Reviews

We would like to thank all of our patients that have taken the time to post reviews of our services online. There are currently over 140 reviews posted. We invite everyone to click on the reviews button on our website or to search for us online to see what their neighbors are saying.

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Congratulations!!!

Congratulations to Dr. Richard Berliner on upgrading his wound care certification to CWSP (Certified Wound Specialist Physician). According to the American Board of Wound Management, he is one of only 22 podiatrist to achieve this level of certification and only the second in New York State.

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Ensuring Children’s Foot Health

Ensuring Children’s Health

Advice for Parents on Keeping Kids Active

April 7, 2014 – New York, NY – April is National Foot Health Awareness Month and the New York State Podiatric Medical Association’s (NYSPMA) 1,200 doctor-members are focused on educating parents regarding the importance of having healthy feet and shoes that fit properly. Since sports can play a key role in children’s activities, parents and other caregivers should be aware of the injuries that can result from running, turning and twisting and contact sports. Foot pain, at any age, is never normal.

“We want parents to understand the connection between pediatric foot health and combating childhood obesity because kids who are pain free are more likely to stay active and enjoy exercise, outdoor games and playing sports,” said Dr. Robert A. Russo, NYSPMA President and a practicing podiatrist.

Healthy feet are a key part of staying fit. The care of a podiatrist – the foot specialist – can help prevent and treat foot pain and common problems such as heel pain, athlete’s foot, muscle cramps and flat feet, that hinder exercise in both adults and children. Proper footwear is the first step to a healthy lifestyle, and the NYSPMA member podiatrists recommend these steps to help you find the right shoes for your child and maintaining healthy feet:

· When buying new shoes, have your child’s feet measured. Children’s feet grow very quickly and they can easily changes sizes in just a few months.

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· Buy shoes that do not need a “break-in” period. Shoes should be comfortable immediately. Also, make sure to have your child try on shoes with socks or tights, if that’s how they’ll be worn.

· Examine the heels. Children may wear through the heels of shoes quicker than outgrowing shoes themselves. Uneven heel wear can indicate a foot problem that should be checked by a podiatrist.

· Take your child shoe shopping. Every shoe fits differently. Letting a child have a say in the shoe buying process promotes healthy foot habits down the road. But, bear in mind that you need to match the shoe to the activity. For example, a child should not be exercising in flip-flops.

· Always buy for the larger foot. Feet are seldom precisely the same size.

· Never hand down previously worn shoes. Each child has different foot patterns and wears out shoes differently.

· Don’t go barefoot. With the exception of infancy, barefoot walking outdoors is not encouraged. Walking barefoot on pavement exposes children’s feet to a variety of potential problems including cuts and infections, sprains and fractures. Plantar warts are caused by a virus that invades the sole through cuts and breaks in the skin, requiring professional treatment.

· Pay attention. If your child is limping, tripping or refusing to wear shoes, there could be a health issue.

· Visit your podiatrist. Podiatrists are the foot specialists and can identify any problems in children’s feet before they get worse. Remember, foot pain is not normal—see your podiatrist if you have any concerns.

Today’s podiatrists are uniquely qualified among medical professionals to treat the complex structure of the foot based on their level of education, training, and experience. They can provide guidance for keeping children’s feet healthy at all developmental stages and treat any injuries or abnormalities.

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Tips For Runners

GET READY TO RUN

Tips for runners and walkers after the L-O-N-G winter

New York, NY – March 10, 2014 – The days are longer, the temperature has nowhere to go but up, and our thoughts turn to getting fit for warmer weather’s revealing wardrobe. For many, that includes getting back into a running or walking regimen and, as race season approaches, it’s important to get the most out of your exercise routine while avoiding injuries.

Members of the New York State Podiatric Medical Association (NYSPMA), the largest state component of the American Podiatric Medical Association, see the results of runners and walkers who don’t pay attention to what their feet are trying to tell them. “Something like a blister or chaffing can turn into a major problem if not addressed immediately,” said Dr. Robert Russo, President of the NYSPMA and a practicing podiatrist.

In order to avoid common foot problems, including blisters, black nails and calluses, there are warnings that should be heeded and preventative steps that can be taken to avoid serious injuries.

A good running shoe is essential. Fit and function are key, and shoe construction and sizing varies among manufacturers. Shoes that are ill fitted or too tight can lead to black toenails and neuromas (enlarged nerves). To test if your shoes are too tight, remove the insert or lining of your running shoe (if it is not attached) and stand on it. If any portion of the foot is hanging over the insert, the shoes are too small. Remember to wear socks that are a poly-cotton blend, which pulls moisture away from the skin and fit comfortably within the running shoe.

Stretch and warm-up for 5- 10 minutes before hitting the track or treadmill. Start by focusing on lower leg muscles. Beginning runners should start with short distances, increasing the run over time to help prevent injury. Try to keep both the feet and entire body relaxed, avoiding tensing and cramping of the toes. Stop running or walking if you are in pain.

At the end of a workout or run, cool down and rest. “After running, in addition to drinking something like Gatorade to rehydrate and replenish essential minerals, gently massage the bottom part of your foot, especially the heel and arch,” reminds Dr. Russo. “A tennis ball or frozen bottle of water rolled under your foot is a good way to massage and stretch following a run,” he added.

Podiatrists are specialists at treating common problems associated with running, such as plantar fasciitis – heel pain; neuroma – an enlarged nerve; calluses – areas of thickened skin; and black toenails, which can be painful.

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Insurance Plans

Great News!!!

As of February 12, 2014, Dr. Berliner and Dr. Berkowitz-Berliner are in network providers for the New York State Employees Health Plan (NYSHIP) also known as THE EMPIRE PLAN.

In an effort to better serve our patients and the community, we will continue to try to accept every insurance plan when possible. We currently participate with almost every plan offered in Westchester County and the surrounding area including:

AETNA, AFFINITY, ANTHEM, ATLANTIS, BEECH STREET, BLUE CROSS/BLUE SHIELD, CHOICECARE, CIGNA, COMMUNITY CHOICE, CHN, CORESOURCE, ELDERPLAN, EMBLEM, EMPIRE HEALTH CHOICE, THE EMPIRE PLAN, FIRST HEALTH, GHI, GREAT-WEST, GUARDIAN, HEALTHNET, HEALTH PARTNERS, HEALTH REPUBLIC, HIP, HUDSON HEALTH PLAN, HUMANA, MAGNACARE, MEDICAID (secondary to Medicare), MEDICARE, MEDICHOICE, MERITAIN, MVP, NEW ENGLAND FINANCIAL, NYSHIP, ONE HEALTH PLAN, OSCAR, OXFORD, PHCS, POMCO, SWSCHP, UNICARE, UNITED HEALTHCARE, UP&UP, 1199, AND MOST OTHER PLANS!!!!

If you or someone you know has coverage through a plan not listed, please call the number on the insurance care, check the insurance plans website or give us a call 914-666-7367. We will be happy to assist you.

We also offer our services at very reasonable rates for patients with no coverage. We believe everyone should have access to the care we provide.

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Foot Fitness 2014

FEET FIRST FOR FITNESS IN 2014

New York, New York (January 6, 2014) — If you are among the masses of well-meaning Americans joining a gym or vowing to make use of exercise equipment purchased in the past, it’s important not to miss a step by evaluating your footwear and health. The New York State Podiatric Medical Association (NYSPMA) uses January’s annual resolution season as a springboard for reminding the public of the importance of foot health and safety when beginning and maintaining an effective exercise program.

Foot pain is never normal and should be treated by a trained specialist. With rising obesity statistics also comes an increase in diabetes, heart disease and other related illnesses; exercising and maintaining a healthy weight are two preventative measures that require healthy feet.

So, before beginning an exercise program, podiatrist Dr. Robert Russo, President of the NYSPMA, advises to ?make sure your feet are fit, flexible and strong.? Considering that a 120-pound person walking a single mile exerts the equivalent of approximately 63 tons, which is a force greater than 125,000 pounds on each foot, it’s no wonder that foot pain and injuries are so common.

According to Dr. Russo, simple strengthening exercises can help prevent common foot injuries. ?Some of the most common foot pain associated with exercise can be avoided by warming up properly and cooling down with basic massage techniques.?

Proper fit of shoes is also important. Purchase shoes later in the day. “That’s when feet are most fatigued and swollen,” according to Dr. Russo. After purchasing new shoes wear them at home for a half hour that evening. If there is a problem with the fit you will feel it and should exchange or return the shoes. Avoid those with a tight fit with the hopes of breaking them in. A looser shoe is preferable to a tighter one. Shoes and sneakers with laces give the best fit, especially important for people with different sized feet or foot deformities. The widest part of the shoe should fit the widest part of the foot, especially by the ball of the foot.

Now that you have the proper footgear, follow these simple foot exercises that can be done at home or at the gym, before you work out:

1. Toe Points – While standing, do toe raises, toe points and toe curls. Hold each position for five seconds and repeat ten times. This is a perfect way to help alleviate toe cramps and strengthen calf muscles.

2. Toe Squeezes – Place a foam toe separator between your toes and squeeze for five seconds. Repeat ten times. This is a good strengthening exercise for people who suffer from hammertoes or toe cramps.

3. The Roll – Applying light pressure and rolling a golf ball under the ball of your foot for approximately two minutes creates an instant massage for the bottom of the foot. This exercise is perfect for people who suffer from plantar fasciitis (heel pain syndrome), cramps or arch pain (and it feels great!). If a golf ball is not readily available, any type of small ball will work just as well.

4. Towel Scoop – Place your gym towel on the floor and pick it up by only using your toes. Repeat this exercise five times. Try this if you have hammertoes, toe cramps, pain in the ball of your foot, or for overall strengthening.
Foot Massage Techniques

A foot massage not only helps to release tension in your feet, but also increases circulation and maintains the health of the skin on your feet. The first step to a perfect foot massage is to be sure that you and your partner are sitting comfortably in separate chairs. If you are giving yourself a foot massage, simply lift your foot across your lap to begin.

Next, apply a generous amount of emollient-enriched skin lotion or Vitamin E cream to hydrate the skin. This not only moisturizes your foot, but also allows your hands to move smoothly.

1. Warm-Up – To begin stimulating circulation and warming up your foot, hold the foot in your hands. Starting at the top of the foot, begin a long, slow stroking motion with your thumbs, from the tips of the toes, down your sole to your heel and up to your ankle. Retrace your strokes back to the toes and repeat 3-5 times or until the foot feels warm.

2. Ankle Rotations – To loosen the ankle joint and relax your feet, cup the foot under the back portion of the heel in order to brace the foot and leg. Grip the foot with the other hand and turn it slowly at the ankle five times in each direction.

3. Toe Stretch – Grasp the foot at the arch. With the other hand, starting with the big toe, hold the toe with your thumb and index finger and firmly pull the toe, slowly moving and squeezing your fingers up the sides of the toe. Repeat this movement twice on each toe.

4. Arch Release – To help release tension in your foot’s arch, hold the heel of the foot and use the other hand to apply pressure. Slide the heel of your hand along the arch from the ball of the foot toward the base of the ankle and back up the sole of the foot. Repeat five times.

5. Cool Down – End your foot massage with the same technique used in the warm-up. Then, remove all excess lotion that may be left between your toes with soap and water and dry thoroughly.

Always consult with your doctor before embarking on any new fitness regimen.

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Frostbite

FROSTBITE CAN TAKE THE FUN OUT OF WINTER

When the Weather Outside is Frightful, Take Special Care

(New York, NY ? December 4, 2013) As Jack Frost makes his presence
known, many New Yorkers will be enjoying the benefits of the snowy season, skiing, sledding and skating. But when winter is nipping at your toes it can be downright dangerous if frostbite strikes your feet.

Extreme exposure to cold over a prolonged period can lead to a serious foot condition, but you do not necessarily need to be exposed to frigid temperatures to get frostbite. Even cool temperatures coupled with wet socks can induce frostbite. Walking through slush or shoveling snow can produce damp, cold feet and lead to frostbite.

Frostbite symptoms include pain and a burning sensation in the exposed areas, numbness in the toes or feet, and changes in skin color from pale or red to bluish-gray or black. Children, the elderly and people with diabetes are more prone to frostbite because of the size of their extremities or poor circulation. People who live or work outdoors also have higher likelihood of contracting frostbite because of their increased exposure to the cold.

There are various degrees of frostbite with frost nip (first degree) being the most commonly encountered by people who live in very cold climates or do a lot of outdoor activity in the winter. Skin may feel stiff to the touch, but the tissue underneath is still warm and soft.

Superficial frostbite (second degree) and deep frostbite (third
degree) are serious medical conditions that must be treated by a trained medical professional. Skin will feel hard and frozen to the touch and blistering will happen. In some severe cases, doctors may have to amputate frostbitten limbs to prevent severe infection.

Getting out of the cold and moving to a warm environment can initially treat a mild case of frostbite. Keep feet dry and warm; warm the skin gradually by using warm compresses or immersing feet in warm water
(101 ? 104 degrees) until sensation returns. Do not use direct heat such asheating pads or fire and do not disturb any blisters.

Follow these important tips for safe outdoor fun:

? Wear thicker non-constricting socks and change them daily

? Wear comfortable fitting (never too tight) waterproof boots

? Clean and dry your feet thoroughly to avoid fungal infections

Frostbite is serious, and if you suspect that you have it, seek help from a podiatrist for any foot concerns. Prompt diagnosis and proper
treatment are essential; this can literally save your toes.

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A patient review

A recent Google+ review from one of our patients.

Amber L.

reviewed 3 weeks ago

Dr. Jill Berkowitz-Berliner and her husband, Dr. Richard Berliner, at Mt. Kisco Foot Specialists are amazing doctors and surgeons. They also specialize in wound care. I have yet to meet a doctor as thorough, detailed and exhaustive in her research, as Dr. Jill Berkowitz-Berliner. I needed to have a complicated,… corrective foot surgery (hallux rigidus being the main issue), and interviewed several podiatric doctors/surgeons in Westchester NY, and Jill was by far the best. She also has a caring bedside manner, along with a positive and delightful personality. My surgery was a great success, taking place at Northern Westchester Hospital (great care there as well). I cannot recommend this team enough! • • •

Thank you Amber. It has been our pleasure to provide you with care. It is our goal to provide the best treatment available while fostering and maintaining a friendly caring relationship with our patients.

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Diabertic Foot Care Saves Lives

STEP UP AWARENESS AFTER DIABETES DIAGNOSIS

Research Demonstrates Foot Checks Save Lives

New York, NY – November 7, 2013 – If you are one of the 26 million Americans diagnosed with diabetes, there are multiple issues that need to be monitored and managed. Throughout November, *National Diabetes Awareness Month*, the members of the New York State Podiatric Medical Association are encouraging everyone who has received the diabetes
diagnosis to watch for warning signs signaling serious complications. The podiatrists’ message is that managing diabetes starts from the bottom up, with regular foot checks and monitoring.

The feet are often the first part of the body to reveal warning signs including redness, swelling or numbness. Diabetic ulcerations are often one of the first indications of diabetes complications. These ulcers can stem from a small cut or wound on the foot that is slow to heal. If left untreated, these ulcers can become difficult to treat and can lead to one of the most dreaded outcomes of the disease, limb amputation.

According to Dr. Robert Russo, President of the New York State Podiatric Medical Association, which represents more than 1,200 Doctors of Podiatric Medicine (DPM), podiatrists are at the forefront of amputation prevention. “Saving limbs and lives is the goal of every podiatrist who treats people with diabetes. Our podiatrist members are uniquely educated and qualified
to treat the foot and ankle,” said Dr. Russo.

Two separate studies conducted by Thomson Reuters* and Duke University** demonstrated the value that podiatrists provide in the treatment and management of diabetes. Most importantly, these groundbreaking studies concluded that regular podiatric visits help to prevent the most serious of diabetes complications.

According to the Thomson Reuters study, which involved over 450,000 patients, those who received podiatric care had approximately a 25% lower rate of amputation as compared to those who did not receive podiatric treatment. The same group also had lower healthcare costs. A second study conducted by Duke University concluded that seeing a podiatrist is protective of undergoing a lower extremity amputation. Regular comprehensive foot exams, shoe gear inspections and treatment of diabetic wounds are critical concerns for people with this potentially devastating disease. Statistics show that there is a 50% mortality rate over five years for persons who have had an amputation. And there is a 68% rate for amputation of the opposite extremity within that same five-year period.

If you have diabetes or are at risk for the disease, have a podiatrist check your feet at least twice a year for symptoms such as a loss of sensation, burning, or tingling.

By following your doctor’s recommendations and asking important questions about your care, you will fully understand what it takes to treat and control diabetes.

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Website update and changes

We are thinking of ways to improve our website so that it will be more useful to our patients. If you have any ideas on improving the site or if you would like any information regarding medical conditions of the foot please feel free to contact us at mtksicofootdocs@optonline.net. Thank you!!

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