Brooklyn Podiatrist | Brooklyn Foot Problems | NY | Avenue U Podiatry |

Avenue U Podiatry, P.C.
Charles G. Marchese, D.P.M

Avenue_U_white.png164 Avenue U
Brooklyn, NY

(718) 996-8420

manalapan_logo.png145 Route 33 East Manalapan, NJ

(732) 845-0100

3010 Amboy Road Staten Island, NY

(718) 980-4066

Foot Problems

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FOOT Problems & Disorders

 

 

BUNIONS (HALLUX ABDUCTOVALGUS)

p1.pngA bunion deformity is a structural deformity caused by abnormal biomechanics in which the first metatarsal drifts away from the second metatarsal. This causes the big toe (hallux) to drift towards the second toe. The result is a bump or prominence of the inside aspect of the foot and the big toe hitting up against the second toe.

Orthotics, Anti-inflammatories can sometimes work well to take care of associated symptoms. Often times the cost of conservative treatment consisting of splints, pads, and injections will work. When this fails surgical correction may be an alternative.

With a course of conservative treatment consisting of anti-inflammatory medications and orthotics, the pain associated with the bunion can be alleviated and surgery can be delayed. Surgical correction if indicated is aimed at realigning the first metatarsal with the second.

Most patients will be able to wear comfortably fitting shoes within four weeks, but a return to full activity might take up to three months.

For additional information on bunions visit:

www.apma.org/topics/bunions.htm

 

HAMMERTOES

p2.pngHammertoe deformity is a structural deformity in which abnormal biomechanics cause the toe(s) to contract at one, two or all three of the joints within that toe. When in its early stages, the deformity is flexible. Normally hammertoes by themselves are not painful, but with foot wear the prominent knuckle of the toe rubs the shoe, producing an area of irritation which eventually forms a corn.

Orthotics and anti-inflammatory medications can work well to alleviate symptoms. Pads and strappings can often times help along with conservative therapy. When the contracture becomes rigid and nonflexible and increased swelling and pain persist, then surgical correction might become necessary to alleviate symptoms.

 

 

CORNS & CALLUS

p3.pngCorns and calluses are NOT soft tissue problems and there is no "root" to be removed. No matter how much they are cut down or debrided, they will return. Several types of pads and splints can be integrated into conservative care. Painful corns and calluses are the result of abnormal position of the underlying bone. Often hammertoes become painful because a bursal sac will develop between the bone and corn or callus. The bursal sac can be treated with injection and anti-inflammatory medications. If this relieves the symptoms than surgery can be delayed. If these treatments fail, then structural correction of the hammertoe is recommended by Dr. Marchese.

 

 

INGROWN NAILS

p4.pngIngrown nails are caused when the nail is incurvated (turned in) and penetrates the skin. The improper trimming of the nails, tight shoes, or injury to the nail can cause ingrown toenails to worsen. Early and mild ingrown nails are slightly painful and red. Later, more severe cases result in red, swollen nail boarders which might pus over. partial removal of the corner of the nail usually gives prompt relief. if this condition becomes chronic, then permanent nail removal of the corner might be suggested.

For additional information on ingrown nails of the foot visit:

http://www.acfas.org/brnailds.html

 

ORTHOTICS

p5.pngPain in the feet is not normal and it is usually the result of an abnormal relationship or misalignment of the bones in the foot at inappropriate times during the gait cycle (patho-mechanics). Patho-mechanics can result in bunions, hammertoes, heal pain, corns, calluses or just tired aching feet. If your shoes wear out abnormally in the inside heel or outside heel, this is another good indication that patho-mechanics is occurring. Check your shoes or sneakers for uneven wear. If present, an alignment with orthotics can often times be helpful in taking care of the many problems that arise from a foot that is out of alignment.

Orthotics realign the boney abnormalities and restore normal function. An added benefit is reduction of pain and slowing the progression of structural deformities. Orthotics are a custom-made biomechanical device fabricated from a plaster cast of your foot. Structural deficiencies and damaging compensatory habits can be modified with the use of properly fitted orthotics.

Orthotics are molded right at our facilities and takes less than 30 minutes to have them fitted. It then takes a few days for the orthotics to be created from the cast.

 

WARTS

p6.pngWarts are virus' that reside in the skin. They are spread by direct contact and can multiply and penetrate deeply in the bottom of the foot. Topical chemical agents and debridements (scrapping) is a simple way to take care of warts in the early stages. As the wart grows and multiplies, it sometimes becomes necessary to excise them and cauterize the base via cryotherapy, laser therapy, or hyfrecation to prevent reoccurrence. All of which can be done in the office.

 

 

 

HEEL PAIN

p7.pngHaving a spur does not make a difference in diagnosing or treating heel pain. It is simply a good indicator of the longevity of the problem and confirms the severity of the underlying biomechanical problem causing it.

Heel pain, plantar fascitis or heel spur syndrome is caused by an abnormal and excessive pull of the planter fasciar at its insertion. Morning pain and pain after periods of rest is characteristic and can progress to pain all the time. Treatment is aimed at shrinking the bursal sac via strapping, NSAID's, injection and orthotics. Orthotic therapy, heel cups, strapping, night splints; all are an integral part of treat heal spur syndrome. If this fails, treatment can be rendered via endoscopic planter fasciotomy, in which a pencil thin camera is placed into the heel soft tissue to release the fasciar.

For additional information on planter fascitis of the foot visit:

http://www.acfas.org/brnailds.html

 

FUNGAL NAILS / ATHLETE'S FOOT

12956052_s.pngThese are caused by fungus that resides in the skin (tinea pedis) or nails (onychomycosis). This infection, if left untreated can blister and cause a break in skin leaving you susceptible to a bacterial infection. In its early stages, the redness and itching can be treated with topical creams and liquids. Topical medications are often times successful in treating fungal nails.

In more severe cases, oral medication is required. In the most severe cases nail removal, followed by oral and topical medication more often then not will cure this problem.

Laser therapy is often a good adjunct to treatment of fungal nails and can be performed in office.

 

 

PEDIATRIC FOOT PROBLEMS(INTOE, OUTTOE & OVERLAPPING TOES)

13560081_s.pngThe most common foot problems seen in children are flat foot, intoe and overlapping toes. Often times this is the result of lack of external rotation at the hip (femur). The result is intoe gait and a flattening of the arch.

Although many of the deformities seen in the infant are a result of retained intrauterine position and the child will grow out of these if the intcauterine position retained is significant or a structural deformity is present these problems will not be resolved. The earlier treatment is started, the more successful resolution can be. Sometimes, most of the time, simple gait plates, orthotics and braces can resolve these issues.

If you have been told that your child will outgrow his/her current foot problems, often times that is not the case. A simple consult can help resolvle these issues.

 

ANKLE SPRAINS

p9.pngInversion sprains occur when the foot turns in and one of the three ligaments on the outside aspect of the ankle strain or rupture. The severity of the strain dictates the treatment.

A mild strain or sprain is treated by immobilization, splinting, bracing, non weight-bearing anti-inflamatories and followed by re-training and strengthening. Proper treatment is essential to prevent re-occurrence and chronic sprains.

 

 

 

WOUND CARE/ULCERS

p10.pngWounds, ulcers can can be result of PVD, systernic illness, trauma, structural deformity and most commonly result from diabetes. Dr Marchese is a Fellow of the Academy of Physicians in Wound Healing, a distinction that certifies his expertise and commitment to treating ulcers and wounds. Application of the most state of the art products including: stem cells, biologic dressing, hyperbaric oxygen therapy and VAC therapy. Sometimes surgical intervention along with a coorinated team approach using a vascular surgeon, infectious disease specialist and endocrinologist are employed to heal these wounds. Often times, this can be achieved as an outpatient. If necessary, Dr. Marchese is affiliated with several hospitals.

 

 

 

GOUT

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A form of arthritis that occur when uric acid precipitates in and about the joints. It is characteristically painful. immediate relief can be provided on the first visit then long term management to prevent re-occurance in part damage can be initiated.

 

 

 

 

NEUROMA

p12.pngA result of trauma or pinching of a inter digital nerve in the foot characteristically between the toes. Immediate as often times permenent relief can be achieved via injection and orthotics.

 

 

 

 

NEUROPATHY

p13.pngWhatever the cause, this disorder is usually painful as feet become more numb and tingling progresses. In-office diagnosis is available. Once diagnosed, treatment can often times provide lasting relief and full return to activity.

 

 

 

EDEMA OF LEGS

p14.pngAfter diagnosing the cause of edema, in-office treatment using pumps, stockings and bandages along with topical medication can be employed to provide lasting relief.

 

 

 

PVD

p15.pngCirculation disorders are often times discovered when the patient complains of cramping in legs. After in-office diagnosis, treatment can provide relief and prevent progression.

 

 


 
 
 
Brooklyn Podiatrist Avenue U Podiatry is a poidiatry office providing Foot Problems, orthopedic, pain, diabetes, bunions and much more in Brooklyn, NY. We also do Achilles Tendonitis, Allergic Contact Dermatitis , Athlete's Foot, Brachymetatarsia, Bunions, Calluses, Diabetic Foot Care, Flatfoot (Fallen Arches), Ganglions, Haglund's Deformity, Hallux Rigidus, Hammertoes, Heel Pain/Fasciitis, Infections, Injuries, Ingrown Toenails, Metatarsalgia, Morton's Neuroma, Onychomycosis, Osteoarthritis, Pediatric Foot Care, Plantar Warts, Plantar Fasciitis, Posterior Tibial Dysfunction, Rheumatoid Arthritis, Running Injuries, Sesamoiditis, Sprains/Strains, Tarsal Tunnel Syndrome, Tailor's Bunion, Tendonitis, Toe Deformities, Xerosis and all work related in the 11223 area and surrounding areas in Brooklyn