Jenn F. on
Friday, August 30th, 2013
Tired of gimping around town? Well, shoe orthotics just may be in the cards for you, then! Many of the clients who come to our NYC podiatric center imagine that they’ll need surgery to address their knee pain, but are surprised to find that something so simple can alleviate their troubles within just a few weeks. We can make a cast of your feet right here in our office and have a pair of custom orthotics made just for you that can be removed and put in almost any shoes you own. From there on out, it’s pain-free walking!
What Are Orthotics?
Foot orthotics are a shoe insert that provides added arch and heel support. Molded from a strong, durable leather, this custom insole changes the biomechanics of the foot and corrects alignment all the way up through your knee, back muscles and spine. There are over-the-counter insoles made by Dr. Scholls, but those are not made to fit your unique footprint. A good pair of orthotics can last you five to ten years. Every two years, a cobbler can refurbish them for a small price. Your insurance will likely pick up at least half the tab.
How Orthotics Can Help Your Knee Pain
– Orthotics evenly distribute the weight on the bottom of your feet, which changes the distribution of force all the way to your knee. In other words, your knees take less of a pounding!
– Orthotics are made of shock-absorbing material that further reduces the stress of the hard ground on your knees.
– Orthotics control excessive pronation if your feet have a tendency to roll inward as you walk or run. Overpronation causes a rotation that goes all the way up through your knee and even to your back.
– Orthotics can correct biomechanical or structural instability in your feet and ankles to prevent knee pain.
– Orthotics limit the amount of motion your feet make with each step, which reduces wear and tear on your joints.
– Orthotics promotes proper form when walking, which reduces inflammation and irritation.
– Orthotics align the foot properly at the ankle joint to prevent supination (when the ankle rolls away from the foot). This helps wearers prevent calluses and blisters, not to mention improve stability in the knee.
What Orthotics Can’t Do…
Orthotics are not a cure-all for every type of condition. We find it doesn’t really help treat osteoarthritis of the knee or knee cartilage degeneration very well, for example. Severe, acute pain can be treated in many other ways and we usually do not recommend orthotics until the immediate symptoms are relieved. If you’re curious about orthotics in NY, please call our office for a consultation.
Jenn F. on
Thursday, August 29th, 2013
Soccer fans were disappointed to learn that English footballer Ben Foster of West Bromwich Albion will be out for at least three months with a stress fracture in his foot that will require surgery. “There’s no hiding the fact this is disappointing news, as Ben is a key player for us,” manager Steve Clarke said of the goalkeeper. It turns out Mr. Foster is not alone. Stress fractures are a very common injury for professional athletes. Here Here at our NYC Center for Podiatric Care and Sports Medicine, we see these kinds of injuries at every level of athleticism, from professionals down to weekend footballers and in every sport.
Jenn F. on
Wednesday, August 28th, 2013
For years, open surgery has been the standard method of foot and ankle surgery. Even though arthroscopic surgery has gained popularity in shoulder and knee work, only the most knowledgeable and innovative podiatric surgeons are using it to repair ligaments in the foot and ankle. Here at our NYC Center for Podiatric Care and Sports Medicine, we regularly reconstruct ligaments through arthroscopy to minimize recovery time and complications.
Jenn F. on
Tuesday, August 27th, 2013
The term “Peripheral Neuropathy” refers to peripheral nervous system damage. Like static on a phone line, this vast sensory information highway distorts and interrupts connections between the body and the brain when nerves are damaged. Did you know there are over 100 types of peripheral neuropathy — each with its own set of symptoms, development and prognosis?
Jenn F. on
Monday, August 26th, 2013
In podiatry, our goal is to first minimize pain and discomfort for our patients. Then we look to repair to root cause of the injury through the least invasive methods possible. What’s a patient to do when rest, ice, compression and elevation are not enough to take the edge off? What about when over-the-counter anti-inflammatory / pain relief has little effect? Obviously, if these treatments fixed every patient, podiatrists would be out of business. One of the tools at our disposal is the cortocosteroid shot, which is helpful in many different scenarios.
What Is A Corticosteroid Shot?
Corticosteroid injections treat pain and inflammation directly at the site of trouble. The shots are most often administered directly into the joints, like the ankle or knee, but they can also be injected into soft tissue of the feet. Each shot typically includes a corticosteroid medication and a local anesthetic like lidocaine, which wears off within a few hours. The shot can be given right in your podiatrist’s office.
This method of medication delivery is ideal because it delivers a high concentration directly where it is needed, which is in contrast to oral methods where it isn’t really known precisely how much reaches the target site. The injection also can help remove some of the joint fluid and take down the swelling, which makes it easier to run diagnostic tests. Furthermore, patients can avoid the many side effects associated with oral medications.
What Conditions Can Corticosteroid Shots Treat?
In podiatry and sports medicine, cortisone shots may be used to treat:
- Plantar fasciitis / heel spurs
- Tarsal tunnel
- Traumatic injury
- Rheumatoid arthritis
- Turf Toe
- Knee arthritis
- Interdigital space pain, or
- Morton’s neuroma.
Who Should Not Get A Corticosteroid Shot?
According to the Mayo Clinic, “the number of cortisone shots you can receive in one year generally is limited (usually one every 3-4 months) because of potential side effects from the medication.” Though rare, side effects may include:
- Allergic reactions
- Skin discoloration
- Local bleeding
- Rupture of a tendon, or
- Weakening of tendons, ligaments and bone.
Also, as with any treatment, cortisone injections are not for everyone. People who are suffering from infection or who have a destroyed joint should not take this type of medication. Patients on anticoagulants / blood thinners or who have bleeding problems should not receive an injection of any sort due to the risk of bleeding at the puncture site. Diabetics should not have cortisone shots, as they have a tendency to raise blood sugar. Feel free to ask us any questions you may have about the use of corticosteroids at our NYC podiatrist office.
Jenn F. on
Friday, August 23rd, 2013
Los Angeles Angels’ first baseman Albert Pujols, Tampa Bay Rays’ third baseman Evan Longoria, San Diego Chargers tight end Antonio Gates, LA Lakers’ center Pau Gasol, Chicago Bulls’ center Joakim Noah: aside from being pro athletes, what do all these men in common? They are all haunted by the same phantom menace. Debilitating heel pain, known as plantar fasciitis, brought these Herculean men to their knees in pain on many a morning and made the season terribly frustrating as they wondered when and how they would get back to the sports they loved most.
Jenn F. on
Thursday, August 22nd, 2013
Cross-country running has the highest injury rate of any high school sport — even worse than football, wrestling and soccer. The NY Times cited a massive study of 60,000 high school athletes in Seattle, which ran from 1979 to 1992. The study found that one out of every three cross-country runners suffered an injury. On average, runners had two injuries per season.
Jenn F. on
Wednesday, August 21st, 2013
It’s the second qualifying day of the US Open, which is scheduled for August 26th to September 9th this year. No doubt the eyes of every young aspiring tennis pro will be glued to favorites like Serena Williams, who won her first US Open title at age 17. Yet, as we see pros like Venus Williams struggle to overcome physical injuries, we must keep in mind that overuse, not to mention muscle and ligament sprains, are a dangerous part of the game.
Jenn F. on
Tuesday, August 20th, 2013
When 300 pound bodies are colliding across the field for our amusement, injuries are an inevitable part of the game Despite all the padding these modern-day gladiators wear, injury prevention is largely based on athleticism, player training, and pure chance. Here at the Podiatric Center for Sports Medicine in New York City, we see a lot of athletes come in with football injuries ranging from torn knee ligaments to dislocated shoulders.
Jenn F. on
Monday, August 19th, 2013
The US Consumer Product Safety Commission reports that nearly 570,000 athletes were injured playing soccer in 2009, the last year for which data is available. Lately, head injuries have captured the spotlight. One study found that 60% of college soccer players had suffered a concussion at some point during their careers. More commonly, though, we see the following soccer injuries at our NYC Center for Podiatric Care and Sports Medicine.