Sports Podiatry Podiatric Medicine and Surgery

Posts for: October, 2013

By Kenneth R. Meisler, D.P.M., P.L.L.C. & Associates
October 21, 2013
Category: Foot Care
Tags: heel pain  

New York City Shockwave Therapy for Treatment of Heel Pain heel pain treatment

Like all bones, your heel bone is subject to outside influences that can affect its ability to keep us on our feet.  Heel pain can occur in the front, back, or bottom of the heel and can also be a way to alert us that we need to seek medical attention from Dr. Meisler.  We know that New Yorkers are on their feet every single day hustling throughout the city, so taking care of your feet with you first discover signs of pain is very important. With many complaints that contribute to heel pain in New York City, it is important to take all necessary precautions in avoiding heel pain. 
If you currently suffer from heel pain in New York City, Dr. Ken Meisler offers a few options to help your pain, the first is Radial Shock Wave Therapy, or RSWT and the second is an innovative solution: Extracorporeal Shockwave Therapy (ESWT).  Through this advanced procedure, you can find relief from your heel pain so that you can continue to live your life pain free. 

Understanding Extracorporeal Shock Wave Therapy (ESWT) 

With a breakthrough in technology, heel pain can now be treated with Extra Corporeal Shock Wave Therapy in New York City.  The brief, non-invasive, procedure lasts about 30 minutes and is performed under local anesthesia.  Strong sound waves are directed at and penetrate the heel area to stimulate a healing response by the body.  ESWT is performed on an outpatient basis and is an increasingly popular option for treating chronic heel pain. 
Those who are not candidates for Extracorporeal Shock Wave Therapy include pregnant women and patients who have:
  • Neurological foot disease
  • Vascular foot disease
  • Pacemakers
  • People taking medications that interfere with blood clotting
Shock Wave Therapy is a safe and effective alternative treatment for heel pain and only requires a short recovery time.  Clinical studies show that there is a 70 percent success rate for treatment of plantar fasciitis using Extracorporeal Shock Wave Therapy.  
Contact Dr. Ken Meisler, your New York City podiatrist, today if you are experiencing heel pain that has not gone away with conservative treatments.  Dr. Meisler will be able to assess your pain and successfully eliminate your ailments in New York City with Extracorporeal Shock Wave Therapy.

Are you experiencing pain in your heel upon standing or waking up in the morning?

By Kenneth R. Meisler, D.P.M., P.L.L.C. & Associates
October 15, 2013
Category: Foot Care
Tags: Marathon Training   Running  

marathon runningWhether you’re training for your very first marathon or preparing for your tenth, it’s important to begin your training program on the right foot.  A lack of experience coupled with the repetitive impact placed on the feet and ankles during a long run can produce enough stress to cause hairline fractures and other debilitating foot injuries.

Many foot problems seen in marathoners are caused by the repetitive pounding over the months of long-distance running. In some people injury is triggered by the abnormal foot biomechanics and in others it is because of poor training. During a 10-mile run, the feet make about 15,000 strikes, at a force of three to four times the body's weight. Even if you have perfect foot mechanics, injuries and pain are often unavoidable with this amount of stress.  

To prevent injury during training, it’s important to pay close attention to your feet.  When increasing mileage, avoid doing so too quickly. The increased forced can make your feet more susceptible to stress fractures.

Basic tips for training include:

  • Follow a training schedule that is appropriate for your experience level
  • Start easy and increase your mileage slowly
  • Stretch and warm up properly to reduce strain on muscles, tendons and joints
  • Choose appropriate footwear based on your foot structure, function, body type, running environment and training regimen
  • Never ignore pain. If the pain gets worse with reduced exercise and rest, stop training and visit your podiatrist

Aside from stress fractures which often occur from overtraining, additional foot problems you may experience include:

  • Toenail problems, including ingrown and fungus
  • Heel pain, such as plantar fasciitis
  • Achilles tendon and calf pain
  • Toe pain, such as bunions
  • Shin splints

Before you start training, Kenneth R. Meisler, D.P.M., P.L.L.C. & Associates recommend visiting a podiatrist for a complete evaluation of your lower extremities.  Our New York office will examine your feet and identify potential problems, discuss training tactics, prescribe an orthotic device that fits into a running shoe (if needed), and recommend the best style of footwear for your feet to allow for injury free training all the way up to your race day. It is especially important to come in for an exam if you have already started training and are experiencing foot or ankle pain.  

Training for a marathon is hard work. It takes time and dedication.  At Kenneth R. Meisler, D.P.M., P.L.L.C. & Associates we offer special interest and expertise working with marathoners to ensure good foot health throughout your entire training program to help you achieve your goals.

By Kenneth R. Meisler, D.P.M., P.L.L.C. & Associates
October 01, 2013
Category: Foot Care

Achilles TendonThe Achilles tendon is the strong band of tissue that connects the calf muscle to the heel bone. This lower leg tendon enables you to walk, jump, stand on your toes and climb stairs. You rely on it virtually every time you move your foot.

When the tendon is stretched beyond its normal capacity, a complete or partial tear may occur. Most Achilles tendon ruptures occur as a result of sport-related injuries when forceful jumping or sudden accelerations of running overstretch the tendon and cause a tear. Individuals with Achilles tendinitis -- weak and inflamed tendons -- are also more susceptible to tendon tears.

Signs of a torn Achilles tendon include:

  • Sudden, sharp pain in the back of the ankle and lower leg
  • Snapping or popping sensation at the time of the injury
  • Swelling down the back side of the leg or near the heel
  • Difficulty walking or rising up on the toes

The best treatment for a torn Achilles tendon is prevention. Avoiding this injury could save yourself months of rehab and extended time away from your game. Help prevent injury to your Achilles tendon by:

  • stretching your calf muscles regularly
  • limiting hill-running and jumping activities that place excess stress on the Achilles tendons
  • resting during exercise when you experience pain
  • maintaining a healthy weight
  • alternating high impact sports, such as running with low impact sports, such as walking or biking
  • wearing appropriate, supportive shoes with proper heel cushioning

If you suspect a ruptured Achilles tendon, visit Kenneth R. Meisler, D.P.M., P.L.L.C. & Associates as soon as possible. Until you can seek professional care, avoid walking on the injured tendon and keep it elevated. Ice the affected area to reduce pain and swelling and if possible, wrap the injured foot and ankle. For partial tears, swelling and pain may be less severe, but prompt treatment should still be administered.

Treatment for an Achilles tendon rupture can be surgical or non-surgical. Surgery to reattach the tendon is generally recommended, followed by rehabilitation, especially for individuals who want to return to recreational sports. Kenneth R. Meisler, D.P.M., P.L.L.C. & Associates can evaluate the severity of your tear and suggest the best treatment plan. With proper care, most people return to their former level of performance within six months.