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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 AssociatesDr. Ronald EtskovitzDr. Raymond Murano IIIDr. Catherine JacobsDr. 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 JacobsDr. Zachary SaxDr. Joshua OuletteDr. 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 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 Heel Pain

Say No to 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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Ankle Sprains blog

Stepping Forward with Your Ankle Sprain

With over 3 million Americans getting diagnosed with an ankle sprain each year, you’ve likely had one at some point in your life. They’re one of the most common injuries, especially when it comes to ankle injuries. When you overstretch your ankle tendon, it results in a sprained ankle, leaving you with pain. Most people try to treat their sprained ankle at home, and while that works some of the time, it’s not a sure way to recover properly from your injury.

There can be a lot of complications alongside a sprain, and leaving it without the right treatment can lead to long-term problems. The best way to avoid this is by calling your podiatrist. They’ll assist you in adequately healing the issue. Most clients, however, are curious as to how they can help. What can they do to help their ankle recover faster and more efficiently? Today, we’re sharing three of our top tips for better and faster recovery!

One: Follow RICE

Rest, ice, compression, and elevation are the four keys to ankle foot or ankle injury. Rest is crucial to an ankle sprain. Relax, sit down, and avoid any serious exercise and activity for now. Avoid anything that aggravates your ankle and creates further injury. Limit your walking, but if you can’t, try a cane or crutches. Next comes ice! Using a bag of frozen peas or corn works great, as the bag can easily wrap around your ankle comfortably. Apply ice for 20 minutes at a time, 4 to 5 times a day. The final step is elevating your leg and ankle as much as you can during recovery. This improves circulation and helps eliminate swelling.

Two: Over-The-Counter Medications

If you’re experiencing pain alongside your sprain, don’t be afraid to take anti-inflammatory pain relievers! Just be sure to ask your doctor before you take anything.

Three: Act

If you suspect you have a sprain and your symptoms don’t improve at home in 2-3 days, call your podiatrist! Leaving your injury without proper treatment can create further damage and make eventual recovery more difficult. Don’t wait!

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

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 AssociatesDr. Ronald EtskovitzDr. Raymond Murano IIIDr. Catherine Jacobs, and Dr. Zachary Sax treat various conditions such as sports injuriesfoot and ankle painpediatric foot careingrown 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 Men's Health

Celebrating Men’s Health Month

As we celebrate Men’s Health Month this June, we are also spreading awareness about the importance of understanding prevalent health issues in men and how they can be identified and treated in a timely manner. Most men ignore their symptoms and end up with severe foot health problems, whereas early detection and diagnosis can save them from pain and misery.

Here are a few important things that you should know:

  • Foot hygiene is key to taking care of your feet. Washing, drying, regularly moisturizing them can prevent fungal and bacterial infections. Changing your shoes daily also prevents the accumulation of sweat and bacteria inside your shoes. Wearing clean socks made of breathable fabric is also good for your feet’s hygiene.
  • Custom orthotics – are not used for severe or critical foot health issues only. You can wear them daily to improve your gait, provide support and stability to your feet and relieve excessive stress from pressure points. Consult with your podiatrist to see if you require customized orthotic devices.
  • Foot pain is a warning sign – do not ignore it. If you are suffering from persistent foot or heel pain, it could be a symptom of plantar fasciitis, bone or joint deformity, flat feet, or other issues. You should visit your podiatrist to understand your underlying condition and how it can be adequately treated.
  • Examine your feet regularly to see if there are any changes in the color or texture of your skin, toenails, and overall feet. Ingrown toenails can cause tenderness and swelling around the nail bed. Flaky or dry skin can lead to cuts and wounds if left untreated. Fungal infections can be detected by discoloration of the skin or nails and odor. If you notice anything unusual, schedule a visit with your foot doctor without delay.
  • You should visit your podiatrist even if you feel you do not have any foot health issues. Regular checkups can help detect issues like arthritis, diabetes, nerve damage, and more.

Contact a podiatrist for the best advice if you have any questions or concerns about your lower legs, ankles, and feet.

At New England Podiatry Associates, Dr. Michael Hass, Dr. Alan Green, Dr. Stephen Tubridy, 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

Family and Feet

Did you know that some foot conditions are inherited? One common foot condition is a bunion. For most people, this bump along the big toe joint is noticeable but painless; for others, this condition can cause pain. The doctors at New England Podiatry Associates help provide information — and relief — to those who may have gotten more than eye color or hair type from a family member. If you experience pain in the area of your big toe and have a bump around your large toe joint, you may have inherited a toe deformity. 

Besides family history, are there other causes?

In addition to an inherited foot type, other common causes include wearing high-heeled or ill-fitting shoes or experiencing foot injuries. Bunions are also common with different types of arthritis or in people who experience a lot of stress on their feet throughout the workday.

How does a bunion form?

When your big toe begins to push up against your other toes, your big toe joint moves in the opposite direction (outwardly and away from the normal profile of your foot). While this may not bother some people, a bunion can become increasingly painful while walking or doing other movement activities. It’s best to see a podiatrist at the first sign of development. A foot and ankle expert can provide ways to prevent or reduce pain.

Is surgery the only solution?

No, there are other conservative treatments to try before considering surgery. The goal is to provide comfort and reduce pain, but these treatments will not remove the toe deformity. Non-surgical treatments include:

  • Changing shoes
  • Adding padding or cushion
  • Modifying activities
  • Using medication
  • Icing the area
  • Wearing orthotics

If you inherited a bunion, no worries. Our doctors will work with you to find the treatment that works best for you and allows you to continue your regular activities. Visit us soon by calling (617) 630-8280. You can visit our doctors at two locations: Chestnut Hill, which serves Norfolk, Suffolk, and Middlesex counties; and Newton Wellesley Hospital, which serves Middlesex County.

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blog

Who Needs A Podiatrist?

If you have foot or ankle problems, the answer is simple: you need a podiatrist. Although many people assume that podiatrists are only useful for very specific foot and ankle issues, the truth is that we’re here to help with everything ranging from an ingrown toenail to a  bunion to a fracture. The doctors at  New England Podiatry Associates are among the 15,000 practicing podiatrists in the United States. Get familiar with the field of podiatry. You’ll quickly learn how much a podiatrist can become a part of your care team and meet your needs. 

Do podiatrists go to medical school?

Yes, a podiatrist has undergraduate medical school training. They then attend graduate school to receive a doctorate in podiatry. Each podiatrist is required to take state and national exams; a podiatrist must also be licensed in the state in which they practice.

Can young people benefit from a podiatrist?

Yes, although our aging bodies often increase the demand for foot and ankle attention, younger people also have foot problems. Young athletes are prone to foot and ankle injuries; young children can have ingrown toenails, warts, and more; and toddlers may have flat feet or other conditions that impact their movement.

I don’t have any issues now. Are there benefits of going to a podiatrist?

Podiatrists are in the business of helping to not only solve foot problems but also prevent them. If your family has a history of foot issues, if you play a sport, or if you simply have questions about the right kind of running shoes, visit a podiatrist.

I saw orthotics at my local pharmacy. Why should I make another stop?

Podiatrists can create custom-made orthotics to address your individual foot needs. These orthotics last longer and make a big difference in reducing pain. Still have questions? Schedule a visit by calling (617) 630-8280. You can visit our doctors at two locations: Chestnut Hill, which serves Norfolk, Suffolk, and Middlesex counties; and Newton Wellesley Hospital, which serves Middlesex County.