Items filtered by date: June 2025

Systemic sclerosis, also known as scleroderma, often affects the small blood vessels, skin, and connective tissues, making the feet particularly vulnerable. Tightening of the skin, joint stiffness, and reduced circulation can all interfere with how the foot moves and bears weight. Walking may become difficult, and standing for long periods of time can lead to discomfort or fatigue. In some cases, ulcers, changes in foot shape, or nerve symptoms may develop, further limiting mobility. Foot pain or reduced function can significantly impact daily activities and overall quality of life. Supportive footwear, targeted exercises, and proper foot care can help maintain comfort and reduce complications. If you are living with systemic sclerosis and noticing changes in how your feet feel or function, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Darline Kulhan, DPM from Scarsdale Foot Specialists PC. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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.

Runner's toenail, also known as black toenail, is  caused by repeated trauma to the toes during running. This often leads to discoloration, pain, or even loss of a toenail. It typically results from the nail repeatedly hitting the inside of the shoe during activity. To prevent it, keep toenails trimmed, tie shoes securely, wear cushioned socks, and increase mileage gradually. Properly fitting shoes are essential to avoid pressure on the toes. A podiatrist can help by evaluating your gait, recommending footwear, and treating damaged nails to prevent infection. If you notice pain or discoloration in your toenails after running, it is suggested that you schedule an appointment with a podiatrist for expert care and personalized prevention strategies.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Darline Kulhan, DPM of Scarsdale Foot Specialists PC. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause 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.

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.

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.