My Blog
By Irving M. Luftig, BSC, DPM
June 01, 2020
Category: Foot Care
Tags: Toenail Fungus  
Onychomycosis is the technical term for toenail fungus. It’s when fungus gets under the nail and causes an infection. You’ll notice that the nail changes color and starts emitting an odor. If left untreated, the infection can spread to the other toes and even the fingers. The best thing to do is to schedule an appointment with your local podiatrist. 
 
What Causes Toenail Fungus?
Your feet are vulnerable to fungi and bacteria due to their location on the body. This is especially true if you go barefoot in damp areas like locker rooms, showers, and swimming pools. Your feet come in direct contact with these pathogens. An injury to the nail bed also opens your body up to infection. Even the smallest cut provides an opening for bacteria. Other possible risk factors include pre-existing medical conditions like immune-deficiency, diabetes, circulatory problems, and other chronic illnesses. 
 
Podiatry Treatment for Toenail Fungus
Schedule an appointment with your podiatrist right away when you notice differences in the appearance of your toenail. This includes any thickening, discoloration, or deformity. Your podiatrist will first need to make a diagnosis before treatment starts. This is done through a simple lab test. 
 
The first line of treatment includes oral and topical antifungal. Topical antifungal medication or cream is applied directly to the nail. Oral antifungal is taken just like regular medication. These are also more effective. You will take the oral antifungal for approximately three months.
 
For severe cases, patients require surgery. That’s why it’s so important to seek treatment from your foot doctor right away. They can help you before it gets to this point. Otherwise, your podiatrist performs a temporary removal of the nail. This gives your doctor space to evenly apply the topical antifungal.  
 
Toenails that don’t respond to any treatment need permanent nail removal. This eliminates the fungal infection while getting rid of the damaged nail.
 
At-Home Solutions for Toenail Fungus
There are a few things you can do at home to help treat your toenail fungus. A strict cleaning regime can relieve mild infections. Patients have found success in filing off the white marks and then applying over-the-counter antifungal agents. These do not stop infections from coming back, which is why we encourage patients to seek treatment from a medical professional.
By Irving M. Luftig, BSC, DPM
May 21, 2020
Category: Foot Issues
Tags: Morton's Neuroma   Neuroma  
Morton's NeuromaA podiatrist can help you with a variety of conditions that affect the feet, including Morton’s neuroma. A neuroma is the thickening of nerve tissue in the body, with Morton's neuroma specifically happening in the ball of the foot. It’s caused by an irritation in the nerve between the third and fourth toes. Patients experience pain while walking, with a burning, tingling, or numbness. 
 
Developing Morton’s Neuroma
 
There isn’t any known cause for Morton’s neuroma. There are a few factors that can increase your risk though. These include: 
  • Trauma or injury to the foot, damaging the nerve and resulting in swelling.
  • Improper footwear, like shoes that squeeze the foot together. High heels also increase pressure on the vulnerable areas.
  • Recurring stress to the feet through repeated physical activities or exercise. This is common with patients who are constantly on their feet due to their job. 
  • Deformities of the foot, like a high arch or flat foot. These lead to instability throughout the foot. 
The most important thing that your podiatrist recommends is wearing comfortable shoes. You don’t want anything that squeezes or hurts. Always wear athletic shoes when engaging in any physical activity. 
 
How to Treat Morton’s Neuroma at Home
 
Start by finding shoes that give your toes lots of room and are easily adjustable. The soles need to be shock-absorbent and thick. This keeps the pressure off the feet. You should also invest in shoe inserts or soles recommended by your podiatrist. Lastly, pay attention to your feet and their pain levels. When your Morton’s neuroma starts to act up, take a minute to rest. Take off your shoe and massage the area. An ice pack brings down the swelling too. 
 
Talking to Your Podiatrist
 
You should schedule an appointment with your podiatrist as soon as you experience foot problems. Morton’s neuroma gets worse without treatment. Identifying the neuroma early on can prevent needing aggressive treatment options like surgery. 
 
For early forms of Morton’s neuroma, changing your shoes is enough to relieve your symptoms. Your podiatrist’s goal for early treatment is to relieve pressure from the affected area. After going through a physical examination and having X-rays done, your podiatrist creates a treatment plan that works for you. 
 
There are a few different options that can work for you:
  • Taping and padding: This is a special type of tape and bandages that you place on the bottom of the foot. This helps with your symptoms. 
  • Orthotics: These are the custom shoes that your podiatrist can create for you. 
  • Medication: Cortisone injections reduce the pain and inflammation in the foot. Anti-inflammatory drugs also reduce your swelling. 
  • Surgery is the last resort for treatment. The procedure is done on an outpatient basis. The injured nerve is removed and recovery takes a few weeks.
By Irving M. Luftig, BSC, DPM
May 01, 2020
Category: Foot Care
Tags: Shoes   Injuries  
The Right ShoesExercise is an important aspect of keeping our bodies healthy and happy. That’s why it’s so important to wear the correct shoes for certain activities. Whether you’re an athlete, workout buff, or enjoy walking and hiking, you need the proper footwear. It makes the difference between enjoying your favorite activities and sitting out with an avoidable injury. Talk to your podiatrist to have your feet evaluated for your future workout needs.
 
Essential Equipment
All exercise involves your feet, ankles, and knees. Placing pressure on them puts you at risk for strains, sprains, and wear-and-tear injuries. Find shoes made specifically for the activity you engage in while also providing a good fit. They should accommodate your body and activity level. 
 
Pay attention to the wear on your older shoes. The soles show where you need more support in the future. The right shoe also feels good from the start. Don’t believe the sentiment that a shoe needs to be broken in. This is not true and creates ongoing problems. 
 
Matching Your Shoe to Your Sport
Different types of exercise affect your feet in different ways. Your shoes need to support the high-risk areas. 
  • Running requires shoes with shock absorption. Your feet take on a lot of pressure and friction. Cushioning your shoes in the correct areas keeps you from feeling the pain. 
  • Traction is important in sports that need quick changes in direction and sprinting, like basketball. Traction should never be too high or low. The right shoes keep you from slipping on the floor while letting you move and pivot.
  • Ankle support is a must. It limits the side-to-side movement that knocks your ankle out of alignment. This kind of support keeps ankle sprains at bay. For sports like basketball, hockey, skiing, and skating, make sure that your shoes aren’t too high. Otherwise, they will dig into your Achilles tendon. You can also wear soft ankle braces.
  • Arch support varies for everyone. Your podiatrist can test your foot to determine your gait. Depending on the results, your podiatrist can recommend orthotics or special shoe inserts.
Remember to Replace Your Old Shoes
Pay attention to the state of your shoes to understand when to replace them. When the condition starts to decline, especially the arch support and sole, it’s time to go shopping. Start looking for a replacement when they become uncomfortable and wear differently. You don’t have to wear shoes for a long time for them to wear out either. If you are participating in sports or activity on an almost daily basis, your shoes are bound to wear out quickly. 
By Irving M. Luftig, BSC, DPM
April 22, 2020
Category: Foot Condition
Tags: Arch Problems  

The arches of the feet play a role in supporting your body’s weight when standing or in motion. The tarsal and metatarsal bones make up the arches of the feet, also receiving additional support and stability from tendons and ligaments; however, our feet, like the rest of our body, can be affected by infections, disorders, and structural changes that can impact not only the health of our feet but also our mobility. It’s important to recognize the warning signs of arch problems so you know when you to see a podiatrist.

Arch Pain Causes

If you are dealing with arch pain it is most likely caused by an injury or by structural abnormalities in the foot. For example, those with very high arches as well as those with flat feet may experience arch problems due to these common structural issues.

As a result, there are other factors that could also lead to further arch problems including:

  • Being overweight or obese
  • Aging
  • Plantar fasciitis
  • Cavus foot
  • Posterior tibial tendon dysfunction

It’s important to understand a little bit more about these common foot disorders and how they could affect the arches of your feet.

Plantar fasciitis

This condition that causes inflammation and microtears in the plantar fascia is also the most common cause of heel pain. Of course, because the plantar fascia (a ligament that connects the toes to the heel bone) also supports the arches of the feet this can also lead to arch pain. This condition is usually the result of overuse and is seen most often in runners. If you have plantar fasciitis it’s important to avoid physical activities until the fascia has fully healed.

Cavus foot

This condition, which affects the structure of the foot, leads to excessively high arches. People who’ve had a stroke, as well as people with certain conditions such as cerebral palsy may be more likely to develop cavus foot. This problem causes arch pain when standing or walking and can increase the risk for ankle injuries. Your podiatrist may choose to treat cavus foot through custom-made orthotics (shoe inserts), bracing, or by recommending specialized and supportive footwear.

Posterior tibial tendon dysfunction

The posterior tibial tendon runs from the calf muscles to the inner portion of the foot. This condition leads to changes in the tendon, which in turn affects its ability to support the arches of the foot. Flat feet can be caused by posterior tibial tendon dysfunction, and this is often the cause of flat feet that develop in adulthood. Like the other conditions above, treatment for PTTD usually involves bracing, orthotics, or providing custom devices that provide additional support to the arches of the feet.

If you are experiencing foot pain, swelling or other problems that affect mobility then it’s time that you turned to a podiatrist for care. Conditions and injuries that don’t respond to rest and at-home care may require more advanced treatments and therapies.

By Irving M. Luftig, BSC, DPM
April 08, 2020
Category: Foot Care
Tags: Athlete's Foot  

Athlete’s foot is a common fungal infection of the feet that is typically characterized by itchy, burning patches of skin between the toes that may also crack or bleed. Since untreated athlete’s foot can spread to the toenails, it’s particularly important that you treat this problem as soon as you notice it. Athlete’s foot won’t typically clear up by itself; however, home remedies and treatments may be all you need to eliminate the fungal infection.

Treating Athlete’s Foot

If you are an otherwise healthy individual who is just dealing with an unfortunate bout of athlete’s foot chances are pretty good that you’ll be able to treat the problem on your own. There are a variety of over-the-counter antifungal creams and ointments that can be applied directly to the skin. Make sure to read and follow all instructions to ensure that the medication gets rid of the infection.

Along with properly treating your athlete’s foot it’s also important to keep feet as dry as possible. After all, fungus thrives best in warm, damp environments. By keeping feet dry you make it a less hospitable environment for this infection. This means wearing clean socks and shoes every day. Opt for socks with natural fibers, which are breathable and can wick away sweat. If your feet are particularly sweaty you can also apply an antifungal powder throughout the day.

When to See a Podiatrist

If you find that cracked, painful feet are making it difficult to stand or move around then this means it’s time to see a podiatrist for treatment; however, if the fungal infection isn’t impacting mobility then you may be able to treat the problem on your own with over-the-counter medications.

If you notice signs of an infection such as a swollen foot, pus draining from the foot, increased redness, or open sores it’s also important that you see a doctor right away. Antibiotics will be necessary in order to treat the infection.

If you are dealing with diabetes, nerve damage in your feet or other problems that impact the health of your feet it’s even more important that you see a podiatrist right away if you notice symptoms of athlete’s foot or other problems. Do not try to treat the infection on your own, as this could lead to more serious complications.

If you are dealing with persistent or recurring athlete’s foot it’s important that you also have a podiatrist that you can turn to for answers. While this condition may seem harmless it’s important that you don’t leave it untreated. A podiatrist can provide you with the treatment you’re looking for.





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