Kohler's disease, a rare foot condition primarily affecting children, involves the temporary interruption of blood supply to the navicular bone in the foot, leading to bone damage and subsequent pain. Typically occurring between the ages of 4 and 7, Kohler's disease manifests gradually, with such symptoms as localized swelling, tenderness, and difficulty in bearing weight on the affected foot. Children may also start limping or change their gait pattern as they try to alleviate discomfort. While the exact cause remains unclear, theories suggest factors such as vascular insufficiency or mechanical stress on the bone. Diagnosis often involves physical examination, imaging studies like X-rays, and ruling out other potential conditions. Treatment focuses on relieving symptoms and promoting healing, typically through rest, orthotic devices, and pain management strategies. Fortunately, most children recover fully without long-term complications, but early detection and intervention remain essential for optimal outcomes. If your child has symptoms of Kohler’s disease, it is strongly suggested that you make regular appointments with a podiatrist who can offer treatment and management techniques.

Some foot conditions may require additional professional care. If you have any concerns, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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 tools and technology to treat your foot and ankle needs.
 

Diabetics can reduce the risk of developing foot ulcers by adopting proactive foot care measures. Regularly inspecting the feet for any signs of injury, such as cuts, blisters, or redness, and promptly having any wounds checked is imperative. Maintaining proper foot hygiene, including washing and thoroughly drying the feet daily, helps prevent infections. Wearing well-fitting, supportive footwear and avoiding walking barefoot further lowers the risk of developing ulcers. Additionally, managing blood sugar levels through diet, exercise, and medication is essential for overall diabetes management and minimizing complications. The prevalence of diabetic foot ulcers is significant, with complications ranging from infections to more severe issues like gangrene, which may necessitate amputation if left untreated. Regular visits to a podiatrist for foot assessments and care are essential for diabetic individuals, with frequency determined by the severity of their condition and individual risk factors. If you have diabetes and experience foot ulcers, it is strongly suggested that you schedule an appointment with a podiatrist for treatment. 

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

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.

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.

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.

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.