MLS Laser Therapy: Foot Conditions That We Treat

Posted by on Wednesday, July 31st, 2013

When foot injuries interrupt your quality of life, our goal at The Center for Podiatric Care and Sports Medicine in New York City is to get you back on your feet and resuming regular activities as quickly as possible. In recent years, the power of MLS Laser therapy has been demonstrated and FDA-approved for healing a number of painful foot conditions. We are pleased to offer you the latest technology, just as professional athletes use, to get back into the game.

Is This a Blister? Corn? Callus? It Might Be A Bunionette!

Posted by on Tuesday, July 30th, 2013

This time of year, we’re looking at our feet more carefully. Instead of cramming our tootsies into boots, we’re baring all in sandals. You may notice a little bump on the outside of the little toe. At first glance, you may think it’s a blister, a corn or a callus. Yet, over time, you may notice it’s actually bony in nature and it hurts quite a lot when you wear certain shoes. It’s possible you may have a bunionette or “tailor’s bunion,” as it is sometimes called.

Is This a Blister? Corn? Callus? It Might Be A Bunionette!

Posted by on Tuesday, July 30th, 2013

This time of year, we’re looking at our feet more carefully. Instead of cramming our tootsies into boots, we’re baring all in sandals. You may notice a little bump on the outside of the little toe. At first glance, you may think it’s a blister, a corn or a callus. Yet, over time, you may notice it’s actually bony in nature and it hurts quite a lot when you wear certain shoes. It’s possible you may have a bunionette or “tailor’s bunion,” as it is sometimes called.

Why Do They Call Bunionettes A “Tailor’s Bunion”?

Centuries ago, tailors sat in a cross-legged position on the floor for many hours as they worked. Their baby toes were pressed against the hard floor, which created pressure on the outermost toes. Over time, painful bumps formed in response to the continued stress. The formation itself is identical to a bunion — except that it affects the pinky, rather than the big toe. Bunionettes are often smaller, but they can enlarge to where it is difficult wearing shoes.

What Causes Bunionettes To Form?

Previously, it was thought that wearing high heel shoes caused bunions and bunionettes. Now we know that is only half-true. Researchers believe that the propensity to develop a bunionette is genetically inherited, as it’s common to see parents and offspring with bunions and bunionettes. Changes in the foot’s bone framework result in the fifth metatarsal bone protruding outward and the little toe moving inward. This natural shift becomes irritated by shoes.

How Does Dr. Geldwert & Staff Treat Bunionettes?

Here at the New York Center for Podiatric Care and Sports Medicine, we have several approaches to bunionettes. The first line of treatment is generally more conservative measures, such as changing footwear to a wider, roomier shoe with a smaller heel and extra padding. If a change of shoes does not improve your comfort level and you find it difficult to participate in daily activities, then a minimally invasive surgical procedure can be done on a same-day outpatient basis.

At the very least, bunionette surgery removes protruding inflamed soft tissue. People with a Type 1 Bunionette Deformity will need the bony outgrowth removed as well, which is called a bunionectomy. Patients with a curved fifth toe may need a cut in the bones called an osteotomy. In very rare cases, deformities require correction with wires and surgical screws. Dr. Geldwert will explain which type of procedure is best for your unique situation.

Following the procedure, you may need to wear a surgical boot or splint for three to twelve weeks. Once you are healed, you will be able to wear narrow or heeled shoes again sparingly. Most bunionettes do not come back following surgical intervention, so you can breathe a big sigh of relief! Every year, we treat thousands of patients for bunions and bunionettes. Summer is a great time to focus on your feet and take a step toward better foot health.

Foot Tumors: Doctor, What Is This Lump On My Foot?

Posted by on Monday, July 29th, 2013

The word “tumor” conjures up scary thoughts of cancer and deformity. Yet, more often than not, tumors are just benign masses of cells. Either way, it’s wise to have any unsightly bump checked out to be certain. When left unattended, serious tumors can be fatal. When diagnosed as benign, you can then choose from a range of treatment options.

Know the Difference Between a Stubbed or Broken Toe

Posted by on Friday, July 26th, 2013

You’re rushing around the house, with your mind focused on a task you need to get done, when you cut a corner too close or step into a piece of furniture. The pain sensation rushes straight to your brain and out your mouth. “OW!” you instinctively cry out. This has happened to all of us at one point or another. The problem occurs when the toe begins to swell and turn purple. It can be difficult to tell a stubbed toe from a broken toe — especially considering that there are so many nerve endings in the feet, a basic toe stub can feel like a bus has just run over your foot.

Tips For Keeping Marathon Runner’s Feet In Top Shape

Posted by on Thursday, July 25th, 2013

Running is a fantastic workout, but make no mistake — it can be hard on the body! During a 10-mile run, your feet make an average of 15,000 strides, which means thousands of pounds of force placed on each foot during a marathon. At The Center for Podiatric Care and Sports Medicine in NYC, we treat a number of runners for stress fractures and other over-training injuries that are common in the running world. Our very own Dr. Geldwert is an avid runner who has served as Medical Director for the NYC Triathlon and Hamptons Marathon. You can trust his advice and expertise to get back to the sport you love in no time at all. In the meantime, here is our best advice for keeping yourself healthy while pounding the pavement.

How To Treat Arthritis After A Broken Bone

Posted by on Wednesday, July 24th, 2013

It’s presumed that a broken bone can be healed with a cast within three months. In serious cases, we think surgery can fix us — and years later, we’ll be fully healed. Unfortunately, that is simply not the case for many patients. According to the Cleveland Clinic, about 5.6 million Americans are affected by a condition called “post-traumatic arthritis.”

Why We Use Musculoskeletal Ultrasound

Posted by on Tuesday, July 23rd, 2013

Our New York podiatry office has a  musculoskeletal ultrasound imaging unit for the evaluation of tendon & muscle problems. New technological advances offer high-quality images to identify abnormalities, injury and soft tissue damage. Dr. Geldwert is proud to offer his patients the very best diagnostic imaging tools and most accurate diagnosis. In this post, we’ll discuss more about how musculoskeletal ultrasound is being used in advanced podiatry care.

A Day In The Life Of A Foot Trauma Surgeon: Bare Feet On The Dashboard

Posted by on Tuesday, July 23rd, 2013

One of our specialties at our NYC Center for Podiatric Care and Sports Medicine is the treatment of trauma. We get a lot of car accident victims through our doors who have immediate emergency surgery needs. There is a lot of blood and gore that is certainly not for the faint of heart! One of the unfortunate truths about many of these injuries is that they are avoidable — particularly the cases where someone was riding with feet on the dashboard.

Is It Dangerous To Put Feet On The Dashboard?

In the most horrific cases, feet on the dashboard have caused driver distraction — which, in turn, causes a sudden crash. Roll-over crashes where everyone is buckled in properly may be terrifying, but often everyone can walk away with barely a scratch. In the cases where someone’s foot was on the dashboard, the legs and feet can go straight through the dashboard, causing immediate amputation. Sometimes people recover the missing toes and ask foot surgeons to “sew them back on again.” Only — it isn’t always so simple, especially if the tendons, nerves and flesh have suffered tremendous damage in the collision.

Airbags Are A Blessing… But Only If You’re Seated Properly.

According to RAC Insurance in Australia, airbags deploy at about 205 miles per hour, with a force greater than 881 pounds. The idea is that your face hits the airbag long a second after the initial propulsion of the safety device. However, if your feet are right on top of the airbag, there is no second. They are instantly impacted.

“Where a passenger has their feet on the dashboard, airbag deployment could result in their knees being forced into their chest or face,” RAC cautions. On top of that, there are risks of leg fractures, fractured feet, spinal injuries and injury to internal organs when the effectiveness of the seat belt is compromised.

Feet On Dashboards Cause Distraction & Injury.

The Toronto Metro adds that legs and feet up on the dashboard can block the driver’s view of the passenger-side window and mirror, not to mention cause a distraction for other people driving around them. Forum conversations verify that a number of people have, in fact, noticed passengers with feet on the dashboard. They tell stories of people they know who’ve suffered broken ankles, multiple leg fractures, pulled ligaments, broken cheekbones and jaws, ripped off legs and traumatic bleeding deaths.

The Bottom Line: Don’t let that be you with the horrific foot and leg injury. Please, for heaven’s sake, keep your feet off the dash!


Indoor Rock Climbing Accidents On The Rise

Posted by on Friday, July 19th, 2013

Rock climbing used to be an extreme sport reserved for bold daredevils. These days, over 300,000 Americans have tried climbing an indoor rock wall, says the Law Offices of Nelson Barry. Along with a high participation level comes a higher number of foot and ankle injuries, though. There has been a 63% increase in the number of patients seen in emergency rooms from 1990 to 2007, with more than 40,000 rock climbing accidents, according to a study conducted by Nationwide Children’s Hospital.