
Bunions
A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.
Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.
A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.
Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.
For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.
Keep Your Feet Healthy So You Can Stay Active
Mandatory Work Shoes

Some people have jobs that require standing and lifting most of the day. The feet can be affected and it is generally stressed by employers and safety leaders in the workplace that appropriate shoes are worn. This may help to prevent severe foot conditions from developing, in addition to hurting other areas of the body. Standing on anti-fatigue mats, also known as stress mats, is known to help absorb the shock from standing on hard surfaces. Despite this, employees tend to trip on these mats if they are not flat on the ground which may lead to additional injuries. It is helpful to wear work shoes that have traction on the soles to help prevent injuries from existing later. In most union jobs, taking breaks is mandatory to allow ample time to rest the body and feet. If you would like more information about how wearing the right shoes while working can protect the feet, it is suggested that you confer with a podiatrist who can provide you with helpful information.
While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor will treat your foot and ankle needs.
Working on Your Feet
Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.
Positive Changes
Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.
Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.
Eliminate Pain
Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.
Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.
With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.
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 and ankle needs.
Common Symptoms of a Broken Toe

The majority of people experience immediate symptoms when they break a toe. There is often bruising, swelling, and it can be difficult to walk. It can happen for various reasons, including a heavy object dropping on it, or if it stubbed into a piece of furniture. Additionally, falling may cause a toe to break, and people who have osteoporosis may be more susceptible to sustaining this type of injury. If the toe is severely broken, a protruding bone from the toe may cause it to look deformed. This type of fracture requires prompt medical attention, and surgery may be necessary to heal and restore the toe to its normal position. A diagnosis generally consists of having an X-ray taken, and this can help to determine the severity of the fracture. Mildly broken toes can be treated by using the buddy taping method. This is done by taping the affected toe to the toe next to it. If you have broken your toe, it is suggested that you confer with a podiatrist who can guide you toward the treatment option that is right for you.
A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor will treat your foot and ankle needs.
What to Know About a Broken Toe
Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).
Symptoms of a Broken Toe
- Throbbing pain
- Swelling
- Bruising on the skin and toenail
- The inability to move the toe
- Toe appears crooked or disfigured
- Tingling or numbness in the toe
Generally, it is best to stay off of the injured toe with the affected foot elevated.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.
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 and ankle needs.
What to Know About a Broken Toe
The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.
Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.
Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.
If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more.
Broken Foot Temperature Change

Broken feet, or fractured feet, can produce a variety of different symptoms in an individual. For example, there may be swelling or pain at the affected location. However, one interesting symptom associated with broken feet is a change in temperature. Specifically, some individuals who have broken their foot may notice that the affected area feels hot or warm. This is not an uncommon symptom of having a broken foot. If the broken foot is warm, it is also possible that it might also feel tender to the touch. Sometimes, a warm sensation is even accompanied by discoloration and specifically redness. If you have fractured your foot, it is suggested that you seek immediate attention from a podiatrist.
A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Broken Foot Causes, Symptoms, and Treatment
A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury.
Common Symptoms of Broken Feet:
- Bruising
- Pain
- Redness
- Swelling
- Blue in color
- Numbness
- Cold
- Misshapen
- Cuts
- Deformities
Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.
Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.
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 and ankle needs.
What Can Cause Plantar Fasciitis?

The plantar fascia is found on the bottom of the foot. It is a long portion of tissue that connects the heel to the toes and can become quite painful if it becomes irritated. A heel injury or gradual wear and tear may lead to developing plantar fasciitis. This foot condition is defined as inflammation or tears that happen to the plantar fascia, which can occur from wearing shoes that do not have adequate cushioning in the heel area. It can also happen to people who stand on hard or uneven surfaces for most of the day, causing excess pressure on the heel and surrounding areas. Many people enjoy running and jogging, and it is helpful to be aware of how this can negatively impact the heels. Pregnant women may develop plantar fasciitis, as a result of the added weight the feet must endure. Temporary relief may be found when the affected foot is elevated, and walking is kept to a minimum. A podiatrist is a specialist that can effectively treat plantar fasciitis, and it is suggested that you contact this type of doctor who can offer you the treatment option that is best for you.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
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 and ankle needs.
Cracked Heels Treatment

Having dry skin on the heels is common. It can lead to a foot condition that is known as cracked heels, and be quite uncomfortable. Untreated cracks in the skin can develop into fissures, which may bleed and become infected. The feet do not have oil glands, and they can dry out quicker than other parts of the body. Cracked heels can be caused by weaning shoes that have an open back, such as flip-flops or sandals. These types of shoes may put additional pressure on the heels' fat pads, and the skin may dry out. There may be existing medical conditions that can lead to developing cracked heels. These can include psoriasis, eczema, diabetes, or thyroid disorders. Mild relief may be found when the feet are frequently soaked in warm water, followed by removing any dead skin, which is referred to as exfoliating. Additionally, applying a good moisturizer may help the skin to feel soft and cause any dead skin to naturally fall off. If you have cracked heels, it is suggested that you confer with a podiatrist who can offer you additional treatment methods.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How Do You Get Them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Promote Healing
Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.
Wear Socks – Wearing socks with medicated creams helps lock in moisture.
Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.
Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.
Change in Diet
Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.
Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.
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.
How Flip Flops or Sandals Can Affect the Feet

As the weather gets warmer, it’s time to put on sandals and flip-flops. However, experts point out that both of these types of footwear can be harmful to the health of your feet. In most cases, neither provides the amount of shock absorption to ward off stress fractures or plantar fasciitis, which is the most common cause of heel pain. In addition, wearing such non-supportive footwear for long periods can lead to other foot issues, including bunions and hammertoe. Further wearing sandals and flip-flops can permanently affect the way you walk, which in turn can cause problems with the knees, hips, and back. Cracked heels are another negative side effect of wearing sandals and flip-flops. The real danger of cracked heels is the possibility of developing fissures, which are deep crevices in the skin that invite fungal, bacterial, and viral infections. If you need more information on the dangers of summertime footwear, it is suggested that you seek the counsel of a podiatrist.
Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor will assist you with all of your foot and ankle needs.
Flip-Flops and Feet
When the weather starts warming up, people enjoy wearing flip-flops. Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer. However, these shoes can cause harm to the feet.
How Can Flip-Flops Affect Me Long-Term?
- Ankle problems
- Hip problems
- Lower back problems
- Pain in the balls of the feet
- Problems with foot arches
- Changes in the way you walk
Are There Injuries Associated with Flip-Flops?
Yes. Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections. Common injuries and ailments include:
- Sprained ankles
- Blisters
- Infections
- Cuts and Scrapes
I like Wearing Flip-Flops. Are There Safe Alternatives?
When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet. These flip-flops will cost more but will also last longer as a result.
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 and ankle needs.