My Blog
By Arthur Kaplan, D.P.M.
August 31, 2018
Category: Foot Care
Tags: Arthritis  

Arthritis is a joint condition that affects roughly 54 million American adults according to the Arthritis Foundation. It can show up in joints all around the body, including the feet and toes. When the joints of the feet are affected by inflammation, it affects a patient’s ability to move their toes, bend their feet up or down, and turn on a dime when participating in athletic activities. Learn the steps that you can take to care for arthritic feet and improve your overall foot health.

Arthritis in the Feet
Arthritic joint pain, which is usually caused by an inflammatory reaction, is most commonly felt in the big toe, ankle, and the middle part of the foot. There are many different types of arthritis conditions that could affect the feet, including psoriatic, reactive, and rheumatoid arthritis. Osteoarthritis is the most common form—it is caused by the bones rubbing together, making the joints feel stiff and painful. Patients who are overweight are more likely to struggle with arthritic feet, as are seniors. Some people have had arthritis since childhood (juvenile arthritis or JA), making them more likely to develop foot deformities like bunions and struggle with swollen joints.

Arthritis Treatments
Though arthritis isn’t a curable condition, the symptoms can be eased with treatment so that you can continue to walk, jog, exercise, and work without debilitating pain. These are some of the ways your podiatrist may treat arthritis in the feet:

  • An X-ray or other imaging test to examine the condition of the joints.
  • Physical therapy exercises to make the joints more flexible.
  • Orthotic device or shoe for better foot support.
  • Joint injections (corticosteroids).
  • NSAID drugs (anti-inflammatories).
  • Surgery to remove inflamed tissue around the joints (Arthroscopic debridement) or fuse the bones (arthrodesis).

Caring for Your Feet
Seeing a foot doctor is an important part of caring for arthritic feet. But there are also some actions you can take at home to keep your feet and joints in good condition:

  • Get rid of shoes that put too much pressure on your joints, like high heels or sneakers that don’t support the ankles.
  • Soak your feet in warm water with Epsom salt and massage your feet when relaxing.
  • Commit to doing the toe and foot exercises suggested by your podiatrist.

Treating Arthritic Feet
Arthritic feet shouldn't prevent you from carrying on with normal life and physical activities. Get help from a podiatrist as soon as you start to experience symptoms and take extra steps to care for your feet.

By Arthur Kaplan, D.P.M.
August 10, 2018
Category: Foot Care
Tags: orthotics  

Custom OrthoticsPeople with foot-related issues such as plantar fasciitis, bunions, fallen arches, or an imbalance of their left and right feet may feel frustrated with the lack of results from shoe inserts purchased over-the-counter. If you've had this experience, it's time to contact Dr. Arthur Kaplan, your podiatrist in Port Washington, NY, to ask about custom orthotics. Custom orthotics are just that, shoe inserts made just for you from precise measurements taken by Dr. Kaplan. They're one-of-a-kind to fit the shape of your foot and correct, cushion, and balance out its abnormalities. Learn about some of their benefits here.

Movement

With uncomfortable foot conditions or a noticeable limp, you may feel reluctant to get up and move around much. You may also tire easily because of the effort it takes to walk. Being sedentary can lead to a host of other problems; muscle atrophy, obesity, and blood clots. Custom orthotics can help restore your confidence and your energy by changing your gait and the way your feet make contact with the ground. When it's comfortable to move, you'll feel much more motivated about getting up and walking around.

Spinal alignment

If you're dealing with a foot problem like the ones we mentioned above, you may also have lower back pain as a direct result. This typically happens due to your posture being thrown off in an attempt to compensate for lack of mobility or strength. When you're wearing custom orthotics from your Port Washington podiatrist, however, you'll likely find that the pain in your lower back is greatly diminished or disappears entirely.

Are you interested in walking more comfortably and feeling more confident! Contact NY Sports Podiatry in Port Washington, NY, to schedule an appointment with Dr. Arthur Kaplan and find out if custom orthotics are right for you!

By Arthur Kaplan, D.P.M.
July 30, 2018
Category: Foot Care
Tags: Blister  

A foot blister is a small pocket of fluid that forms on the foot. Blisters can be painful while they heal. Foot blisters are caused by several things, including friction, burns, contact with irritants, and autoimmune diseases. Treatment can alleviate your pain, prevent infection, and help heal your blister. Here's what to do when you keep getting blisters on your feet.

1. See a podiatrist- When foot blisters interfere with your normal activities, you should see a podiatrist. Podiatrists specialize in the diagnosis and treatment of foot and ankle problems, including blisters. Depending on the cause of the foot blister, your podiatrist will form a treatment plan for you. 

2. Cover your blisters- If a blister does occur, do not pop it. A blister should be covered to reduce irritation and cut back on the risk of infection. Wash your blisters with soap and water and cover them with dressings, like bandages or gauze pads. Your dressings should be changed every day. 

3. Use antibiotic ointment- Antibiotic ointment helps prevent infections in blisters. You can purchase antibiotic ointment at a local pharmacy. Apply antibiotic ointment to the foot blisters as directed, especially before you put on your socks or shoes.

4. Keep your feet dry- Keep your feet dry at all times. After you shower, dry your feet thoroughly. Wear socks every day to keep moisture away from the skin of your feet. For sweaty feet, use products that help control moisture. 

5. Use custom orthotics- Orthotic devices are molded pieces of rubber, leather, or other material that are inserted into shoes. You can get custom-made orthotic devices from your podiatrist. Orthotic devices can be helpful in preventing and treating foot blisters. Orthotic devices can reduce friction on foot blisters and alleviate your pain. 

6. Wear the right shoes- Rubbing and pressure from shoes that are too tight often cause blisters on the feet. Avoid wearing shoes that cause foot blisters. Wear good-fitting footwear that fit comfortably and leave your feet with some wiggle room, especially on long walks or runs. Wearing the right footwear can prevent future blisters.

7. Use foot powders- Friction can make foot blisters worse and increase your pain. In order to reduce friction on blisters, buy a powder designed for your feet at a pharmacy. Pour it into your socks before putting on your shoes to reduce pain. If a powder causes your foot blisters to become irritated, stop using it.


Don't let foot blisters knock you off your feet. Find a podiatrist in your area and schedule an appointment. A podiatrist can help you get rid of those foot blisters once and for all. The journey to healthy feet starts with you!

By Arthur Kaplan, D.P.M.
July 10, 2018
Category: Foot Care
Tags: Ankle Sprain  

Ankle SprainAnkle sprains can keep you off your feet for a week or longer, depending on the severity of your injury. Sprains are among the foot and ankle injuries and conditions that podiatrist Dr. Arthur Kaplan treats in his Port Washington, NY, office.

How do sprains occur?

Several bands of connective tissue called ligaments connect the bones of your ankle joint together. The ligaments can stretch or tear if your ankle suddenly twists or turns inward, which results in a sprain. Although sprains can happen to anyone, they're more likely to occur if you participate in certain sports, such as basketball, volleyball, soccer, football and tennis.

Common symptoms of sprains

Sometimes it's difficult to tell if you've merely twisted your ankle or sprained it. If a sprain is responsible for your pain, you may experience several of these signs and symptoms:

  • Swelling: Your body's healing process begins the minute you hurt your ankle. As soon as the injury is detected, white blood cells flood the area. The increase in blood flow causes your ankle to swell noticeably. Swelling can begin just a few minutes after you injure your ankle.
  • An Unusual Sound: In some cases, you may actually be able to hear your ligaments stretching or tearing. If you heard a pop when you hurt your ankle, you may have a sprain.
  • Pain: Pain may vary in intensity depending on how badly you sprain your ankle. If the ligament has only stretched slightly, you might notice a jolt of pain when you turn your ankle, but may not experience much pain thereafter. More severe sprains can cause pain at rest and when you're on your feet.
  • Difficulty Walking: Pain may make walking uncomfortable, but you may also have a little trouble walking if your ankle is swollen or stiff or your joint is unstable. If your joint is unstable, it may be impossible to put any weight or pressure on it. Call your Port Washington office as soon as possible if walking is very difficult.
  • Bruising: Small blood vessels under your skin may tear when you sprain your ankle. As a result, blood pools under the skin, giving it a purple appearance.

Ignoring sprain symptoms are severe or last more than a week or two may lead to chronic pain and joint instability. If you're worried that you may have a sprained ankle, schedule an appointment with Port Washington, NY, podiatrist Dr. Arthur Kaplan by calling (516) 883-8313 to schedule an appointment.

By Arthur Kaplan, D.P.M.
July 05, 2018
Category: Foot Care
Tags: Hammertoes  

When most people think about foot deformities they most often think about bunions; however, hammertoes are just as common. This unassuming deformity comes about gradually, so you may not even notice it until it’s too late. “What is a hammertoe?” You might be wondering. A hammertoe affects the middle joint of a toe (often the smaller toes), causing the toe to bend downward. In severe cases, a hammertoe will look almost claw-like.

There are two kinds of hammertoes: flexible and rigid. As you might imagine, a flexible hammertoe is one in which you can still straighten the toe out. If you aren’t able to straighten the affected toe then this is a rigid hammertoe. A flexible hammertoe isn’t as serious as a rigid one; however, it’s important that you take care of your hammertoe to make sure that it doesn’t get worse.

While there is no way to cure a hammertoe there are simple measures you can take to prevent it from progressing. First and foremost, you need to take a look at the shoes you are wearing and make sure that they aren’t too tight. When you slip your feet into your shoes, does it cause your toes to bunch up against one another? If so then this could make your hammertoe worse.

Instead, opt for shoes with an ample toe box, which will allow your toes to wiggle and move around freely. If you have a structural imbalance within the foot this can leave you prone to foot problems such as hammertoes and bunions. To correct this imbalance, talk to your foot doctor about getting custom orthotics (shoe inserts), which can be placed into your shoes to help provide cushioning, support, and shock absorption for your feet.

If pain or stiffness does rear its ugly head you can choose to take an over-the-counter pain reliever like ibuprofen, which can tackle both pain and inflammation in one fell swoop, or you can place a towel-wrapped ice pack (never put ice directly on the skin, as it can cause severe burns) over the area for several minutes.

Just as you can buy pads to cover a bunion or callus, you can also buy a non-medicated protective pad to cover over a hammertoe. Since the deformed toe joint juts out this can leave the toe prone to calluses, which can cause pain when wearing shoes. To prevent a callus from forming, you can apply a protective pad over the deformed toe joint before putting on shoes.

Of course, if you are dealing with significant or frequent pain, or if the hammertoe is rigid, then you will want to turn to a podiatric specialist. In severe cases, surgery may be recommended to correct the disfigured joint.





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