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


Ingrown Toenails

Ingrown Toenails Treatment New Hyde ParkAn ingrown toenail is a common condition that involves the corner of the toenail growing into the skin of the toe, causing pain, swelling and infection. This can occur as a result of wearing shoes that are too small or tight, cutting the toenails too short, injury to the toenail or a naturally curved toenail. While this condition can affect any toe, it most commonly affects the big toe. If left untreated, an ingrown toenail is likely to develop an infection and may even require surgery to remove the nail.

Most ingrown toenails can be treated at home by soaking the foot in warm water, applying antibiotic cream to the area and wrapping the toe in gauze or bandages. It is important to keep the area clean to help prevent infection. Your doctor may also place a piece of cotton under the nail to separate it from the skin that it is growing into, encouraging growth above the edge of the skin. For more severe or recurrent cases, part of the nail and the underlying tissue may be removed in order to remove the infection. Removal can be done through a chemical, laser or other methods.


Neuroma

A neuroma is a painful swelling of a nerve, usually in the ball or heel of the foot. Symptoms include sporadic pain; burning, tingling or numbness of one or more toes; and a popping sensation when walking. Pain is often soothed by taking weight off the foot or by massaging the area.

In the foot, there are the long bones (metatarsals) and thin nerves running between them. The nerves split in a Y-shape when they reach the toes. If the metatarsals move abnormally, they can pinch the nerve between them, causing inflammation and, eventually, permanent nerve damage. Morton's Neuroma is the most common of this type and affects the nerve between the third and fourth toes. Neuromas may also occur after a nerve has been injured, either from a traumatic wound or from damage suffered during surgery.

A physical examination and one or more imaging tests will determine whether the pain is caused by a neuroma or by a condition with similar symptoms such as arthritis, stress fractures, tendon inflammation, tarsal tunnel syndrome and nerve compressions in the ankle or leg. Treatment begins with a combination of cortisone injections to reduce swelling and orthotic inserts to correct problematic metatarsal movement. If the nerve is permanently damaged, the patient may decide to undergo chemical destruction of the nerve, have the nerve surgically removed, or endure the pain.


sesamoiditis

Pain in the ball of the foot below the big toe may be caused by sesamoiditis, an inflammation of two small bones called sesamoids. Sesamoids are found in many joints in the body. In the big toe, they protect the tendons that pull the toe against the ground and stabilize it when you walk. Naturally these two small bones are subjected to great pressure and frequently suffer damage in the form of swelling (inflammation) or stress fractures, especially from high-impact activities such as running, jumping and ballet dancing and from wearing high-heeled shoes. People with very arched feet are also susceptible to sesamoid injury.

Rest, ice, anti-inflammatory drugs and physical therapy are usually enough to reduce swelling and relieve pain. If symptoms persist, cortisone injections are attempted. Long-term treatment aims to prevent recurrence and may involve use of cushioned footwear or orthotic inserts in the shoes. If the bone is fractured, it may be necessary to wear a cast for 6-8 weeks followed by a brace. Surgical removal of the sesamoid is an option for resistant cases.


Plantar Fasciitis and Heel Bone Spurs

Plantar Fasciitis and Heel Bone Spurs New Hyde ParkThere is a ligament along the bottom of the foot called the plantar fascia that stretches from the heel to the base of the toes. If the ligament is forced to stretch beyond its limit, it may become inflamed and result in heel pain, a condition called plantar fasciitis. Patients often complain of discomfort in the heel, the arch of the foot or the back of the leg when walking. The pain is usually worst when getting up after sitting or lying down for an extended period of time.

Bone spurs are a common complication of plantar fasciitis. Bony calcium growths on the bottom of the heel, they form where the plantar fascia pulls on the heel bone. Spurs don't usually cause pain themselves, but they are often a good indicator of the severity and age of the underlying problem.


Plantar Warts

Plantar warts are non-cancerous growths that develop on the soles of the feet as a result of the human papillomavirus (HPV). HPV enters the body through tiny breaks in the skin, which are often present beneath pressure points in the feet on the heels or balls. These warts appear on the skin as a small, hard bump that may be gray or brown with well-defined boundaries. In some patients, they may cause pain or tenderness with walking.

While plantar warts are not usually a serious condition, many patients experience pain or embarrassment regarding this condition. Plantar warts can be removed through several different noninvasive procedures, including cryotherapy (freezing), laser surgery, cantahridin, immunotherapy and medication injections. Your doctor will decide which treatment option is best for you based on your individual condition. Some plantar warts may not require any treatment at all.


Reconstructive Foot Surgery

Disorders of the foot develop from a wide range of causes, many of which can be treated with reconstructive foot surgery. Reconstructive surgery can help repair birth defects, diseases, injuries and other foot problems that can benefit patients' medical and aesthetic needs. When more conservative treatment methods fail or are not an option, reconstructive surgery is often effective in treating many foot disorders.

Reconstructive foot surgery can be used to treat conditions such as:

  • Trauma
  • Vascular diseases
  • Metabolic diseases
  • Tumors
  • Infection
  • Genetic disorders
  • Arthritic diseases

Tendonitis

Tendonitis Treatment New Hyde ParkTendonitis is an inflammation or irritation of a tendon that occurs as a result of aging, overuse or injury. A tendon is the flexible cord of tissue that connects muscles to bones. This condition can occur anywhere in the body, but most often occurs in joints such as the shoulder, wrist, heel and elbow. Severe tendonitis can lead to a rupturing of the tendon and may require surgery.

Symptoms of tendonitis usually involve pain, tenderness and swelling in the affected area. This pain is usually worse with movement. Many cases of tendonitis can be treated simply through rest and over-the-counter pain medication. However, you should see your doctor if symptoms interfere with daily activities or if you develop a fever. More severe cases may also benefit from corticosteroid injections, physical therapy or surgery. Untreated tendonitis can lead to chronic symptoms or rupturing of the tendon, so it is important to take proper care when treating this condition.

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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