Author: New England Podiatry Associates

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Falls Prevention Awareness

Build Better Balance for Falls Awareness Month!

Balance is a skill, and like any skill, it can be maintained and even improved with the right approach. September’s Falls Prevention Awareness Month isn’t over yet, so New England Podiatry is here with a blog to keep you steady. This guide will walk you through how to assess your stability at home, then explain the signs that you should seek treatment from your podiatrist.

The 5-Second One-Leg Test:

To get started with your at-home efforts, try this quick and effective method to get a snapshot of your current balance:

  1. Stand near a sturdy chair or countertop you can hold onto if needed.
  2. Lift one foot a few inches off the floor.
  3. Try to hold this position for at least 5 seconds without wobbling, putting your foot down, or grabbing for support.

If you found this challenging, it’s time to start working on your stability!

Simple Stretches to Improve Your Foundation

Feeling a little unsteady on your feet is something many people dismiss as a normal part of aging, but in reality, falling is not normal, and you can prevent it!

Before issues become severe, you can work on your balance at home with these simple, safe exercises:

  • Ankle Rotations: While seated, lift one foot and slowly rotate your ankle 10 times clockwise, then 10 times counterclockwise.
  • This helps maintain crucial joint mobility.
  • Calf Stretches: Stand facing a wall with your hands on it for support.
    • Step one foot back, keeping that leg straight and the heel on the floor.
    •  Gently lean forward until you feel a stretch in your calf.
    •  Hold for 30 seconds and repeat on the other side. Flexible calves reduce strain on your entire foot structure.
  • Heel-to-Toe Walking: In a clear hallway, walk in a straight line by placing the heel of one foot directly in front of the toes of the other, as if on a tightrope.
    • This simple drill enhances your coordination and stability.

Gait Analysis: A Window into Your Walk

If you’ve been practicing these exercises but still feel unsteady, the problem may not be a lack of strength, but an issue with your biomechanics.

That means you need a fall risk assessment, which includes gait analysis. We’ll use our expertise to identify subtle abnormalities in your foot mechanics that could be compromising your balance, looking for issues like:

  • Overpronation: Where your foot rolls too far inward.
  • Ankle Instability: Weakness from old injuries or arthritis.
  • Pain Compensation: An unnatural walking pattern you’ve developed to avoid pain from a bunion or other condition.

Custom Orthotics: The Stability Solution

Once we identify the root cause of your instability, the most effective solution is often a pair of custom orthotics.

  • Unlike a store-bought insole, an orthotic is a prescription medical device created from a 3D scan of your feet.
  • By correcting your specific alignment and providing targeted support, orthotics create a stable, solid foundation that can dramatically improve your balance and reduce your risk of falling.

You don’t have to just “live with” the fear of falling. Falling isn’t normal, but it is preventable! And our team would be delighted to help.

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of  New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. Contact us today to schedule an appointment! 

Categories
Shockwave Therapy

Foot Surgery Isn’t Your Only Option: A Guide to EPAT Shockwave Therapy

Foot getting shockwave therapy

You’ve been struggling with chronic foot or ankle pain for months. You’ve tried rest, stretching, and inserts, but the pain persists, and now your doctor is mentioning the possibility of surgery. It’s a daunting prospect.

But what if there was a way to stimulate healing and find lasting relief…without a single incision? This is the promise of EPAT® (Extracorporeal Pulse Activation Technology), also known as shockwave therapy. In this blog, New England Podiatry will look at three common scenarios where EPAT offers a better path forward.

The Busy Professional with Plantar Fasciitis

The Scenario: You’re a teacher, a nurse, or an office worker who is on your feet all day. Sharp heel pain from plantar fasciitis has become a constant, draining part of your life.

The Surgical Downside: A traditional plantar fascia release surgery can mean weeks of non-weight bearing on crutches, followed by a long, slow rehabilitation process.

  • For someone with a demanding job and a busy family life, this extensive downtime simply isn’t a realistic option.

The EPAT Alternative: Treatment consists of a few quick, 10-15-minute in-office sessions!

The Everyday Athlete with Achilles Tendonitis

The Scenario: You love your weekend runs or pickleball games, but a nagging, chronic pain in your Achilles tendon is keeping you on the sidelines.

The Surgical Downside: Surgery for chronic Achilles tendonitis is a major procedure.

  • It involves cutting the damaged tendon, has a significant risk of complications, and requires a very long recovery, often in a cast or boot for months, followed by extensive physical therapy. For an active person, this can be a devastating setback!

 The EPAT Alternative: Shockwave therapy directly addresses the stalled healing in the tendon without any incisions.

  • The high-energy sound waves increase blood flow and stimulate the regeneration of healthy tissue.
  • It’s a way to restart the healing process and get you back to your sport faster, without the risks and lengthy rehab associated with surgery.

The Active Senior with Arthritic Joint Pain

The Scenario: Arthritis in your ankle or big toe joint has made walking painful and is starting to limit your independence and the activities you enjoy.

The Surgical Downside: A joint fusion or replacement is a highly invasive surgery, which can be a particular concern for older patients.

  • The recovery is long and can be very challenging, impacting your ability to care for yourself and your home.

The EPAT Alternative: For many seniors, EPAT is an incredibly effective and safe way to manage the pain and inflammation from arthritis.

  • By stimulating the tissue and improving circulation, it can significantly reduce pain and improve mobility.
  • It provides a powerful option for maintaining your quality of life without the significant risks and long-term recovery of a major joint surgery.

Living with chronic foot and ankle pain does not automatically mean you need surgery. If you feel like you’re out of options, it’s time to ask if you’re a candidate for EPAT!

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of  New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. Contact us today to schedule an appointment! 

Categories
Heel Pain

Don’t Want Surgery for Your Heel Pain? Try EPAT!

You’ve been diligent. You’ve done the stretches, worn the supportive shoes, and tried the inserts. Still, that chronic heel pain from plantar fasciitis or the persistent ache of Achilles tendonitis dictates your daily life! It’s a frustrating position that often leads patients to wonder:

“Is surgery my only option left?”

At New England Podiatry Associates, we believe in exhausting non-invasive options first. And for many patients, the answer is a powerful, proven technology: EPAT (Extracorporeal Pulse Activation Technology), also known as shockwave therapy. Keep reading to learn how it works and why it might be right for you.

When Conservative Care Isn’t Enough

Chronic soft tissue injuries often get “stuck” in a cycle of inflammation and degeneration.

  • The body’s natural healing process has stalled, which is why standard treatments may no longer provide relief.
  • This is the critical juncture where a more advanced intervention is needed to prevent a trip to the operating room.

EPAT Shockwave Therapy: The Non-Surgical Intervention

Before considering a surgical procedure with its associated risks, anesthesia, and lengthy recovery, many patients explore EPAT.

Think of it as a way to “wake up” the healing process!

  • The energy from EPAT stimulates blood flow, accelerates cell regeneration, and breaks down restrictive scar tissue, all without a single incision.
  • It directly addresses the stalled healing that is causing your chronic pain.

A Direct Comparison: EPAT vs. Surgery

When the two are compared, EPAT’s advantages are obvious.

Whereas surgery features…
  • Incisions, anesthesia, and cutting of tissue
  • Weeks or months of recovery, often non-weight bearing
  • Potential infection, nerve damage, and scarring
  • Treatment in a hospital or surgical center
EPAT is…
  • Completely non-invasive, with no needles or cutting
  • A “walk-in, walk-out” treatment with no downtime
  • Free of any major risks, save for temporary, minor soreness
  • A quick, entirely in-office procedure
Who’s the Ideal Candidate for EPAT?  

EPAT is a powerful option for patients who:

  • Have been struggling with chronicplantar fasciitis or Achilles tendonitis.
  • Have found that conservative treatments are no longer effective.
  • Are looking for a proven, safe, and effective way to avoid surgery.

This is especially true for active individuals and athletes who can’t afford the long recovery time associated with a surgical procedure. With success rates over 80%, EPAT is a game-changing alternative.

Chronic Pain, Meet Long-Lasting Relief

Living with chronic foot pain does not automatically mean you need surgery. EPAT shockwave therapy stands as a formidable, non-invasive solution that can stimulate true healing and help you avoid more serious procedures. If you feel like you’re out of options, it’s time to ask if you’re a candidate for EPAT!

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of  New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. Contact us today to schedule an appointment! 

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EPAT Shockwave Therapy

Stay in the Game: Shockwave Therapy for Athletic Foot & Ankle Injuries

As an athlete, nothing is more frustrating than being sidelined by chronic foot & ankle injuries. And when rest, ice, and stretching aren’t enough, it might feel like your options are limited.

The good news? An advanced, non-invasive technology called EPAT (Extracorporeal Pulse Activation Technology) is helping athletes heal faster and get back to their sport without surgery. In this blog, New England Podiatry breaks down the benefits, particularly for the competitors among us!

What is EPAT (Shockwave Therapy)?

EPAT is a treatment that uses acoustic pressure waves to target injured soft tissues. This isn’t an electrical shock; rather, it’s a form of sound energy that stimulates the body’s own natural healing processes.

By delivering these pulses to the painful area, EPAT helps to:

  • Enhance blood circulation
  • Accelerate tissue repair and cell growth
  • Reduce pain and inflammation

It’s a non-surgical method designed to jump-start healing in stubborn, chronic injuries that have stopped responding to traditional care.

Your Questions About EPAT, Answered

What disorders can be treated?

EPAT is highly effective for common overuse injuries that plague athletes. It’s an excellent solution for chronic conditions, including:

  • Plantar Fasciitis / Heel Pain
  • Achilles Tendonitis
  • Other forms of tendon pain in the foot and ankle

What is the treatment like?

The procedure is simple and performed right in our office.

  • We apply a coupling gel to your skin over the injured area, then deliver the pressure waves using a handheld applicator.
  • Sessions are quick, typically lasting only 5-10 minutes. Most treatment plans involve 3-5 sessions, scheduled about a week apart.
  • Best of all, there is no downtime, allowing you to continue with your daily activities immediately.

What are the expected results?

Many athletes experience significant pain relief after just a few treatments.

  • The beneficial effects of EPAT are often cumulative, meaning you may continue to see improvement weeks after your final session.
  • Success rates are high, with many studies reporting over 80% of patients treated experiencing pain relief and improved function.

It’s a proven method for getting athletes back on their feet!

Are there any side effects?

 The side effects of this non-invasive treatment are minimal.

  • You might experience some minor discomfort or redness in the treated area, which typically resolves quickly.
  • There are none of no risks associated with injections or surgery.

Questions? Concerns? Give us a call. Together, we’ll determine if EPAT is right for you.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment.

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blog Tendonitis

What Is Tendonitis (And How Do You Know You Have It?)

When you’re active, you ache. When you wake up, there’s morning stiffness in your ankle. And when you move your foot too quickly, a sharp pain runs through it. What’s going on?

One likely explanation: your body is signaling that you have tendonitis. This common inflammation can impact your comfort and limit your mobility, so don’t just hope it will vanish on its own. Below, New England Podiatry explains signs, symptoms, and more. Read on so you know what to watch for!

Tendon Talk: What Exactly Is Tendonitis?

Tendons are tough, flexible cords connecting muscles to bones, crucial for movement. Tendonitis occurs when these hard-working tendons become inflamed or irritated, usually due to overuse, repetitive strain, or an acute injury.

 Common areas in the foot and ankle include:

  1. The Achilles tendon (back of heel)
  2. The posterior tibial tendon (inner ankle/arch)
  3. The peroneal tendons (outer ankle)

Spotting the Signs: How Do You Know If It’s Tendonitis?

Tendonitis symptoms can vary, but they often include:

  • A Dull Ache or Pain: This is often the primary symptom, typically localized to the affected tendon. The pain might worsen with activity or after prolonged use.
  • Tenderness to Touch: The specific tendon involved will likely be sore or tender if you press on it.
  • Stiffness: You might notice stiffness in the affected joint or tendon, especially in the morning or after periods of rest.
  • Mild Swelling or Warmth: Some inflammation can cause noticeable swelling or a feeling of warmth around the tendon.

Less commonly, some experience a grating sensation (crepitus) when the tendon moves.

The Danger of Delay: Why Ignoring Tendonitis is Risky

“Walking it off” is rarely a good strategy. Neglecting early signs can lead to:

  1. Chronic Tendonitis (Tendinosis): Unaddressed inflammation can become chronic, leading to tendon degeneration (microscopic tears). This stage, tendinosis, is often more challenging to treat.
  2. Increased Risk of Tears or Rupture: A chronically inflamed, degenerated tendon is weaker and more susceptible to partial or complete tearing, a much more serious injury that could require surgery.
  3. Compensatory Pain: Altering your gait to avoid pain can stress other areas, potentially causing new pain in your other foot, knees, hips, or back.

Accurate Diagnosis is Key

While these symptoms suggest tendonitis, other conditions, such as stress fractures or arthritis, can cause similar pain. An accurate diagnosis from a podiatrist, sometimes involving imaging like an X-ray or ultrasound, is crucial to ensure you receive the most appropriate care!

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of  New England Podiatry Associates  provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. Contact us today to schedule an appointment! 

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blog Heel Pain

5 Ways That Athletes Run Into Heel Pain

Heel pain is a common complaint among athletes that can sideline even the best of them for weeks. But “heel pain” isn’t a single diagnosis!

Several different conditions can cause discomfort in this crucial area, each stemming from different structures and requiring a specific diagnosis. In this blog, New England Podiatry Associates will break down 5 conditions that are often at fault.

1.) Plantar Fasciitis 

Plantar Fasciitis is a leading cause of heel pain in athletes. Inflamed tissues along the bottom of the foot connect to the heel bone, so during and after physical activity, athletes will feel sharp or intense pain under the heel.  

  • Runners are particularly susceptible to plantar fasciitis due to constant pressure on the back of their feet. Athletes with tight calf muscles or who haven’t trained in a while are also at risk.  

2.) Achilles Tendonitis 

The Achilles tendon connects the calf to the heel, so it is technically a cause of heel pain. You’ll hear about a major athlete sustaining a major Achilles injury almost monthly. Tiger Woods just ruptured his in March!

  • Inflammation of this tendon causes a dull ache or stiffness at the back of the heel, or slightly higher up the lower leg. Like plantar fasciitis, it’s often worse in the morning or after rest and can intensify after activity.

3.) Heel Spurs  

Heel spurs are often mistaken for plantar fasciitis because of their similar symptoms, but they are actually bony growths of calcium that form on the underside of the heel bone. 

  • Heel spurs themselves are often painless, but when pain is present, it’s usually because the spur is irritating the surrounding plantar fascia tissue. Athletes develop heel spurs over a long period due to chronic strain on foot muscles and ligaments, often as a secondary response to long-standing plantar fasciitis. 

4.) Sever’s Disease:

 Sever’s Disease is one of the most common causes of heel pain for active young children between the ages of 8 and 12.

  • It’s an inflammation of the heel bone’s growth plate (where the Achilles attaches) that causes pain at the back of the heel during and after activity. 

5.) Heel Pad Contusion:

A deep bruise to the fatty pad under the heel that usually occurs from a hard landing.

  • We see this a lot in basketball players, cross-country runners, and other sports that involve jumping. Over time, continued stress on the heel pad can cause heel fat pad syndrome.  

Does any of the above sound uncomfortably familiar? We can help! Get in touch and step toward relief today.

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. Contact us today to schedule an appointment! 

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blog Orthotics

Do You Need Orthotics? Find Out if Custom Inserts Can Help Your Feet

Are you experiencing foot pain, discomfort, or problems with your gait? You might need custom orthotics! Also known as shoe inserts, these devices can support, align, and improve the function of your feet. In the Q&A below, New England Podiatry Associates will help you determine if you need a pair.

Q: Do you have… Morning Heel Pain?

  • The Problem: Sharp, stabbing pain in your heel with your first steps in the morning or after periods of rest is a classic sign of plantar fasciitis. This is inflammation of the plantar fascia, a thick band of tissue on the bottom of your foot.
  • How Orthotics Help: Custom orthotics provide arch support and cushioning, reducing stress on the plantar fascia and allowing it to heal.

Q: Do you have… Flat Feet or High Arches?

  • The Problem: Both flat feet (pes planus) and high arches (pes cavus) can cause problems. Flat feet often overpronate (roll inward excessively), while high arches don’t absorb shock effectively.
  • How Orthotics Help:
    • Flat Feet: Orthotics provide arch support, control overpronation, and improve foot alignment.
    • High Arches: Orthotics offer cushioning and distribute pressure more evenly across the foot.

Q: Do you have… Bunions or Hammertoes?

  • The Problem: These foot deformities can cause pain, pressure, and difficulty fitting into shoes.
  • How Orthotics Help: While orthotics can’t reverse bunions or hammertoes, they can help slow their progression, relieve pressure, and improve comfort.

Q: Do you have… Pain in Your Knees, Hips, or Back?

  • The Problem: Foot problems can often cause a “chain reaction” of pain up the body. Poor foot alignment can alter your gait and posture, leading to stress on your knees, hips, and back.
  • How Orthotics Help: By correcting foot alignment and improving biomechanics, orthotics can reduce strain on these other joints and alleviate pain.

Q: Do you have… Diabetes or Circulation Problems?

Are Orthotics Right for You?

Over-the-counter inserts are cookie-cutter solutions, and they won’t be covered by insurance or HSA funds. Get in touch and grab your pair of custom orthotics from New England Podiatry today!

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. We’ve proudly served the Boston area since 1984, utilizing state-of-the-art diagnostic and treatment technology to find the best solution for each individual. Contact us today to schedule an appointment!

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blog Running

The Effects of Running on Your Feet and Ankles

Here at New England Podiatry Associates, it’s no secret that running places great demand on your feet. The repetitive impact on your feet and ankles in running can lead to various podiatric injuries, including plantar fasciitis, Achilles tendonitis, stress fractures, shin splints, ankle sprain, blisters, callouses, and even athlete’s foot.

But before we get into how to prevent these conditions, let’s talk about why it’s still worth it.

Benefits of Running for Foot Health

Some studies suggest that running can strengthen the bone density in the feet and ankles, which can help reduce the risk of fractures and conditions like osteoporosis.

In addition to bone density, running strengthens the muscles in your feet, ankles, and lower legs, which further minimizes the chance of injury.

From a cardiovascular perspective, running enhances circulation by promoting blood flow to your feet. This can particularly benefit those with neurological conditions and diabetics who lack sensation in their lower extremities.

Secondarily, weight loss and improved heart health can further reduce stress on your feet and ankles. Being lighter can alleviate chronic pain from fat pad atrophy, plantar fasciitis, and arthritis, whereas the prevention of other diseases from this healthy habit indirectly saves your feet from their downstream effects.

Training Your Feet for Running

When training for running, it’s crucial to adopt a gradual approach, progressively increasing your mileage and intensity to avoid overexertion and allow your body to adapt.

For example: in marathon training, people typically do progression runs, slightly increasing their speed, mileage, and rest over time to acclimate to the demands of their goal.

The first person who ran a marathon famously died, but in a less severe case, running too much too soon can get you in podiatric trouble.

Choosing supportive running shoes is also non-negotiable, ideally, ones that are broken in and can be replaced regularly to not wear them out. The best runners have shoe rotations.

There is also evidence to suggest that cross-training and varying your workouts can help reduce repetitive stress on your feet and ankles. This can be anything from swimming, cycling, and strength training your legs. Engaging the calf muscles, Achilles tendon, and plantar fascia in other ways is a great way to keep those tissues hydrated and primed for your next jog.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment.

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Ankle Conditions blog

5 Common Ankle Problems Podiatrists Treat

Everyone knows the terrible feeling of rolling your ankle, but that’s just the tip of the iceberg of what can happen to it. From sudden twists to overuse injuries, ankle problems are some of the most common we see at New England Podiatry Associates.

Today, we’ll explore 5 types of ankle afflictions, including their causes, symptoms, and treatment options.

1. Ankle Sprains

According to a 2019 PubMed study, about 2 million people each year sprain their ankle. This is not a surprise to us, as ankle sprains are injuries we commonly see. Not only are they ubiquitous in sports, but what’s so tricky about them is that they can occur during everyday activity. The ankle is fragile, and any sudden twists or turns can leave you on the ground writhing in pain.

2. Achilles Tendonitis

Here’s a shocking stat: nearly 1 in 5 athletes will sustain an Achilles tendonitis injury in their lifetimes. That’s because the Achilles tendon is susceptible to vigorous movement and repetitive strain from activities like running, jumping, or cutting.

3. Ankle Fractures

Often mistaken for ankle sprains, ankle fractures involve a break in one or more bones in the ankle joint, typically caused by falls, forceful impacts, or twisting injuries. The symptoms are classic: severe pain, swelling, bruising, and an inability to stand on the ankle. But the good news is that, depending on the severity, you may not require surgery.

4. Arthritis

According to the Arthritis Foundation, osteoarthritis of the ankle is fairly rare, affecting only about 1 to 12% of people. But that doesn’t mean arthritis of the foot is as hard to find. Generally, degenerative joints in the lower extremities can cause pain across the foot complex.

5. Chronic Ankle Instability

This condition often develops after repeated ankle sprains, which leads to persistent instability or a feeling of the ankle “giving way.” It can cause pain, recurrent sprains, and falls. However, physical therapy, bracing, or surgery to repair damaged ligaments are all valid treatment options.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment.

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blog Diabetic Foot Care

5 Diabetic Foot Myths You Probably Didn’t Know About

The world of diabetic foot care management is complex. Diabetes has many complications that arise from various happenings in the body, and the feet bear a lot of the brunt. This leaves us, as podiatrists, answering so many diabetic questions.

Because of this, there’s a lot of misinformation when it comes to diabetic foot care. But in this article, we at New England Podiatry Associates are here to set the record straight. Let’s finally bust some major diabetic foot myths together (some of them might even shock you).

Myth 1: I don’t need to check my feet if I don’t have any symptoms

Reality: Nerve damage causes numbness, meaning you may not feel cuts, blisters, or sores. Getting professionally checked on a regular basis, therefore, is imperative.

Myth 2: I should avoid exercise if I have diabetes

Reality: Regular exercise is still extremely important. With proper footwear and precautions, getting the blood pumping is crucial for improving circulation, weight management, and wound healing. Consult your doctor for safe exercise recommendations.

Myth 3: A podiatrist can’t help me with my diabetes management

Reality: While podiatrists primarily focus on the foot and ankle, they can play a supportive role in overall diabetes management, including wound care and looking for signs of problems in non-foot-related areas. Podiatrists also coordinate care with other doctors so that your diabetes is given comprehensive attention.

Myth 4: I heard custom orthotics don’t work well for diabetics

Reality: While orthotics may not cure peripheral neuropathy and return full sensation to your feet, they can crucially help alleviate pressure on wounds, take the edge off your pain, and bring much-needed circulation back to the foot.

Myth 5: Diabetic shoes are the only footwear option for people with diabetes

Reality: While diabetic shoes offer extra protection, you can wear a variety of comfortable, well-fitting shoes. Simply choose shoes with good support, ample toe room, and seamless interiors to avoid friction.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment.

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blog Fungal Toenails

Fungal Toenails Keep Returning? The PinPointe Laser Is Your Solution

Winter’s coming, and while we bundle up to stay warm, our feet often pay the price. Trapped in damp socks and shoes, they become a breeding ground for toenail fungus.

If you’ve tried over-the-counter remedies or topical medications with little success, you’re not alone. Many people find these treatments offer temporary relief but fail to address the root cause of the problem.

In this blog post, the team at New England Podiatry wants to tell you about an option that actually works: PinPointe Laser Treatments!

The Frustration of Recurrence

Topical treatments fall short because they can’t penetrate the nail plate to reach the underlying fungus.

Oral medications can be effective, but they come with potential side effects and may not be suitable for everyone.

PinPointe Laser: A Targeted Solution

The PinPointe Laser offers a revolutionary approach to treating toenail fungus.

  • This FDA-cleared laser technology targets and destroys the fungus that causes the infection without harming the surrounding nail or skin!

Here’s how it works:

  1. The laser light penetrates the nail plate and reaches the fungus embedded within it.
  2. The laser energy heats and destroys the fungal cells, effectively killing the infection.
  3. The healthy nail is left to grow back, free from the unsightly effects of the fungus.

Advantages of PinPointe Laser Treatment:

  • High Success Rate: Clinical studies have shown that PinPointe Laser treatment has a success rate of 70-80% in eliminating toenail fungus, often with just one or two treatments.
  • Minimal Discomfort: The procedure is typically well-tolerated. No anesthesia, minimal discomfort, and no downtime.  
  • Safe and Effective: The laser targets the fungus specifically, leaving the surrounding healthy tissue unharmed.

Don’t let toenail fungus keep you from putting your best foot forward! If you’re tired of recurring infections, consult with us today.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment.

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blog Raynaud's

Raynaud’s Disease: A Podiatrist’s Perspective

October is Raynaud’s Awareness Month, a time to highlight this often misunderstood circulatory condition. Raynaud’s disease affects the blood vessels in the extremities, causing them to narrow in response to cold temperatures or emotional stress.

For this post, New England Podiatry wants to equip you with the right information so you know how to spot Raynaud’s symptoms, and we’ll cover some management methods, too.

Understanding Raynaud’s Disease

Raynaud’s occurs when blood vessels in the fingers and toes constrict, reducing blood flow.

  • This can cause the affected areas to become cold, numb, and pale. In severe cases, the fingers or toes may even turn blue.
  • Raynaud’s can also lead to pain, tingling, or throbbing in the affected areas.

The condition is uncomfortable and, in some cases, may interfere with daily activities. As podiatrists, we often seepatients with Raynaud’s experiencing symptoms in their feet and toes.

Risk Factors and Symptoms

Several factors can increase the risk of developing Raynaud’s disease, including:

  • Cold temperatures: Exposure to cold weather can trigger symptoms.
  • Emotional stress: Anxiety, anger, or other emotional factors can constrict blood vessels.
  • Underlying medical conditions: Conditions such as autoimmune diseases and connective tissue disorders can increase the risk.

Diagnosis and Treatment

A podiatrist can diagnose the condition based on your symptoms and a physical examination. While there’s no cure for Raynaud’s disease, several strategies can help manage symptoms and improve quality of life.

Treatment options may include:

  • Lifestyle modifications: Keeping warm, avoiding cold temperatures, and managing stress can help reduce symptoms.
  • Medications: In some cases, medications can help improve blood flow and reduce the frequency of attacks.
  • Vasodilators: These medications can help relax the blood vessels and improve circulation.

By understanding the underlying causes and symptoms of Raynaud’s disease, podiatrists can provide valuable advice and treatment options. If you’re affected, we can help!

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment today.

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blog Turf Toe

Turf Toe: A Fall Sports Injury

Did you know that turf toe refers to the big toe? Often associated with football, this painful hyperextension can happen to any athlete. That’s why today, we at New England Podiatry Associates are explaining everything you need to know about it, from symptoms and causes to treatment and prevention.

Symptoms

Turf toe is characterized by pain in the big toe joint, and it is often described as a sharp or stabbing sensation. Other symptoms may include swelling, bruising, stiffness, and difficulty walking or running.

Causes

Turf toe occurs when the big toe is hyperextended, thus forcing it beyond its normal range of motion. This can happen due to various factors, including:

  • Sudden stops and starts: Sports that involve sudden changes in direction, such as soccer, basketball, or football, can increase risk.
  • Direct impact: Trauma to the big toe, such as a tackle or collision.
  • Improper cleats: Inadequate support or cushioning from athletic footwear.

It’s also known that turf toe is most contracted on artificial turf as opposed to grass due to the ground’s lack of cushion (hence the term).

Treatment

Treatment for turf toe typically involves a combination of rest, ice, compression, and elevation (RICE). Other treatment options may include non-steroidal anti-inflammatory drugs (NSAIDs) or over-the-counter pain relievers like ibuprofen or naproxen that can help reduce pain and inflammation. Talk with your podiatrist prior to taking these.

Custom orthotics can also provide support and cushioning for the big toe joint, whereas taping or bracing can help stabilize the joint and reduce pain. Physical therapy may also be necessary to strengthen the surrounding muscles and improve flexibility.

Preventing Turf Toe

To prevent turf toe, wear appropriate footwear, warm up properly (which will strengthen the muscles surrounding your big toe), and don’t neglect signs of pain coming from the area. By taking these steps, you can help reduce the risk and maximize your playing time on the field.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment today.

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blog Obesity

Feeling the Pressure: The Structural Injuries of Obesity

As obesity puts significant stress on the body, the feet and ankles especially bear the brunt. And while podiatrists commonly associate excess weight with diabetes, neuropathy, and other internal foot complications, not enough focus is placed on the structural problems and the mobility limit that occur because of weight gain.

In this article, we at New England Podiatry Associates are emphasizing these affects, along with the injuries that result from them.

The Impact of Obesity on Feet and Ankles

  • Increased pressure: Extra weight places additional pressure on the feet, leading to conditions like plantar fasciitis, heel pain, and metatarsalgia.
  • Joint stress: Obesity can accelerate joint degeneration, particularly in the ankles and feet.
  • Structural changes: Over time, excessive weight can lead to structural changes in the feet, such as flat feet or bunions.
  • Skin issues: Obesity can increase the risk of skin problems, including fungal infections and calluses.
  • Reduced mobility: Foot and ankle pain associated with obesity can limit physical activity, leading to further weight gain and a vicious cycle.

Common Foot and Ankle Injuries Linked to Obesity

With these challenges and changes due to obesity, certain injuries are bound to occur. For instance, ankle sprains become common due to the destabilization of the ankle joint. The added pressure on the heel, ankle, and forefoot can also lead to plantar fasciitis, metatarsalgia, and Achilles tendonitis.

For morbidly obese people, stress fractures are a possibility due to repetitive impact from walking or standing. The severe pressure on the feet can also lead to open sores that are slow to heal. And with limited mobility, they increase the risk of infection due to their inability to thoroughly clean affected areas.

Prevention

Preventing and managing these injuries often involves weight loss, proper footwear, and orthotics. If you experience persistent foot or ankle pain due to obesity, consult with a podiatrist for evaluation and treatment.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment today.

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blog Surgery

Foot and Ankle Surgery: When, How, and Why

At New England Podiatry, we know that foot and ankle surgery is often seen as a last resort. However, for many individuals, it’s the key to restoring mobility, relieving pain, and improving overall quality of life.

While conservative treatments such as physical therapy or orthotics are typically the first line of defense, there are instances when surgery becomes the most effective solution. Below, you’ll find a blog explaining when and why that’s the case.

When is Foot and Ankle Surgery Necessary?

The decision to undergo foot or ankle surgery is a significant one, and it should be made in close consultation with a podiatrist. But generally, surgical intervention is often considered if:

  1. Conservative Treatments Fail: If non-surgical methods haven’t provided adequate relief or improvement after a reasonable period, surgery may be an option.
  2. Deformities Persist: Conditions like bunions, hammertoes, or flat feet that cause pain, difficulty walking, or shoe-fitting problems may require surgical correction.
  3. Underlying Medical Conditions Exist: In cases where diabetes, arthritis, or other medical conditions lead to foot or ankle complications, surgery might be necessary to prevent further damage or complications.

Common Foot and Ankle Surgical Procedures

Some common surgical interventions include:

  • Bunionectomy:

Corrects bunions by realigning the big toe, removing excess bone and tissue from the enlarged joint, and repositioning the toe itself.

  • Ankle fusion:

 Stabilizes an unstable ankle joint. This procedure involves removing the cartilage from the ankle joint and then securing the bones together with plates, screws, or pins.

  • Achilles tendon repair:

Repairs a ruptured or damaged Achilles tendon. Surgery involves reattaching the torn tendon to the heel bone using stitches or staples and may require the use of a cast or boot for immobilization.

The Decision to Have Surgery

Several factors are considered, including the severity of your condition, your overall health, and your expectations for the surgery. Ultimately, your podiatrist will work alongside you to determine the best course of action.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment today.

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blog Sports Injury

Sidelined by Sports? Here’s Your Game Plan for a Speedy Recovery!

Sports are a fantastic way to stay active and challenge yourself, but sometimes, they take a toll on your body. And unfortunately, injuries left untreated tend to get worse over time.

At New England Podiatry, we’re well known for our sports medicine expertise, and we’re not shy about sharing it! For this blog, we’re providing a roadmap for full and speedy recoveries, packed with strategies that go beyond the usual rest and ice routine.

Mistake #1: Ignoring the Ache – Early Intervention is Key

Pushing through discomfort can worsen an injury and prolong recovery. For persistent pain, schedule an appointment with a podiatrist. Early diagnosis allows for targeted treatment, preventing minor issues from snowballing into major problems.

Mistake #2: Solo Act vs. Team Effort – Building a Recovery Dream Team

Assemble your dream team – a podiatrist for diagnosis and clinical treatment, a physical therapist to guide rehabilitation, and a certified athletic trainer to create a personalized recovery program.

Mistake #3: Rest = Recovery – But Movement Matters Too!

Complete immobilization might seem like the safest bet, but prolonged inactivity can lead to muscle weakness and stiffness. Controlled movement, such as gentle pool exercises or foot and ankle stretches, can actually promote healing, improving blood flow and reducing inflammation.

Beyond the Basics: Power Up Your Recovery

While rest and physical therapy are crucial, consider these additional strategies, too.

  • Eat anti-inflammatory foods rich in omega-3 fatty acids and antioxidants. Think fatty fish, leafy greens, and colorful fruits.
  • Proper hydration is essential for transporting nutrients to injured tissues and flushing out waste products. Aim for eight glasses of water daily.
  • During sleep, your body repairs tissues and promotes overall healing. Aim for 7-8 hours of sleep nightly.

Hopefully, the tips and tricks above help you recover. If you need further assistance, of course, we have a pretty good idea of who you should call…

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. We’ve proudly served the Boston area since 1984, utilizing state-of-the-art diagnostic and treatment technology to find the best solution for each individual. Contact us today to schedule an appointment!

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blog EPAT Shockwave Therapy

Stuck in Pain? EPAT Shockwave Therapy Can Help!

Foot and ankle complications can leave you limping, frustrated, and limited, especially when they’re left untreated. The good news? Innovative new tools and methods are helping DPMs manage and resolve chronic conditions, so when more traditional treatments fall short, New England Podiatry wants you to know that you’ve still got options for keeping pain under control.

If you’re dealing with persistent foot or ankle pain that isn’t responding to other therapies, EPAT shockwave therapy might be the answer you’ve been searching for. This blog aims to educate and inform, explaining the ins and outs of how EPAT works and what kinds of problems it’s well suited to solve.

What is EPAT Shockwave Therapy?

EPAT stands for Extracorporeal Pulse Activation Therapy. It’s a non-invasive treatment that utilizes high-energy acoustic waves (sound waves) to promote healing in soft tissues.

  • These waves stimulate the body’s natural healing response, increasing blood flow to the injured area, reducing inflammation, and encouraging tissue regeneration.

When is EPAT a Good Option?

EPAT works well for stubborn foot and ankle conditions that feature chronic pain, including:

Benefits of EPAT Therapy

EPAT boasts several advantages:

  • No needles or incisions are involved, making it comfortable and well-tolerated.
  • EPAT treatments are typically performed in-office, requiring minimal downtime.
  • The benefits of EPAT therapy can be long-lasting, helping you maintain an active lifestyle.

Think EPAT might work well for you? There’s one way to find out: Give us a call!

At New England Podiatry, Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III  provide comprehensive medical and surgical care for a broad spectrum of foot and ankle conditions. Our practice has proudly served the Boston area since 1984. We utilize state-of-the-art diagnostic and treatment technology to find the best solution for each individual. Contact us today to schedule an appointment.

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blog Diabetic Foot Care

Diabetic Do’s and Don’ts

Diabetes affects your entire body, but unfortunately, your feet are particularly vulnerable. The consequences of neglect are severe: According to the American Podiatric Medical Association, diabetic foot ulcers precede roughly half of all lower-limb amputations in people with diabetes.

New England Podiatry Associates is here to help! With proper care and proactive measures, you can significantly reduce your risk of complications, and we’ve got a handy list of do’s and don’ts to get you started below.

THE DO’S

THE DON’TS

  • DON’T Ignore Foot Pain or Changes: Never downplay any pain, numbness, tingling, or changes in appearance in your feet. These could be early signs of a developing problem.
  • DON’T Walk Barefoot: Even indoors, walking barefoot increases your risk of injury from sharp objects or burns from hot surfaces. Always wear shoes or slippers at home.
  • DON’T Use Over-the-Counter Corn Removers: These products can irritate the skin and worsen existing problems.
  • DON’T Smoke: Smoking significantly restricts blood flow, hindering healing and increasing the risk of complications in diabetic feet.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment today.

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blog Bunion Treatment

Bunion Blues? Lapiplasty Might Be Your Path to Pain-Free Feet

Bunions – those bony bumps at the base of your big toe can cause serious pain and discomfort. Worse, they make it difficult to find shoes that fit or participate in activities you typically enjoy.

If you’ve tried conservative treatments like padding and wider shoes with little success, Lapiplasty surgery might be the answer you’ve been searching for. To help those in need learn about this powerful and innovative procedure, the team at New England Podiatry has decided to put together a brief blog on the subject.

What Makes It Different?

As a more recently developed procedure, Lapiplasty stands apart from other surgical techniques.

  • Traditional bunionectomy procedures often address the bump itself by shaving down the bone or shifting it sideways.
  • While this might offer temporary relief, it doesn’t address the underlying cause: A misaligned joint at the base of the big toe.
  • This misalignment, affecting all three dimensions (length, width, and rotation), is what Lapiplasty targets.

A 3D Approach

Bunions are multifaceted problems, so it’s lucky that Lapiplasty provides a multifaceted solution.

  • To perform a Lapiplasty procedure, a podiatrist uses specialized tools to meticulously realign the bones in the big toe joint.
  • This not only corrects the bump but also repairs the natural structure of your foot.
  • Small titanium plates are used to hold the bones in their new position. This allows for faster healing and a return to painless weight-bearing.

Benefits of Lapiplasty

Compared to traditional bunion surgery, Lapiplasty offers several advantages:

  • Reduced recurrence:

By addressing the root cause of the bunion, Lapiplasty aims to prevent the deformity from returning or worsening.

  • Faster recovery: 

The minimally invasive nature of Lapiplasty and the use of titanium plates contribute to a quicker healing process.

  • Improved long-term outcome: 

A more anatomically correct repair of the joint can lead to better pain relief and function.

Suffering from bunions with no solution in sight? We’re here and ready to help you learn more! Contact us to see if Lapiplasty is the solution you’ve been seeking.

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III  provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions and injuries. Contact us today to schedule an appointment!

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blog Foot Check-Ups

Prevent 3 Foot Conditions with Regular Check-Ups

It’s all too easy to neglect your feet and ankles until pain signals a problem. Unfortunately, by waiting that long, patients often incur other injuries and related conditions, many of which are difficult, unpleasant, or time-consuming to resolve & prevent.

Think of a podiatric checkup as an investment in your future foot health – a proactive approach that can save you from the aches, pains, and costs of more advanced conditions. New England Podiatry is all about early intervention, so we’ve put together some info on 3 common foot and ankle issues that early detection by a Doctor of Podiatric Medicine (DPM) can help you prevent.

1–Athlete’s Foot:

This contagious issue, one of the many fungal infections that strike at the feet, thrives in sweaty spaces such as shoes and locker rooms. Left unchecked, it spreads to your nails, causing painful cracks, itching, and burning. Early diagnosis and treatment can nip it in the bud, sparing you embarrassment and discomfort.

2–Bunions:

These bony bumps at the base of your big toe develop due to pressure and misalignment. While slow-growing, they distort your toes, leading to pain, inflammation, and walking difficulties. Regular foot checks by a DPM identify developing bunions and suggest corrective measures like orthotics or early intervention surgery, preventing the need for invasive procedures later.

3–Plantar Fasciitis:

This inflammation of the ligament supporting your arch is a common source of heel pain. Ignoring it leads to chronic discomfort, impacting mobility and daily activities. A DPM assesses your gait, recommends custom orthotics, and suggests stretches or physical therapy to address the root cause, sparing you months of pain and limitations.

It’s always best to stay a step ahead of problems before they are exacerbated by inattention or neglect, but sometimes that just isn’t possible. Luckily, New England Podiatry makes use of the most powerful and innovative technology around to treat all of the issues above. If you’re in need, we can help!

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment today.