By Parkway Podiatry
April 05, 2019
Category: Foot Care
Tags: custom orthotics  

Do your feet hurt you after a long strenuous day at work? Do you suffer from foot-related disorders? If so, custom orthotics from Dr. Gary orthoticsSaphire in Brooklyn, NY, might be the solution for you!

More About Custom Orthotics

There are three categories of orthotics. Those designed to...

  • Change foot function
  • Create a primarily protective layer
  • Combine functionality control and protection.

Orthotics also come in several sizes, shapes, and materials, and fall into three distinct types:

  • Rigid Orthotics: Rigid orthotics control function. Made of firm material such as plastic or carbon fiber, this orthotic type supports your feet by controlling motion in the two-foot joints located below the ankle joint. Rigid orthotics are advantageous in that they help alleviate strains, aches, and pains.
  • Soft Orthotics: Soft orthotics absorb shock, thereby helping patients regain balance and reduce pressure on their feet. People with conditions such as diabetes, arthritis, and feet deformities often find soft orthotics especially helpful.
  • Semi-Rigid Orthotics: Semi-rigid orthotics are made of a combination of plastic or fiber (like rigid orthotics) and soft cushioning material (like soft orthotics). Semi-rigid orthotics help treat children suffering from flatfoot and other foot disorders.

Tips on footwear

While orthotics can certainly help your feet feel better, it is still important to wear a solid pair of shoes to place them in. That's why your Brooklyn podiatrist advise that you invest in your shoes. You need to wear durably constructed footwear that provides both protection and comfort. If you don't choose the right shoes, you may suffer from:

  1. Bunions
  2. Corns
  3. Calluses
  4. Hammertoes
  5. Other disabling foot disorders

When shoe shopping, here are a few tips to keep in mind:

  • Don't force feet into shoes.
  • Avoid wearing high heels if you already have a foot issue.
  • Make sure you can wiggle your toes when wearing shoes.

Need foot help? Give us a call!

For more information about custom orthotics, call Dr. Saphire in Brooklyn, NY, at (718) 236-5253!

By Parkway Podiatry
January 28, 2019
Category: Heel Pain
Tags: Heel Pain  

Heel pain can be persistent and even debilitating. How does it happen, and what relieves it?

If you suffer from sore, painful heels, turn to Dr. Gary Saphire and Dr. Asher Rudowsky at Parkway Podiatry in Brooklyn. They have the diagnostic skills and treatments to make your feet comfortable and functional.


Your heels hurt...

And, no wonder they do. According to the American Academy of Orthopaedic Surgeons, your heels take quite a pounding to the tune of 60 pounds of pressure per foot per mile you walk. The results are wear and tear and inflammatory conditions which can disable and discourage you.

At Parkway Podiatry in Brooklyn, NY, Dr. Saphire and Dr. Rudkowsky carefully examine and image feet experiencing heel pain. Dr. Rudkowsky is an expert in heel tendon pathology, too, so you know your podiatric health is in capable hands!


Heel pain conditions

One of the most frequent causes of heel pain is an inflammatory condition called plantar fasciitis. The plantar fascia is a band of connective tissue extending from the heel bone, or calcaneus, to the base of the five toes. Overuse through running, jumping, standing for long periods of time, and carrying excess body weight, all contribute to the soreness, stiffness, and heel pain of plantar fasciitis. Heel spurs, small bony projections off the heel bone, often accompany plantar fasciitis, as well

Another source of heel pain is Achilles tendinitis, an inflammation of the large tendon which connects the back of the heel to the calf muscle. Sufferers of plantar fasciitis frequently find that the tendon is sore and stiff particularly in the morning after getting out of bed. Sudden and excessive athletic activity also often instigates this frequent problem, particularly for middle-aged athletes and people who neglect to stretch and warm-up before a workout or game.

Finally, Haglund's deformity, or pump bump as it's nicknamed, causes swelling, tenderness, and redness at the back of the heel, typically where the shoe rubs on the foot. This bony bump can become quite large and affect the patient's gait and shoe fit.


Common treatments for heel pain

As the saying goes, "An ounce of prevention is worth a pound of cure." As such, Dr. Saphire and Dr. Rudkowsky offer several preventive measures that you can use to avoid and limit heel pain. They are:

  • Losing excess body weight
  • Stretching before working out or running
  • Resting your sore heel, applying ice as needed, and elevating it
  • Physical therapy
  • Over the counter analgesics and anti-inflammatories
  • Customized shoe orthotics to balance gait issues
  • Wearing quality footwear

In addition, Parkway Podiatry offers innovative Extracorporeal Shockwave Therapy, a minimally invasive application of sound wave energy. ESWT stimulates healing and reduces swelling and soreness in the heel.

Come see us

Treat your feet well. If your heels hurt, don't wait—see the experts at Parkway Podiatry for an evaluation and treatment options. Call (718) 236-5253 for an appointment. See improvement fast!

By Parkway Podiatry
September 25, 2018
Category: Podiatry
Tags: plantar warts  

If you are susceptible to warts on the feet find out how a podiatrist can help.

Plantar WartWarts are benign, skin-colored growths that might be a bit unattractive but otherwise shouldn’t cause any problems. Most people will develop a wart at least once during their lifetime. Of course, there are instances in which warts develop in more uncomfortable and sometimes awkward places such as the eyelids or the soles of the feet. If you have warts on your feet, known as plantar warts, you may want to know how to treat them. Our Brooklyn, NY, podiatrists Dr. Gary Saphire and Dr. Asher Rudowsky have the answer.

What causes plantar warts?

All warts are the result of an infection known as the human papillomavirus (HPV). While most people hear HPV and often think about the STD, it’s important to know that these are very different strains. The strain that develops on the feet and hands are not the same as the strain that causes genital warts.

Can you treat plantar warts at home?

If you do a quick Google search you may see that there are a ton of at-home methods and remedies for getting rid of warts. The only drawback is that many of these methods aren’t proven to work and can, in some cases, even make matters worse. This is why it’s a good idea to see your Brooklyn, NY, foot doctor if you suspect that you are dealing with plantar warts. After all, there are other kinds of growths that look similar to warts and it’s important that you are treating the issue appropriately.

Warts will go away on their own without treatment; however, this can take a couple of years. So if you find that your plantar warts are rather uncomfortable or are making it difficult to walk around then it’s time to see us. If you have diabetes it’s particularly important that you don’t try to treat the wart on your own.

How can a podiatrist help?

When a wart develops in an awkward area it might be safer to have a medical professional treat the issue. This is usually the case when it comes to plantar warts. There are a variety of ways to remove a wart including:

  • Freezing (liquid nitrogen)
  • Salicylic acid treatment (topical)
  • Cantharidin (topical)
  • Laser removal
  • Excision/Cryosurgery

If plantar warts are making it painful to stand or walk around then it’s time to turn to our podiatric specialists in Brooklyn, NY, for treatment. Treating a wart is quick and easy. Call us today to schedule a consultation with Parkway Podiatry.

By Parkway Podiatry
July 18, 2018
Category: Foot Care
Tags: foot surgery   ankle surgery  

Your podiatrist in Brooklyn provides many services which keep your feet and ankles healthy, comfortable and functioning. After all, your ankle surgerydaily activities, sports and recreation depend on them. When pain, deformity or injury interfere with life, Dr. Gay Saphire and Dr. Asher Rudowsky perform examinations to determine if surgery could help. Learn what kinds of surgeries they perform at Parkway Podiatry in Brooklyn, NY.

What your podiatrist in Brooklyn does

Basically, every podiatric patient wants to move well without pain or problems with balance and gait. That's why your podiatrists in Brooklyn recommend annual foot examinations. For diabetics with who have compromised circulation and nerve function, in-office check-ups should be more frequent.

For all patients, Dr. Saphire and Dr. Rudkowsky check for conditions such as fungal or ingrown toenails, deformities such as hammertoes and bunions, calluses and corns, swelling and range of motion issues. Then, they formulate comprehensive care plans to maintain good podiatric health and to address any issues found on examination.

Why someone would need foot or ankle surgery

There are many reasons why someone would need foot or ankle surgery. Fortunately, both Dr. Saphire and Dr. Rudowsky are highly qualified and experienced in the simplest to the most complex of lower extremity operations. So you know your health is in good hands.

Examples of foot and ankle surgeries include:

  • Removal of ingrown toenails
  • Diabetic wound debridement (removal of diseased tissue)
  • Limb salvage (to avoid amputation)
  • Foot and ankle reconstruction for congenital deformity or repair after traumatic injury
  • Joint fusion and joint replacement (due to arthritis in the ankle, for instance)
  • Removal of heel spurs and bunions
  • Correction of hammertoes
  • Corn and callus removal
  • Metatarsal surgery (to relieve the pain and inflammation of arthritis)
  • Plantar fascia release (to change the point of attachment between the heel bone and the connective tissue which stretches across the foot)
  • Morton's Neuroma removal (this is a benign thickening of the nerves between the toes)

There are many other reasons, of course. Your podiatrist carefully considers the cause of your condition or injury, your overall health, the severity of the condition and how soft and hard tissue are involved. According to the American Academy of Orthopedic Surgeons, your foot doctor uses physical examination, biomechanical gait analysis, X-rays, and a review of your symptoms to arrive at a final decision and treatment plan.

Learn more

If foot or ankle surgery is in your future, you can trust the professional team at Parkway Podiatry to get you moving again. Please call the office with any questions or concerns you may have or to book a routine foot exam: (718) 236-5253.

By Parkway Podiatry
March 22, 2018
Category: Foot Care
Tags: Bunions  

Bunions are one of the most common foot deformities. They affect people of all ages, but particularly women. If you have a bulging, red, bunionspainful joint at the base of your big toe, you likely have a bunion. At Parkway Podiatry in Brooklyn, NY, your podiatrists, Dr. Gary Saphire And Dr. Asher Rudowsky, treat bunions and they know how to do it conservatively, limiting the need for surgery.

The origin of bunions

One of the biggest causes of bunions is hereditary. In other words, if your mom has bunions, you may develop them, too, especially if you:

  • Wear tight shoes with high heels
  • Are on your feet a lot during the day
  • Are overweight

With these conditions in place, the metatarsophalangeal joint at the base of the big toe comes out of alignment, turning the big toe inward toward the second and even third toes. What results is:

  • Pain
  • Swelling
  • Numbness or tingling
  • Hammertoes
  • Difficulty walking
  • Thick calluses on the bottom of the feet
  • Friction within the shoe

The diagnosis

When your podiatrist in Brooklyn looks at your foot, he can confirm the diagnosis of a bunion very easily. Also, he will take some digital X-rays to understand the extent of the problem. (For instance, is there arthritis or bursitis present?) Additionally, he may analyze how you walk (your gait) and look at your footwear. Together, you will agree upon a treatment plan.

Treating bunions

Some bunions need surgery (a bunionectomy) to remove the bump and correct the joint or injected corticosteroids to reduce inflammation. However, most do not, and conservative  measures,  used consistently in combination, provide significant relief of discomfort and halt the progression of the problem.

Conservative interventions can include:

  1. A change to roomier, more supportive shoes with low heels
  2. Weight control
  3. Shoe orthotics, custom-made by your Brooklyn podiatrist
  4. Shoe padding (such as moleskin)
  5. Callus and corn removal at Parkway Podiatry
  6. Stretching exercises and physical therapy
  7. Night-time splints to realign the big toe joint (particularly helpful for adolescents)

Find out more

Don't let your bunion worsen. Get the best help now from your podiatrists in Brooklyn, NY, Dr. Saphire and Dr. Rudowsky. Contact Parkway Podiatry today for your consultation. Phone (718) 236-5253.

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