Achilles Tendon Injuries and the Thompson Test

Achilles tendon injuries affect the thick band of tissue that connects the calf muscles to the heel bone. This tendon supports walking, running, and jumping, making it essential for daily movement. Injury can range from mild inflammation to a complete tear. Symptoms include a sharp pain in the back of the ankle, a burning ache after activity, and swelling near the heel. Some individuals may also feel a sudden pop during injury, followed by difficulty bearing weight or pushing off the foot.

Risk factors for Achilles tendon injuries include repetitive strain from sports, such as running or basketball, sudden increases in physical activity, and inadequate warm-up routines. Tight calf muscles and limited ankle flexibility can increase tension on the tendon. Poor posture and unsupportive footwear may also contribute to long-term stress. Age plays a role, as the tendon becomes less flexible over time. High stress during the workday and prolonged standing can further strain the lower leg and increase injury risk.

 

The most common causes involve overuse, sudden forceful movement, or gradual wear and tear that leads to micro-injury. Small tears can develop into tendinitis or progress to a partial or complete rupture. The Thompson test is a widely used clinical method to assess possible rupture. During this test, the patient lies face down with feet hanging off the edge of a table. The podiatrist squeezes the calf muscle to observe foot movement. A normal response is a downward motion of the foot, while little or no movement may indicate a rupture.

 

Understanding early symptoms and testing methods can help prevent serious complications and support faster recovery. Timely care improves healing and restores function. If you have an Achilles tendon injury, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Edward Fryman, DPM, FACFAOM of Seaford Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

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Adapting Running Techniques for Foot Arthritis Relief

Arthritis in the feet can be painful, and running with this condition requires thoughtful adjustments to protect the joints while maintaining activity. Arthritis in the feet develops when cartilage wears down, leading to inflammation and discomfort. Although running is a repetitive activity, controlled movement can encourage joint lubrication by compressing and releasing cartilage in affected areas. This can help maintain flexibility when paired with proper technique and supportive footwear.

Symptoms of foot arthritis often include aching pain, stiffness, swelling, and limited movement in the joints. These symptoms may become more noticeable after prolonged activity or during changes in weather. Risk factors include aging, prior injuries, joint misalignment, and repeated impact on hard surfaces. Without proper management, these factors can increase discomfort and reduce mobility over time. Understanding these risks allows individuals to take steps toward safer exercise habits.

 

Adjusting running habits is essential for reducing stress on the feet. Choosing shoes that provide cushioning and stability can improve shock-absorption and alignment. Running on softer surfaces helps minimize joint impact and protect inflamed areas. Shortening stride length can reduce the force placed on the foot with each step, making movement more efficient. Incorporating rest days and stretching can further support recovery and reduce stiffness. These strategies allow individuals to remain active without worsening symptoms.

 

The benefits of modifying running techniques include improved comfort, better joint function, and reduced risk of further damage. Staying active supports overall health and helps maintain strength and flexibility. Careful attention to technique can make a significant difference in managing symptoms. If you enjoy running, and arthritis is causing discomfort, it is suggested that you consult a podiatrist for effective relief, management, and guidance tips.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Edward Fryman, DPM, FACFAOM from Seaford Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

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Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Foot Puncture Wounds and Proper Treatment

A puncture wound on the foot is an injury that occurs when a sharp object breaks through the skin and creates a small but deep opening. Common causes include stepping on nails, glass, or other sharp objects. Although these wounds may appear minor on the surface, they can extend into deeper tissues and increase the risk of infection. Prompt care is important because early treatment can influence the healing process and reduce the chance of complications.

Symptoms of a foot puncture wound may include pain, swelling, and bleeding around the injured area. Some individuals may also notice warmth, drainage, or increasing discomfort as signs of infection. Risk factors include walking barefoot, working in environments with sharp debris, having diabetes, and having reduced circulation or nerve sensation. Individuals with certain health conditions may require additional attention because healing can be slower and infections may develop more easily.

 

Proper care after a puncture wound involves cleaning the area, protecting the injury, and monitoring for changes. Prompt response after an injury can make a significant difference in recovery. Removing dirt and debris, keeping the wound covered, and avoiding pressure on the affected foot can support healing. Medical evaluation is important if the object penetrated deeply, if symptoms worsen, or if there is concern about infection. Ignoring a puncture wound can allow bacteria to enter deeper tissues and create serious problems.

 

Preventing foot puncture wounds includes wearing protective footwear, maintaining a safe environment, and checking the feet regularly after outdoor activities. Early treatment supports better outcomes and helps protect overall foot health. Paying attention to symptoms and risk factors allows individuals to seek care before complications develop. If you have a puncture wound on your foot, it is suggested that you promptly consult a podiatrist for effective treatment solutions.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Edward Fryman, DPM, FACFAOM from Seaford Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

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How Podiatrists Diagnose and Treat Clubfoot in Babies

Clubfoot is a birth condition that causes one foot or both feet to turn downward and inward. In some cases, the sole faces backward. The affected foot can also appear smaller than the other foot, and the calf can be thinner. Clubfoot does not usually cause pain in a newborn. Without proper treatment, however, the changed foot position can make standing and walking painful as the child grows. The exact cause is not always known. Family history can raise a baby’s risk, and clubfoot is rarely connected to another health condition.

A podiatrist can examine the baby’s feet, ankles, and legs to confirm the diagnosis. Clubfoot is sometimes seen on an ultrasound before birth, but treatment begins after delivery. Care usually starts within the first two weeks of life. One leading approach is the Ponseti method. A trained specialist gently moves the foot toward a better position and applies a cast to hold it there. This process is repeated for several weeks. The podiatrist can track the foot’s position, check the skin, and explain each stage to the parents.

After casting, many babies require a small procedure to loosen the tight Achilles tendon at the back of the ankle. Special boots connected by a bar then help keep the feet properly aligned. The boots are first used for most of the day. Later, the child generally uses them while sleeping for several years. A podiatrist can monitor growth, adjust the treatment plan, and address signs of relapse. Surgery is reserved for cases that do not respond fully to casting or return despite careful treatment. Most children who receive early care develop stable, pain-free feet. They usually begin walking at the expected age, and can take part in sports and other activities. If your newborn has symptoms of clubfoot, it is suggested that you include a podiatrist on your healthcare team to ensure your child’s full recovery. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Edward Fryman, DPM, FACFAOM of Seaford Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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

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Foot and Ankle Injuries in Baseball

Baseball places repeated stress on the feet and ankles because every game includes sprinting, quick stops, sharp turns, and sliding. Players also put force on these joints while batting, pitching, and fielding. A fast change in direction or an awkward slide can stretch or tear ligaments, which are the strong bands of tissue that connect bones. Baseball also causes fractures, bruises, and tendon injuries. Tendons attach muscles to bones and help create movement. Pain in the heel, arch, or ball of the foot can develop from repeated strain. Studies show that nearly one out of every five baseball injuries affects the lower legs, feet, or ankles.

A podiatrist can help by learning how the injury occurred and examining the foot and ankle. The evaluation includes checking strength, stability, and range of motion. It also looks for swelling, tenderness, or changes in alignment. Imaging tests, like X-rays or MRI scans, help confirm fractures, torn ligaments, or other damage. A podiatrist also examines baseball cleats to see whether they fit properly and provide enough support. Treating injuries early helps prevent further damage and allows players to return to the field with greater confidence. Ignoring pain can turn a minor injury into one that limits performance for a much longer period.

Treatment depends on the type and severity of the injury. A podiatrist creates a plan that protects the injured area while promoting proper healing. Care includes supportive bracing, custom orthotics, or casting when needed. Some injuries may require surgery to restore stability or repair damaged tissue. A podiatrist also evaluates movement patterns and recommends shoe changes that reduce stress on the feet and ankles during baseball activities. Regular follow-up visits help track healing and determine when it is safe to resume play. If you have foot or ankle pain from sporting activity, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Edward Fryman, DPM, FACFAOM of Seaford Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

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Walking Recovery After a Heel Bone Fracture

A calcaneal fracture is a break in the heel bone, often caused by a hard fall or other high-impact injuries. Because the heel supports much of the body’s weight, recovery can take time and walking may be difficult at first. In some cases, healing may include a special brace designed to reduce pressure on the heel while allowing earlier walking. This type of support shifts weight away from the injured area so the bone can continue healing with less strain. Early guided movement may help reduce stiffness, support circulation, and make the return to daily activities smoother for some patients. Not every heel fracture is treated the same way, since the exact break pattern and severity matter when planning care. If you have a heel fracture or ongoing heel pain after an injury, it is suggested that you visit a podiatrist for appropriate treatment solutions.

Many people suffer from bouts of heel pain. For more information, contact Edward Fryman, DPM, FACFAOM of Seaford Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

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Are You Suffering From Nerve Damage?

Neuropathy is a condition that can lead to numbness or loss of sensation in the feet, but it can also cause pain. This condition is more likely to develop for those who are diabetic, obese, or with high blood pressure.

Ankle Pain and the Role of Proper Footwear

Ankle pain affects people of all ages and activity levels. The ankle joint is a complex structure where the tibia, fibula, and talus bones meet to allow movement, such as walking, running, and balancing. Because this joint supports body weight and absorbs impact, it is highly vulnerable to strain and injury. Ankle pain can develop suddenly from trauma or gradually from repetitive stress. Understanding how the ankle functions and what contributes to discomfort can help guide effective treatment and prevention strategies.

Symptoms of ankle pain vary depending on the underlying cause. Individuals may experience swelling, stiffness, and tenderness surrounding the joint. Pain may worsen with movement or weight bearing, making it difficult to walk or stand for long periods of time. In cases of injury such as twisting or rolling the ankle, bruising and instability may occur. Some people report a feeling of weakness or reduced range of motion. These symptoms can interfere with daily activities and may indicate a more serious condition if they persist.

 

Footwear plays a significant role in ankle health. Wearing shoes that are too tight, too loose, or poorly designed can place uneven pressure on the ankle joint. Wearing the wrong size can alter alignment and increase strain on surrounding ligaments and tendons. High heels, worn out soles, and shoes without proper support can contribute to instability and increase the risk of twisting injuries. Over time, wearing improper footwear can lead to chronic ankle pain and reduced mobility. Selecting well-fitting shoes with proper arch support and cushioning is essential for maintaining joint health.

 

Risk factors for ankle pain include physical activity, previous injuries, and environmental hazards. Uneven surfaces, sudden changes in direction, and wearing inadequate footwear increase the likelihood of twisting the ankle. Individuals who participate in sports or stand for extended periods of time may experience added stress on the joint. Treatment options depend on the cause but often include rest, compression, and supportive footwear. If you have ankle pain, it is suggested you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Edward Fryman, DPM, FACFAOM from Seaford Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

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Common Causes of Falls in Older Adults and How to Prevent Them

Falls in older adults are a leading cause of injury, particularly affecting the feet and ankles. These incidents often result from a combination of physical, medical, and environmental factors. Aging can bring changes in strength, flexibility, and coordination, all of which play a role in maintaining balance. Understanding the underlying causes of falls allows for better prevention and safer daily living.

Symptoms that may indicate an increased risk of falling include poor balance, slower reaction times, and difficulty walking on uneven surfaces. Vision loss can make it harder to judge distances or detect obstacles. Medication side effects may cause dizziness or confusion, further increasing risk. Some seniors also develop a fear of falling, which may limit activity and lead to decreased muscle strength and stability.

 

Risk factors for falls include balance disorders, chronic health conditions, and unsafe living environments. Cluttered spaces, loose cords, and uneven flooring can create tripping hazards. Inadequate lighting makes it difficult to navigate safely, especially at night. Foot pain or improper footwear can also contribute to instability, increasing the chance of losing balance during movement.

 

Preventing falls involves making practical changes that improve safety and confidence. Installing grab bars in key areas, such as bathrooms, improving lighting in hallways and stairways, and removing tripping hazards can greatly reduce risk. Wearing supportive shoes and regular movement can help maintain strength and coordination. Taking these steps can help seniors stay active and independent. If you have fallen and have injured your foot or ankle, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

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 Edward Fryman, DPM, FACFAOM from Seaford Foot Care Center. 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 Seaford, and Bethpage, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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