Category Archives: FAQs

What is involved in ingrown toenail surgery?

 

A:

Toenail surgery is performed with local anesthesia. Preoperative x-rays may be taken to be sure there is no bone spur involved. Removal of a portion of the nail border causing the problem will give temporary relief. Permanent correction may be required if this is a recurring problem. This correction is performed under local anesthesia and consists of removal of the offending portion of the nail and nail root.

 Chemical Cauterization for Permanent Nail Removal

Chemical cauterization involves the removal of one side of a toenail, and the careful debriding and cleansing of this area for any type of fungus tissue that may be present. The root area of that portion of the toenail that is to be removed permanently is then treated with a chemical agent, which destroys that portion of the root. If the entire toenail is removed, then the same procedure is employed for the entire tissue under the nail. The complete removal of the root area of the toenail prevents the nail from growing back. After the Procedures

Dr. Perlstein will dress your toe after chemical surgery with appropriate medication. He will also give you instructions for home care, and an appropriate prescription for medication to dress your toe. There is normally very little, if any, pain after either of these surgical procedures. Dr. Perlstein will instruct you accordingly, and prescribe whatever appropriate medication you may need for pain. Usually, after the first day, you do not need to wear a cut-out or surgical shoe, if you follow Dr. Perlstein’s instructions. You will usually be able to walk comfortably after either of these procedures.

Post-Operative Care

Most of these surgeries can be performed in our office. Walking is usually permitted immediately following the surgery. Dr. Perlstein may allow you to walk in your normal shoe or sneaker. Dr. Perlstein may prescribe medication to be taken if needed for discomfort.

Next Steps

If you are struggling with toenail issues that are not being resolved by conservative treatment, then toenail surgery may be for you. Contact our office to schedule an appointment with Dr. Perlstein. He can provide a thorough examination and identify if toenail surgery is an option.


Dr. Michael Perlstein’s podiatry office is located at 4414 14th Avenue in Brooklyn, New York. He serves patients throughout the greater New York City area, including those residing in Manhattan, Queens, Staten Island, the Bronx, New Jersey, and Connecticut.

Dr. Perlstein’s office is open Monday through Friday as well as on Sunday.



Michael Perlstein
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Board Certified Brooklyn Podiatrist

How Long Do Custom Orthotics Last?

 

A: Things that effect orthotic wear:

  • Type of orthotic: the softer and more flexible the device, the faster it wears out
  • Weight of the person: For every pound you put 3 pounds of torque through your orthotics
  • Activity level: The more you run, the faster they wear out
  • Foot type: The more flexible the foot type, the more stress is placed on the orthotic
  • Shoe type: the stiffer the shoe, the longer the orthotic will last
  • Heat: If you leave them in your trunk in 105 degree heat, they will bend more


These are just a few variables that effect orthotic wear, but a simple answer is somewhere between one and five years. After five years, most people will wear out their orthotics or their foot will have changed so they really need a new prescription!


Dr. Michael Perlstein’s podiatry office is located at 4414 14th Avenue in Brooklyn, New York. He serves patients throughout the greater New York City area, including those residing in Manhattan, Queens, Staten Island, the Bronx, New Jersey, and Connecticut.

Dr. Perlstein’s office is open Monday through Friday as well as on Sunday.



How Do I Know if I Need Orthotics?

 

A: Between 70 and 85 percent of all people have biomechanical imperfections, yet not all
these people require orthotic control.

Most serious runners who have biomechanical imperfections end up with orthotics out of
necessity. The runner who runs fewer than 20 miles per week will not likely need orthotics
unless they have a serious biomechanical weakness, but for the serious runner any biomechanical
weakness will be magnified ten-fold, with the result being injury.

When a runner gets a series of nagging injuries one after the other, they are probably
caused by a biomechanical flaw and can be corrected by orthotics. Runners who suffer
from chronic knee pain, arch pain, plantar fasciitis, heel spurs, hip and lower back pain and
certain types of muscular fatigue very often benefit from orthotics.


Dr. Michael Perlstein’s podiatry office is located at 4414 14th Avenue in Brooklyn, New York. He serves patients throughout the greater New York City area, including those residing in Manhattan, Queens, Staten Island, the Bronx, New Jersey, and Connecticut.

Dr. Perlstein’s office is open Monday through Friday as well as on Sunday.



Will a fungal toenail go away on its own?

Dr. Michael Perlstein’s podiatry office is located at 4414 14th Avenue in Brooklyn, New York. He serves patients throughout the greater New York City area, including those residing in Manhattan, Queens, Staten Island, the Bronx, New Jersey, and Connecticut.

Dr. Perlstein’s office is open Monday through Friday as well as on Sunday.



Michael Perlstein
Connect with me
Board Certified Brooklyn Podiatrist

With plantar fasciitis, why does my foot hurt first thing in the morning?

 

A: Patients here at Brooklyn Foot Doc often come in to see me complaining of sharp, aching pain on the bottom of their feet. This is typically a condition called plantar fasciitis. This foot injury results from an inflammation of the band of tissue that runs along the bottom of the foot. This tissue connects the heel bone to the toes and supports the arch.  Tiny tears can occur in the plantar fascia due to overuse, resulting in inflammation. This can be quite painful, especially in the morning. 

When a person is resting their feet during a period of rest or night of sleep, the plantar fascia is taking time to heal from the wear and tear and stress put on it from the day’s activities. This band of tissue actually shortens and tightens over the course of the resting period, which can make standing on the floor firs thing in the morning excrutiatingly painful. 

The damage to the plantar fascia can worsen over time if appropriate measures are not taken to treat the injury. I have successfully treated many patients over the years who were suffering with the pain from plantar fasciiits. Don’t suffer any longer with unnecessary foot pain. 


Dr. Michael Perlstein’s podiatry office is located at 4414 14th Avenue in Brooklyn, New York. He serves patients throughout the greater New York City area, including those residing in Manhattan, Queens, Staten Island, the Bronx, New Jersey, and Connecticut.

Dr. Perlstein’s office is open Monday through Friday as well as on Sunday.



Michael Perlstein
Connect with me
Board Certified Brooklyn Podiatrist

How often do I need to see a podiatrist if I am diabetic?

 

A:

Diabetes affects the whole body in numerous ways and feet are especially at risk. Most diabetics experience some kind of foot disease during their lifetime putting them at risk for infection and amputation. Diabetes decreases blood flow and weakens the ability for feet to feel and heal. A diabetic may experience numbness, nerve damage, and circulation problems. Because of nerve damage, which is called neuropathy, a diabetic may not even realize that there has been a wound or injury that has occured. 

It is crucial that a diabetic not only observes diligent foot care by inspecting feet on a daily basis but is also in regular contact with our office. Each person experiences diabetes in different ways and different levels of severity. Those that have severe neuropathy and have wounds that need attentive care may need to be seen by me on a weekly basis or more. Those who may have just been diagnosed with diabetes should begin having their feet examined early on and then on a regular basis to ensure feet remain healthy and problems are diagnosed at the onset before serious complications occur. 




Dr. Michael Perlstein’s podiatry office is located at 4414 14th Avenue in Brooklyn, New York. He serves patients throughout the greater New York City area, including those residing in Manhattan, Queens, Staten Island, the Bronx, New Jersey, and Connecticut.

Dr. Perlstein’s office is open Monday through Friday as well as on Sunday.



Michael Perlstein
Connect with me
Board Certified Brooklyn Podiatrist

Do children really need to have orthotics?

 

A: Orthotics for children can help with the treatment of foot deformities, pain, flat feet, and gait problems.  It’s important for a child’s feet to be checked as soon as an issue arises.  If there is a need for orthotics, it is important that the coorect fit be established and that they are checked regularly as a child grows.  Orthotics will help stabilize your child’s foot and help prevent a lifetime of problems with their feet, ankles, lower legs and lower back.  So – yes, many children need orthotics and many children benefit greatly from them. As a podiatrist in Brooklyn, I see many different conditions in children treated simply and successfully with the use of orthotics.  Another common condition treated with orthotics in children is heel pain.




Dr. Michael Perlstein’s podiatry office is located at 4414 14th Avenue in Brooklyn, New York. He serves patients throughout the greater New York City area, including those residing in Manhattan, Queens, Staten Island, the Bronx, New Jersey, and Connecticut.

Dr. Perlstein’s office is open Monday through Friday as well as on Sunday.



Michael Perlstein
Connect with me
Board Certified Brooklyn Podiatrist

Foot Pain? Foot Medical Issues? Get Answers From A Board Certified Podiatrist.

Point where your foot hurts and click to get more information:


Great   Toe Toes 1st   Metatarsal Forefoot Midfoot Rearfoot Ankle Medial Lateral Toes Ball of Foot Sesamoids Arch/Midfoot Heel Medial Lateral Medial Ankle Achilles Tendon Heel Medial Arch 1st Ray Toes Dorsal Foot Plantar Dorsal Lateral   Ankle Achilles Tendon Heel 5th Metatarsal Toes Dorsal   Foot Plantar Dorsal

Dorsal Foot






(Click on the area for more


What causes hammertoe? How should you care for your feet if you have been diagnosed with diabetes? Do you need to see a podiatrist about your foot issue? Learn all of this and more in our Frequently Asked Questions section.



Dr. Michael Perlstein's podiatry office is located at 4414 14th Avenue in Brooklyn, New York. He serves patients throughout the greater New York City area, including those residing in Manhattan, Queens, Staten Island, the Bronx, New Jersey, and Connecticut.

Dr. Perlstein's office is open Monday through Friday as well as on Sunday.