Waldemar Majdanski, DPM DPM Licensure: New York Founder of LocalFootDoc Languages: English, Polish. Local Foot Doc's mission is to improve the health of patients by providing them with the highest medical and surgical quality of care of foot and ankle pathology. We want all our patients to be informed decision makers that fully understand any health issues the they face. Each patient is provided with an exceptional and compassionate service towards the effective management of the foot and ankle. Our aim is to provide patients with education and resources that will best lead them to a successful treatment option, while providing a comfortable and relaxed environment.
Dr. Majdanski graduated from New York College of Podiatric Medicine in 2011 in the top 15 percent of his class.
Dr. Majdanski attended medical mission trips to developing countries to provide health care to the underprivileged while attending NYCPM.
He received residency training at Wyckoff Heights Medical Center in Brooklyn, NY in Podiatric Medicine and Surgery, one of the few residency programs with a 4 year training course.
Dr. Majdanski served as chief resident during the 4th year of his training, and was responsible for supervising and teaching 33 other residents. He acquired his surgical skills through extensive training with a wide array of Podiatric and Foot & Ankle Orthopedic surgeons. He specialized in Elective, Reconstructive and Traumatic Foot and Ankle Surgery, Sports Medicine and Sports Injuries of the Foot and Ankle, pediatric podiatry, podiatric dermatology, and diabetic limb salvage and wound care.
He is a foot doctor that currently practices in Brooklyn and Queens and offers a wide array of the latest treatments for foot and ankle conditions
Along with conservative options as well as surgical options that include minimal scar bunion surgery, hammer toe surgery, flat foot surgery, tarsal coalition surgery, foot and ankle arthroscopy and many other procedures that he has mastered through his extensive training.
Posterior Tibial Tendon Dysfunction (PTTD)
The posterior tibial tendon serves as one of the major supporting structures of the foot, helping it to function while walking. Posterior tibial tendon dysfunction (PTTD) is a condition caused by changes in the tendon, impairing its ability to support the arch. This results in flattening of the foot. PTTD is often called adult acquired flatfoot because it is the most common type of flatfoot developed during adulthood. Although this condition typically occurs in only one foot, some people may develop it in both feet. PTTD is usually progressive, which means it will keep getting worse, especially if it is not treated early.
Achilles Tendon Disorders
The Achilles tendon is a band of tissue that connects a muscle to a bone. It runs down the back of the lower leg and connects the calf muscle to the heel bone. Also called the heel cord, the Achilles tendon facilitates walking by helping to raise the heel off the ground.
Achilles Tendon Rupture
A tendon is a band of tissue that connects a muscle to a bone. The Achilles tendon runs down the back of the lower leg and connects the calf muscle to the heel bone. Also called the heel cord, the Achilles tendon facilitates walking by helping to raise the heel off the ground.
Diabetes Complications and Amputation Prevention
People living with diabetes are prone to having foot problems, often because of two complications of diabetes: nerve damage (neuropathy) and poor circulation. Neuropathy causes loss of feeling in your feet, taking away your ability to feel pain and discomfort, so you may not detect an injury or irritation. Poor circulation in your feet reduces your ability to heal, making it hard for even a tiny cut to resist infection. Having diabetes increases the risk of developing a wide range of foot problems. Furthermore, with diabetes, small foot problems can turn into serious complications.
Chronic Ankle Instability
Chronic ankle instability is a condition characterized by a recurring giving way of the outer (lateral) side of the ankle. This condition often develops after repeated ankle sprains. Usually, the giving way occurs while walking or doing other activities, but it can also happen when you're just standing. Many athletes, as well as others, suffer from chronic ankle instability. People with chronic ankle instability often complain of: A repeated turning of the ankle, especially on uneven surfaces or when participating in sports; Persistent (chronic) discomfort and swelling; Pain or tenderness; The ankle feeling wobbly or unstable.
Ankle pain is often due to an ankle sprain but can also be caused by ankle instability, arthritis, gout, tendonitis, fracture, nerve compression (tarsal tunnel syndrome), infection and poor structural alignment of the leg or foot. Ankle pain can be associated with swelling, stiffness, redness and warmth in the involved area. The pain is often described as an intense dull ache that occurs upon weightbearing and ankle motion. Initial treatment may consist of rest, ice, elevation and immobilization but may also include nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, physical therapy and cortisone injection. A foot and ankle surgeon can best determine the cause of the ankle pain and appropriate treatment options. For more information on ankle pain, see these valuable topics and articles: Achilles Tendon Rupture; Ankle Instability; Ankle Arthritis; Ankle Fracture; Gout; Old Ankle Sprains Increase Risk for Newly; Active Baby Boomers; Osteoarthritis; Peroneal Tendon Injuries; PTTD; Talar Dome Lesion; Tarsal Tunnel Syndrome (Nerve Compression).
An ankle sprain is an injury to one or more ligaments in the ankle, usually on the outside of the ankle. Ligaments are bands of tissue—like rubber bands—that connect one bone to another and bind the joints together. In the ankle joint, ligaments provide stability by limiting side-to-side movement. Some ankle sprains are much worse than others. The severity of an ankle sprain depends on whether the ligament is stretched, partially torn or completely torn, as well as on the number of ligaments involved. Ankle sprains are not the same as strains, which affect muscles rather than ligaments.
Osteoarthritis of the Foot and Ankle
Osteoarthritis is a condition characterized by the breakdown and eventual loss of cartilage in one or more joints. Cartilage (the connective tissue found at the end of the bones in the joints) protects and cushions the bones during movement. When cartilage deteriorates or is lost, symptoms develop that can restrict one's ability to easily perform daily activities. Osteoarthritis is also known as degenerative arthritis, reflecting its nature to develop as part of the aging process. As the most common form of arthritis, osteoarthritis affects millions of Americans. Some people refer to osteoarthritis simply as arthritis, even though there are many different types of arthritis. Osteoarthritis appears at various joints throughout the body, including the hands, feet, spine, hips and knees. In the foot, the disease most frequently occurs in the big toe, although it is also often found in the midfoot and ankle.
Athlete's foot is a skin infection caused by fungus. A fungal infection may occur on any part of the body; on the foot, it is called athlete's foot, or tinea pedis. Fungus commonly attacks the feet because it thrives in a dark, moist and warm environment, such as a shoe. Fungal infections are more common in warm weather when feet tend to sweat more. Fungus thrives in damp areas, such as swimming pools, showers and locker rooms. Athletes often have sweaty feet and use the facilities where fungus is commonly found, thus the term "athlete's foot." Athlete's foot usually produces itchy, dry, scaling skin. It is commonly seen on the soles of the feet and in between the toes. In advanced cases, inflammation, cracks and blisters may form; an infection caused by bacteria can also result. The fungus can spread to other areas of the body, including toenails. Avoiding walking barefoot combined with good foot hygiene can help reduce the spread of the fungus. Feet should be washed every day with soap and water and thoroughly dried, including between the toes. Feet should be kept as dry as possible. If your feet sweat a lot you may need to change your socks during the day. Antifungal powders, sprays and/or creams are often used to treat athlete's foot. Your foot and ankle surgeon will recommend the best treatment for you.
A black, purple or brownish discoloration under or involving a toenail is frequently due to trauma to the toenail, such as when something is dropped on the toe. The color results from a blood clot or bleeding under the nail and may involve the entire nail or just a small portion of it. This can be very painful when the entire nail is involved and may need medical attention to relieve the pressure caused by bleeding under the toenail. When the second or third toenails are involved, it is commonly referred to as "runner's toe." This can be the result of the nail being slightly too long and the shoe being either too big or too tight. If the shoe is too big, when running down hill, the foot slips and the nail can get caught where the toe cap meets the toebox. If the shoes are too tight, the nail can get pinched and jammed, resulting in bleeding between the nail plate and nail bed. Although it is very rare, a more serious cause of black toenails is malignant melanoma. Since early diagnosis and treatment of melanoma improves the chances for a good outcome, it is important that all black toenails be evaluated by a qualified foot and ankle surgeon to rule out this cause. Other rare causes of black toenails include fungal infections, chronic ingrown nails or health problems affecting the rest of the body.
Even though bunions are a common foot deformity, there are misconceptions about them. Many people may unnecessarily suffer the pain of bunions for years before seeking treatment. A bunion (also referred to as hallux valgus) is often described as a bump on the side of the big toe. But a bunion is more than that. The visible bump actually reflects changes in the bony framework of the front part of the foot. The big toe leans toward the second toe, rather than pointing straight ahead. This throws the bones out of alignment—producing the bunion's bump. Bunions are a progressive disorder. They begin with a leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump, which becomes increasingly prominent. Symptoms usually appear at later stages, although some people never have symptoms.
A callus is a thickened area of skin on the foot caused by pressure and repeated rubbing, such as from a shoe or sock. The rubbing causes the skin to produce a layer of protective skin (a callus). Calluses vary in size and can become painful. There are a number of treatments for painful calluses. People who have calluses are cautioned against performing "bathroom surgery," as this can lead to cuts and infection. A foot and ankle surgeon can evaluate the cause of the calluses and recommend the treatment most appropriate for your condition. However, if the underlying cause of the callus is not treated or removed, the callus may return.
Cavus Foot (High-Arched Foot)
Cavus foot is a condition in which the foot has a very high arch. Because of this high arch, an excessive amount of weight is placed on the ball and heel of the foot when walking or standing. Cavus foot can lead to a variety of signs and symptoms, such as pain and instability. It can develop at any age and can occur in one or both feet.
A corn is a small circular thickened lesion in the skin of the foot. It usually forms due to repeated pressure on the skin, such as the rubbing of a shoe. The name "corn" comes from its resemblance to a kernel of corn. A corn is different from a callus in that it has a central core of hard material. People with foot deformities, such as hammertoes, often suffer from corns because the tops of the bent toes rub against the tops of shoes. There are a number of treatment options for corns. When corns get hard enough to cause pain, a foot and ankle surgeon will recommend the treatment option most appropriate for you. However, if the underlying cause of the corn is not treated or removed, the corn may return. It is important to avoid trying to remove a corn at home or using medicated corn pads, as serious infection may occur.
A ganglion cyst is a sac filled with a jellylike fluid that originates from a tendon sheath or joint capsule. The word "ganglion" means knot and is used to describe the knot-like mass or lump that forms below the surface of the skin. Ganglion cysts are among the most common benign soft-tissue masses. Although they most often occur on the wrist, they also frequently develop on the foot—usually on the top, but elsewhere as well. Ganglion cysts vary in size, may get smaller and larger and may even disappear completely, only to return later.
Flatfoot is often a complex disorder, with diverse symptoms and varying degrees of deformity and disability. There are several types of flatfoot, all of which have one characteristic in common: partial or total collapse (loss) of the arch. Other characteristics shared by most types of flatfoot include toe drift, in which the toes and front part of the foot point outward. The heel tilts toward the outside and the ankle appears to turn in. A tight Achilles tendon, which causes the heel to lift off the ground earlier when walking and may make the problem worse, bunions and hammertoes may develop as a result of a flatfoot.
Contact dermatitis of the foot is an inflammation of the skin in response to an irritant. This irritant is something with which the foot has come into contact, such as materials and chemicals with which shoes are made, poison ivy or harsh chemicals. When the skin of the foot comes into contact with the substance, an allergic response is initiated. Symptoms, including redness, itchiness and small blisters, usually occur within 24 hours of exposure to the irritant. The symptoms should be evaluated by a foot and ankle surgeon for proper diagnosis and treatment.
There are many potential causes of cracked heels. Dry skin (xerosis) is common and can get worse with wearing open-back shoes, increased weight or increased friction from the back of shoes. Dry, cracked skin can also be a subtle sign of more significant problems, such as diabetes or loss of nerve function (autonomic neuropathy). Heels should be kept well moisturized with a cream to help reduce the cracking. If an open sore is noted, make an appointment with a foot and ankle surgeon for evaluation and treatment.
There are 26 bones in the foot. These bones support our weight and allow us to walk and run. Certain activities or injuries can cause a fracture, or break, in one or more of these bones. Pain, swelling, redness and even bruising are signs of a possible fracture. Fractures of the foot can be diagnosed by x-rays or other studies. A foot and ankle surgeon can determine the best treatment course. Rest, icing and immobilization are often the treatments; however, surgery is sometimes necessary to repair the fracture. Additional information: LisFranc Injury; Fracture of the Fifth Metatarsal; Fracture of the Calcaneus.
Foot lumps are soft-tissue masses (not bone) that can occur anywhere on the foot. They can be caused by soft-tissue swelling, sacs of fluid, fatty tissue and nerve, vessel or muscle enlargements. Foot lumps may be without pain (asymptomatic), or they can cause pain and affect the function of the foot. Painful foot lumps can be treated by a foot and ankle surgeon using a variety of conservative treatments. In some cases, surgery may be necessary. Additional information: Bunions; Tailor's Bunion; Accessory Navicular Syndrome; Haglunds Deformity; Plantar Fibroma; Ganglion Cyst.
A fungus is an organism that lives in warm moist areas. Fungus of the toenails is a common problem that can affect people of all ages, although it most commonly affects individuals who are older. Toenail fungus often begins as an infection in the skin called tinea pedis (also known as athlete's foot). The fungus often starts under the nail fold at the end of the nail. Over time, it grows underneath the nail and causes changes to its appearance, such as a yellow or brownish discoloration. It can also cause thickening and deformity of the toenail. Many people have difficulty with their toenails and need assistance in caring for them. A foot and ankle surgeon can diagnose the cause of toenail problems and can recommend treatments.
Gout is a disorder that results from the buildup of uric acid in the tissues or a joint. It most often affects the joint of the big toe.
Hammertoe is a contracture (bending) deformity of one or both joints of the second, third, fourth or fifth (little) toes. This abnormal bending can put pressure on the toe when wearing shoes, causing problems to develop. Hammertoes usually start out as mild deformities and get progressively worse over time. In the earlier stages, hammertoes are flexible and the symptoms can often be managed with noninvasive measures. But if left untreated, hammertoes can become more rigid and will not respond to nonsurgical treatment. Because of the progressive nature of hammertoes, they should receive early attention. Hammertoes never get better without some kind of intervention.
Heel Pain (Plantar Fasciitis)
Heel pain is most often caused by plantar fasciitis, a condition that is sometimes also called heel spur syndrome when a spur is present. Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation or, rarely, a cyst. Because there are several potential causes, it is important to have heel pain properly diagnosed. A foot and ankle surgeon is able to distinguish between all the possibilities and to determine the underlying source of your heel pain. Plantar fasciitis is an inflammation of the band of tissue (the plantar fascia) that extends from the heel to the toes. In this condition, the fascia first becomes irritated and then inflamed, resulting in heel pain.
When a toenail is ingrown, it is curved and grows into the skin, usually at the nail borders (the sides of the nail). This digging in of the nail irritates the skin, often creating pain, redness, swelling and warmth in the toe. If an ingrown nail causes a break in the skin, bacteria may enter and cause an infection in the area, which is often marked by drainage and a foul odor. However, even if the toe is not painful, red, swollen or warm, a nail that curves downward into the skin can progress to an infection.
Morton's Neuroma (Intermetatarsal Neuroma)
A neuroma is a thickening of nerve tissue that may develop in various parts of the body. The most common neuroma in the foot is a Morton's neuroma, which occurs between the third and fourth toes. It is sometimes referred to as an intermetatarsal neuroma. Intermetatarsal describes its location in the ball of the foot between the metatarsal bones. Neuromas may also occur in other locations in the foot. The thickening of the nerve that defines a neuroma is the result of compression and irritation of the nerve. This compression creates enlargement of the nerve, eventually leading to permanent nerve damage.
Custom Orthotic Devices
Custom orthotics are medical devices prescribed by a foot and ankle surgeon. These shoe inserts, which support and align the foot and lower extremities, are formed by making a plaster mold of the foot. Additional valuable information: Flexible Flatfoot; Heel Pain; Pedatric Flatfoot; PTTD.
Plantar Wart (Verruca Plantaris)
A wart is a small growth on the skin that develops when the skin is infected by a virus. Warts can develop anywhere on the foot, but they typically appear on the bottom (plantar side) of the foot. Plantar warts most commonly occur in children, adolescents and the elderly. Plantar wart There are two types of plantar warts: A solitary wart is a single wart. It often increases in size and may eventually multiply, forming additional satellite warts. Mosaic warts are a cluster of several small warts growing closely together in one area. Mosaic warts are more difficult to treat than solitary warts.
Peripheral Arterial Disease (PAD)
Commonly referred to as poor circulation, Peripheral Arterial Disease (PAD) is the restriction of blood flow in the arteries of the leg. When arteries become narrowed by plaque (the accumulation of cholesterol and other materials on the walls of the arteries), the oxygen-rich blood flowing through the arteries cannot reach the legs and feet. The presence of PAD may be an indication of more widespread arterial disease in the body that can affect the brain, causing stroke, or the heart, causing a heart attack.
Diabetes Foot Care Guidelines
Diabetes can be dangerous to your feet—even a small cut can produce serious consequences. Diabetes may cause nerve damage that takes away the feeling in your feet. Diabetes may also reduce blood flow to the feet, making it harder to heal an injury or resist infection. Because of these problems, you may not notice a foreign object in your shoe. As a result, you could develop a blister or a sore. This could lead to an infection or a nonhealing wound that could put you at risk for an amputation. To avoid serious foot problems that could result in losing a toe, foot or leg, follow these guidelines.
Inspect your feet daily.
Check for cuts, blisters, redness, swelling or nail problems. Use a magnifying hand mirror to look at the bottom of your feet. Call your doctor if you notice anything.
Bathe feet in lukewarm, never hot, water.
Keep your feet clean by washing them daily. Use only lukewarm water—the temperature you would use on a newborn baby.
Be gentle when bathing your feet.
Wash them using a soft washcloth or sponge. Dry by blotting or patting and carefully dry between the toes.
Moisturize your feet but not between your toes.
Use a moisturizer daily to keep dry skin from itching or cracking. But don't moisturize between the toes—that could encourage a fungal infection.
Cut nails carefully.
Cut them straight across and file the edges. Don't cut nails too short, as this could lead to ingrown toenails. If you have concerns about your nails, consult your doctor.
Never treat corns or calluses yourself.
No "bathroom surgery" or medicated pads. Visit your doctor for appropriate treatment.
Wear clean, dry socks.
Change them daily.
Consider socks made specifically for patients living with diabetes.
These socks have extra cushioning, do not have elastic tops, are higher than the ankle and are made from fibers that wick moisture away from the skin.
Wear socks to bed.
If your feet get cold at night, wear socks. Never use a heating pad or a hot water bottle.
Shake out your shoes and feel the inside before wearing.
Remember, your feet may not be able to feel a pebble or other foreign object, so always inspect your shoes before putting them on.
Keep your feet warm and dry.
Don't let your feet get wet in snow or rain. Wear warm socks and shoes in winter.
Consider using an antiperspirant on the soles of your feet.
This is helpful if you have excessive sweating of the feet.
Never walk barefoot.
Not even at home! Always wear shoes or slippers. You could step on something and get a scratch or cut.
Take care of your diabetes.
Keep your blood sugar levels under control.
Do not smoke.
Smoking restricts blood flow in your feet.
Get periodic foot exams.
Seeing your foot and ankle surgeon on a regular basis can help prevent the foot complications of diabetes.
disclaimer:pricing and availability subject to change.
Dr. Majdanski is in the office on Tuesday, Wednesday, Saturday
Dr. Gandhi is in the office on Monday and Thursday
Local Foot Doc's mission is to improve the health of patients by providing them with the highest medical and surgical quality of care of foot and ankle pathology. We want all our patients to be informed decision makers that fully understand any health issues the they face. Each patient is provided with an exceptional and compassionate service towards the effective management of the foot and ankle. Our aim is to provide patients with education and resources that will best lead them to a successful treatment option, while providing a comfortable and relaxed environment.