Achilles tendon injuries, particularly ruptures, can be painful and debilitating. This essential tendon, which connects the calf muscles to the heel bone, plays a pivotal role in activities like running, jumping, and pushing off with the foot. Achilles tendon ruptures can be caused by falling from a great height, stumbling into holes, and engaging in sports that demand forceful foot movements, like sprint starts. Even a deep cut over the tendon site can lead to a rupture. Risk factors for an Achilles tendon rupture include age because natural wear and tear over time weaken the tendon. Those with a history of Achilles tendonitis or prior injuries to the tendon are at an elevated risk. Conditions such as obesity, rheumatoid arthritis, and gout can also contribute to Achilles tendon injuries. Inappropriate footwear is yet another factor that can strain the tendon. Engaging in activities with caution, wearing proper footwear, addressing underlying medical conditions, and seeking prompt treatment for previous injuries are important steps in safeguarding the Achilles tendon's health and minimizing the risk of rupture. If you believe you have an Achilles tendon injury, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Gary Saphire, DPM of Parkway Podiatry. 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 Brooklyn, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Toenail fungus, also known as onychomycosis, is a common and bothersome condition that affects millions of people worldwide. This fungal infection occurs when microscopic fungi, such as dermatophytes or yeast, penetrate the nail bed through small cuts or openings. The warm and damp environment inside closed-toe shoes provides an ideal breeding ground for the fungi to thrive. The infection often starts with a white or yellow spot under the nail and gradually spreads, causing the nail to become discolored, thickened, and brittle. Individuals with compromised immune systems, or who have diabetes or poor circulation are generally at a higher risk. Additionally, frequent exposure to moist environments, wearing tight-fitting shoes, or walking barefoot in public places may also increase the likelihood of developing toenail fungus. Early detection and proper treatment are essential in preventing the spread of the infection and can help restore healthy toenails. Toenail fungus can be treated by a podiatrist, and it is suggested that you contact this type of doctor for relief options that are correct for you.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Gary Saphire, DPM of Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

Hammertoe is a common foot condition that can happen from an imbalance of muscles surrounding the toe joints. Hammertoe can be categorized as classic hammertoe, mallet toe, and claw toe. In classic hammertoe, the affected toe will bend down at the joint and resemble a hammer. As toes are important to the balance of the foot and control pressure distribution, hammertoe can cause problems with walking. The affected toe can appear deformed, calluses can form on them, and it may be painful to wear shoes. Relief options for hammertoe pain can include choosing shoes with wide toe boxes, using toe pads, and wearing orthotics. If these conservative options are not successful and pain persists or worsens, surgery may be an option to straighten the toe. If you suffer from a painful hammertoe, it is suggested that you visit a podiatrist for an evaluation and to receive treatment that is personalized to your specific situation.

Hammertoes can be a painful condition to live with. For more information, contact Gary Saphire, DPM of Parkway Podiatry. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

The majority of babies are born with flat feet, and the arch generally develops during childhood years. The arch runs lengthwise along the bottom of the foot, and it may not become developed in adults for various reasons. These may include genetic reasons, or it may not form if an injury has occurred. Additionally, there may be existing medical conditions which may cause flat feet, such as rheumatoid arthritis or diabetes. Many people do not have pain with flat feet, and there are some patients who have pain from wearing shoes that do not fit correctly. There may also be changes in the work environment, which may involve standing on different surfaces. There are specific stretches that can be performed which may help people who have flat feet. A calf stretch can be effective in strengthening the lower part of the leg. This is done by standing on a step and lowering one heel at a time until a gentle stretch is felt. If you have flat feet, it is suggested that you are under the care of a podiatrist who can prescribe custom-made orthotics for relief, if needed. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Heel pain is a common foot condition and can be caused by various reasons. Plantar fasciitis is the most common reason patients may have heel pain, followed by Achilles tendonitis and arthritis. When heel pain occurs in physically active children and young adults, it may indicate that Sever’s disease has developed. Heel pain often comes from overuse, or from wearing shoes that do not fit correctly. Additionally, there may be existing medical conditions that can lead to experiencing heel pain, such as flat feet or obesity. A stress fracture of the heel bone will often lead to heel pain, or it can come from osteomyelitis, which is a heel bone infection. Heel pain may be prevented by gently stretching the heel before engaging in running and jumping activities. If you have heel pain, it is strongly suggested that you are under the care of a podiatrist who can determine what the cause is, and offer correct treatment options.

Many people suffer from bouts of heel pain. For more information, contact Gary Saphire, DPM of Parkway Podiatry. 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 Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

One of the most important things diabetic patients can do is examine their feet daily. Inspect the feet even when they feel fine to determine if any cuts may have developed. Neuropathy, or nerve damage, is the inability to feel any sores on the feet and this condition often accompanies diabetes. It can become a serious complication for people with diabetes if a cut is left unnoticed, therefore untreated. A small wound on the foot may become infected, leading to a diabetic foot ulcer. A good diabetic foot care routine can begin with washing and drying the feet thoroughly, followed by inspecting the soles. It is important to refrain from walking barefoot, and it can help to wear socks and shoes that fit correctly. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Erythromelalgia, or EM, can affect the feet. It is considered to be a rare foot condition, and common symptoms are redness, burning, and the skin can feel warm. There are two categories of erythromelalgia, consisting of primary and secondary. The former type may be associated with family history and can be more prevalent among children. The above symptoms can become debilitating and will generally affect both feet. The latter classification may be linked to autoimmune diseases or conditions that affect the blood and bone marrow and can be more common among adults. Research has shown that erythromelalgia may be linked to heavy metal poisoning, which may happen if exposed to air or water pollution, lead-based paints, or specific types of medication. There is no cure for this foot condition, but relief may be found by treating the symptoms. This can include taking aspirin, antihistamines, or other kinds of medicine. If you have symptoms of EM, it is strongly suggested that you are under the care of a podiatrist who can help offer relief options that are correct for you.

Some foot conditions may require additional professional care. If you have any concerns, contact Gary Saphire, DPM of Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

A large majority of people who ride bicycles experience some type of foot pain, regardless of their level of expertise or performance. While cycling, great force is generated from the legs to the feet and through to the pedals. This output of energy can result in burning, numbness, and sharp pain in the sole of the foot. A combination of long rides, warm weather, and tight shoes can make matters worse. The first way to help prevent these reactions from happening is to pay attention to footwear. Studies show that cycling shoes should be wider in the toe box to counter the swelling that occurs during a ride. Also, keeping the straps looser allows for a better range of motion. The less flexibility in the sole of the shoe, the more likely it is to cause foot pain. Special inserts are available for stiffer shoes to relieve some of the pressure on the sole of the foot. It’s a good idea to try on cycling shoes later in the day when the feet are more likely to be swollen, as they would be while riding. If you commonly endure foot pain after cycling, it is suggested that you make an appointment with a podiatrist for an exam and options for treatment. 

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Gary Saphire, DPM of Parkway Podiatry. 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 Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.