Posts for category: Podiatry Procedures

Plantar Warts - Parkway Podiatry

Plantar warts are caused by a viral infection. It appears as a small, hard, grainy skin growth. In some cases, a plantar wart can grow more than an inch in diameter. Plantar warts are often mistaken for corns and calluses. Until it develops in size or spread in clusters. Some warts appear with little black dots. This is an indication of blood vessels that have surfaced up into the wart.  

Signs and Symptoms of Plantar Warts

  • Small, hard, thick skin growth with little black dots indicating blood vessels surfacing up to the wart.
  • Smooth skin surfaces often gray or brown in color
  • Pain in thick areas on the soles
  • Small, skin growths on the heel and ball of the foot
  • Plantar warts can also form clusters (mosaic warts)

Preventing Plantar Warts

Plantar warts are caused by a virus and enters the feet through cuts, wounds or blisters. It can be acquired through direct contact with the virus or wet surfaces containing infected skin.

  • Check your feet regularly for any unusual skin changes such as discolored skin surfaces or abnormal skin growth
  • The skin provides a strong physical barrier against germs and viruses. Treat wounds, cuts and blisters immediately to prevent the entry of viruses
  • Wear slippers and sandals in wet public surfaces. Public showers and lockers have wet surfaces where are commonly found
  • Wash hands regularly and never share items such as shoes or socks. Infection can be spread through direct contact with an infected person’s feet or skin.

Treating Plantar Warts

Acid – over the counter treatments for plantar warts are available. This includes the use of acids which has been proven to be one of the simplest and most effective options for plantar wart treatment. Treatment can take anywhere up to a few weeks.

Laser Treatment – intense heat from a laser emitting device is used to destroy the wart. It can be performed in the doctor’s clinic and can be performed in under an hour.

Curettage and desiccation – the area is first injected with anesthesia. The doctor then surgically removes the plantar wart which can also cause scarring. 

At Parkway Podiatry  located in Brooklyn, NY, we specialize in helping people suffering from foot conditions.  To schedule an appointment call 718-236-5253.

By Parkway Podiatrist
June 09, 2015
Tags: Gait Analysis  

Gait Analysis Computerized biomechanical gait analysis sounds like something for professional athletes or the disabled. While that is true, this modern way to look into how a person walks give orthopedic surgeons and podiatrists insight into what may be causing leg pain or sore feet and how to help the individual feel better. Doctors Gary Saphire and Asher Rudowski offer this extraordinary tool in their Brooklyn podiatry office to bring more accurate, effective treatment to their patients.

How Gait Analysis Works

Computerized Biomechanical Gait Analysis figures out what feet, ankles, knees, and hips are doing in real time as an individual walks. The podiatrist directs the patient to walk on special mat which has electronic sensors that detect every step taken. The data collected from the sensors is sent to a computer which analyzes it and formulates a colored map of the pressure points on the foot. Red indicates areas of greater pressure and blue, less pressure.

This information tells the podiatrist a lot about how an individual's gait works - in other words, its biomechanical function. The doctor can accurate diagnose the source of lower extremity discomfort and treat it by looking at:

  • how feet hit the ground
  • how tight musculature is
  • if an individual is turning his feet to the outside or inside
  • if one area of the foot is bearing more weight than it should
  • many other precise observation points visualized by the data

This kind of pressure measurement helps the diabetic, with his loss of sensation in the feet, and the foot doctor assess problem areas that the individual may not even be able to detect or feel himself.

Testing is Comfortable and Easy

Typically, patients wear loose fitting clothing for their gait analysis. Sneakers or whatever footwear the individual normally wears works well during testing, allowing the doctor to simulate the patient's daily walk routine, pattern and any abnormalities in gait. Also, people who use canes or walkers should bring them and use them during the testing as directed by the podiatrist.

Treatment Based on Objective Data

Your Brooklyn, NY podiatrist takes the information gathered during Computerized biomechanical gait analysis to help individuals with bunions, hammertoes, shin splints (runners), plantar plantar fasciitis, metatarsalgia, diabetic ulcers, Achilles tendonitis and other painful conditions of the lower extremities. Treatments such as custom-fitted orthotics (shoe inserts), strengthening exercises, diabetic footwear and other interventions are more precisely prescribed using the results of this wonderful testing.

Parkway Podiatry has Computerized Biomechanical Gait Analysis

Well-credentialed and experienced, Gary Saphire DPM FACFAS and Asher Rudowsky DPM offer the latest and best diagnostic techniques and treatments for a wide range of lower extremity issues. If you are wondering if gait analysis testing could pinpoint your pain problem, contact Parkway Podiatry for a consultation. Phone (718) 236-5253.

By Parkway Podiatry
January 27, 2015

Plantar FasciitisAre you walking each day through the streets of Brooklyn with a stabbing pain in your heel? Plantar fasciitis may be the cause. This common condition is often seen among runners and people who are overweight. It involves inflammation of the plantar fasci, and it can be quite painful. Thankfully, there are many ways to treat the pain and to prevent it from worsening.

1. Rest:

The first thing you'll want to do as soon when you begin to feel the first signs of plantar fasciitis is to stop whatever strenuous activity you are doing and rest. This will prevent the heel pain from getting worse.

2. Stretch:

Next, you'll want to stretch your toes, legs and calves. Do these stretches several times a day, especially first thing in the morning and whenever your heels feel especially painful.

3. Wear Good Shoes:

If you don't own one already, you may need to go purchase a nicer pair of shoes that offer more support. This will help cushion you as you walk and provide more relief.

4. Try Sole Inserts:

If a new pair of shoes is outside your budget, or if you can't find any that provide the support you need, a pair of specialized sole inserts are the next best thing.

5. Put Ice on the Affected Area:

If your heel pain is especially troubling, you may want to put ice on the area to help relieve the pain. An over-the-counter pain medication can help too.

6. Visit Parkway Podiatry:

While at-home treatments like resting, stretching and ice can be effective, if they just aren't enough, you may need to visit Parkway Podiatry in Brooklyn. The professional podiatrists at Parkway Podiatry can examine your injury and develop the right treatment plan for you.

7. Physical Therapy:

If your heel pain isn't responding to basic measures, your Parkway Podiatry podiatrist may recommend physical therapy. A trained physical therapist will help you do certain stretches and exercises correctly so you can find relief.

8. Wear a Splint:

Your physical therapist may also recommend that you wear a splint, usually at night, to stabilize your foot and leg and to allow your plantar fasciitis to heal.

9. Steroid Shots:

For individuals with severe and persistent plantar fasciitis pain, steroid shots may be the next step. Your doctor will advise you if these are right for you.

10. Surgery:

While no one hopes that you will need surgery, if none of the other treatment options are working, surgery may be used as a last resort. This surgery disconnects your plantar fascia from your heel bone, and it can result in a weakening in the arch of your foot.

Call Parkway Podiatry Today!

While preventing plantar fasciitis will always be the best solution, if you've already developed Brooklyn heel pain, you'll be happy to know that there are several treatment options available to you. Don't live with heel pain any longer. Call Parkway Podiatry to discuss your treatment options today.

Are you a patient of Parkway Podiatry? If so, we would love to hear about your experiences below!

Everyone Can Benefit From Custom Orthotics

Did you know that during an average day, the total force of walking can total hundreds of tons? In fact these tons are equivalent to a fully loaded Custom Foot Orthotics cement truck. So it seems a little ridiculous to say that our feet take a lot of wear and tear on even the most normal of days. So if you’re an athlete or just a regular exerciser, you may be noticing this wear and tear a bit faster. And if you’re currently training for the 2014 Brooklyn Marathon on November 16th, then you may be noticing more aches and pains than usual. Instead of cutting down on the things you love, consider getting custom orthotics so you can feel great crossing the finish line this year.

What are orthotics?

Sometimes known as arch support, custom orthotics gives people the freedom to stand and move easier and more comfortably. Some people might opt for the over-the-counter orthotics because of convenience; however, because there are a number of reasons for foot pain, over-the-counter orthotics are often not enough to alleviate symptoms. Instead, consider getting custom orthotics that are designed to correct your specific foot problems, ease symptoms and make it easier for you to get back to your life.

Here are the types of custom orthotics to choose from:

Rigid Orthotics

Rigid orthotics are often made from harder materials like plastic or carbon fiber and are used to control function. They also help to control motion in the foot joints found below the ankle joint. They are most often used with walking shoes or dress shoes as they help with strains, aches and pains in the legs, thighs and lower back.

Soft Orthotics

Just like the name states, soft orthotics are made out of more cushioned materials so they can act as shock absorbers, help with balance and relieve pressure. They also cradle the sole of the foot and support everything from the heel and ball all the way to your toes. Since soft orthotics help to absorb shock, they can be a good option for athletes and those with active lifestyles.

Semi-Rigid Orthotics

Semi-rigid orthotics can also be a great option for sports players as they provide good balance. As the name implies, semi-rigid orthotics are made with layers of soft material that are backed by rigid material. While this type is great for avid walkers and the like, semi-rigid orthotics are also prescribed to treat flatfoot and other foot disorders in children. If you’re planning on running the Brooklyn marathon this year and you’re experiencing foot pain, semi-rigid orthotics might help relieve some of the discomfort you’re feeling while training.

Don’t let foot problems bench you! Sometimes all that’s needed is a good, customized pair of orthotics to get you up and moving again. If you want to find out more about custom orthotics in Brooklyn, call us at (718) 236-5253.

Did custom orthotics help you while you were training or competing in a marathon or athletic endeavor? If so, we want to hear you story!

By Parkway Podiatry
June 10, 2014
diabetic foot care brooklynSummertime brings flip-flops, pool time and more. While these are the signs of enjoyable warm weather, they can also be concerning if you have diabetes. Higher temperatures and opportunities to walk barefoot increase the chances you can injure your feet or experience cracking, swelling and discomfort.
Because you are living with diabetes, you likely know the condition puts you at greater risk for nerve damage to your feet. This affects your foot sensations, meaning you may experience a scrape or cut without realizing you had it. Because diabetes affects your body’s wound healing time, having a cut that’s unknown to you can easily turn into a more serious wound if left untreated.
To ensure your feet have a problem-free summer, here are some warm weather-specific tips from our podiatrist for proper diabetic foot care in Brooklyn:
Always wear shoes. If you’re planning a beach vacation, it can be tempting to leave the flip-flops behind in favor of sand beneath your toes. This can be a troublesome habit, however, because it increases your risk for cuts from seashells, beach glass or other unknown beach items. Close-toed beach shoes that have breathable mesh and a protective sole are available that protect your feet from injury while also allowing you to walk comfortably.
Give Your Feet a Once-Over Twice Daily. When you have diabetes, you should inspect your feet at least as often as you should brush your teeth: at least twice per day. Pay special attention to the areas between your toes and underneath your feet. You may even want to get a mirror to place on the ground and put your foot a few inches away to identify hard-to-see areas. In addition to checking out your feet, you’ll also want to check out your shoes. Debris, such as dirt and rocks, can easily accumulate in your shoes and cause injuries. Give them a good shake before wearing to protect yourself.
Don’t forget to apply sunscreen. You can just as easily burn your foot skin as you can anywhere else, yet many people forget to apply sunscreen to this important area. When you are applying sunscreen to your arms, legs and face, don’t forget to apply it on the tops and bottoms of your feet before putting on your outdoor shoes.
Don’t feel the burn. Remember the beach isn’t the only place you can burn or injure your feet. Campfires, cookouts and even ultra-hot pavement are all areas where you can unexpectedly injure your feet in the summer. The same rules apply when it comes to wearing shoes and taking every precaution to protect your feet.
Finally, remember that it’s important to see a podiatrist regularly to inspect your feet and ensure you have not experienced an injury that could easily affect your overall health. Coming to our Brooklyn office to have your toenails cut can help to prevent ingrown toenails and injury. If you notice other foot conditions, such as blisters or scrapes, seeing us as quickly as possible can help to prevent your injuries from worsening. We are available to help our patients in Brooklyn with diabetic foot care to ensure everyone experiences a fun-filled summer.