“About 30 percent of people have a flat foot,” says Dr. Josef J. Geldwert of The Center for Podiatric Care and Sports Medicine in NYC. “This surprisingly common condition may cause pain, cramping or spasms, especially after prolonged standing or physical activity. The pain can be limiting — causing people to walk slower or stop running. Over the long term, the increased stress placed on other joints can lead to ankle arthritis, knee problems or stress fractures.” Basketball players are among some of the most common patients Dr. Geldwert treats for flat foot.
Matthew Mattison was training for his second Ironman in his hometown of Coeur D’Alene. He completed a rigorous workout with his professional triathlete friends — swimming, biking, and running. He recalls, “The day I ruptured my Achilles, I had done a solid 2.5 hour ride and right into a 12 mile run and then decided to go play in a men’s league basketball game.” He wasn’t thinking of how the basketball game would exert his already stretched and strained Achilles; he was thinking of tacking on a speed workout.
“Well, I didn’t make it very far,” Mattison continued. “Less than a minute into the game and a few times up and down the court, POP! A slight push off and my game and hopes of racing in June were over. I had no idea that was just the beginning of a long and emotional journey.”
This story is not at all uncommon at The Center for Podiatric Care and Sports Medicine in New York City, which specializes in the treatment of Achilles injuries, ruptures and tendinitis. We see a third of all Achilles ruptures in the spring, when our so-called “weekend warrior” patients emerge from their winter hibernation and attempt to make up for lost time.
“For many brides, sore and blistered feet are the price they pay for a fashionable wedding day photo-shoot,” says NYC Podiatrist Dr. Katherine Lai, DPM. “What seemed like a good idea at the time can result in sheer agony in the subsequent days, especially when you’re dancing a lot – your feet are swelling, and the heels are rubbing against your skin.” Most people try to deal with the agony at home, but Dr. Lai says The Center for Podiatric Care and Sports Medicine in New York City fields more questions this time of year from concerned newlyweds who need advice on how to treat blisters, numbness, pain and swelling.
NYC podiatrists see many patients who say they can’t understand why their feet hurt when they are wearing “good” shoes. Running shoes offer enough cushioning for putting in a lot of mileage and enough traction to prevent slipping around on slick grass or pavement. Therefore, many people believe that running shoes are the most comfortable type of athletic shoe for everyday use. However, wearing running shoes for aerobics, walking, or other activities can actually set people up for injury down the road. Patients with issues like plantar fasciitis, tendinitis, ankle sprains, metatarsalgia, seismoiditis, arch pain, stress fractures and pain in the legs, knees or back can all benefit from a change in footwear. Walking shoes or cross-trainers are better options for most people who are not going out on a run.
The Citizen-Times of North Carolina recently published an article telling the story of Steven Triplett, a Warren Wilson College senior basketball player. Triplett repeatedly injured his ankle playing basketball, which ultimately resulted in is receiving a lateral ligament reconstruction. This surgery enabled Triplett to return to the sport he loves. At The Center for Podiatric Care and Sports Medicine in Manhattan and White Plains, we treat acute ankle trauma just like the one suffered by Triplett, as well as chronic ankle instability and residual pain. Our team of knowledgeable and experienced podiatric surgeons will explore every option for rehabilitation, whether it’s a slower, non-invasive recovery or a more aggressive surgical approach that takes your future athletic career into consideration.
Bunions are a surprisingly common foot ailment, with literature suggesting that they affect about 23% of the adult (18-65 years old) population. Among the elderly (65 years and older), more than a third of the population presents with bunions at their local podiatrist offices. Given their prevalence, it’s understandable that when a patient comes in with a big bump on his or her toe, they assume they’re dealing with a bunion. But be careful, not all bumps are bunions! The bumps that people mistake for bunions frequently turn out to be something else entirely— something called a bone spur! At The Center for Podiatric Care and Sports Medicine in NYC, we have all the diagnostic tools necessary to make an accurate diagnosis and set you on a successful course of treatment.
About 85% of people who undergo elective bunion surgery will be completely satisfied with the outcome. The remaining 15% observe some improvement, but continue to experience some pain due to limitations with shoe choice or how active they are. A small percentage of those patients may go on to have revision bunion surgery. So, how do you cut down the risk factors and ensure that you’re one of the 85%? NY podiatrists recommend the following five tips for a successful bunion surgery.
Running is the toughest sport for the feet, by far. Pounding the pavement can take an incredible toll when you’re logging thousands of miles. Paula Radcliffe has a storied career that would make anyone proud. She holds the current women’s world record for marathon running with a time of only 2: 15: 25. She won the Chicago Marathon in 2002 and the London Marathon in 2002, 2003, and 2005. She also won the NY Marathon in 2004, 2007, and 2008.
On August 22nd, 2012, Radcliffe underwent foot surgery for a stress fracture, and it was believed she’d never run a marathon again. Urged on by fans and supporters, she agreed to do one final race— the London Marathon. On April 26th, Radcliffe finished with a time of 2: 36: 55 seconds. “It was just amazing the whole way round,” the 41-year-old told the BBC. “I wore the sunglasses to keep a lid on my emotions and they definitely hid some tears along the way,” she added. Here at The Center for Podiatric Care and Sports Medicine, we love a good comeback story, but we praise Radcliffe for being able to make the tough decision for her future health and mobility.
If you experience frequent cramps in your legs and feet when you exercise or if the skin on your lower extremities is very pale or bluish in color, poor circulation may be to blame. Or, if you have very little natural hair growth on your feet and legs or persistent open sores that take a long time to heal, these symptoms may also indicate that you have poor circulation. For some people, poor circulation in the feet and legs just means it will take longer for that blister or chafed skin to heal. For others, poor circulation can be a limb- or even life-threatening condition. According to the Centers for Disease Control and Prevention, “Nerve damage, circulation problems, and infections can cause serious foot problems for people with diabetes. Sometimes nerve damage can deform or misshape your feet, causing pressure points that can turn into blisters, sores, or ulcers. Poor circulation can make these injuries slow to heal. Sometimes this can lead to amputation of a toe, foot, or leg.”
Furthermore, sluggish blood circulation may itself be symptomatic of a larger problem in the circulatory system. Such problems could lead to varicose veins, kidney damage, and strokes, so if you have any of the previously mentioned symptoms, it’s best to see a podiatrist for an evaluation.
Though the weather is barely breaking 60 degrees, we are getting close to at least imagining those warm, sunny days where it seems most prudent to wear sandals. Ingrown toenails are one foot-related issue that can really dampen your springtime fun. Not only do they look unsightly in sandals, but they are also downright painful! When the corners of the nails bite into the skin, redness, inflammation and purulence ensue. No one wants to kick off spring with an infection like that! Worse yet, ingrown toenails can quickly spiral into a limb-threatening condition for those with vascular disease, neuropathy or diabetes. The board-certified podiatrists from The Center for Podiatric Care and Sports Medicine in NYC discuss how to treat and prevent this common foot affliction.
Our Director, NY Podiatrist, Dr. Josef J. Geldwert is Board Certified in Foot and Ankle Surgery and is a recognized authority on the most advanced surgical techniques to correct bunions and hammertoes.
Dr. Katherine Lai is Board Certified in Foot Surgery and has lectured extensively on The Diabetic Foot and Wound Care and on the Scope and Practice of Holistic Podiatry at an Integrative Medicine conference.
“I am so grateful for having had Dr. Geldwert perform bunion surgery on both of my feet. I have complete confidence in him and continue to see him for other sports related injuries. I was cautious about having surgery for the first time, but his knowledge, patience, and skill made me completely comfortable in trusting him. And I couldn’t be any happier with the results!! When anything else feels wrong with my feet, I love that I now know to go immediately to him. He is my top choice for anyone searching for the best foot fixer/surgeon/sports doctor in NYC! Thank you, Dr. Geldwert!!!”
- J. M., Manhattan, NY
Manhattan Office 111 East 88th Street New York, NY 10128 (212) 996-1900 See map here
Westchester Office 10 Mitchell Place Suite 105 White Plains, NY10601 (914) 607-2519 See map here
Dr. Josef J. Geldwert DPM, Dr. Katherine Lai DPM, and Dr. Ryan Minara, DPM, DPM serving Westchester County, White Plains, Ardsley, Bronxville, Harrison NY, Larchmont, Mamaroneck, New Rochelle, Rye, Scarsdale, Rye Brook, Chappaqua, and the surrounding area.
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