NYC Podiatrists Recommend Satisfying Your Sweet Tooth on a Walking Tour

Posted by on Friday, March 17th, 2017

NYC offers an abundance of small specialty shops and bakeries to satisfy your sweet tooth. So if you’ve got a taste for sweets, Sugartooth Tours will introduce you to a few of the best-kept secrets of the local dessert world. “I was always trying to find the best off-the-beaten-path bakeries with the best desserts,” said Tour Creator Sarah Morgan. Her bakery tours have been growing in popularity since she started offering them five years ago, and isn’t just about sweet treats, but about local history, lore and trivia, too.

Our NYC podiatrists recommend taking this walking tour to see different parts of the city, and to keep yourself mobile for many years to come.

MLB News: Brett Lawrie Highlights the Potential Dangers of Orthotics

Posted by on Wednesday, March 15th, 2017

Custom orthotics can serve as a first step for addressing a wide range of foot and ankle injuries at many podiatry offices. Naturally, your podiatrist will want to start with the least invasive treatment method that could be successful in treating and addressing your injury or ailment. This makes custom orthotics a go-to solution for many patients.

But athletes have some additional and unique concerns that must be taken into consideration. At The Center For Podiatric Care & Sports Medicine, we are not only NYC podiatrists; we are sports medicine physicians too. We understand total body biomechanics and we are very aware of how a foot-related treatment can have a much broader impact, affecting other structures such as the the ankles, legs, back and neck. Former Chicago White Sox infielder Brett Lawrie recently highlighted what happens when medical professionals do not take these complexities into consideration when prescribing treatment, including a seemingly straightforward treatment option such as custom orthotics.

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Orthotics are often used by professional athletes such as MLB players, but their use should be monitored, say NYC sports doctors. (Image Source: Flickr.com)

Get to Know Your NYC Foot Surgeon: Dr. Mariola Rivera

Posted by on Monday, March 13th, 2017

If you were to Google the phrase “NYC foot surgeon,” you would be confronted by more than 800 results. Google “NYC podiatrist” and there are more than 17,000 results. There are plenty of foot specialists in Manhattan who can treat issues such as chronic pain, deformity and acute injuries.

But your visit is more than just an exam or treatment; it’s other aspects such as patient-doctor rapport and “bedside manner” that lead to a positive, productive visit. You want to feel comfortable in your podiatrist’s office, as though your concerns are heard and your preferences are taken into consideration when treatment is prescribed. You want to be able to laugh a little, even when you feel nervous. You want a doctor you connect with, and someone who is passionate about the work they do.

In our “Get To Know Your NYC Foot Surgeon” series, we feature interviews with our care providers so you can get to know us better, whether you’re a prospective patient or a current patient. First up is Dr. Mariola Rivera, a NYC foot surgeon who is bilingual in Spanish and English.

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Looking for one of the top foot doctors in NYC? Try Dr. Rivera at The Center for Podiatric Care & Sports Medicine, near Central Park. (Image Source: Twitter.com)

Healing Heels: An In-Depth Look at Pre-Surgical Plantar Fasciitis Treatments

Posted by on Thursday, January 28th, 2016

Plantar fasciitis is hard to escape these days. The most common cause of heel pain, it is easily the most common type of musculoskeletal sports injury I see in the office. Whether you’re Peyton Manning, an ultra-marathoner, or a weekend warrior, it seems to affect people of all age groups, activity levels, genders, races, sizes, and shapes. It can be a quite debilitating injury with long delays in returning to your activity of choice. It can many times be stubborn and resistant to conventional treatments. First line treatments often include targeted stretching and strengthening exercises, rest, icing, and support for the fascia (in terms of strappings or orthotics). Many times we will add anti-inflammatory measures such as oral medications, topical medications, or steroid injections. Often these methods go a long way toward relieving symptoms. In the past, when these treatment methods failed, the final resort would be surgery. However, more advanced pre-surgical plantar fasciitis treatments have become available including extracorporeal shockwave therapy, MLS laser therapy, PRP injections, and the FAST procedure.

What Is Plantar Fasciitis?

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The plantar fascia is a wide band of tissue on the bottom of the foot. Image source: sportEX journals

Snowball Effect: Study Shows That a Second ACL Tear is Six Times More Likely Than A First

Posted by on Friday, August 16th, 2013

Chances are, you or someone you know has injured their Anterior Cruciate Ligament (ACL) at some point. There are approximately 95,000 ACL ruptures each year. The ACL is one of the four most important strong ligaments connecting the bones of the knee joint together. It is comprised of strong, dense structures of connective tissue that stabilize and minimize stress on the joint, thereby preventing it from dislocating. Tears occur when this ligament becomes overstretched or strained.

What Causes ACL Injury?

Most people injure their ACL doing a physical activity or playing sports. It may be caused by a sudden stop and twisting / pivoting motion, a blow to the front of the knee, hyperextension of the knee, changing direction quickly, landing on the ground with the knee straight, or sudden deceleration while moving quickly. Skiing, volleyball, basketball, football, tennis, wrestling, gymnastics and running all increase the odds of suffering this type of sports injury. Car accidents or repeat trauma and small tearing over time can also cause ACL injuries.

Is ACL Surgery A Good Idea?

About half of the patients who suffer ACL injuries also have meniscal tears. ACL deficiency increases the likelihood of suffering from degenerative changes significantly. For this reason, 60,000 to 75,000 ACL surgeries are performed annually in the United States. The long-term success rate for ACL surgery is very good, at 75 – 95%, with stability and activity fully restored. The failure rate of 8% is related to complications such as recurrent instability, graft failure or arthrofibrosis. People who are only engaged in very light manual work and low-impact sports like cycling or who are sedentary may consider nonsurgical treatment. However, most people want to be able to jump, pivot, ski and participate in heavy manual work again in their lifetimes.

Second ACL Injury More Likely After Reconstruction

The likelihood of having to go through a second ACL surgery within 24 months is six times’ greater than the chances of having a tear in the first place, according to researchers presenting at the American Orthopaedic Society for Sports Medicine’s Annual Meeting in Chicago. In the Cincinnati Children’s Hospital study, 78 subjects between the ages of 10 and 25 years old were assessed. Of them, 29.5% of the athletes suffered a second ACL injury within 24 months of resuming regular activities, including 20.5% sustaining an injury on the opposite leg and 9% tearing the same leg. Females were more than twice as likely to suffer an opposite leg injury than males. While ACL prevention programs are generally considered effective, the research suggests a need to reevaluate some of the rehabilitation programs out there, lead author Mark V. Paterno suggested.

How to Choose the Best Walking Shoes For You

Posted by on Tuesday, November 6th, 2012

We talk a lot about running here. That’s understandable–many people run, and many of those people who run worry a lot about their feet, and if you’re worried about your feet, this is the place to be! It’s time we take a moment, though, to give a shout out to a much more common activity that often doesn’t get enough respect: walking. For many people, walking is the first step (pun not intended…well, maybe) in a fitness program. If you’re not used to exercise or haven’t done anything in a while, a simple walking regimen, whether indoor or outdoor, is a great way to get started.As with any activity, though, it helps to have the right equipment. For walking, your most important piece of equipment is a good pair of shoes (though a pedometer is an accessory that can inspire you). So let’s talk about choosing walking shoes!Yes, walking shoes–it’s always important to wear the right shoes for the right activity, and that includes walking. Whether you’re walking for fitness or on vacation taking a long night walk to discover exotic creatures, there are certain characteristics you should look for in walking shoes.

Running or Walking Shoe? No, the differences between walking and running shoes aren’t huge. However, while you really shouldn’t run in walking shoes, you can walk in running shoes, especially if you choose them carefully.

Shoe Weight Running shoes are built to absorb the high impact of your body’s weight as you rapidly pound your feet into the ground. Therefore, they tend to be heavier than walkers need them to be; shoes that are too heavy can wear your legs out faster than really necessary. On the other hand, minimalist running offer too little cushioning and support for anyone who is planning to walk longer distances on a regular basis. Look for shoes that are in between–lighter than some of the heavily-cushioned, super-structured running shoes, but with more support and shock absorption than “barefoot running” shoes.

Heel Height It also matters where the cushioning and support is in the shoe. A walking stride begins with a heel strike (check out this video about proper walking form if you’re not sure you’re walking at your best). A runner may strike anywhere from the front or top of their heel (near the midfoot) to the midfoot to the forefoot . Therefore, running shoes tend to have a heel that’s built a little higher, with some being higher than others. If you’re buying shoes primarily for walking, but you’re in the running department, look for shoes where there is a minimal amount of difference between the height of the heel and the toe. It can be hard to tell from the outside of the shoe, though, so if you’re unsure, talk to an employee in a good running store and say you’re looking for a zero “heel-to-toe dropoff,” or a minimal one, like a 12 mm dropoff. “Heel-to-toe dropoff is also known as “heel-toe offset” or “heel-toe differential,” so use whichever term gets a light of recognition from the person you’re talking to. Here’s a good explanation of the heel drop topic;  it’s geared towards runners but can still help walkers.

Heel Shape If you look at a typical pair of running shoes, you may notice that the heel on the sole is flared, meaning it spreads out a little bit. This is to add extra stability for runners, especially those who are forefoot and midfoot strikers. Walkers, on the other hand, primarily use their heels, so a flared heel can actually get in the way of a good walking stride. Instead, walkers should look for shoes with undercut heels, where the heel of the sole actually narrows or tapers in a bit as it reaches toward the ground.

Flex in the front Many so-called “walking shoes” tend to have stiff soles, but this is a mistake–walkers do need flexible shoes, just as long as it’s flexible in the right place. Most running shoes flex in the middle, or at the arch of the foot. Walkers push off with their toes, though, so they should look for shoes that flex, or bend, in the forefoot. It’s easy to figure this out–just pick up a shoe and see where it bends easily.

As  noted earlier, you’ll be fine walking in most running shoes; these are just some tweaks to look out for to give yourself the optimal walking experience. The main thing to keep in mind is that your feet shouldn’t hurt, other than a normal, “Wow, that was a great, long walk” achiness. If you feel pain in your foot from walking, especially pain that increases when you walk, see a podiatrist at The Center for Podiatric Care and Sports Medicine (212.996.1900) to find out what’s going on–you might have an injury, or you may just be having gait problems that can be corrected with exercises or orthotics. Take care of foot pain early so you can get back on the road!

New York Magazine Feature

Posted by on Monday, June 18th, 2012

Our practice has been featured in New York Magazine’s New York Guides entitled The Top Foot-Perfecting Services!

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Click to read the article