Foot Doctor Blog
By Comprehensive Podiatry Associates, PC
March 02, 2018
Category: Foot Care
Tags: Aching Feet  

We’ve all been there before - after a long day of work, shopping or a playing sports, your feet ache and you feel as if you couldn’t walk another step from the pain. They might be heavy and swollen, even tight in your shoes, especially as you age. So why do your feet hurt after a long day upright, and when is it time to worry it might be something more than simple strain?

Achy Feet Factors:

  • Age
  • Gender
  • Dehydration

Causes of Achy Feet

When you are constantly on your feet, a significant amount of stress is put on your legs and feet. Strenuous walking or standing for long periods has an obvious effect on your feet. Other factors include ill-fitting, poorly padded shoes, tight socks or stockings and tight garters. Reduced blood circulation to the ankles and feet also causes tired aching feet.

Your age and level of dehydration contribute to how achy your feet are after a long day. Poor circulation can also cause foot swelling and, therefor, foot pain.

5 Simple Ways to Relieve Tired, Aching Feet

There are ways to relieve pain associated sore feet and legs.

  1. Elevate your feet for 15-20 minutes.

  2. Soak your feet in warm water with epsom salts, or a warm, wet towel and wrap it around your feet and legs.

  3. Massage your feet or have someone massage your feet for you.

  4. Exercise your feet, as it helps to keep them healthy - it tones muscles, helps to strengthen the arches and stimulates blood circulation.

  5. Wear orthotic insoles in your shoes. Ask your podiatrist if an orthotic device is a good fit for your lifestyle

When foot pain persists, it's important to visit our office for a thorough examination. The cause of your foot pain may be more serious than simple stress and overwork. Your podiatrist can identify serious problems and work with you to determine a treatment plan that will put an end to your tired, achy feet once and for all.

By Comprehensive Podiatry Associates, PC
March 01, 2018
Category: Foot Condition
Tags: Bunions Surgery  

A bunion can often be straightened out with non-surgical treatments, including orthotics, foot wraps, ice therapy, and bed rest. But when bunions\those treatments just aren't enough, a surgery called a bunionectomy may be the answer. The foot doctors at Foot Specialists Comprehensive Podiatry serving Selden, East Setauket, and Smithtown, NY are surgeons who specialize in bunion therapy. Learn when bunion surgery may be the treatment that's needed for your specific case.

Bunions are a Progressive Problem
Bunions are usually a progressive problem, meaning that they start off as minor inconveniences that only look uncomfortable, but then they can grow into very painful foot deformities. They form when the largest toe continually moves out of alignment, pressing into the other four toes. Eventually the joint at the base of the largest toe begins to move in the opposite direction, causing a large bump to appear on the inside of the foot.

Bunion Surgery
A bunionectomy is a foot surgery aimed at addressing the problem with either the head or base of the misaligned toe joint. Some of the bone tissue may be removed so that the toe can be placed in its proper alignment with a pin. In some cases, the bone has to be split so that it can be rotated into the right position. After the procedure, the foot is secured so that it can heal in a straighter position. You must follow the aftercare orders of your Selden, East Setauket, and Smithtown foot doctor to wear a protective shoe and avoid pressure on the foot until it has healed.

When Is Surgery the Answer?
Podiatrists usually prefer to try non-invasive treatments before considering surgery, but some cases are too advanced. Surgery may be the answer when a bunion has gotten so bad that it is causing debilitating pain and is affecting your ability to move around. Your podiatrist will take thorough X-rays and scans to determine if surgery is necessary.

Schedule a Bunion Consultation
After consulting with a food doctor about your bunions, you may find that a bunionectomy is the right course of action. Call today to set an appointment with Dr. Ben Dimichino or Dr. George DeVito at their offices serving Selden, East Setauket, and Smithtown, NY.

By Comprehensive Podiatry Associates, PC
February 07, 2018
Category: Foot Care
Tags: Foot Care   Baby Feet  

A child's feet grow rapidly during the first year, reaching almost half of their adult foot size. This is why podiatrists consider the first year to be the most important in the development of the feet. Proper care at a young age is essential for healthy development.  Since many adult foot ailments develop in childhood, periodic visits to your child’s podiatrist and basic foot care can help minimize these problems later in life.

A child’s feet are formed from soft, pliable cartilage which makes them more susceptible to deformities. A young child can be affected by foot conditions such as:

  • Intoeing
  • Out-toeing
  • Flat feet
  • Warts
  • Heel pain

Tips for Parents

Parents can help promote normal, healthy foot development for their baby.

  • Examine your baby’s feet regularly. If you detect anything unusual, contact your child’s pediatrician or podiatrist right away.
  • Encourage exercise.  Lying uncovered allows the baby to kick and move feet and toes freely so not to inhibit normal development.
  • Cover feet loosely. Tight clothing or covers restrict movement.
  • Alternate your baby’s position several times a day. Lying too long in one spot may place unnecessary strain on the feet and legs.

Growing Up

As your baby continues to grow and develop, so will the feet. It may be necessary to change shoe and sock size every few months, as tight-fitting footwear can aggravate pre-existing conditions. After your child takes their first steps, you should also carefully observe walking patterns. Intoeing, out-toeing, and gait abnormalities can be corrected when they are detected early.

A baby’s feet will carry them throughout life, so it’s important to begin good foot care at a young age. Neglecting your child’s foot health invites problems in other parts of the body, such as the back and legs. Whether you have questions about your child’s foot health or suspect a problem with the development of your child’s feet, please contact our office. We want every step your child makes toward adulthood to be pain-free and easy!

By Comprehensive Podiatry Associates, PC
January 08, 2018
Category: Foot Care
Tags: Heel Pain  

Heel pain can be both stubborn and persistent. Pain when you stand. Pain when you walk. Sometimes even pain at rest happens, and youheel pain wonder why. Your foot doctors serving the Smithtown area, Dr. Ben Dimichino and Dr. George DeVito, help numerous patients with their heel pain. Usually, they find it relates to plantar fasciitis, an inflammatory condition that affects about one in ten adult Americans, according to the American Podiatric Medical Association. Read more here about heel pain and its solutions.

The inflamed plantar fascia

The plantar fascia is a wide band of tissue which extends from the base of the toes, across the arch of the foot and connects with the calcaneous, or heel bone. Through overuse (standing on your feet too long), repetitive motion (as in running or dancing) or obesity, excessive pressure causes the plantar fascia to become inflamed and sore. Plus, if a person overpronates, or rolls his or her foot over and inward, during walking or running, the arch becomes strained.

Overpronation is a gait issue which your East Setauket foot doctor may discover during an examination at Comprehensive Podiatry Associates. Also, he may take X-rays and other kinds of imaging to look at the heel bone because small, bony heel spurs often accompany plantar fasciitis.

Treating your heel pain

Rarely is surgical revision of the metatarsal bones in the foot necessary. However, if you need foot surgery, don't worry. Dr. Dimichino and Dr. DeVito are board-certified in foot and ankle surgery, and Dr. Dimichino can perform endoscopic plantar fasciotomy, a procedure used only when less invasive measures don't work.

Those less invasive measures include:

  • Over the counter anti-inflammatory medications, such as ibuprofen
  • Rest
  • Ice to swollen areas
  • Compression with an elastic wrap
  • Elevation above heart level
  • Shoes with good arch support
  • Customized orthotics (shoe inserts)
  • Physical therapy and stretching exercises

Plus, your Selden foot doctor, also serving the Smithtown area, offers innovative Extracorporeal Shock Wave Therapy, or ESWT. Performed in the office, ESWT targets problem areas of the heel and bottom of the foot with high energy shock waves. This procedure succeeds over 80 percent of the time, says Podiatry Today, and it causes no down time.

Can we help you?

At Comprehensive Podiatry Associates, we're sure we can relieve your heel pain. Why not contact us for an appointment? We have locations in East Setauket, NY, (631) 689-0202 and in Selden, NY, (631) 451-1125 and serving the Smithtown area for your convenience.

By Comprehensive Podiatry Associates, PC
January 03, 2018
Category: Foot Care
Tags: Weightloss   Foot Care  

With our feet bearing the weight of our entire body, it’s no surprise that carrying excess weight may increase the chance of developing foot problems. In fact, recent studies have shown that overweight people experience more heel pain, tendonitis, arthritis, ball-of-foot pain, fractures and sprains in their feet and ankles than individuals at a normal, healthy weight.

Extra weight doesn’t have to be substantial to have an impact on your feet and ankles. As little as 10 or 20 pounds can trigger pain in the lower extremities. Being overweight changes the way your foot functions, and the force on the feet intensifies.

The most common foot problems from being overweight include:

  • Plantar Fasciitis: Excess weight adds strain to the plantar fascia, overusing and weakening it. This causes it to become inflamed and irritated. Heel pain is one of the most common problems caused by weight gain.

  • Tendonitis: When the feet endure extra weight, it eventually causes the tendons/ligaments to be overused, which leads to injury and inflammation.

  • Fallen Arches: An increase in body weight and pressure causes the supporting structures in your feet (muscles, tendons, and ligaments) to become stretched and weakened, breaking down over time. This can weaken the muscle which gives the foot its arch, causing over-pronation and leading to other problems such as knee and hip pain.

Other effects from carrying extra weight include changes in posture, changes in gait (steps become shorter), and stress fractures.

Losing extra pounds can help ease the pain and reduce problems caused by carrying excess body weight. Unfortunately, it's tough to lose weight when your feet hurt. To combat foot problems triggered by weight gain, ease into a low-impact activity that doesn’t require you to place pressure on your foot, such as water aerobics.  Always start any new workout routine slowly. Work with your physician to find healthy ways to modify your diet, and your podiatrist to select the best, most supportive footwear for your feet.

Foot pain is never normal, regardless of weight, as it indicates some type of stress or injury. You should always consult an experienced podiatrist if you are experiencing any pain in your foot.

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EAST SETAUKET, NY FOOT DOCTOR Comprehensive Podiatry Associates, P.C. 35 Shore Road East Setauket, NY 11733 (631) 689-0202 (631) 689-2686 fax Podiatry icon Call For Pricing Options
SELDEN, NY FOOT DOCTOR Comprehensive Podiatry Associates, P.C. 243 Boyle Road Selden, NY 11784 (631) 451-1125 Podiatry icon Call For Pricing Options