Thursday, November 23, 2017, 4:21 am

Dr. Gino Scartozzi
2 Aberdeen Road, New Hyde Park, NY 11040
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 516.326.7936 Podiatry New Hyde Park

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Foot Services


Athlete's Foot / Onychomycosis

Athlete's Foot / Onychomycosis | New Hyde ParkAthlete's foot is a kind of fungal infection that causes cracked red patches to form on the feet, usually between the toes. The affected areas may itch, burn, flake or ooze. Athlete's foot and other fungal infections may spread to the toenails (onychomycosis), causing them to change color, thicken, or crumble. Fungi grow fastest in warm, moist conditions; accordingly, risk factors for contracting fungal infections include keeping the feet wet for long periods of time, walking barefoot in wet public places such as pools or showers, wearing closed shoes that do not allow the feet to "breathe," and having sweaty feet.

Fungal infections may be mild or severe, last a short or a long time, clear on their own or require professional treatment. They may recur over time. They may also develop into more significant problems such as bacterial infection, especially if a person scratches at the infected areas. People with diabetes should be especially attentive.


Bunion Treatment

A bunion is a common condition that involves an abnormal, bony bump at the base of the big toe, causing the joint to swell outward and become painful. The big toe may also turn inward toward the second toe as a result of the enlarged joint, which can then lead to difficulty walking, ingrown toenails and corns and calluses.

Bunions can form when there is an improper balance of forces exerted on the joints of the foot, causing instability in the joint of the big toe. This often occurs as a result of shoes that do not fit properly, abnormal walking habits or an inherited foot type. Bunions can also be caused by injury, birth defects, arthritis or certain neuromuscular disorders.

Although bunions are not usually a serious condition, they can be painful and embarrassing. If left untreated, they will usually grow larger and more painful over time. It is important to seek medical attention and discuss treatment options with your doctor.

Bunion Treatment New Hyde ParkBunion treatment depends on the severity of the condition, although early treatment is considered most effective. Mild bunions may be relieved of pain simply by changing shoes, applying ice or taping your foot into a normal position. Medication, orthotics and physical therapy may also be recommended by your doctor. Surgical treatment, usually reserved for more severe cases, can improve pain, inflammation, deformities and stiffness.


Bunions / Hallux Limitus

Bunion Treatment | Hallux Limitus | New Hyde ParkBunions and hallux limitus are the two most common causes of big toe pain. Normally, the big toe bends about 60-75 degrees when you walk. If your foot is very flat, if your toe or foot has been injured, if you are getting older, or if you wear shoes that are too tight, too much pressure may be placed on the joint, limiting its motion. Over time, the joint can become painful, stiff, deformed, and eventually destroyed.

Stiffness of the big toe joint is known as hallux limitus; "hallux" means "big toe," and "limitus" means "limited. " Hallux limitus is usually accompanied by pain and arthritis in the big toe joint. It is a degenerative condition, meaning it gets worse over time. If hallux limitus is left untreated, the joint may eventually fuse, losing all motion ("hallux rigidus"). Early detection and treatment is key to limiting damage.

Many people with hallux limitus develop a deformity known as a bunion. A bunion occurs when pressure on the big toe gradually forces it to bend toward or under the second toe, and a bump forms on top of the joint.


Diabetic Wound Management

People with diabetes are at high risk for developing problems with their feet. More than half of diabetics lose sensation in their feet due to nerve or blood vessel damage, and can hurt themselves without knowing it. Ulcers and other wounds commonly form on the bottom of the foot and can easily become infected or lead to other serious complications. Ulcers may develop as a result of poor circulation, lack of feeling in the feet, irritation or trauma.

Once a wound has been detected, it should be treated immediately in order to prevent complications from developing. Diabetic wound treatment focuses on relieving pressure from the area and removing dead skin cells and tissue through a process called debridement. The wound is then medicated and dressed to prevent infection and promote healing. For more severe wounds, patients may be required to wear special footwear or a brace to relieve pressure and irritation to the wound. To prevent wounds from developing, patients should avoid walking barefoot and keep blood glucose levels under control.


Fractures of the Foot and Ankle

A fracture is a break in a bone. It may be a crack in the bone (a stress fracture) or a complete break; the bones may shift out of place or break the skin. Fractures in the bones of the foot and ankle cause a variety of symptoms and require different treatments depending on the location and severity of the break as well as the patient's overall health.

  • Digits (toes/phalanges) and metatarsals (long bones of the forefoot) - There are many different kinds of fractures that can happen to the bones of the forefoot and toes. They are painful but often heal without the need for surgery. The metatarsals are prone to stress fractures, or cracks in the bone. These are usually related to a recent increase or change in activity. The fifth metatarsal below the small toe may fracture if it is landed on badly or if the ligament of a twisted ankle pulls off a piece of the bone. Symptoms of a toe or metatarsal fracture include pain that gets worse when walking; swelling; and sometimes bruising.
  • Lisfranc joint (midfoot) - Often caused by dropping something heavy on the top of the foot or by falling after catching the foot in a hole. Symptoms are similar to a sprain and include swelling and pain at the top of the foot; bruising; possible inability to bear weight; and pain when moving the foot while the ankle is held steady. If you think you have a sprain and it does not improve with rest and ice after one to two days, you may have a Lisfranc joint fracture and should see a doctor to prevent further injury.
  • Calcaneus (heel) - Usually the result of an automobile accident or fall from a great height. Symptoms include pain on the outside of the ankle or under the heel; inability to bear weight; swelling and stiffness. May be accompanied by back or knee injury due to the amount of force required to break the heel bone.
  • Ankle - Like severely sprained ankles, broken ankles are often caused by a fall, injury or car accident. Symptoms that one or more of the three bones that make up the ankle may be fractured are: severe pain in the ankle; swelling; bruising; tenderness; inability to bear weight; and deformity of the joint. May be accompanied by dislocation or ligament damage (sprain).

 


Ganglions and Cysts

Ganglions are fluid-filled cysts commonly found on the tendons and joints of the wrists or hands. They may develop suddenly or over time and appear as a small, raised lump near your wrist or finger joints. While ganglions are usually benign and harmless, they may cause pain if the cyst puts pressure on nearby nerves, which may results in pain, weakness or numbness.

The specific cause of ganglions is unknown, although they tend to occur in patients with osteoarthritis, and are most common in women between the ages of 25 and 45. They often occur spontaneously when the soft sheath around a tendon or joint swells and fills with mucus.

Despite the lack of complications associated with ganglion cysts, you should still seek medical attention if you notice a lump on your wrist or hand. Treatment is not always necessary, but many wish to have the cyst removed for cosmetic reasons or to relieve pain that has developed over time. Ganglions can be treated through a variety of methods, depending on the size and severity of the cyst. Some of these treatments include:

Immobilization - Resting the wrist or wearing a splint can often release pressure on the nerves to relieve pain, and also decrease the size of the cyst.

Aspiration - This minimally invasive procedure involves draining the fluid from the cyst with a syringe. Local anesthetic is applied and may be combined with a steroid injection to help fully heal the area. This treatment is not always permanent and many ganglions return after aspiration.

Surgery - Surgery may be recommended by cysts that are very painful or interfere with joint movement. Ganglion surgery is performed under a local anesthetic and involves complete removal of the cyst and any attached tissue to ensure permanent treatment. Physical therapy may be recommended after surgery in order to rehabilitate the hand or wrist.

Your doctor can help you decide which treatment option is best for you.


Hammertoes

Hammertoes are an abnormal "V"-shaped bending of the little toes. Caused by stiffened tendons, hammertoes often form because of a muscle imbalance, arthritis, a hereditary condition, an injury, or tight shoes that squeeze the toes. They may be flexible (the toes can still be moved at the damaged joint) or rigid (the toes are immobile). Many people with hammertoes develop swelling, redness, stiffness, or painful corns or calluses as the toes rub against the inside of the shoes.

 

If you are interested in learning more about any of our Foot Services, call 516-326-7936 today to schedule an appointment.

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