Tuesday, 10 June 2025 00:00

Heel pain is a common complaint in active children, especially those involved in sports. One of the most frequent causes is plantar fasciitis, which involves irritation of the thick band of tissue that supports the arch and connects the heel to the toes. In children, this pain often appears first thing in the morning or after long periods of inactivity, then eases with movement. Poor footwear, tight calf muscles, or high activity levels can place extra strain on the heel. While plantar fasciitis is usually manageable with stretching, rest, and supportive shoes, conditions like growth plate inflammation may also need to be considered. Persistent heel pain should not be overlooked. If your child starts limping or complaining of discomfort in the heel, it is suggested that you see a podiatrist to identify the cause and begin appropriate care.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Darline Kulhan, DPM  from Scarsdale Foot Specialists PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

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Tuesday, 03 June 2025 00:00

Swollen feet and ankles can stem from a range of medical causes, including lymphedema, infections, trauma, diabetes, and blood clots. Swelling may also be due to fluid buildup from prolonged sitting or standing, or complications from pregnancy. One-sided swelling may point to infection, such as cellulitis, or a blocked vein caused by a clot. Lymphedema, which results from fluid buildup in the tissues, can be either hereditary or caused by other medical conditions. Diabetes can cause swelling through fluid retention or secondary infection. Signs of swollen feet may include puffiness, pain, redness, or warmth, depending on the underlying issue. Trauma-related swelling may call for surgery, especially in cases of compartment syndrome. This occurs when pressure builds within a closed muscle compartment, reducing blood flow and potentially causing tissue damage. A podiatrist can evaluate these symptoms, identify the cause of swelling, and recommend appropriate treatment. If you notice that your feet or ankles are swollen, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Darline Kulhan, DPM of Scarsdale Foot Specialists PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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


 

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Tuesday, 27 May 2025 00:00

Selecting appropriate footwear for babies and children is important for healthy foot development and safe exploration. For babies and new walkers, barefoot time indoors encourages natural movement and muscle growth. When shoes are needed, they should be lightweight, flexible, and allow the feet to move freely. As children begin walking independently outdoors, shoes with non-slip soles and secure fastenings offer protection and stability. It is important to ensure a proper fit to avoid restricting growth or causing discomfort. For activities like climbing and hiking, sturdy shoes with good grip and ankle support help prevent injuries and enhance confidence on uneven terrain. If your child has injured his foot, it is suggested that you consult a podiatrist who can treat various foot conditions, and provide further guidance on appropriate shoes.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Darline Kulhan, DPM of Scarsdale Foot Specialists PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

Read more about How to Care for Your Child's Feet
Tuesday, 20 May 2025 00:00

Preventing falls in the elderly requires attention to several common risk factors. Muscle weakness, especially in the legs, can negatively affect balance. Medication side effects, such as dizziness or drowsiness, may also increase fall risk. Chronic health conditions like arthritis, diabetes, or neurological disorders can interfere with mobility and coordination. Vision changes often make it harder to detect obstacles or judge distances. Inactivity over time can reduce strength and flexibility, making daily movements less steady. Additionally, risky behaviors like standing on a chair to reach high places further increase the chance of a fall. To reduce risk, older adults should stay physically active, use mobility aids when necessary, and ensure home safety. If you have fallen and injured your feet or ankles, it is suggested that you promptly contact a podiatrist who can treat various foot conditions, and guide you on additional fall prevention strategies.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Darline Kulhan, DPM from Scarsdale Foot Specialists PC. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

Read more about Falls Prevention

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