Items filtered by date: October 2023

Tuesday, 31 October 2023 00:00

Lymphedema of the Feet

Lymphedema is a chronic condition characterized by swelling due to a compromised lymphatic system. This system is vital for the immune response and involves organs like the spleen and lymph nodes, as well as fluid-carrying vessels. Normally, it circulates a fluid called lymph, rich in white blood cells, throughout the body to combat infections. When blocked due to obesity, injuries, or genetic issues, the lymph gets trapped in tissues, causing swelling. The swelling usually occurs in the arms or legs and feet and can result in symptoms like heaviness, tight skin, limited joint mobility, skin thickening, and itching or burning sensations. Diagnosis involves multiple steps to rule out other causes of foot swelling, such as infections or blood clots. If you have swollen feet, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Ultimate Foot Care . Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.


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Friday, 27 October 2023 00:00

We Can Treat Your Foot or Ankle Pain

Foot or ankle pain can negatively affect your day-to-day life and can occur due to several different conditions. Pain can also be an indicator of a more serious underlying condition, which is why you should seek professional help as soon as you notice any abnormalities in your feet.

Tarsal tunnel syndrome, or TTS, is a painful condition affecting the feet. It is similar to carpal tunnel syndrome but occurs in the ankle, specifically in the tarsal tunnel. This is defined as a narrow passageway on the inner side of your ankle enclosed by bone and a fibrous band. TTS results from compression or pressure on the tibial nerve, which runs through this confined space. There are specific risk factors that may lead to this condition. These can include an ankle injury, standing for extended periods, or participating in athletic activities. The tibial nerve is responsible for providing sensation to the bottom of your foot and controlling some of the muscles in your calf. When the tibial nerve becomes compressed due to injury, inflammation, or an underlying medical condition, it can lead to a range of distressing symptoms, including tingling, burning pain, and numbness in the foot. Understanding the complexities of tarsal tunnel syndrome is crucial for timely diagnosis and effective management, which often involves rest and in some cases, surgical intervention. If you have any form of ankle pain, it is suggested that you consult a podiatrist who can provide the best course of treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Ultimate Foot Care . Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 17 October 2023 00:00

Charcot-Marie Tooth Disease

Charcot-Marie-Tooth disease, or CMT, is a group of genetic disorders that affect the peripheral nerves responsible for transmitting signals between the brain, spinal cord, and the rest of the body. It can also impact the nerves controlling muscle function. Symptoms typically manifest in adolescence or early adulthood, often beginning in the feet and lower legs before spreading to the hands and arms. Common signs include muscle weakness, reduced muscle bulk, diminished reflexes, sensory loss, and foot deformities. CMT is a genetic condition, with various types resulting from mutations in different genes. The two primary categories are CMT1, characterized by issues with the myelin sheath surrounding nerves, and CMT2, involving abnormalities in the nerve axons themselves. CMT3, or Dejerine-Sottas disease, is a severe form that begins in infancy. There is no cure for CMT, but treatment focuses on managing symptoms and maintaining mobility. If you know you have Charcot-Marie Tooth disease or have symptoms characterizing this disease, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.


Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists  from Ultimate Foot Care . Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.


To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 10 October 2023 00:00

Managing Hammertoe

If you have ever experienced pain or discomfort or unusual changes in the shape of your toes, you may be dealing with a foot condition known as hammertoe. This deformity occurs when one or more toe joints become bent, resembling the shape of a hammer. Hammertoe can cause other foot conditions, such as calluses or corns where your toe rubs against the inside of the shoe. Symptoms may include pain while wearing shoes, swelling, redness, or difficulty straightening your toe. The good news is that there are effective treatments to alleviate the discomfort caused by hammertoe. Start by choosing footwear with a soft, deep, and roomy toe box to reduce pressure on your toes. Shoe Inserts, cushioning pads, or taping can move the toe and ease the pain. Incorporating simple exercises into your daily routine can also help. Try toe crunches by scrunching a towel with your toes while keeping your heel planted. Or, gently stretch your toes by pulling them toward you using your hands or a towel. In severe cases, a surgical solution may be necessary to release the tendon that is keeping the toe curled up. If you are afflicted with hammertoe, it is suggested that you seek the help of a podiatrist for an exam and treatment options.


Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Ultimate Foot Care . Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.


  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes


Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe


Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 03 October 2023 00:00

Clubfoot Is a Congenital Foot Deformity

Clubfoot is a congenital foot deformity that affects thousands of newborns worldwide. This condition is characterized by an abnormal positioning of the foot, where it turns inward and downward, making it appear like the sole is turned upward. While the exact cause of clubfoot is still not entirely understood, it is believed to result from a combination of genetic and environmental factors during fetal development. Typically, clubfoot can be detected shortly after birth. Early diagnosis and intervention are essential for effective treatment. The goal of treatment is to correct the foot's positioning and allow for normal growth and development. This often involves a series of gentle manipulations, casting, and sometimes minor surgery. With early and appropriate medical care, most children born with clubfoot can lead normal, active lives. Regular follow-ups may be necessary to monitor the foot's growth and function, but the prognosis for those with clubfoot is generally positive. The key is prompt identification and intervention to ensure a healthy and active future for affected children. If your child has been born with clubfoot, it is strongly suggested that you are under the care of a podiatrist who can begin the necessary treatment methods.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Ultimate Foot Care . Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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