For many foot and ankle conditions, conservative treatment is the way to go. However, this is not necessarily the case for Achilles tendon ruptures. A study published in the American Journal of Sports Medicine in May 2017 linked nonoperative treatment of Achilles tendon ruptures with soleus muscle atrophy. NYC foot surgeons from The Center for Podiatric Care and Sports Medicine discuss the latest research.
For people with debilitating pain in the forefoot that does not respond to pads or cushioned shoes, surgery can help. The procedure is designed to treat fat pad atrophy, a condition suffered by people with high arches, excess weight, or a history of steroid injections. The goal is to improve the everyday lives of people who have worn down the fat pads in the balls of their feet. One Pennsylvania podiatrist explained, “They’re not looking to wear stiletto type shoes. They’re just looking to be able to walk in a grocery store or walk with their children down the street.” Our NYC foot surgeons find that plantar fat grafting is the most effective way to address the root problem and get patients back on their feet again.
People with a predisposition toward bunions start to notice abnormal developments around their big or small toes by the time they reach their twenties or thirties. Bunions can strike at any age, however, according to the Manhattan podiatrists at The Center for Podiatric Care and Sports Medicine. Kids can even develop surprisingly adult-like bunions at very young ages. “We recommend that parents hold off on surgical considerations until the child has reached skeletal maturity and the growth plates have closed,” says Dr. Josef J. Geldwert, DPM. He says this occurs between 13-15 for girls and 15-17 for boys. In the meantime, there are conservative measures that may prevent the bunion from getting worse.
Diabetic neuropathy is a condition in which damaged nerve fibers result from improper glycemic control. According to the American Diabetic Association, about half of all people with diabetes have some form of nerve damage in their bodies. The bad news is that this damage cannot be undone once it occurs. The good news? Our White Plains foot surgeons can relieve the unpleasant symptoms of numbness and tingling and prevent amputation through nerve decompression surgery.
The word “amputation” strikes fear in the hearts of patients with foot pain and injury. As such, it’s not a word we like to use very often here in the office. We offer the most advanced technology geared toward alleviating pain, treating the root cause of foot and ankle injuries, and salvaging limbs. Yet, we feel it’s also important to clarify that amputation isn’t what it was even twenty years ago. As the NY Times reports, many New Yorkers are choosing to lose their limbs in favor of the latest prosthetic technology to lead more active lifestyles.
Jenn F. on
Wednesday, February 22nd, 2017
If your second, third, and/or fourth toes bend at the middle joint while you are at rest, rather than laying flat, you may have a condition called “hammer toes.” You may find relief with a change in footwear, straightening cushions, and stretching; but the only way to truly correct the deformity is to undergo hammertoe surgery to correct the joint and soft tissues that are misaligned. Depending on the type of hammer toe you have, and the foot surgeon’s preferred technique, your surgery may involve a joint resection, ligament and tendon snipping, bone removal, tendon transfer, implantation, or fixation with pins or wires. In this article, the White Plains foot surgeons from The Center For Podiatric Care and Sports Medicine discuss what to expect during hammer toe surgery recovery.
New York City foot surgeons servicing millions of people in a primarily urban area have a very different job than foot surgeons in, say, Stowe, Vermont (population 4,339), or McPherson County, Kansas. There is a misconception about podiatrists and podiatric surgeons that our bread-and-butter lies in “old people with painful bunions” or those who need a good pedicure. As our name — The Center For Podiatric Care and Sports Medicine — suggests, we see a lot of active, fit, healthy, and young individuals who are suffering from debilitating traumatic injuries and chronic foot pain. Here are the most common reasons for reconstructive foot surgery in NYC …
Jenn F. on
Wednesday, October 12th, 2016
At the tender young age of 19, Rolando Mandragora has been called an “Italian wonderkid” and “one of Juve’s brightest prospects.” He was recently signed by the Juventus soccer team after spending some time with Genoa and Pescara for an initial €6 million contract. It’s rumored he could be paid as much as €12 million to stay and complete a roster of “the best young native talent available” with players like Daniele Rugani, Stefano Sturaro and Domenico Berardi. However, Mandragora’s potential remains unseen as he recovers from metatarsal foot surgery.
It may sound crazy, but it’s not uncommon for people to be hit by public buses in New York City. As you can imagine, pedestrians don’t fare well when pitted against 40,000 pound buses. Injuries include crushed feet, shattered ankles, pulverized lower legs, and dislocated hips requiring reconstructive surgery.
The board-certified NYC foot surgeons at The Center For Podiatric Care and Sports Medicinein Manhattan and Westchester routinely care for patients suffering from intense pain and shock after being struck by public transit. “Unfortunately, it’s all in a month’s work,” says Dr. Mariola Rivera, DPM. “In such a fast-paced city full of so many people rushing to meet deadlines, a certain number of accidents are sort of inevitable.”
If you suffer through a high impact injury like a car crash or an accident with heavy machinery, you may wind up in our office being treated for a bone fracture. But some of our patients face an additional complication: These types of fractures sometimes lead to avascular necrosis, also called osteonecrosis – or “death of the bone,” if your Greek is a little fuzzy.
When you suffer from this condition, the healing process fails to work as it should, causing your bone tissue to break down faster than your body can repair it. As the disease progresses, your bone collapses and your joint surface degrades, causing limited motion and arthritis pain.
There are a number of risk factors for this complication, but it sometimes afflicts patients who are otherwise perfectly healthy. Thankfully, 3-D printing technology can provide a life-changing treatment for patients who can’t be helped through traditional measures.
“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, NY 10601 (914) 328-3400 See map here
Manhattan Orthopedic and Sports Medicine 57 West 57th Street New York, NY 10019 (212) 996-1900 See map here
Dr. Josef J. Geldwert DPM, Dr. Katherine Lai DPM, Dr. Ryan Minara, DPM, and Dr. Mariola Rivera 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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