Peripheral artery disease, often called PAD, affects how blood flows to the legs and feet. It is commonly thought of as a problem in the larger arteries, where plaque buildup can limit circulation. However, smaller vessels can also be involved, further reducing blood flow at the tissue level. This combination can make it harder for the body to deliver oxygen and nutrients needed for healing and daily function. People with PAD may notice leg fatigue, cramping with walking, slower healing of cuts, or changes in skin color and temperature. Because both large and small vessels can be affected, symptoms may vary and sometimes appear gradually. Early recognition is important to help manage circulation and reduce the risk of more serious complications. Treatment may include lifestyle changes, medical care, and monitoring of foot health. If you notice signs of poor circulation, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Emmanuel Bustos, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our office located in the Upper West Side and New York City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A stiff big toe is often caused by a condition called hallux limitus or hallux rigidus, which means the joint at the base of the big toe has limited or very little movement. This problem usually develops over time, beginning with discomfort when walking or bending the toe and gradually progressing to more constant pain and stiffness. The joint may look swollen or enlarged, and some patients notice a firm bump on the top of the toe. Activities that require push off, such as walking uphill or running, can become difficult and uncomfortable. Common causes include arthritis, repetitive stress, prior injury, or foot structure that places extra pressure on the joint. A podiatrist can evaluate movement and may use imaging to understand the severity. Treatment options include supportive footwear, custom orthotics, and targeted exercises to help maintain motion. In more advanced cases, surgery may be considered. If you have a stiff big toe, it is suggested that you make an appointment with a podiatrist.

Toe pain can disrupt your daily activities. If you have any concerns, contact Emmanuel Bustos, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our office located in the Upper West Side and New York City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Turf toe is a painful injury involving the big toe joint, caused by hyperextension that can lead to soft tissue tearing. It often occurs when the shoe grips the playing surface while body weight shifts forward, such as when a soccer player attempts a quick stop or push-off. It is also prevalent in ballet dancers and football players, as the big toe may experience hyperextension. Symptoms include swelling, tenderness, and joint instability that can affect performance. Risk factors include stiff playing surfaces, improper footwear, and repetitive high-impact movement. A podiatrist can evaluate the injury, provide targeted treatment, and guide recovery. If you have symptoms of turf toe, it is suggested that you consult a podiatrist who can offer effective relief, treatment and prevention solutions.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Emmanuel Bustos, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please contact our office located in the Upper West Side and New York City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Morton’s neuroma is a painful condition caused by irritation and thickening of a nerve that runs between the toes, most often between the third and fourth toes. The problem develops when repeated pressure or stress compresses the nerve as it passes between the metatarsal bones. Patients commonly describe a burning or sharp pain in the ball of the foot that may radiate into the toes. Some people feel tingling, numbness, or the sensation of stepping on a small pebble inside the shoe. Symptoms may worsen when wearing tight shoes or high heels and often improve when the shoe is removed. Over time the discomfort can become more frequent during walking or standing. A podiatrist can diagnose Morton’s neuroma through a physical examination and by evaluating where the pain occurs when pressure is applied. Treatment may include shoe modifications, metatarsal padding, custom orthotics, and targeted exercises to reduce pressure on the nerve. If you think you may have Morton’s neuroma, it is suggested that you make an appointment with a podiatrist.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Emmanuel Bustos, DPM of New York. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our office located in the Upper West Side and New York City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.