Finding the Soul in your Sole

Posted by on Tuesday, January 31st, 2012

If your body is a temple, your feet are the foundation. They are also the most neglected part of your body, like the basement of your house. Look down, connect with your feet, pamper them, and your feet will hold you high.

Ten Reasons to Stash Those Stilettos

Posted by on Monday, January 30th, 2012

There is no denying that stilettos are seductive, but limping, catching your heel in grates, and suffering, is not sexy. Think outside the shoebox. Replace those high heels and stilettos with other trendy choices. Dance, run barefoot, swim, give your feet a well deserved vacation.

This Little Piggy: First Steps to Foot Care in Children

Posted by on Friday, January 27th, 2012

Ten fingers and ten toes. They place your newborn in your arms, you kiss that sweet face, and then you count those lovely digits. When you take your baby home, you can’t get enough of those chubby little feet. You nibble on those toes, kiss and tickle, dress them in cute little booties, make impressions in clay, and capture them on film.




Pointe Blank: Targeting Foot Trauma in Ballet Dancers

Posted by on Thursday, January 26th, 2012

A music box with a twirling ballerina sits on the dresser of a young girl. She dreams of wearing pink satin pointe shoes. If she has the grace, athletic ability, and talent, those pointe shoes will lead her in the direction of the corps de ballet of a major ballet company. One day, if she is extraordinary, she may be dancing to the strains of Tchaikovsky, as the principal dancer in Swan Lake. She will discover that beneath those glamorous satin shoes, it is not a pretty picture…

The Painful Truth About High Heels

Posted by on Monday, January 23rd, 2012

If you wear high heels all day long, and are on your feet, you know they can take their toll. That’s why it’s not uncommon to see women walking barefoot with their designer shoes stuffed in a handbag or stashed under their desk at the office. And one group of working professionals knows the pain of high heels better than anyone, auto show models.

Run Your First 5K Injury-free

Posted by on Saturday, January 21st, 2012

If you’ve got your sights set on getting in shape to run a 5K race, you’ve made a great decision. Setting a goal to lose weight  and exercise more is a great way to start the New Year. Once you’ve made a commitment to get fit, it’s easy to be revved up to start running. And that’s great. But if you’re overzealous about ramping up your running, you could get injured, and need medical care and time to recover.

Got Foot Pain? There’s an App for That

Posted by on Friday, January 20th, 2012

Did you know your smartphone can help you treat shin splints, figure out why your heel hurts, and understand the bone structure of your foot? It’s not going to replace the value of an experienced podiatrist to treat your problem, but your smartphone can help you speak the same language as your doctor. You could Google “foot pain” and try to sort through the 14.1 million hits. But with a smartphone app, you can have specialized information at your fingertips fast. Got foot pain? There’s an app for that.

Are Your Feet Making You Fat?

Posted by on Wednesday, January 18th, 2012

If you think you need to lose a few pounds, join the club. An estimated 63 percent of all adults in the U.S. are overweight or obese. Most people who are overweight would probably agree they could cut back on hamburgers, French fries, soft drinks, and junk food to lose a few pounds. But there’s more to the weight-loss puzzle than healthy eating. And that’s exercise. But if you’re experiencing some kind of foot pain, you’re probably going to avoid any kind of activity that forces you to bust your hump or break a sweat. Are your feet making you fat?

Treat Foot Pain with a Shopping Trip

Posted by on Tuesday, January 17th, 2012

Did you know that a leading cause of foot pain is shoes that don’t fit? If you’ve got a favorite pair of sneakers, pumps, or loafers you keep wearing, even though they don’t treat your feet right, you’re not alone. In a recent survey, 8 out of 10 Americans with foot pain said their discomfort was caused by wearing ill-fitting shoes, according the American Podiatric Association.

Hallux Rigidus(stiff big toe)-Joint Replacement Surgery

Posted by on Monday, January 16th, 2012

Hallux Rigidus is a specific osteoarthritic condition of the great toe joint. It can result from severe injury to the big toe but is most likely an inherited problem. It is usually present in both great toes but usually one is worse than the other. The process usually starts as a bony bump on the large joint of the great toe. It starts on the part of the joint that faces the second toe. It then proceeds over the top of the joint and around the inside border of the joint facing the other foot. As the process progresses, the bony bump gets larger. Eventually,the bumps on the top of the toe joint hit one another and prevent the toe from bending up. This can become very painful when one is walking, running, jumping, or dancing. It will become increasingly painful to wear shoes with an elevated heel.We refer to this condition as an arthritic condition.Unique to hallux rigidus is that the center of the joint and the bottom portion of the joint are spared until the very end stages of this process. At the very end stages ,the joint becomes very stiff in all directions.When the first metatarsophalangeal joint becomes arthritic this way, it becomes enlarged due to the bony bumps around the top and sides of the joints. Therefore, the initial treatment for pain has to be a shoe with a wider and higher toe box. This will prevent the shoe from squeezing the enlarged joint. When the pain associated with hallux rigidus can no longer be relieved in an acceptable manner,surgery is an option.As with bunion surgery,the surgery should be done to relieve the pain and discomfortand to improve one’s quality of life. As with all surgeries, it is important to remember that there are potential complications as a result of the surgery. The desire or need for surgery should outweigh the potential risks and complications. The most common procedure done for hallux rigidus,when the center and bottom parts of the jointare moving decently, is to shave off the top part of the metarasal head with the abnormal bony bumps and corresponding enlarged portion of the base of the proximal phalanx. This procedure is called a Cheilectomy. We published a 10 year retrospective study on this procedure in the Journal of Foot Surgery. This procedure removes the arthritic spurs in the top part of the metatarsal head and proximal phalanx. The toe usually moves well at the end of the operation. Generally, exercises to start moving the toe up and down should be started within the first week after surgery. If the center and bottom parts are damaged and there is little to no movement in the joint,then either a joint replacement (implant) or fusion of the joint should be considered. The joint can be replaced on the toe joint side , the metatarsal side or both sides of the joint. The implant is either made of a nickel and titanium alloy or high molecular weight silastic. The doctors in our office have over 40 years of experience in successfully replacing painful arthritic joints. The doctors have found that  joint replacements provide  functional and pain free movement of the big toe joint. The doctors also perform fusions of the joint . A fusion means that the large bone in the toe is put against the metatarsal bone,and they grow together. They will heal like a broken bone but will heal to form a solid union. Generally, people with a fusion function well, although they are limited in their choice of shoes.

If you have a stiff, painful big toe joint and would like one of the doctors evaluate your foot condition call 212-996-1900 or if you live in Westchester 914-328-3400.