March 2024

Tuesday, 26 March 2024 00:00

Laser Treatment for Fungal Nails

A new treatment for fungal nails, or onychomycosis, which has grown in popularity in recent years, is laser treatment. Laser treatment involves the use of a laser that kills fungus in the toenail with heat. Laser therapy causes no side effects and does not affect nearby healthy tissue.

Toenail fungus afflicts almost 10 percent of the U.S. population and is more common among the elderly. The most common symptom of toenail fungus is the discoloration and thickening of the nail. The nail can also become brittle and a foul smell may be produced. In rare cases, pain might be present. While it is not a serious condition, it can lead to a perception of disgust amongst those it affects. There are several different fungi that cause fungal infections. These include dermatophyte, yeast, and mold. The most common of these is dermatophyte.

Diagnosis for fungal nails involves a podiatrist utilizing microscopy and fungal cultures. This will allow the doctor to determine whether it is a fungus or another condition, such as lichen planus, psoriasis, nail damage, and onychogryphosis.

Fungus in the nails can be hard to get rid of with over-the-counter drugs. This is due to the nail being hard and protective, with fungus able to slip between the nail bed and plate. Furthermore the slow growth of the nail increases the difficulty of fungus going away. Laser treatment seeks to get around this by directly penetrating through the nail and killing the fungus. The laser is used on each infected nail for a couple of minutes. Patients then typically return several weeks or months later for another laser treatment. During this time the podiatrist will routinely observe the foot and infection. It is also recommended to wear clean socks and shoes and allow the feet to dry and breathe to prevent toenail fungus.

Laser treatment is still a relatively new treatment and not all podiatrists have laser machines. Ask your podiatrist if they do laser treatment for toenail fungus and if it is right for you.

Tuesday, 26 March 2024 00:00

The Science Behind Laser Treatment for Fungal Nails

Laser treatment for fungal nails has emerged as a promising solution for individuals seeking effective and non-invasive ways to combat stubborn nail infections. This innovative approach harnesses the power of concentrated light energy to target and destroy fungal organisms residing within the nail bed. During the procedure, the laser emits pulses of high-intensity light, penetrating the nail tissue to eradicate the fungal infection while leaving surrounding tissues unharmed. The laser energy works by heating the fungal cells to a temperature that effectively disrupts their structure and inhibits their ability to thrive and spread. Unlike traditional treatments such as topical antifungal medications or oral drugs, laser therapy offers several advantages, including minimal side effects and no risk of liver toxicity associated with oral medications. While multiple sessions may be required to achieve optimal results, many individuals experience significant improvement in nail appearance and reduction of fungal infection symptoms following laser treatment. If you have toenail fungus, it is suggested that you visit a podiatrist who can determine if laser treatment is right for you.

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

Nail thickening
Brittleness of the nail
Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

If you have any questions, please feel free to contact one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tuesday, 19 March 2024 00:00

Relieving Ball of Foot Pain From Wearing High Heels

High heels can add elegance and style to any outfit, but they often come with the uncomfortable side effect of pain in the ball of the foot. Fortunately, there are strategies to alleviate this discomfort and enjoy wearing heels more comfortably. This can begin by considering heels with a lower height or platform soles to reduce the pressure on the ball of the foot. Additionally, insert cushioned insoles or gel pads into your shoes to provide extra support and shock absorption. These inserts can help redistribute weight and alleviate pressure points, preventing pain and discomfort. Another helpful tip is to choose shoes with a wider toe box to allow more room for the toes and reduce crowding in the front of the shoe. Additionally, taking breaks from wearing heels throughout the day and stretching the feet and calf muscles can help relieve tension and prevent pain. If you enjoy wearing high heels and are experiencing pain in the ball of the foot, it is suggested that you consult a podiatrist who can provide you with additional relief tips.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. 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 one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tuesday, 19 March 2024 00:00

Effect of High Heels on the Feet

For hundreds of years, women have been wearing various kinds of high heels for aesthetic reasons. Women who wear high heels appear to be taller and have longer and thinner legs, and the wearer’s gait and posture changes. Though high heels have had an association with femininity and have kept them popular over the years, there are definite health problems caused by wearing them too frequently.

The motion of the ankle joints is limited when heels are worn. The ankle joint is very important to the body when it comes to walking. Because of their location, these joints have a great deal of weight put on them. Thus, it is very important to keep them as healthy as possible. The Achilles tendon is the main tendon in the ankle. Wearing high heels too often, studies have shown, can cause the calf muscle and Achilles tendon to shorten and stiffen. This can cause problems when shoes without heels are worn.

By putting a great deal of pressure on the ball of the foot and by forcing the toes into a small toe box, high heels can cause or may worsen many foot problems. These include corns, hammertoe, bunions, Morton’s neuroma and plantar fasciitis.

Not only does wearing high heels regularly have negative effects on the feet, the rest of the body can suffer as well. The knees, one of the most important joints in the entire body, can be affected by wearing high heels. High heels can cause the knees to stay bent all the time. Also, it can cause them to bend slightly inward as well. Doctors believe that women can suffer from osteoarthritis later in life because of constantly walking like in high heels. By limiting the natural motion of the foot during walking, high heels also cause an increased in stress on the knees.

Similarly, high heels can cause the back to go out of alignment. If high heels are worn constantly, the spine’s ability to absorb shock can cause continued back pain. They can compress the vertebrae of the lower back, and can overuse the back muscles.

However, this is not to say that high heels can never be worn. If worn occasionally and not often, they will not cause serious problems. They should not be worn every day. It’s important to wear them modestly to avoid the long-term physical health problems of the feet, knees, ankles, and back mentioned above.

Tuesday, 12 March 2024 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.

Tuesday, 12 March 2024 00:00

Managing Gout with Exercise

Gout, a form of arthritis caused by the buildup of uric acid crystals in the joints, can be debilitating and painful. However, incorporating regular exercise into your routine can help manage symptoms and improve overall well-being. Low-impact activities such as walking, swimming, and cycling are gentle on the joints and can help reduce inflammation and stiffness associated with gout. It is beneficial to aim for at least 30 minutes of moderate exercise most days of the week to reap the benefits. Strength training exercises focusing on the muscles surrounding the affected joints can help improve stability and support, reducing the risk of gout attacks. Additionally, maintaining a healthy weight through regular exercise and a balanced diet can help decrease uric acid levels in the body, potentially preventing gout flare-ups. By incorporating regular exercise into your lifestyle, you can effectively manage gout and enjoy improved joint health and mobility. If you have developed gout, it is strongly suggested that you are under the care of a podiatrist who can help you manage this painful condition, which may include gentle exercise.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
Inflammation and Redness -Affected joints may become swollen, tender, warm and red
Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

Genetics - If family members have gout, you’re more likely to have it
Medications - Diuretic medications can raise uric acid levels
Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
Diet - Eating red meat and shellfish increases your risk
Alcohol - Having more than two alcoholic drinks per day increases your risk
Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

Tuesday, 05 March 2024 00:00

Anatomy of Foot Movement

The foot is a complex structure of bones, muscles, ligaments, tendons, and joints, all working in harmony to facilitate movement and support the body's weight. Bones, including the tarsal, metatarsal, and phalanges, form the framework of the foot, providing stability and flexibility. Joints, such as the ankle and subtalar joints, allow for smooth articulation and motion, enabling walking, running, and jumping. Tendons, tough bands of tissue, connect muscles to bones, transmitting force and facilitating movement. Additionally, ligaments, which connect bones to each other, provide stability and prevent excessive movement, reducing the risk of injury. Muscles, comprising intrinsic and extrinsic groups, power foot movements and control foot position. Together, these components create a complex network that enables the foot to adapt to various surfaces and activities. This networks ensures balance, agility, and efficient locomotion. If you have sustained any kind of foot injury or are experiencing foot pain, it is suggested that you consult a podiatrist who can provide you an accurate diagnosis and treatment options.

If you have any concerns about your feet, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. 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.

Tuesday, 05 March 2024 00:00

The Importance of Biomechanics in Podiatry

Biomechanics and its related study deal with the forces that act against the body and affect things like our movement. In podiatry, biomechanics are studied to determine the movement of the ankle, toes, and the foot, as well as the forces that impact them. Podiatrists who train in this specialty are able to effectively diagnose and treat conditions that affect people’s everyday movement.

Regardless of your lifestyle, age, or any other factors, many people experience foot problems throughout their lives. Twists and turns, improper balance, and added weight are just a few of the things that can add stress to the feet. These issues can also limit our bodies’ mobility that we often take for granted. Pain in the feet and ankles can also trickle up towards the lower legs, knees, hip, and even back area. This affects the way you move around on a daily basis.

Biomechanics and its related study deal with forces that act against the body and affect things like our movement. In podiatry, biomechanics are studied to determine the movement of the ankle, toes, and the foot, as well as the forces that impact them. Podiatrists who train in this specialty are able to effectively diagnose and treat conditions that affect people’s everyday movement.

The history of studying biomechanics dates back to ancient Egypt at around 3000 B.C., where evidence of professional foot care has been recorded. Throughout the centuries, advances in technology, science, and an understanding of the human body led to more accurate diagnosis of conditions such as corns for example. In 1974, biomechanics garnered a large audience when Merton Root founded Root Lab to make custom orthotics. He proposed that corrections of certain conditions could be implemented to gain strength and coordination in the area. Due to his research, we still use his basic principle of foot orthotics to this day.

As technology has improved, so have the therapeutic processes that allow us to correct deficiencies in our natural biomechanics. Computers can now provide accurate readings of the forces, movements, and patterns of the foot and lower leg. Critical treatment options can be provided to patients now who suffer from problems that cause their biomechanics to not function naturally. The best results are now possible thanks to 3D modeling and computing technologies that can take readings and also map out what treatment will do to the affected areas.

These advanced corrective methods were able to come to light thanks to an increase in both the technologies surrounding biomechanics and also the knowledge of how they work naturally. For example, shoe orthotics are able to treat walking inabilities by realigning the posture deviations in patients caused by hip or back problems. Understanding foot biomechanics can help improve movement and eliminate pain, stopping further stress to the foot. Speak with your podiatrist if you have any of these problems.

Sunday, 03 March 2024 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.