My Blog

By Denis LeBlang, D.P.M.
July 17, 2017
Category: Foot Care
Tags: Hammertoes  

Wondering if you have a hammertoe? Dr. Denis LeBlang of Congers and Purchase, NY, discusses the common foot condition and explains hammertoehammertoe surgery and other treatment options can relieve your pain.

What are hammertoes?

The first joint of your toe bends at a right angle if you have a hammertoe. If you've just noticed the problem, you can probably straighten your toe if you push on it. As the condition progresses, your toe may become rigid. If this happens, you won't be able to straighten it by applying pressure. The second through fourth toes are most commonly affected by hammertoe.

What are the signs and symptoms of hammertoes?

In addition to a bend in your toe, you may notice a few other signs and symptoms if you have a hammertoe, such as:

  • Pain: Pain may increase when you try to move your toe, walk or wear shoes that rub against or press on the top of your toe. Inflammation in the joint can worsen pain.
  • Corns and Calluses: Corns and calluses may form on your toe due to irritation from your shoes.
  • Redness: Hammertoe can cause redness and swelling in your toe.

How did I get hammertoe?

You're more likely to develop hammertoe if you wear high heels or tight shoes. In fact, wearing high heels or tight shoes regularly may cause your tendon to shorten, making it impossible to straighten your toe. Other causes of hammertoe include arthritis, injuries and muscle imbalances.

What can be done about hammertoe?

Wearing shoes that have enough room to accommodate your bent toe can increase your comfort, as can applying adhesive cushions to the top of your toe. If your toe is flexible, toe exercises can be helpful. Scrunching up a towel with your toes or picking up marbles with your toes are two types of exercises that are often used.

Visiting our Purchase or Conger office can be helpful when home treatment isn't effective. Depending on your symptoms, we may suggest orthotics, taping your toe, anti-inflammatory medications or cortisone injections.

If you have a rigid hammertoe, you'll need surgery to correct the problem. During surgery, tendons and ligaments that keep your toe rigid are cut, allowing it to lie flat again. Surgery may also involve removing a small portion of the bone and realigning the bones in your toe.

Are you concerned that you may have a hammertoe? Find out if hammertoe surgery is a good option for you by making an appointment with podiatrist Dr. LeBlang. Call him at (914) 939-4101 to schedule an appointment in the Purchase office or (845) 268-8282 to arrange a visit to the Congers office.

By Denis LeBlang, D.P.M.
May 25, 2017
Category: Foot Care
Tags: heel pain  

What your podiatrist in Purchase and Congers wants you to know about heel painheel pain

If you have heel pain, you may be tempted to just ignore it and wait to see if it goes away. In minor cases, it may go away on its own, but stubborn heel pain can be a sign of a more serious, debilitating condition known as plantar fasciitis. Dr. Denis LeBlang at Accent On Feet in Congers and Purchase, NY, wants to share why you shouldn’t ignore your heel pain.

Heel pain is often sharp, and the pain can come on suddenly. It can impair your ability to walk, and keep you sidelined on the couch. You may be more prone to heel pain if you:

  • Have diabetes
  • Wear poorly-fitting shoes
  • Wear high heels
  • Have flat feet
  • Carry excess weight
  • Engage in high-impact activities

The most common cause of heel pain is plantar fasciitis. The thick band of tissue running across your heel, known as the plantar fascia, becomes inflamed, causing sharp, stabbing pain which can be severe. Plantar fasciitis is very common in runners.

Heel pain can also result from stepping on sharp stones, causing a heel bruise. Bone spurs or excess calcium deposits can also cause heel pain.

You may be able to get relief from heel pain by trying these home treatments:

  • Resting and taking your weight off of your feet
  • Placing ice packs on your heel several times each day
  • Taking over-the-counter anti-inflammatory and pain medications

For severe cases of heel pain that don’t respond to home therapy, you should visit an expert like Dr. LeBlang. He offers a full range of treatments for heel pain and other foot and ankle conditions. For heel pain, he may suggest:

  • Custom made orthotics, heel supports or footwear
  • Prescription anti-inflammatory medications
  • Physical therapy and stretching
  • Extracorporeal Shock Wave Treatment (ESWT)

You don’t have to suffer from debilitating heel pain when help is just a phone call away. Instead of ignoring heel pain, call Dr. LeBlang at Accent On Feet for help. He has offices in Purchase and Congers, NY, to help you so call today!

By Denis LeBlang, D.P.M.
March 21, 2017
Category: Foot Condition
Tags: Bunions  

Bunions are deformities of the foot that can cause chronic irritation, inflammation and/or pain. Oftentimes they require bunion surgery in Purchase or Congers, NY. Dr. Denis LeBlang is well versed in bunion surgery and can examine a patient and determine what treatment option will work best

Types of Bunion Surgery

A base surgery is one that concentrates mostly on the bone near or behind the big toe. Different surgical methods can be used including cutting a wedge out of the bone and splitting it or making a semi-circular cut and rotating the bone. What surgical technique is used will depend on the current state of the bunion and each particular patient. With this type of surgery, the ligaments are often altered too.

Bunion surgery in Purchase or Congers can also include head procedures that treat the big toe joint itself. With this procedure, the bone is cut into behind the joint and moved to its proper position. A pin or screw is used to keep it in place. This is often used for those that need to heal faster and cannot be immobile for a long time.

Generally, bunion surgery is performed on an outpatient basis. Most often, a local anesthesia is used in combination with sedation medication to make the patient comfortable. Dr. LeBlang has performed countless successful bunion surgery and enjoys restoring his patient’s function back. Recovery time will vary per patient, but generally, sutures are removed in about two weeks following surgery.

If you have bunions that have recurring irritation, inflammation or pain, it’s time to see what bunion surgery can do for you. To schedule an informative consultation with Dr. LeBlang today, call his Purchase or Congers, NY, podiatry office at (914) 939-4101. 

By Denis LeBlang, D.P.M.
January 27, 2017
Category: Foot Care
Tags: ankle pain  

Chronic ankle pain can make daily activities like walking or climbing stairs difficult and even painful. There can be several causes of ankle painchronic ankle pain, and the right treatment option for your ankle pain will depend on the cause. Dr. Denis LeBlang, your Purchase, Congers and Westchester County, NY, podiatrist, can determine what is causing your chronic ankle pain and recommend the best treatment method for you.

Causes of Ankle Pain

Chronic ankle pain can be associated with such symptoms as pain, stiffness, swelling and tenderness in the ankle. It can also be linked to ankle instability. With ankle instability, it can be difficult to walk on uneven surfaces and you might feel as though your ankle(s) will give out. For women, walking in high heels can be challenging and possibly painful when suffering from chronic ankle pain or instability.

Chronic ankle pain can develop following an injury that never heals properly. Repeated pressure from walking, jogging and other activities can further aggravate an injured ankle and lead to chronic pain. Common causes of chronic ankle pain include:

  • A sprained ankle(s) that hasn’t healed properly
  • Arthritis in the ankle
  • A fractured ankle bone
  • A torn tendon
  • Inflammation of the tissues and joints in the ankle
  • Nerve damage in the ankle

Treatment Options

There are several treatment options for chronic ankle pain. Non-surgical treatments include physical therapy, ankle braces, anti-inflammatory medications and steroids. If the pain is due to a fractured bone, treatment will include immobilization, possibly with a cast, so that the bone can heal. In some cases, when chronic ankle pain does not improve after trying non-surgical treatment methods, ankle surgery might be necessary. Your Purchase, Congers and Westchester County podiatrist can determine the best course of treatment for you.

You do not need to suffer from chronic ankle pain. Once the cause is known, the right treatment method can then be selected. Dr. LeBlang, your Purchase, Congers and Westchester County, NY, podiatrist, can diagnose the cause of your chronic ankle pain and develop an appropriate treatment plan. To schedule an appointment with Dr. LeBlang.

By Denis LeBlang, D.P.M.
December 02, 2016
Category: Foot Care
Tags: Morton's Neuroma  

Morton's NeuromaA neuroma is a thickening of nerve tissue that can develop in various parts of your body. In the foot, the most common occurring neuroma develops at the base of the third and fourth toes. This condition is referred to as Morton's neuroma.

There are typically no physical signs of Morton's neuroma, such as a lump or a knot. Instead, symptoms may include:

  • A sharp, achy or burning pain in the ball of your foot
  • Numbness, tingling, or cramping in the toes or forefoot
  • Feeling as if you're standing on a pebble in your shoe

While the exact cause of Morton's neuroma is unknown, the growth of the neuroma seems to occur in response to injury, pressure or irritation to one of the nerves that lead to the toes. People with foot deformities such as bunions, hammertoes and flat feet are at higher risk for developing a neuroma. Women are also more likely to develop this condition, as wearing high-heels or narrow-toed shoes can increase pressure on the toes. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running.

Morton's neuroma can make walking and performing normal activities difficult and painful. Treatment options vary with severity, and identifying the neuroma in its earliest stage of development is important to avoid more invasive treatments or surgical correction. Left untreated, neuromas tend to worsen, so it's always best to visit our office at the first sign of pain.

Early treatments aim to relieve or reduce pressure on the area around the affected toes. Depending on the severity of your neuroma, a podiatrist may recommend:

  • Modifications to footwear. Wide-toed shoes relieve pressure on the neuroma.
  • Shoe inserts or padding to provide support for the arch of the foot, which removes pressure from the nerve.
  • Anti-inflammatory medications can help ease any pain and inflammation. Ask your doctor first.
  • Icing to reduce inflammation.
  • Rest to lessen repetitive pressure on the neuroma.

In the most severe cases, surgery may be recommended for patients who do not respond to conservative treatments. We can help you determine the best approach for your specific condition.

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