Hallux valgus, commonly known as a bunion, is a progressive foot deformity defined by a misalignment of the big toe joint. This condition occurs when the big toe shifts inward toward the smaller toes, causing a bony prominence to form along the side of the foot. The deformity affects the structure and function of the forefoot, leading to joint instability and ongoing irritation. Over time, the condition can worsen, especially when underlying causes are not addressed. Symptoms of hallux valgus often begin with a visible bump at the base of the big toe. The area may appear swollen, red, and inflamed. Many individuals experience pain that increases with walking or wearing tight fitting shoes. Joint stiffness and reduced range of motion are also common. As the deformity progresses, the big toe may overlap or press against adjacent toes, creating further discomfort and difficulty with footwear.

Several causes and risk factors contribute to the development of bunions. Biomechanical issues such as flat feet, abnormal gait patterns, and joint instability play a significant role. Genetics is another major factor, as inherited foot structure can increase the likelihood of developing hallux valgus. Footwear also contributes, particularly shoes that are narrow or have a high heel, which place excessive pressure on the forefoot and encourage misalignment. Early recognition of bunions is important for preventing progression and managing symptoms. Treatment options may include wearing supportive footwear, custom orthotics, and activity modifications that reduce stress on the joint. Addressing biomechanical issues can improve overall foot function and relieve discomfort. If you have a bunion, it is suggested that you consult a podiatrist for effective relief and management solutions.

If you are suffering from bunion pain, contact one of our podiatrists of Manhattan Footcare. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Manhattan and Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus can change the look and feel of the nail over time. It happens when tiny organisms grow in or under the toenail, often in warm, damp areas. The nail may become thick, yellow, brittle, or lifted from the nail bed. Some people also notice pain when pressure is placed on the toe while walking. Although toenail fungus may not seem urgent at first, it can be hard to manage once it becomes established. It may also spread to other nails or cause more discomfort as the nail changes shape. Professional podiatry care can help identify the problem early and reduce the chance of ongoing nail damage while supporting better foot health.

A podiatrist can examine the affected toenail and determine whether fungus is truly the cause. This matters because nail injuries, aging, psoriasis, and other problems can look similar to a fungal nail infection. In some cases, a small nail sample may be tested to confirm the diagnosis. Once the cause is clear, the podiatrist can recommend a treatment plan based on the severity of the infection and the patient’s overall foot health. Treatment may include prescription topical medication, oral medication, or careful trimming of thickened nail tissue. People with diabetes, poor circulation, or immune-system concerns should be especially cautious, because nail problems can lead to more serious foot issues.

Early evaluation is important because toenail fungus treatment often takes time and requires consistent follow-up. A podiatrist can monitor nail growth, check for changes, and adjust care when needed. Professional treatment may also improve comfort in shoes and support healthier-looking toenails. Seeking expert care helps avoid delays caused by guessing what is wrong with the nail. If you have thick, discolored, painful, or lifting toenails, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of Manhattan Footcare. Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our offices located in Manhattan and Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle pain is a common problem that can affect people of all ages and activity levels. The ankle is a complex joint that supports body weight and helps with movement, making it vulnerable to injury and wear-and-tear. Ankle pain may develop suddenly after a sprain or twist, or it can appear gradually over time. Common causes include ligament injuries, tendon problems, arthritis, and overuse-related conditions. Symptoms can vary but often include pain, swelling, stiffness, or difficulty walking. Some people may also notice instability in the ankle, making it harder to move with confidence. Because ankle pain can have many causes, a professional evaluation is important for determining the source of the problem.

In some cases, ankle pain may interfere with work, exercise, sports, and daily activities. Persistent ankle pain should not be ignored, especially if symptoms continue to worsen or limit mobility. Conditions affecting the ankle can sometimes lead to changes in walking patterns, which may place added stress on the feet, knees, and other joints. Early diagnosis can help identify whether the pain is related to a sports injury, joint condition, tendon issue, or another underlying problem. Understanding the cause of ankle pain is often the first step toward effective treatment and improved function.

A podiatrist is a foot and ankle specialist trained to diagnose and treat ankle pain and related conditions. During an evaluation, a podiatrist can assess the ankle joint, review symptoms, and recommend appropriate treatment options based on the underlying cause. Treatment plans are designed to reduce pain, improve mobility, and help prevent future complications. Seeking timely podiatry care may improve outcomes and support a faster return to normal activities. If you are experiencing ankle pain, swelling, stiffness, instability, or difficulty walking, it is suggested that you consult a podiatrist for a comprehensive evaluation and appropriate treatment options.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from Manhattan Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our offices located in Manhattan and Brooklyn, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A diabetic foot ulcer is an open sore that develops on the foot of a person with diabetes. These wounds commonly form when nerve damage reduces feeling in the feet. A person may not notice a cut, blister, or scrape right away. Poor blood flow can also slow healing and increase the risk of infection. Diabetic foot ulcers are most likely to appear on the bottom of the foot or under pressure points. Symptoms include redness, swelling, drainage, and pain, but some people feel very little discomfort because of nerve damage. Early detection is important because untreated ulcers can become deeper and more difficult to manage.

Proper wound care plays a major role in helping a diabetic foot ulcer heal. A podiatrist carefully examines the wound and looks for signs of infection. Treatment includes cleaning the ulcer and removing dead or damaged tissue. This process is called debridement and helps healthy tissue heal more effectively. Dressings are used to protect the wound and maintain a healthy healing environment. Treatment also includes reducing pressure on the ulcer. This is known as off-loading. Special footwear, a walking boot, or other devices help keep weight away from the injured area while walking.

Managing diabetes is another important part of wound care. Good blood sugar control supports the body's ability to heal. In addition, patients should inspect their feet daily and report changes promptly. Signs of infection include redness, warmth, and drainage. Other signs include swelling, odor, or increasing pain. A podiatrist can monitor healing progress and adjust treatment when necessary. Prompt care lowers the risk of more serious complications, including loss of limb. If you have developed a foot ulcer as a result of diabetes, it is suggested that you are under the care of a podiatrist who can effectively treat foot wounds, and help you to manage this serious condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Manhattan Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our offices located in Manhattan and Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.