My Blog
By Arthur Kaplan, D.P.M.
February 07, 2018
Category: Foot Care
Diabetes causes a condition of painful nerve damage called peripheral neuropathy. Neuropathy can affect your entire body, but the legs and feet are the body’s most prone areas to serious health problems. Damage to the nerves can cause the loss of feeling in your feet, making it difficult to detect extreme temperatures and pain as easily or readily as someone who does not have diabetes. Understanding the connection between foot care and diabetes is important to avoid more serious health problems. Visit your podiatrist, about the best ways to care for your feet. 

Inspect Your Feet Regularly

If you have diabetes, it’s crucial to examine your feet every day and after every injury, regardless of how minor you may think the injury is. If you notice redness, swelling, persistent pain, numbness, tingling or any other unusual signs on any part of your foot, call your podiatrist immediately, as this could signify serious health problems. 
 
It’s also recommended that people with diabetes see a podiatrist for annual checkups. A professional podiatrist can detect broken skin or ulcers that can be detrimental to the health of your feet and body. They can also check your blood circulation, identify loss of sensation or detect areas of high pressure - all of which require professional medical attention. 

Small Foot Problems Can Lead to Bigger Problems

If you have diabetes, even the smallest foot problems can turn into more serious complications. Some of these small complications include:
  • Ulcers that don’t heal
  • Corns
  • Calluses
  • Cracked heels
  • Hammertoes
  • Bunions
  • Ingrown toenails
With these complications, you run the risk of developing diabetic peripheral neuropathy, which is a condition that develops slowly and worsens over time, and Charcot foot, which is a condition in which the bones of the foot are weakened enough to fracture. Taking extra precautions and caring for even the smallest injuries with care might just save your foot. 

Keep Your Feet Healthy with Proper Foot Hygiene

Everyone needs to practice good foot hygiene daily, but people with diabetes should pay extra attention to keeping their feet clean in order to prevent health problems. If you have diabetes, your podiatrist urges you to:
  • Wash your feet daily with lukewarm water and mild soap, making sure to dry them thoroughly, especially between the toes. 
  • Keep the skin on your feet smooth and soft by applying a non-irritating moisturizer, avoiding the areas between the toes. Doing so can help prevent cracks and sores that lead to infection. 
  • Avoid ingrown toenails than can get infected by keeping them neatly trimmed straight across.
  • Wear clean, dry socks and change them every day.
  • Avoid walking barefoot to protect feet from harmful foreign particles. 
  • Never attempt to remove corns, calluses or other sores from your feet on your own. See your podiatrist for safe and pain-free removal. 
Early detection, simple care and regular inspections can go a long way to avoid serious foot complications related to diabetes. Diabetes is serious, especially when it comes to your feet. If you have diabetes, talk with your podiatrist about what you can do now to keep your feet safe, strong and healthy. 
By Arthur Kaplan, D.P.M.
January 03, 2018
Category: Foot Care

America has carried on a love affair with sports since its inception. Whether you are a professionalSports Injuries athlete, play in youth or adult teams or have pickup games with friends, your feet and ankles take a beating while playing sports.  

All vigorous sports should be played sensibly and safely. Improper preparation and techniques can lead to injury, especially in the lower extremities. Athletes of all levels should be aware of the various risks and potential sports injuries of playing the game. With the guidance of your podiatrist, you can avoid sports injuries and life on the bench. 

Common Sports Injuries

Any sport offers a number of different ways to injure your feet and ankles. For instance, in baseball alone, ankle sprains may occur while running, fielding balls, stepping on or sliding into bases.

Your podiatrist will help to determine the extent of the injury and develop a treatment plan to guide you through the healing process. Failure to fully treat and rehabilitate a sprain may lead to chronic ankle instability and recurrent sprains.

Overuse or excessive training can also put some athletes on the bench with Achilles tendinitis or heel pain. The start and stop of many sports often creates pain and tightness in the calf and aggravation of the Achilles tendon. Regular, gentle and gradual stretching of the calf muscles before and after the game will help minimize the pain and stiffness. 

Protect Your Feet: Wear Appropriate Shoes

There seems to be a shoe designed for every sport out there, but there is a method to the varying styles. Sport-specific shoes really can change your game and protect your feet from injury. There is no danger in wearing cleats, but they should be gradually introduced before being worn in the game. A young player needs to get a feel for cleats, which should not be worn off of the field.  

While the improved traction of cleats may enhance play, it also leaves your ankles more susceptible to twists and turns. Anyone with pre-existing foot conditions should see a podiatrist before putting on cleats, and never wear hand-me-downs. Spikes, which are made to be lighter and more flexible these days, perform the same function as cleats, but engage with the ground differently. These should also be worn with caution until the feel of how they engage with the turf is understood. 

Watch for irritation, blisters or redness while wearing cleats, because they can indicate a biomechanical problem in the legs or feet. Pain is a sure sign of a problem and should be addressed immediately. If wearing cleats causes you pain, discontinue wearing them for a couple days and visit your foot doctor for further treatment and diagnosis. 

When it comes to sports, it is important to protect your feet from injury. Activities such as football, baseball, soccer, field hockey and lacrosse often lead to ankle injuries as a result of play on artificial surfaces, improper footwear or inadequate stretching. Contact your podiatrist if you exhibit any injuries after playing your favorite sport. Your podiatrist can treat you and offer prevention techniques, so you aren't benched for the rest of the season.

By Arthur Kaplan, D.P.M.
January 03, 2018
Category: Foot Care
Tags: Shockwave Therapy  

Chronic foot pain can be a frustrating problem, especially if conservative treatments like shoe inserts and rest haven't brought you any shockwave therapyrelief. For situations such as this, Dr. Arthur Kaplan of NY Sports Podiatry may recommend radial pulse therapy to help you. Also known as extracorporeal shockwave therapy or EWST, your Port Washington foot doctor uses radial pulse therapy to treat a variety of chronic foot-related conditions. You can learn more about this helpful treatment here.

How does shockwave therapy work?

Your Port Washington foot doctor will use a hand-held applicator to perform EWST. The applicator delivers pulses of energy - similar to ripples on the surface of water - to the targeted areas of the foot, where they are absorbed by the muscles underneath. This action triggers the body's immune system to increase circulation and cell regeneration, with the ultimate goal of enhancing and speeding up the healing process.

Is shockwave therapy painful?

EWST is a non-invasive treatment, which means it's non-surgical and doesn't require any recovery time. However, you may experience some temporary discomfort during your radial pulse therapy session with your Port Washington foot doctor; this is often due to stimulation of the injured area. In these cases, the intensity of the pulses can be adjusted.

How can shockwave therapy help me?

Shockwave therapy can be very beneficial to people who have been diagnosed with chronic foot conditions such as Achilles tendinitis, plantar fasciitis, or heel spurs. Studies have shown that shin splints and stress fractures of the foot can also respond positively to this therapy. Many patients of Dr. Kaplan find relief from their conditions within a month of weekly treatments, although the maximum benefits tend to take several weeks to fully develop.

If you've been dealing with chronic foot pain and other treatments haven't helped, it may be time to consider shockwave therapy with Dr. Arthur Kaplan. Contact NY Sports Podiatry in Port Washington, New York to schedule a consultation today!

By Arthur Kaplan, D.P.M.
December 04, 2017
Category: Foot Care

From weekend warriors to professional athletes, it is important to take care of your feet to remain fit and active while participating in sports and other recreational activities. With the repeated pounding that runners’ feet receive on paved surfaces, or from the side-to-side motion seen in court sports, there is no question that athletes’ feet and ankles are prime candidates for injuries. It is important to be on the lookout for some of the common problems associated with athletes – from ankle sprains to heel pain. With help from your podiatrist, you can take charge of your feet and avoid the bench.

Heel Pain and Plantar Fasciitis 

Plantar fasciitis is an inflammation of the connective tissue, called the plantar fascia, which stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. It is also commonly referred to as heel or arch pain. Over-pronation may be a cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens your foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this repetition causes inflammation of your heel and arch. 

Orthotics Provide Comfort and Stability

Your podiatrist offers orthotics to reduce pain and restore proper function to the feet, thus relieving pain. An orthotic device is inserted into the shoe, and is designed to restore and aid the natural foot function. This is achieved by realigning the foot and ankles to their natural position, allowing muscles and joints to move with less stress and tension. 

Many people can benefit from orthotics, including people with jobs that require standing or walking for extended periods of time. Common foot ailments, such as corns, calluses, Morton’s neuroma, flat foot, hammertoe and plantar fasciitis can often be improved with the help of a custom-made shoe insert that fits comfortably into the shoe.  

Orthotic devices allow the bones, tendons and muscles of the feet and lower legs to function at their highest potential. Orthotics can decrease discomfort and improve function, not only in the foot, but also in other parts of the body so that everyday tasks aren’t painful. 

Foot pain is never normal and should not be ignored.  Always visit your podiatrist for proper diagnosis and treatment. Whether you are active in sports or simply want to relieve pain caused by the stresses of everyday tasks, you can benefit from a custom-made orthotic device.  

As an athlete it is important to remain on your feet! With the help of sports podiatry, you can ensure their health.

By Arthur Kaplan, D.P.M
November 03, 2017
Category: Foot Care

Anytime a person engages in sports, they are running the risk of suffering an injury to the foot and ankle. Many of the injuries that cause foot ailments and pain are caused by high-impact sports, such as running. Other times foot problems can arise from wearing improper footwear or from inadequate training.

There are a number of foot conditions that an athlete can suffer from, including ingrown toenails, athlete’s foot and blisters. Let’s take a brief look at two of the more serious and most common conditions: plantar fasciitis and ankle sprains. When these conditions occur, your podiatrist is available to provide you with the best treatment available.

Heel Pain Caused By Plantar Fasciitis

Plantar fasciitis is one of the most common foot ailments experienced by runners and the most common cause of heel pain. The plantar fascia is a thick, dense tissue that runs from the ball of the foot along the arch, connecting to the heel. People with flat feet or individuals who overpronate are more susceptible to heel pain because of the increased stress that occurs at the heel.

Many times the pain is worse in the morning when you first get up, but subsides as you move around throughout the day. Treatment will vary depending on each case, but generally rest, ice and stretching can help ease the pain. When conservative treatments aren’t effective and the pain persists, see your podiatrist for recommended treatment, such as orthotics.

Ankle Sprains

Caused by an unnatural twisting or force on the ankle bones, an ankle sprain is one of the most common injuries experienced by athletes. The severity of a sprain will depend on the extent of the stretching and tearing of ligaments. How severe the tear is will determine how long it takes for your ankle to heal - sometimes up to several months. When a sprain first occurs, there will likely be chronic ankle pain. The ankle will swell, and discoloration may occur. 

The RICE (rest, ice, compression, and elevation) procedure should be administered right away for an ankle sprain. Serious ankle sprains, particularly among competitive athletes, may require surgery to repair and tighten the damaged ligaments. If you’re prone to ankle sprains, avoid running on uneven terrain and wear firm, supportive footwear for improved stability. Unfortunately, ankle sprains are often recurring. Your podiatrist can help determine the severity of your sprain and the necessary course of treatment, including exercises to strengthen your weak ankle. 

Heel pain and ankle sprains can be easily treated, yet many athletes delay proper treatment for fear of discontinuing their favorite sport. Delaying treatment will only make the injury worse, often times leading to a far more serious injury that requires extensive care and treatment. If you frequently participate in sports and other physical activities, it’s important to pay close attention to your feet and ankles as they are placed under tremendous pressure and are at high risk for injury.

Remember to train properly for your specific activity and wear supportive shoes that offer stability for your specific sport.  If you are experiencing pain for extended periods of time, take time to rest. Chronic pain likely indicates a serious foot problem and continuing to play your sport will only make matters worse. Talk to your podiatrist about the best ways to prevent and treat common sports-related foot injuries.





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