by toenail fungus, a common infection that targets the nail and surrounding tissue. This condition develops when fungi enter through small cracks and thrive in warm moist environments. Symptoms include discoloration, nails that become yellow or brown, thickened texture, splitting, and lifting away from the nail bed. Walking barefoot around pool areas and locker rooms increases exposure, and athlete’s foot can spread infection to the nails. Athlete’s foot may cause itching, redness, and peeling skin. Risk factors include poor hygiene, wearing damp footwear, and a weakened immune system. A podiatrist can diagnose the infection, provide targeted treatment, and recommend preventive care. If you have noticed your toenails have become thick or have changed color, it is suggested that you consult a podiatrist who can offer effective treatment solutions, which may include prescribed medication.

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.

Symptoms

• 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

Treatment

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.

Prevention

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

Abnormal foot posture can contribute to low back pain because the feet support the body’s overall alignment. When they do not function properly, forces traveling through the legs and spine become uneven, placing added strain on the knees, hips, and lower back. Two common problems are pronation and supination. Pronation occurs when the foot rolls inward excessively, often in people with flat feet, causing the legs to rotate inward and disrupting alignment. Supination can happen when the foot rolls outward, typically in those with high arches, reducing shock absorption and increasing joint stress. Risk factors include prolonged standing, excess weight, and repetitive impact, meaning repeated stress from activities like walking or running over time. This ongoing strain can affect muscles, joints, and the spine. A podiatrist can evaluate foot structure and gait, and recommend orthotics or supportive footwear to improve alignment, relieve pain, and promote better overall function. If you have foot pain, it is suggested that you consult a podiatrist who can offer relief techniques that are right for you.

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.

Bunions are a deformity at the base of the big toe where the joint shifts out of alignment, creating a visible bump and pain. Diagnosis usually begins with a physical exam and a review of symptoms, followed by X-rays to measure the angle of the toe and assess joint damage. A podiatrist evaluates how the foot functions and identifies factors like abnormal pressure or poor alignment. Bunion treatment depends on severity. Early care often focuses on reducing pressure and improving foot mechanics with custom orthotics, padding, or anti-inflammatory care. These methods help control symptoms but do not correct the deformity. When pain persists or the bunion worsens, surgery may be recommended. Procedures can realign the bones, remove the bony bump, and restore proper joint position to improve movement and reduce pain. If you have a painful bunion, it is suggested that you make an appointment with a podiatrist for treatment.

If you are suffering from bunion pain, 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?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, 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.