Author: New England Podiatry Associates

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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.

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blog Foot Care

Your Feet Deserve More in 2024

We’ve stepped into a fresh New Year, 2024, and it’s brimming with possibilities. Yet while resolutions often focus on distant horizons, sometimes the greatest rewards lie closer to home – right beneath our feet, to be precise!

New England Podiatry emphasizes cutting-edge treatment technology, but we’re also committed to patient education. So, this year, let’s prioritize the often-overlooked heroes of our daily journeys: Our feet.

Here are some easy-to-implement resolutions for happy, healthy feet that will carry you confidently throughout 2024:

1. Deal with Cracked Heels: Dry, cracked heels are unsightly and painful. Combat them with regular moisturizing, and consider wearing open-back shoes at home to allow your skin to breathe.

2. Clip with Care: Proper nail care is paramount! Trim your nails straight across, avoiding rounded edges that can dig into neighboring toes. Invest in quality nail clippers and disinfect them regularly.

3. Ditch the Tight Fits: Say no to toe-pinching footwear. Instead, go for shoes that comfortably accommodate your foot shape and width. Adequate space is crucial for preventing bunions, corns, and hammertoes.

4. Move it or Lose it: Regular exercise is essential for your feet, too! Gentle stretching, walking, or even dancing can improve circulation, strengthen muscles, and prevent stiffness.

5. Make Prevention a Priority: Schedule regular podiatric checkups for comprehensive foot health assessments. Early detection and preventive care can nip potential problems in the bud before they turn into more significant concerns.

6. Embrace Sock Savvy: Choose socks made from breathable, moisture-wicking materials like cotton or wool. Avoid tight socks that can restrict circulation and promote fungal growth.

7. Treat Your Feet to a Foot Massage: Self-massage or a professional session can ease tension, improve circulation, and leave your feet feeling fresh.

Wondering what you can do to maintain good foot and ankle health? The easiest way to find out is simple: come check in with our expert podiatrists!

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. Our firm 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 Treatment Options

Treatments: Kick Fungus and Pain to the Curb

Fungal toenails and chronic foot pain can be remarkably stubborn and resistant to treatment. However, you don’t have to deal with their frustrating persistence alone. New England Podiatry is always seeking new methods for resolving the many different podiatric conditions that we treat, and today, we’re pleased to share information about two innovative tools to help you reclaim happy, healthy soles.

We’ll explore two cutting-edge treatments: PinPointe Laser therapy for fungal nails and EPAT (Extracorporeal Pulse Activation Technology) shockwave therapy for pain relief.

PinPointe Laser: Shining a Light on Fungus

  • Onychomycosis, the technical term for fungal toenails, can make you want to hide your feet under mountains of socks. Traditional topical treatments can be messy, time-consuming, and often ineffective.
  • Yet that’s certainly not the case with the PinPointe Laser. This powerful tool emits a precise wavelength that penetrates the nail plate, targeting the fungal culprits at their source.
  • The best part? It’s virtually painless, and most patients require just one treatment! Studies show impressive results, with some suggesting that 80% of cases experience clear nail growth.

EPAT Shockwaves: Rebooting Your Pain Relief System

  • Foot pain can range from a dull ache to a searing pain. Plantar fasciitis, heel spurs, and chronic tendonitis are common causes, often leaving traditional treatments feeling insufficient.
  • This is where EPAT shockwaves come in. These acoustic pulses stimulate blood flow, promote healing, and reduce inflammation, effectively rebooting your pain relief system.
  • EPAT is non-invasive, requires minimal downtime, and provides long-lasting results.
  • This FDA-approved procedure has very high success rates that are equal to or greater than those of traditional methods, including surgery.

Wondering if EPAT or PinPointe might be the solution your feet have been waiting for? There’s much more to say about each of these powerful podiatric tools, but we think that seeing them in action is the best way to understand just how effective they can be. 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 Orthotics

Orthotics: Stay Sure Footed

Orthotics

Our feet bear the brunt of our hectic lifestyles, so why not give them a boost? At New England Podiatry, we’re proud to do so by offering the very best in custom-fitted orthotics!

Our expert DPMs decided they’d do your feet a solid and provide helpful tips regarding orthotics and their benefits. Look below and see if these sole-saving devices are right for you!

Two Types of Support

Orthotics come in two different varieties:

  • Functional orthotics:

These control the irregular motion of the foot. Often, they’re composed of a semi-rigid material, such as graphite or plastic.

  • Accommodative Orthotics:

This variety focuses on comfort and support. They treat painful conditions like diabetic foot ulcers or sensitive calluses.

Now that you know the options, you might wonder: why seek out orthotics in the first place?

Simple! Orthotics can…

Reduce Fatigue

Unlike mass-produced insoles, custom orthotics address arch height, foot shape, and gait pattern, which helps reduce fatigue associated with prolonged standing or walking.

Soothe and Manage Foot Pain

Whether you’re dealing with plantar fasciitis or bunions, orthotics provide targeted relief. They alleviate chronic aches by redistributing pressure and supporting the natural arch of the foot.

Improved Posture and Joint Health

Feet are the foundation of a body’s biomechanics, and any imbalance can have cascading consequences. Custom orthotics work to correct said imbalances, promoting proper alignment. This reduces strain on the feet, which takes pressure off the knees, hips, and lower back, preventing long-term musculoskeletal issues.

Enhanced Athletic Performance

By providing superior shock absorption, inserts improve stability and reduce the risk of injuries during sports or intense physical activities. Customized support can contribute to better energy transfer and efficiency, too.

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 and injuries. Our firm 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, and we’ll see if custom orthotics are the right fit for you!

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blog

What You Should Know About Diabetic Foot Care

People with diabetes are prone to many foot problems. When you have diabetes, being aware of how foot problems can arise from disturbances in the skin, nails, nerves, bones, muscles, and blood vessels is essential. Furthermore, in diabetics, small foot problems can turn into serious complications. Let’s look at what you need to know to manage this condition for healthy feet.

The Risk of Diabetes

Both nerve damage (neuropathy) and poor blood circulation can cause loss of feeling in your feet. This may take away your ability to feel pain and discomfort, making it difficult to detect an injury. Poor circulation in your feet also reduces your ability to heal, making it hard for even a tiny cut to resist infection.

Having diabetes puts you at risk for developing a wide range of foot problems, such as:

What You Can Do

Luckily, you can do a variety of things to decrease the risk of developing serious complications from diabetes. You play a vital role in reducing complications. Here are some tips:

  • Inspect your feet daily.
  • Pay attention to the color of your feet and toes. If they turn red, pink, or purplish, poor circulation may be a problem.
  • Don’t ignore foot or leg pain.
  • Keep floors free of sharp objects. With reduced sensitivity, you may not notice any inflicted wounds or cuts on your feet.
  • Don’t go barefoot. Wear shoes indoors and outdoors.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

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blog Foot Care

Help Your Feet Age Healthily

September is Healthy Aging Month! It is the perfect time to take a moment to look at the most common problems older people have with their feet and then go over some easy tips seniors can take to make sure their feet are the healthiest they can be. How can you help your feet? Let’s take a look.

Common Problems for Aging Feet

Older people can have many problems with their feet as they age. Here are the most common ones:

Senior Foot Care Tips

Your feet naturally age with the rest of your body, but that doesn’t mean you have to put up with painful foot problems. Follow these tips to keep your feet in the best shape possible:

  • Wear proper footwear. Make sure your shoes are flexible, and they fit correctly.
  • Visit an experienced podiatrist.
  • Maintain good circulation. You can do this by getting regular exercise. Just walking daily for an hour is beneficial. You can also massage your feet to increase circulation. Avoiding sitting for long periods also helps. If you smoke, quit as soon as possible.
  • Keep your feet warm. Heavy socks can help keep the cold out.
  • Clean your feet daily. Make sure you use soap and water.
  • Use lotion. As we age, our skin can become drier. Applying lotion can prevent cracks that may occur with dry skin.
  • Check your feet every day.
  • Avoid walking barefoot.
  • Use a cane. Older people may have problems with balance, which can lead to a bad fall. A cane or walker can help.
  • Stretch before any strenuous activity. It can help your feet stay flexible.

If you are experiencing any pain or discomfort with your feet, contact your podiatrist ASAP!

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

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Arthritis blog

All About Arthritis

What do you know about arthritis? Unfortunately, most people don’t know enough about this condition until they are diagnosed. Patients who have arthritis in their feet or ankles experience significant joint pain and swelling, which often leads to pain. This can make daily activities harder to accomplish and diminish the quality of your life. What do you need to know about living with arthritis? Keep reading to find out.

Myth Busting

There are many forms and causes, but it is a myth that only seniors have this condition. Juvenile arthritis is another form you should be aware of. Unfortunately, children can experience pain and stiffness in their joints. If you have noticed new changes to your ankles and feet, make an appointment with your podiatrist. It’s best to get a diagnosis.

Should I Skip My Workout?

No, physical activity is one of the best ways to relieve joint pain. We recommend consulting with your doctor to hear their recommendation for an exercise plan. Gentle movements are best; we remind patients to take on new activities one day at a time. It’s even okay to break up your activity throughout the day.

How Can I Treat My Condition?

For light cases, you can treat the pain caused by arthritis through rest, elevation, and immobilization to halt pain and allow damage to heal. In more serious cases, arthritis can cause severe deformities, which may require surgery. Here are the most common treatments:

  • Physical therapy and exercise to increase strength and function
  • Anti-inflammatory medication and steroid injections prescribed by your doctor
  • Massages
  • Foot soaks and ice application
  • Orthotics or prescribed footwear

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax, treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

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blog Bunion Treatment

Take Care of Your Bunions

A bunion is a progressive toe deformity. Where do you see the signs? Mainly on the big toe joint. You may notice an out-of-place bump, and you may also experience pain. For some, sight alone is the biggest problem. Toe deformities typically continue to progress, and you’ll need treatment to manage. In the meantime, here are some things you should know about this condition.

Signs and symptoms of bunions include…

  • A bulging bump, redness, and swelling at the big toe joint.
  • Corns and calluses can develop on and near the bunion.
  • People who have bunions frequently develop a hammertoe or two.
  • Ingrown toenails are more likely to occur when you have a bunion.

How to Treat Bunions

  • Physical therapy exercises: Various stretching and strengthening exercises can be performed to keep the big toe joint and tendons flexible. They can provide pain relief and help to improve strength and flexibility after bunion surgery.
  • Wear properly fitted shoes with a wide toe box: Wear shoes with a wide toe box and a deeper heel cup to prevent rubbing and provide room for orthotic braces and inserts. A wide toe box will also help prevent the friction of your big toe rubbing on your footwear, which can cause painful corns to develop on the bunion.
  • Pads and cushions: Pads and cushioning devices are available to isolate the bunion and any corns that may have formed.
  • Custom orthotics and braces: A specially made bunion brace can be used while sleeping to spread the toes apart. Over time, the toe will gradually straighten.

If you have a painful bunion, call your podiatrist ASAP! Don’t wait for treatment.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax, treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

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blog Foot Fungus

Say Goodbye to Foot Fungus

Summer is here, and we’re sure you have plenty of fun-filled activities planned, like long days at the beach or breezy hikes in the woods. This can bring a lot of excitement but also a lot of sweat. Sweaty feet create a perfect environment for foot fungus to grow and take over. How can you avoid a fungal foot infection this summer? Here’s what you need to know.

What Is Foot Fungus?

Athlete’s foot, also known as tenia pedis, doesn’t just affect athletes – it can infect anyone with sweaty feet. This fungus loves to live in warm, moist areas, especially between your toes. Although the fungus is contagious, it is very treatable.

Do You Have Foot Fungus?

Below are some of the top signs and symptoms:

  • Stinging, itchy, or burning feeling between toes and, at times, on the soles of your feet.
  • Blisters
  • Cracking or peeling of the skin.
  • Swelling
  • Dry skin between your toes and the sides or soles of your feet.

How Can You Prevent Foot Fungus?

It’s much easier to prevent a fungal infection than to treat one! Keep these tips in mind as you move through summer:

  • Change socks regularly
  • Wear slippers or flip-flops in public areas, especially pools and gyms
  • Do not share shoes
  • Let your feet breathe as often as possible
  • Keep bathroom surfaces clean, and do not share towels to avoid spreading to other family members
  • Air your shoes out and alternate footwear
  • Wash and dry feet daily
  • Wear breathable shoes
  • Wash socks, bedding, and towels in water that’s 140 degrees F or higher
  • Disinfect shoes with Clorox wipes

What Treatments Are Available?

It’s always a good idea to consult a qualified podiatrist first to confirm your foot symptoms, especially with diabetic patients. But if you’re convinced you have athlete’s foot and are desperate for some at-home help, here are some things you can try while you wait for your next appointment with us:

  • Over-the-counter antifungal powders or sprays.
  • Certain foot soaks can help, such as tea tree oil, cider vinegar, or baking soda, but always check with your doctor first.
  • Doctor-prescribed medications.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

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blog Foot Care

Get Your Feet Summer-Ready

With summer just around the corner, you may be preparing for fun activities like beach trips, vacations, and pool parties. We’re sure the last thing you want is foot pain or an ankle injury to cut your plans short, so taking care of your feet beforehand is crucial. How can you ensure your feet are prepared for your summer plans?

Here are three things you can start doing today:

1. Wear The Right Shoes

Not wearing appropriate shoes is one of the biggest culprits of daily foot and ankle pain. Getting your feet measured properly at your shoe store and picking a pair that offers support, comfort, and enough room for your toes can make a world of difference. In addition, choosing the right shoes for each activity is your best bet. Work on your feet all day? Lightweight sneakers with arch support are your best bet. Going for a hike in the woods? Pick specific hiking boots with a thick sole and ankle support. Summer is usually when we’re tempted to go for sandals or flip-flops, but choosing a close-toed pair can save you from sun damage, ankle sprains, and potential cuts.

2. Check Your Feet

Giving your feet extra attention at the start or end of the day can make a significant impact – and it’s one of the easiest ways to keep your feet healthy. Wash your feet daily with soap and warm water. Dry thoroughly, making sure to get in between your toes. And always wear clean, dry socks.

3. Look Out for Issues

Catching any problems before they escalate helps prevent serious conditions and further damage. Taking a few minutes throughout your week to look at your feet and check for any blisters, cuts, swelling, bruising, redness, or other issues is important. Ignoring your pain or concerns may make a potential problem worse.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Zachary Sax, and Dr. Joshua Ouellette treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

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blog Foot Care

Treat Your Feet

Feet

Did you know April is National Foot Health Awareness Month? Our feet do so much for us, yet they’re often overlooked when it comes to daily self-care. A lot of physical stress is put on our feet daily, which is why it’s so important to take care of them. This April, we want to encourage our patients to treat their feet! Here’s our do and don’t guide to foot care.

Do: Elevate Your Feet

This trick you can use even if you aren’t dealing with a foot condition that causes swelling! As we move throughout the day, our feet and toes naturally swell. The best way to improve blood flow and reduce pressure in our feet is to elevate our legs. At the end of the day, lay down somewhere comfy, place pillows underneath your legs and feet, and relax for 10 to 15 minutes.

Don’t: Share Nail Tools

One of the easiest ways to get a fungal infection? Sharing our nail tools with others! Keep your nail clippers and files to yourself and never share. At your nail salon, ensure that they follow proper procedures for sanitizing their nail tools.

Do: Enjoy TLC

A nice, relaxing foot massage is the best gift for the end of a long day. Not only can it aid in making you feel at ease before bedtime, but it can significantly help relieve any foot pain you may have. Grab your scented lotion and begin massaging your feet, focusing on any sore spots. Look into some reflexology tips and tricks to get even more benefits. If you have any cuts or conditions like Athlete’s foot, talk to your podiatrist before massaging your feet.

Don’t: Fix It at Home

Podiatrists are feet and ankle experts. So when we find any strange cuts, bruises, or blisters on our feet or suspect an injury, it’s crucial to allow them to help with the treatment and healing process. Attempting to treat fungal infections or pick at blisters at home is more trouble than it’s worth. Instead, save yourself the worry and call your foot doctor.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, and Dr. Zachary Sax treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

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blog Podiatry Appointment

Preparing For Your Appointment

Appointment

One of the most common reasons why people don’t get their illness or injury checked out sooner is due to nerves at the doctor’s office. We know it can be intimidating – but with some simple preparation, you can limit your anxiety before your podiatry appointment. By knowing what to expect, you can also make the most out of your appointment. At New England Podiatry Associates, we put extra care and attention into making sure every patient is as comfortable as possible! Below is a simple guide you can use before your next appointment with us.

Before Your Visit

Preparing for your appointment is one of the best ways you can calm your nerves and make sure your appointment is worthwhile. Making a mental checklist of some important information your foot doctor may ask can help the visit run more smoothly – and this way you won’t leave anything out. It’s helpful to know…

  1. Any symptoms you’re experiencing.
  2. Medications you’re taking.
  3. Relevant lab test results
  4. Allergies
  5. Recent surgeries
  6. Any questions or concerns you have.

During Your Visit

  1. Expect your podiatrist to go over all of the information above
  2. If anything is unclear to you, make sure you ask questions to clarify.
  3. Don’t be afraid to take notes, if you find them helpful.
  4. If you’re attending a virtual appointment, make sure you arrive at your appointment on time and check that your technology is working well

After Your Visit

  1. Make sure you stick to your podiatrist’s recommendations and tips for recovery
  2. Pick up any medication your doctor may prescribe and take them as instructed
  3. Schedule a follow-up appointment, if necessary
  4. Call your foot doctor if you haven’t received your lab results.
  5. Reach out to your podiatrist if you have any follow-up concerns or questions

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, and Dr. Zachary Sax treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

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blog Toe Cramps

Working Through Toe Cramps

Cramps

Most people will have a toe cramp at some point in their life. Usually, it goes away as quickly as it started and isn’t cause for much concern. But for some, their toe cramps can be so debilitating that it leads to trouble walking, interfering with much of daily life. Some foot and ankle conditions create symptoms of toe cramps, but at other times the toe cramps come on for no apparent reason. What most don’t know is that much of their daily lifestyle habits can make way for frustrating toe cramps.

Shoes

One of the biggest causes of foot pain these days is due to the wrong size shoe. If your shoes are too tight or too loose, it can lead to cramping! High heels are especially strenuous on your feet, which can cause your toes to cramp, too. Instead, find low-heeled, comfortable, supportive shoes in your correct size.

Hydration

Not drinking enough water throughout the day can take a toll on your entire body. But did you know it can also lead to toe cramps? Dehydration makes your muscles tight and tense, which creates cramping. To prevent this, drink at least 6-8 ounces of water a day.

Injuries

Not healing properly from a foot or ankle injury can lead to long-term damage. One of the frustrating side effects can include toe cramps! Sprains, strains, and fractures may create tenderness and pain in your toes. If you were recently injured and have ongoing toe cramps, talk to your podiatrist.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, and Dr. Zachary Sax treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

Categories
blog Heel Pain

Say No to Heel Spurs

Heel Spurs

Americans take an average of 5,000 steps per day. As we grow older, those steps turn into miles, and those miles can easily lead to a lot of wear and tear if we’re not careful. Around 10% of the population will develop a heel spur at some point in their life, making it one of the most common foot conditions you can have. If you’re a runner or stand on your feet for long hours every day, you’re at a higher risk of getting it. But luckily, there are some ways you can prevent this from happening, no matter how active you are. Let’s take a look…

What Is a Heel Spur?

To better prevent heel spurs, it’s important to understand what they are and why they develop in the first place. A heel spur is an extra calcium deposit that lies on the base of your heel bone. Bony growths develop and you’ll likely experience pain, inflammation, and swelling. However, it is possible to not experience any pain at all.

Heel spurs don’t show up in those with a gentle workout routine. It’s a wear and tear condition, occurring when excess stress and strain on your heels build up over time. Runners, professional athletes, and those who stand or walk on their feet all day are commonly the ones affected.

Preventing Heel Spurs

If you want to steer clear of any pain and discomfort that heel spurs can bring, you’re in luck! There are plenty of ways you can keep your feet healthy and safe. Here are some of our top tips for avoiding a heel spur:

  • Buying the right size shoe
  • Wearing shoes with arch support
  • Picking dirt or grass walking trails
  • Avoiding exercise classes on cement or hardwood floors
  • Invest in custom orthotics
  • Eat a healthy, balanced diet.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, and Dr. Zachary Sax treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.