New York City Podiatrist

Posts for: April, 2016

By Dr. Kenneth Meisler
April 26, 2016
Category: Foot Care
Tags: shockwave therapy  

If you have suffered from heel pain for an extended period of time, you know how frustrating and debilitating it heel paincan be. Having heel pain can prevent you from doing your favorite activities and make going through your daily routine a challenge. You may have tried some treatments in the past but have not found relief. You are wondering if there is anything that can be done to alleviate your pain. Do not despair, there is help available. Find out how shockwave therapy from your New York City podiatrists at can reduce and even eliminate your heel pain.

What caused my heel pain?

Heel pain can be caused by a variety of factors, though often it’s caused by over activity. Plantar fasciitis is the most common type of heel pain, and this condition occurs when there is an inflammation of the band of tissue called the plantar fascia that runs along the bottom of the foot. There are some steps that you may have already tried to treat heel pain such as: wearing proper fitting shoes, exercises to relieve your symptoms, medications that work to reduce swelling, as well as orthotics to help better align your feet and reduce your pain.

However, if you have already tried these treatments and found no relief, and the pain is chronic, meaning it has been ongoing for six months or more, you may be a candidate for shockwave therapy in our New York City office.

How Extracorporeal Shock Wave Therapy (ESWT) Can Help

Extracorporeal Shock Wave Therapy, or ESWT, is a treatment option that reduces heel pain. ESWT is a brief procedure that is performed on an outpatient basis, typically lasting around 30 minutes. It works when sound waves are applied to the heel area which stimulates the body’s natural healing response. The benefits of this treatment option are that it is non-invasive and does not have a long recovery period. Many patients see improvement after one treatment, with a success rate of 70 percent in clinical studies. However, more than one treatment may be needed. There may be some people that aren’t candidates for this treatment option including children, pregnant women, or people on medication that affects blood clotting.

If you have been dealing with heel pain for a long time that has not responded to other treatments, look for an expert that can make a difference. Turn to your New York City podiatrists and see if you are a candidate for shockwave therapy. We want to get you back on your feet, healthy and pain free!
 


By Dr. Kenneth Meisler
April 18, 2016
Category: Foot Care
Tags: heel pain   Foot Pain   Yoga   Ankle Pain   Stretching  

Foot pain can range from your toes to your heel. When it comes to heel pain, also known as Plantar Fasciitis, affects 60% of individuals in yoga foot caretheir lifetime. When the thick tissue on the bottom of your foot called the Plantar Fascia becomes inflamed, it can become a daily annoyance. But you still need to stay fit. So what's the solution?

Yoga is a low-intensity, simple and impactful workout. Not only does it help you stay fit when your heel pain prevents you from following your regular execrise regimen, but stretching and low-impact exercise, both of which yoga covers, can help ease your pain. Tight calf muscles often make Plantar Fasciitis worse, and yoga can help stretch and loosen them.

Remember, any pose in yoga should only be performed to the extent that you feel comfortable - pain is not gain! Go at your own pace and react to your own flexibility, making adjustments as you go.

Mountain Pose:  This is a great pose to start with, especially if you aren't very familiar with yoga, as it forms the basis for many other poses and helps get you acclimated.

  1. Stand with your feet together and your arms at your sides. Try to distribute your weight as evenly as possible across all parts of the foot, from the toes to the heel to the arch.
  2. Straighten your legs without locking your knees. Lift your arches.
  3. Engage the muscles in your thighs, turning them inward slightly. Try to lengthen through the base of your spine and tailbone without curving your back.
  4. Press your shoulder blades back and down to open the chest. Allow your arms to hang loose. 
  5. Try to balance as evenly in the pose as possible, breathing deeply. Feeling the distribution of weight in your feet, do your best to keep your weight even at all four corners of the foot, to keep your head lifted with your chin parallel to the floor, and remain as even and symmetrical in weight and posture as possible.

Downward Dog Pose: The pose many people think of when they think of yoga. While this pose doesn't require a yoga mat, performing it on a non-slippery surface is helpful, because you will need to put weight into the feet, and they may slide back if you try it on a hard floor.

  1. While sitting on the floor, move onto all fours, placing your hands down firmly on the floor slightly ahead of your shoulders, palm and fingers spread. Keep your knees directly in line with your pelvis.
  2. Breathe out and lift your knees from the floor, tucking your toes under and standing on the balls of your feet falling back almost as if you will sit on your heels. Keep your hands firmly on the floor.
  3. Then push up with your legs, allowing your heels to fall back toward the floor, pushing your pelvis into the air, hands still on the ground, forming an inverted v-shape with your body.
  4. Keep your head between your arms rather than letting it hang loose toward the floor. Try to distribute your weight between feet and hands, to avoid putting too much weight on either the ankles or the wrists. Drop your shoulder blades 
  5. Try to press your chest toward your legs as much as is comfortable. You can also try to press your heels into the floor, again, only as much as is comfortable. Try to rotate your arms so your elbows face toward your thumbs and rotate your thighs inward, as in mountain pose, to engage the quads.
  6. Your hands should be shoulder-width apart, your feet hip-width apart and hands and feet should be parallel to each other. Your toes should point straight ahead. Take deep, long breaths and stretch into the pose as much as you feel comfortable doing. 
  7. Breathe into the pose. When you want to release the pose, perform a reverse of how you pressed yourself up - bend your knees in, then move back to hands and knees.

Chair Pose:  Chair pose offers a great stretch. As a pose that involved standing on both feet, one of the great things about it is that you can do it anywhere - even at the office!

  1. Start in Mountain Pose.
  2. Raise your arms over your head. Do not bend your elbows.
  3. Bend your knees and gently push your pelvis down as if you are sitting into an invisible chair behind you. Try to make your thighs as parallel as possible to the floor without losing your balance.
  4. Keep your lower back lengthened, not allowing it to curve into the pose, maintaining a straight back. Try to also shift as much weight as possible into your heels. Look straight ahead.
  5. Sink as deep into the pose as you feel comfortable, then try to hold it, again breathing deeply through the nose.
  6. To release, exhale and straighten the knees, coming back to Mountain.

Yoga offers a heel-pain friendly way to get in a workout, and may even help ease your pain. For other foot and ankle pain remedies and treatments, contact your podiatrist today!


By Dr. Kenneth Meisler
April 04, 2016
Category: Foot Care
Tags: Foot Care   Diabetes   Diabetics  

Summertime brings flip-flops, pool time and more. While these are the signs of enjoyable warm weather, they can also be concerning if you have diabetes. Higher temperatures and opportunities to walk barefoot increase the chances you can injure your feet or experience cracking, swelling and discomfort.

Because you are living with diabetes, you likely know the condition puts you at greater risk for nerve damage to your feet. This affects your foot sensations, meaning you may experience a scrape or cut without realizing you had it. Because diabetes affects your body’s wound healing time, having a cut that’s unknown to you can easily turn into a more serious wound if left untreated.

To ensure your feet have an event-free summer, here are some warm weather-specific tips from our podiatrist.

Always wear shoes. If you’re planning a beach vacation, it can be tempting to leave the flip-flops behind in favor of sand beneath your toes. This can be a troublesome habit, however, because it increases your risk for cuts from seashells, beach glass or other unknown beach items. Close-toed beach shoes that have breathable mesh and a protective sole are available that protect your feet from injury while also allowing you to walk comfortably.

Give your feet a once-over twice daily. When you have diabetes, you should inspect your feet at least as often as you should brush your teeth: at least twice per day. Pay special attention to the areas between your toes and underneath your feet. You may even want to get a mirror to place on the ground and put your foot a few inches away to identify hard-to-see areas. In addition to checking out your feet, you’ll also want to check out your shoes. Debris, such as dirt and rocks, can easily accumulate in your shoes and cause injuries. Give them a good shake before wearing to protect yourself.

Don’t forget to apply sunscreen. You can just as easily burn your foot skin as you can anywhere else, yet many people forget to apply sunscreen to this important area. When you are applying sunscreen to your arms, legs and face, don’t forget to apply it on the tops and bottoms of your feet before putting on your outdoor shoes.

Don’t feel the burn. Remember the beach isn't the only place you can burn or injure your feet. Campfires, cookouts and even ultra-hot pavement are all areas where you can unexpectedly injure your feet in the summer. The same rules apply when it comes to wearing shoes and taking every precaution to protect your feet.

Finally, remember that it’s important to see a podiatrist regularly to inspect your feet and ensure you have not experienced an injury that could easily affect your overall health. Visiting our podiatrist to have your toenails cut can help to prevent ingrown toenails and injury. If you notice other foot conditions, such as blisters or scrapes, seeing us as quickly as possible can help to prevent your injuries from worsening.