Paris Hilton's bunionettes


Bunionettes, sometimes referred to as tailor's bunions, are a deformity of the fifth metatarsophalangeal (MTP) joint that is
analogous to a bunion (hallux valgus) deformity of the great toe. This is a very common problem that podiatrists see every day.  This problem is also suffered by the famous actress Paris Hilton.  A bunionette is characterized by prominence of the lateral aspect of the
fifth metatarsal head and a hammertoe of the small toe.

Symptoms associated with a bunionette are irritation when wearing tight, narrow, pointed-toe shoes.  Usually patients report pain and problems finding comfortable shoes.  In the majority of the cases the symtoms and deformity get progressively worse, and in the end stages of this deformity a painful overlying hard corn is frequently present. 

There are many treatment options for this annoying symptoms.The curative treatment for this condition requires a simple surgical correction of the bunionette deformity that is performed in an outpatient setting. Surgical treatment will reverse the deformity creating a straighter foot.


Conservative treatments will relieve the pressure and pain but will not reverse or stop the progression of the deformity. Conservative treatments include proper shoes with a soft upper and a roomy toe box. A custom made insert with a metatarsal pad also can help shift pressure off the fifth metatarsal head. Pads can be applied to the lateral aspect of the toe box to float the painful fifth metatarsal head. This orthotic device rotates the forefoot slightly, which decreases direct pressure over the bunionette prominence.
Dr Rolando M Melendez, DPM in Jackson Heights, NY, Jamaica, NY and Hampton Bays, NY offers the equipment and experience to diagnose and treat many foot and ankle conditions.  Because we want you to keep doing all the fun things you like to do without having pain in your
feet!

Kristen Stewart's Crutches



Crutches are a great tool to heal different foot problems. Podiatrists offer in their offices crutches so patient can begin their healing process as they leave the office.  


Kristen Stewart suffered a foot laceration from stepping on a glass.  Crutches are offering rest to her foot so it can heal faster. Weight bearing and ambulatory make plantar wounds painful, to take longer to heal and can result many complications.  Complication include: infections and painful or hyperthrophic scars.

Podiatrist use crutches to heal things like:
  • Achilles tendonitis
  • Diabetic ulcers
  • Surgical wounds and osteotomies
  • Foot and Ankle sprains 
  • Foot and ankle fractures
  • Flatfoot pain
  • Traumatic wounds
Dr Rolando M Melendez, DPM in Jackson Heights, NY, Jamaica, NY and Hampton Bays, NY offers the equipment and experience to diagnose and treat many foot and ankle conditions.  Because we want you to keep doing all the fun things you like to do without having pain in your feet!
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Cirugía de Leo "El Paparazzi" Fernández


Como mucho de ustedes saben el "farangulero" Leo "El Paparazzi" Fernández recientemente fue sometido a una cirugía del pie. La cirugía fue con el propósito de tratar la tendonitis del tendón de Aquiles de Leo. Esta es una condición muy común que los podiatras ven a diario. La condición tiene tres componentes, primero un espuelón en la parte posterior del talón. Este espuelón irrita el tendón de Aquiles produciendo pequeñas cortaduras y debilitando el tendón. Finalmente el cuerpo produce un saco de inflamación entre el espuelón y el tendón de Achilles. 

 Esta condición puede ser tratada conservativamente o en otros casos quirúrgicamente. La cirugía consiste en reparar el tendón de Aquiles, remover el espulón y reforzar el tendón de Aquiles con un implante o un ancla. La recuperación toma cuatro semanas y requiere terapia física a la cuarta semana.
Rolando Melendez DPM en Jackson Heights, NY Hampton Bays, NY Jamaica, NY y Richmont Hill, NY es experto en el tratamientos clínicos y quirúrgicos del pie y tobillo y quiere ayudarte. Porque queremos que sigas haciendo las cosas que te gustan hacer sin dolor en los pies!




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El tobillo de Carmelo Antony



 Todos los neoyorquinos recordamos que hace casi un año, nuestro Knicks Star, Carmelo Anthony estuvo ausente de varios juegos debido a una torcedura del tobillo izquierdo. Este año, Antony estuvo ausente por varios juegos por la misma condición del tobillo izquierdo. Estamos contentos que estuvo de regreso para El Juego de Estrella 2014. 


En una entrevista Antony describió como leve el dolor inicial y que inicialmente el tobillo fue tratado con cinta adhesiva. Al día siguiente la inflamación era significativa y más dolorosa. 

Las torceduras de tobillo tienden a ser muy recurrente. Durante una torcedura de tobillo el ligamento que sujeta el tobillo se estiran. Esto afecta a los nervios dentro del ligamento que le dicen al cerebro la posición del tobillo. Una vez que estos nervios no funcionan correctamente los pacientes desarrollan torceduras recurrentes del tobillo. 

Hay diferentes maneras de tratar conservativamente las torceduras de tobillo. El dolor y la inflamación son tratados con terapia oral, reposo, hielo y compresión. 

Para prevenir la recurrencia de las torceduras de tobillo recomendamos terapia física y un refuerzo del tobillo. 

El tratamiento quirúrgico es una alternativa al tratamiento conservadora cuando este falla o en pacientes tiene alta exigencia física. La cirugía consiste en la reparación del ligamento lesionado y en algunos casos refuerzan el ligamento con tendones adyacentes. Esta cirugía es realizada comúnmente por podiatras en Estados Unidos. 

El tiempo de recuperación necesario es de 1 ó 2 semanas, durante ese periodo no debesoportar un peso, un caminar durante 2-3 semanas. La fisioterapia es esencial para la adecuada recuperación quirúrgica.

El Dr. Rolando M Meléndez, DPM, en Jackson Heights, NY Jamaica, NY, Richmond Hills, NY y Hampton Bays, NY tiene la experiencia y las herramientas para diagnosticar y tratar todo tipo lesiones en los tobillos. Porque queremos que todas las cosas divertidas que le gustaría realizar, pueda hacerlas  sin tener dolor en los pies!


Justin Bieber's broken foot

Last month

Several years ago
The pop superstar broke his foot while playing an impromptu game of soccer at the Parrot Cay private island resort in Turks and Caicos this past weekend.

CAMboots, also known as fracture boots or walking boots, are a great option for rehabilitating injuries that foot and ankle specialists and/or podiatrists offer in their offices.  As seen on Justin Bieber's picture here, they offer the advantage of permitting the patient to walk as the injury heals. The device immobilizes and protect the injured foot while minimizing associated morbidities. 


As you can see in the picture of Shia LaBeouf, CAM boots also come in short leg sizes.  The shorter size gives more comfort to the patient without making them feel like a "Transformer".  Usually use to treatment of forefoot injuries. 


The CAM boot that Reese Witherspoon is shown using offers the option of inflatable air bladders.  This are helpful to help control swelling and provide additional immobilization.

Dr Rolando M Melendez, DPM in Jackson Heights, NY Jamaica, NY and Hampton Bays, NY has the experience and tools to diagnose and treat all kinds of foot and ankle injuries.  Because we want you to keep doing all the fun things you like to do without having pain in your feet!

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Prince Harry's toe injury

While undergoing training for his trip to Antartica, Prince Harry injuried one of his toes.  This was not an obstacle for the Prince to continue his training.  The majority of toe injuries do not require surgery. 

Treatment of toe injuries is based on the severity of the injury and x-ray findings.  Toe fractures may need to be close reduced under local anesthesia.  Buddy taping, or taping one toe to the other is a way to provide immobilization and decrease swelling of the digit.  Controlling the swelling helps control pain and allows for healing of the bones in good alignment.

Dr Rolando M Melendez, DPM in Jackson Heights, NY, Jamaica, NY and Hampton Bays, NY has the experience and the equipment to treat any toe injury.  Because we want you to keep doing all the fun things you like to do without having pain in your feet!

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Pamela Anderson and others falling on ice!!!!


Is that season again! Snow, rain and icing temperature, not a good mix.  Just ask Natalie Portman,  Jennifer Morrison and Pamela Anderson. During this season is common to see in my office patient presenting with injuries related to slip and fall.  

Podiatrist offer in their offices X-rays machines to assess injuries and rule out fractures.  Not all fractures require surgery.  Different treatment modalities can be offer to patients with different physical demands.  

I want you to have a happy holiday, injury free.  There are things that we can all do to reduce the risk of getting hurt. 
  • Look at the floor as you walk
  • Plan the best route to your destination and plan on a little extra time to get there
  • Avoid rushing or taking shortcuts over areas where snow or ice removal is incomplete
  • Select appropriate footwear - flat footwear with rubber soles provides better traction on ice and snow than leather-soled or high-heeled shoe
  • use handrails where you can
  • take small steps to keep your centre of balance under you
  • avoid carrying lots of heavy shopping bags, especially on steps
  • walk slowly and never run on icy ground
  • keep both hands free for balance, rather than in your pockets
  • always be aware of your surroundings
  • be particularly careful getting into and out of vehicles - and hold on to the vehicle for support
  • keep paths clear of debris, water, ice and snow
  • be sure to use floor mats when entering a building to remove moisture from the soles of your shoes - this will help protect you, as well as others who follow, from having to walk on wet or slippery surfaces
Rolando Melendez, DPM in Jackson Heights, NY, Jamaica NY and Hampton Bays NY can help you with your toe pain or any joint pain in your feet. Because we want you to keep doing all the fun things you like to do without having pain in your feet!

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Credit  nidirect.gov.uk/

Lebron James pinky toe


Many patients present to our offices with pinky toe pain, calluses and deformed digits.  These may seem like small problems but can cause big troubles.  Painful toe deformities can be corrected with very simple surgeries that are performed on an outpatient basis.

One of the classic stories we get in the office is "I was walking barefoot in the dark and I hit my pinky toe on the nightstand." Toe injuries cause swelling and pain which results in difficulty walking.  My tip is to tape the pinky toe to the other toe -- this will decrease swelling, pain and immobilize the toe. See your podiatrist to rule out a fracture.

We offer many different treatments for problems of the pinky toe, ranging from conservative to surgical treatments.  Our goal is for you to be able to go the beach without feeling embarassed of your feet like Lebron James here.

Rolando Melendez, DPM in Jackson Heights, NY, Jamaica NY and Hampton Bays NY can help you with your toe pain or any joint pain in your feet and ankles. Because we want you to keep doing all the fun things you like to do without having pain in your feet!

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Beautiful heels on X-ray

X-rays are a very useful tool in medicine and podiatry.  The first X-Ray was taken on December 22, 1895.  Podiatrists use X-rays to find pathologies, confirm findings and plan surgeries.  X-rays of the foot and ankle help determine whether a bone has been fractured or injured or damaged by conditions such as infection, arthritis, or other disease. 

Rolando M Melendez, DPM in Jamaica, NY and Corona, NY offers in-office X-ray diagnosis, this way the we can confirm diagnoses of bone and joint the problems the same day.  This allows for a more proactive and specific treatment to be initiated.

Rolando Melendez, DPM in Jackson Heights, NY, Jamaica NY and Corona NY can help you with your toe pain or any joint pain in your feet. Because we want you to keep doing all the fun things you like to do without having pain in your feet!

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Podiatrist at your service

Dr Rolando M Melendez, DPM is in Jackson Heights, NY, Jamaica, NY and Corona, NY to help you with your foot and ankle problems.

We provide comprehensive conservative and surgical management of:

· Flat feet
· Bunions and Hammertoes
· Diabetic infections
· Fractures of the foot, ankle and toes
· Gout flare-ups
· Sprains and strains
· Sports injuries
· Heel Pain
· Ingrown toenails
· Tendinitis
· Arthritis
· Warts/skin conditions
· Foreign bodies
· Neuromas




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