An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, causing pain, redness, swelling, and sometimes infection. This condition most often affects the big toe and can worsen, if left untreated. When conservative care does not resolve the problem or when infection continues to return, ingrown toenail surgery may be necessary. The procedure involves carefully removing the portion of the nail that is causing irritation, and, in some cases, treating the nail root to prevent recurrence. A podiatrist performs this procedure safely and comfortably in an office setting while guiding proper healing. If you have persistent toe pain or infection from an ingrown toenail, it is suggested that you promptly consult a podiatrist who can determine if this type of surgery needs to be performed.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Emmanuel Bustos, DPM of New York. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Cracked heels often begin as dry, thickened skin, but pain can develop once the surface splits under pressure. Every step places force on the heel, causing the skin to pull apart and expose sensitive tissue below. This can lead to burning, sharp discomfort, or bleeding. Standing for long periods of time, wearing unsupportive shoes, excess body weight, and reduced skin moisture all contribute to deeper fissures. Certain medical conditions, including diabetes or poor circulation, increase the risk that cracks may worsen or become infected. Warning signs include redness, swelling, drainage, or cracks that do not improve with basic care. While some heel cracks are mild, others can interfere with walking and overall foot health. If heel fissures are painful, deep, or slow to heal, it is suggested that you see a podiatrist for an evaluation and appropriate treatment.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Emmanuel Bustos, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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

Toe pain around the metatarsophalangeal, or MTP, joint is a frequent reason patients seek podiatric care, as these joints play a major role in balance and push off during walking. Such toe pain may develop from overuse, injury, arthritis, or pressure from footwear. Common symptoms include aching or sharp pain, stiffness, and swelling, sometimes accompanied by redness, warmth, and limited motion. The joint may look enlarged or inflamed, and it can feel sore or burning, especially when standing, walking, or bending the toe. Over time, pain may interfere with daily activities and limit comfortable movement. A podiatrist can help by starting with a detailed medical history and physical examination, supported by imaging when needed, to identify the exact cause of the joint pain. Treatment often begins with footwear guidance, padding, or custom orthotics, and may progress to medications, injections, or corrective procedures when appropriate. If you have MTP joint pain, 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, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The arches of the foot act like a built-in support system that helps the body move efficiently. The three arches include a higher inner arch, a flatter outer arch, and an arch that runs across the ball of the foot. Together, they form a spring-like structure that carries body weight, absorbs impact, and returns energy with each step. Bones create the framework of the arches, while ligaments and tendons hold them together and allow controlled flexibility during walking and running. Problems develop when arches are too low or too high, which can place strain on the heel, mid-foot, or forefoot and change alignment. A podiatrist can evaluate arch structure, foot mechanics, and walking patterns, provide a diagnosis and treatment to reduce stress and restore balance. If you have pain in the arches of the feet, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

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

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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