Dr. Jarret Drucker

01/31/2024

Plantar fasciitis, a prevalent foot condition, induces pain and discomfort in the heel and the underside of the foot. Its onset involves inflammation or strain of the plantar fascia, a robust band of tissue supporting the foot's arch. Notably, individuals often experience a sharp, stabbing pain, most pronounced during the initial steps in the morning.

Various factors contribute to plantar fasciitis, including excessive foot pronation/flatfeet, high arches, obesity, overuse, and inappropriate footwear, with athletes, particularly runners, being susceptible.

Managing plantar fasciitis typically encompasses self-care practices like rest, ice application, stretching exercises, and wearing supportive footwear. Additional approaches involve physical therapy, orthotic devices, night splints, corticosteroid injections, and shock wave therapy. Surgery may be necessary for plantar fasciitis that does not improve with conservative treatment.

Applying proper care and treatment enables most individuals with plantar fasciitis to alleviate symptoms and resume regular activities.

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(212) 464-7066

01/30/2024

Hammertoe surgery, also known as toe correction surgery, addresses toe deformities resulting from tightened tendons and ligaments. A hammertoe, which is characterized by abnormal bending of one or more toes, causes discomfort and shoe-wearing challenges. The procedure involves correcting toe alignment by removing a small bone fragment or releasing tightened tendons. As an outpatient procedure, patients return home the same day.

Post-surgery, recovery entails wearing specialized shoes or casts to protect toes during healing. Initial days may involve some discomfort, including pain and swelling, but long-term benefits include relief from hammertoe symptoms, restoring mobility, and enabling comfortable use of regular footwear.

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(212) 464-7066

01/29/2024

Neuroma releases, also known as neuroma surgery or neuroma excision, are medical procedures aimed at alleviating the symptoms caused by neuromas, which are benign growths or thickened nerve tissues that commonly occur between the toes. Neuromas, often found between the third and fourth toes (Morton's neuroma), can cause pain, tingling, numbness, and discomfort due to the pressure they exert on nearby nerves.

During a neuroma release, a surgeon carefully removes the affected nerve tissue or the neuroma itself. This can involve making a small incision and dissecting the nerve tissue to relieve the compression and irritation on the nerve. The procedure's goal is to provide relief from pain and restore normal nerve function.

Neuroma releases are typically considered after non-surgical treatments like orthotics, shoe modifications, and corticosteroid injections have proven ineffective. While surgery offers potential relief, it's important for patients to discuss the procedure's risks, benefits, and recovery process with their podiatrist.

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01/22/2024

Achilles strains refer to injuries involving the Achilles tendon, the thick band of tissue connecting the calf muscles to the heel bone. These strains typically occur due to overuse, sudden force, or repetitive stress on the tendon, leading to microscopic tears and inflammation. Common symptoms include pain, stiffness, and swelling around the back of the ankle.

Achilles strains are often associated with athletes, particularly runners and those involved in activities requiring jumping and sudden accelerations. Proper warm-up, stretching, and gradually increasing activity intensity can help prevent such injuries. Rest, ice, compression, and elevation (RICE) are initial treatment measures to alleviate symptoms. Seeking medical attention is crucial to determine the extent of the strain and to create a suitable rehabilitation plan.

Recovery from Achilles strains can take weeks to months, depending on the severity of the injury. Engaging in physical therapy and gradually reintroducing activities are essential for a successful and safe return to full functionality. Early diagnosis and appropriate care play a vital role in minimizing long-term complications and ensuring a faster recovery.

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01/11/2024

Hallux limitus and hallux rigidus are two foot conditions that affect the big toe joint, known as the metatarsophalangeal joint. Hallux limitus refers to a progressive limitation of motion in the joint, leading to reduced flexibility and increased pain during movement. It is usually caused by the gradual degeneration of cartilage in the joint, resulting in osteoarthritis.

On the other hand, hallux rigidus is a more advanced stage of the condition, where the joint becomes completely stiff and immobile. The limited range of motion can cause difficulty in activities such as walking, running, and bending the toe.

Both hallux limitus and hallux rigidus can be accompanied by swelling, inflammation, and the development of bone spurs. Conservative treatments for these conditions include rest, physical therapy, orthotic devices, and pain management. In severe cases, surgical intervention may be necessary to remove bone spurs, repair or replace the joint, or fuse the bones for stability.

Early diagnosis and treatment can help manage symptoms and slow down the progression of these conditions. Consulting a podiatrist is essential for an accurate diagnosis and appropriate treatment plan tailored to individual needs.

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(212) 464-7066
www.druckerpodiatry.com

01/11/2024

Hallux limitus and hallux rigidus are two foot conditions that affect the big toe joint, known as the metatarsophalangeal joint. Hallux limitus refers to a progressive limitation of motion in the joint, leading to reduced flexibility and increased pain during movement. It is usually caused by the gradual degeneration of cartilage in the joint, resulting in osteoarthritis.

On the other hand, hallux rigidus is a more advanced stage of the condition, where the joint becomes completely stiff and immobile. The limited range of motion can cause difficulty in activities such as walking, running, and bending the toe.

Both hallux limitus and hallux rigidus can be accompanied by swelling, inflammation, and the development of bone spurs. Conservative treatments for these conditions include rest, physical therapy, orthotic devices, and pain management. In severe cases, surgical intervention may be necessary to remove bone spurs, repair or replace the joint, or fuse the bones for stability.

Early diagnosis and treatment can help manage symptoms and slow down the progression of these conditions. Consulting a podiatrist is essential for an accurate diagnosis and appropriate treatment plan tailored to individual needs.

Call or book online today!
(212) 464-7066

Dr. Jarret Drucker is a clinical and surgical-trained podiatrist specialized in the foot and ankle, including diagnosis & treatment of sports and overuse injuries.

12/13/2023

Neuromas of the foot, specifically Morton's neuroma, are a common and painful condition affecting the interdigital nerves, most commonly between the third and fourth toes. This condition occurs when the nerves become compressed and irritated, leading to the thickening of the nerve tissue. The primary cause is repetitive stress and pressure on the foot, often resulting from activities that involve tight footwear, high heels, or excessive running.

Symptoms of a foot neuroma include sharp, burning pain in the ball of the foot, tingling sensations, and a feeling of having a pebble inside the shoe. As the condition progresses, the discomfort may worsen, affecting daily activities and mobility.
Non-surgical treatments like rest, wearing comfortable footwear, and using orthotic devices can provide relief. However, in more severe cases, surgical intervention may be necessary to decompress or remove the affected nerve.

Early diagnosis and appropriate management are crucial for preventing further complications and ensuring a pain-free, active lifestyle. If you suspect a neuroma in your foot, seeking professional medical advice is essential for proper evaluation and personalized treatment.

A tailored treatment regimen can only be made after an in-person evaluation.

Call today to schedule your appointment! (212) 464-7066

10/17/2023

Foot cramps, often described as sudden, involuntary, and painful muscle contractions, can affect anyone and are a common discomfort. These cramps typically occur in the muscles of the foot, like the calf or arch, and can be triggered by various factors.

One common cause of foot cramps is overuse or muscle fatigue, which can occur after prolonged standing, walking, or exercising. Dehydration and mineral imbalances, particularly low levels of potassium, calcium, and magnesium, can also contribute to cramps.

Foot cramps are often experienced during the night and can be associated with conditions like restless leg syndrome, peripheral neuropathy, or poor circulation. They can also be a side effect of certain medications.

To alleviate foot cramps, gentle stretching, and massaging the affected muscles can help. If cramps persist, consult a healthcare professional, as they may be a symptom of an underlying medical condition. Stretching, maintaining a balanced diet, and staying hydrated are important steps in managing foot cramps and promoting overall foot health.

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10/13/2023

Flat feet, also known as fallen arches or pes planus, is a common condition where the arches of the feet are lower than normal, causing the entire sole to make contact with the ground. This can be a result of genetics, age, injury, or conditions like obesity. Flat feet can be categorized as flexible (the arch appears when the foot is not bearing weight) or rigid (the arch does not appear regardless of weight-bearing).

Flat feet can lead to various symptoms, including foot pain, fatigue, and discomfort, particularly when standing or walking for extended periods. It can also contribute to issues such as shin splints, knee pain, and back problems due to altered biomechanics.

Treatment for flat feet often involves orthotic inserts or arch supports, which provide additional support to the foot's arch and alleviate symptoms. Strengthening exercises, proper footwear, and weight management can also help manage flat feet.

While flat feet themselves are not necessarily a problem, they can cause discomfort or contribute to other musculoskeletal issues. Seeking advice from a podiatrist is advisable for a proper assessment and personalized treatment plan if flat feet are causing problems or discomfort.

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10/10/2023

Posterior tibial tendonitis, also known as adult-acquired flatfoot, is a painful condition characterized by inflammation or degeneration of the posterior tibial tendon, which runs along the inner side of the ankle and supports the arch of the foot. This condition primarily affects adults and can lead to a collapsing arch, resulting in flatfoot deformity.

The posterior tibial tendon plays a crucial role in maintaining the foot's arch and stability during walking and other weight-bearing activities. When it becomes inflamed or damaged, it can lead to pain, swelling, and a gradual flattening of the arch. Over time, untreated posterior tibial tendonitis can lead to significant foot and ankle dysfunction, affecting one's ability to walk and engage in physical activities comfortably.

Treatment for posterior tibial tendonitis typically involves rest, immobilization through bracing or casting, anti-inflammatory medications, physical therapy, and custom orthotics or orthopedic footwear. In severe cases, surgical intervention may be necessary to repair or reconstruct the damaged tendon and restore foot alignment.

Early diagnosis and prompt treatment are essential to prevent the progression of posterior tibial tendonitis and maintain foot function and comfort.

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10/08/2023

Foot orthotics are custom-made or off-the-shelf inserts designed to provide support, alignment, and improved function for the feet, ankles, and lower limbs. Their benefits extend beyond just foot comfort and can significantly enhance overall well-being.

Orthotics can alleviate various foot-related issues. They provide arch support, cushioning, and stability, which can reduce pain and discomfort associated with conditions like plantar fasciitis, flat feet, and bunions. They also aid in redistributing pressure, preventing blisters, calluses, and corns.

In addition, orthotics can improve posture and alignment. By promoting proper foot positioning, they can positively impact the alignment of the entire body, reducing strain on the knees, hips, and lower back. This is particularly beneficial for those with structural imbalances or irregular walking patterns.

Athletes often use orthotics to enhance performance and prevent injuries by providing extra support and shock absorption during physical activities.

Orthotics offer a range of benefits, including pain relief, improved posture, enhanced athletic performance, and injury prevention. They are a valuable tool in promoting foot health and overall quality of life.

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10/04/2023

Tenex is a minimally invasive, cutting-edge medical procedure designed to treat specific foot and ankle conditions, particularly those involving soft tissues like tendons and fascia. This innovative technique is a viable alternative to traditional open surgery and can effectively alleviate pain and improve function in patients with conditions like plantar fasciitis and Achilles tendonitis.

Tenex involves a small incision through which a specialized ultrasound-guided instrument is inserted. This instrument uses ultrasonic energy to break down and remove damaged or scarred tissue in the affected area. The procedure is precise, targeting only the problematic tissue while leaving healthy tissue intact.

One of the key advantages of Tenex is its minimally invasive nature, which typically results in less pain, reduced scarring, and a quicker recovery compared to open surgery. Patients often experience a faster return to their normal activities. It's essential to consult with a podiatrist to discuss your options and decide on the most appropriate treatment plan for your specific condition.

Call today to schedule your appointment! (212) 464-7066

Please use this form to request an appointment with Dr. Jarret Drucker.