Tag: foot health

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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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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 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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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.

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blog Foot Health

Give Thanks to Your Feet

Happy Thanksgiving, everyone! What are you thankful for this year? We hope you’re grateful for healthy feet. Our feet endure a lot every day, but often go unnoticed. People take their health and their feet for granted until a condition or injury shows up. This year we hope you take some extra time to show your feet some love. The best way you can do so is to incorporate good foot care habits into your daily routine. Here are some of our top tips!

Avoid Walking Barefoot

Stepping on a rock or pebble can be painful! But for people with diabetes, it can be especially dangerous, since nerve damage creates numbness and it’s easy for cuts to feel painless. Protect your feet from injury and infection by wearing socks and shoes as often as possible. Comfy sneakers are great for every day. Slippers can provide the comfort and warmth you may be missing as the cold weather keeps coming!

Exercise Daily

If you dread hearing those words, you’re not alone. Finding the motivation and drive to work out can be difficult, but moving your body is so helpful. Walking, swimming, or biking is a great alternative for those who prefer to keep their exercises gentle. But whatever activity you choose, stick with it! Keeping your weight under control can get rid of unnecessary stress on your feet.

Never Ignore Pain

Foot pain is a big red flag. If you’re experiencing discomfort throughout the day or during your workout, it’s time to call a podiatrist! Ignoring the pain and pushing through or attempting any at-home treatments can further injure your feet. Alternatively, if you’re not experiencing any pain, but have other strange symptoms, ease your worries and see a 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 Diabetic Foot Care Ulcers

Dangers of Diabetic Foot Ulcers

Diabetic Foot Ulcers

If you’re not sure about the dangers of diabetic foot ulcers, here is one word: infection. Once this word enters the conversation, there is a risk for more severe consequences: limb amputation or even death. A diabetic foot ulcer is a cut or wound found on the foot. The ulcer is one of the common complications that impact patients who are managing their diabetes.

The doctors at New England Podiatry Associates often meet with patients who first noticed a cut on their foot. Their decision to contact a podiatrist is a good one, and it may be a limb-saving one, too. After diagnosing a wound, the first goal is to keep it clean and reduce the risk of infection. If a podiatrist already detects signs of infection, the goal immediately goes to treatment to reduce the risk of the infection spreading to other parts of the body.

We know the dangers of diabetic foot ulcers. Here are things you can do if you spot a wound:

Get your cleaning supplies

Yes, no matter the size of the cut, it’s time to clean. We encourage you to clean your wound gently and regularly. We also want you to change your bandages daily and keep an eye out for signs of infection. Call us with any concerns.

Pause on adding pressure

If you have a wound, it’s time to take it easy. Don’t walk barefoot and do your best to limit the amount of pressure you apply to the wound. For some people, this may look like using crutches or a cane. Ask about your options for custom orthotics, as well.

Stay in contact with your podiatrist

From the moment you tell us about an ulcer, we are on watch duty with you, too. We want to know about the progress of your wound, and we want to see your cut often. Schedule a visit with us as soon as possible and check-in regularly.

There are dangers about diabetic foot ulcers, but there are many things to do before there is a cause for worry. The first step is contacting us and keeping our team in the loop. We’re here to walk you through the next steps.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, and Dr. Zachary Sax treat various conditions such as sports injuries, foot and ankle pain, pediatric foot care, ingrown toenails, and flat feet. 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 Health Thyroid Awareness

2022 Foot Health Assessment -Include Your Thyroid

Do you know ways your feet and ankles could be showing you something more about the state of your health, and it could be your Thyroid? January is Thyroid Awareness Month, and it’s time to put daily foot inspections to the test. The thyroid is a small gland found in the neck. The gland produces a hormone that controls our metabolism. The results can have a wide impact on your overall health including your energy level and heart rate.

It’s time to talk more about the thyroid, and we’re here to help with the conversation. We hope you will walk away from this blog post with the information you need to advocate for your health.

For the doctors at New England Podiatry Associates, we’ve seen the impacts of a condition known as hypothyroidism. Hypothyroidism means the gland is not producing enough of the hormone that regulates the body’s metabolism. Signs of this condition include fatigue, cold feet, and even weight gain.  A hyperthyroid diagnosis means the gland is producing too much hormone. Either condition can impact your feet.

While doing your daily inspection, here are a few things to monitor:

Swelling

Could it be an ankle sprain or another injury? Have you started a new medication that could be causing an allergic reaction? These are two questions that could put you on the path to learning more about the cause of your swelling. Have you considered hypothyroidism? Take the information you know and bring it to the conversation with your doctor.

Weight gain

Keep an eye on your feet. Can you explain your weight gain? If not, your feet may be trying to tell you something. With weight gain may come swelling. Joint pain could be possible, too, as your body moves with more pressure on its joints. Before jumping to conclusions, write down other changes you may have noticed.

Cold feet

Has the temperature dropped, or are your feet cold often? If you notice that adding layers doesn’t help, there could be other concerns. Raynaud’s is an example. Hypothyroidism could also be what’s causing the chill. The benefit of looking at your feet each day is that it becomes much easier to spot when something is different.

For people in our nation, as many as 60% walk around without any idea they have an undiagnosed thyroid problem. We’re here to help this number decrease. Spread the word, and you help, too.

We are still offering a telemedicine option for your safety and convenience. At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, and Dr. Zachary Sax treat various conditions such as sports injuries, foot and ankle pain, pediatric foot care, ingrown toenails, and flat feet. 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.

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blog Foot Health Heart Health

Foot and Ankle Conditions’ Connection to Heart Health

February is American Heart Month and a reminder to share how foot health can also point to matters of the heart. From swelling to changes in your skin color, the doctors at New England Podiatry Associates want to know about new symptoms. They can be a sign of something as simple as an injury or warning signs of heart disease. 

Skin color changes on feet

If your skin is changing colors, ring the alarm. Blue or purple may be a sign that you have a blockage in your blood vessels. It means that blood is not properly flowing throughout your body. While warm, if your skin is purple or blue, schedule an appointment with your podiatrist.

Swelling of feet and ankles

Fluid buildup in your feet and ankles may be a sign that your heart isn’t working at its best. Fluid buildup can start in your feet, but it can also extend to your legs. If you don’t have recent memory of an injury or a reason for the swelling, schedule an appointment with your doctor. It may save your life.

Slow-healing wounds

Circulation describes how blood flows throughout your body, including to your limbs. Blood is nutrient-rich and contains oxygen. It plays an important role in healing the body, too. If you notice slow-healing wounds or wounds that are no longer healing, schedule an appointment with your podiatrist. Poor circulation is an early sign that you may need to take a closer look at your heart health.

Did you know that your skin is the largest organ of the body? Pay attention to what it may be telling you about your heart health. At New England Podiatry Associates, Dr. Michael Hass, Dr. Alan Green, Dr. Stephen Tubridy, Dr. Ronald Etskovitz, Dr. Raymond Murano III, and Dr. Catherine Jacobs treat a variety of conditions such as sports injuries, foot and ankle pain, pediatric foot care, ingrown toenails, and flat feet. Equipped with a board-certified podiatrists, 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.