Posts for: September, 2015

Learn how orthotics could make physical activities easier and comfortable again.

Whether you are a weekend warrior or a serious athlete, there are many people who can benefit from orthotics. In fact, you don’t evenOrthotics have to be physically active in order to enjoy the many advantages that getting orthotics from your Brooklyn, NY podiatrists Drs. Gary Saphire and Asher Rudowsky can afford you. Find out what conditions orthotics can improve and whether they are right for you.

What is orthotics?

These orthopedic inserts help to provide additional support to the foot and to alter the foot’s function to treat or reduce symptoms associated with common foot disorders. While you can purchase over-the-counter orthotics at your local drugstore, they don’t offer the same superior fit, comfort and treatment that prescription orthotics from your Brooklyn, NY podiatrist can. In fact, many of these commercial orthotics can actually make conditions worse.

What are the different kinds of orthotics?

There are two main types of orthotics: functional and accommodative. Functional orthotics are used to support the foot, provide shock absorption while running or walking and to stabilize the foot and ankle. They can also be used to correct foot deformities. These orthotics are often made from more rigid materials like plastic polymer.

Accommodative orthotics, on the other hand, are often made from softer materials and are used on patients who are experiencing foot pain, shin splints, and gait problems to help reduce discomfort.

When are orthotics right for me?

Many patients, no matter what their age, can often benefit from wearing orthotics. Orthotics is a great way to reduce pain and discomfort and correct foot structure. There are many conditions that are indicative of a foot misalignment. If you are dealing with any of these issues than it might be time to talk to your podiatrist in Brooklyn, NY about orthotics:

  • Bunions
  • Heel, knee or lower back pain
  • Flat feet
  • Recurrent ankle sprains
  • Shin splints
  • Arthritis
  • Gait abnormalities

Ready to find out if orthotics could improve your foot health? We want to help make your day-to-day activities easier on you, so call your Brooklyn, NY podiatrist at Parkway Podiatry and give your feet the tender loving care they so deserve.


Hallux rigidus or big toe arthritis happens when the joint at the base of the big toe (hallux) stiffens (rigidus) severely limiting its movement. It is progressive arthritic condition that affects the toes motion. The big toe’s mobility gradually decreases until it has lost all range of movement.

How can I get big toe arthritis?

Leading causes of big toe arthritis includes joint damage resulting from normal wear and tear and structural foot deformities such as those with fallen arches, high or low arches. In some cases, people have a higher risk of developing big toe arthritis as a result of inheriting certain foot types.  People who actively engage in sports and do not wear appropriate shoe wear expose the toe joint to high levels of stress. It can also result from injury or caused by inflammatory diseases such as gout or arthritis.

  • Injury
  • Genetics
  • Poor foot mechanics (flat feet, high and low arches)
  • Wear and tear
  • Chronic inflammatory diseases (arthritis or gout)
  • Long first or short second metatarsal bone

A quick visit to the podiatrist could help determine if you are at high risk for developing big toe arthritis. The doctors at Parkway Podiatry specialize in detecting big toe arthritis and other foot disorders.

Symptoms of Big Toe Arthritis

Symptoms of big toe arthritis vary according to the stage you are in. Below are signs that you might already be suffering from the foot condition:

  • Pain that come with foot movements such as walking and disappears during rest
  • Swelling, tenderness at the bottom of the big toe
  • Stiffness or limited movement in the big toe
  • Pain or discomfort in the big toe area when wearing high heels or shoes that place extra pressure in the area
  • Pain or stiffness when exposed to cold temperatures

Early diagnosis gives you the best chance of recovering fully from big toe arthritis and stopping it from progressing into something more severe. This makes visiting a podiatrist at the earliest sign of the foot condition essential. When bone spurs have developed or a noticeable deformity has already occurred, surgical intervention might be the only treatment option available.

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


The foot undergoes several changes during our childhood years. This is the time when the different feet structures mature and develop. Parents understand this but it can also lead to us ignoring signs and symptoms of a foot disorder in our children. We might mistake these symptoms as part of growing up or growing pain.

Most child foot disorders require conservative treatments. This can easily be corrected by using therapeutic shoes or proper foot care. A podiatrist can help identify the best course of treatment and how to stop this from coming back. The doctors at Parkway Podiatry specialize in helping children suffering from foot disorders.

Signs and Symptoms

Consult a podiatrist if foot pain becomes chronic or does not go away with rest. This can be an indication of a foot injury.

Pain while walking, running, jumping or standing for long periods of time

A change in your child’s gait

Swelling and tenderness

Skin discoloration

Unusual skin growths

Foot and joint stiffness

Children may have a harder time expressing how they feel. This is why a parent should take special attention to any changes in their children’s feet.

Common Foot Conditions

Sever’s Disease - a child’s feet is more flexible and resilient compared to an adults foot making it less likely to suffer an injury. This stage sees bones undergo fast growth which outpace the development of surrounding muscles and tissues. This can cause tension and tightness. Children who actively participate in sports have a higher risk for developing severe heel pain. This is because the heels are the last structures to fully develop.

Flat Feet – is fairly common in children as the foot structures has not reached full development. While this might not be a cause of major concern, it can cause foot pain and discomfort. Flat foot can lead to foot problems in their adult years. This is due to the feet’s inability to properly support our body weight. Using shoes that provide additional support and promote proper arch development is a good way of ensuring that the feet is able to provide weight support in our adult life.

In-toeing and Out-toeing – these are harder to detect since it does not manifest any physical changes in the feet. Some children may have toes that angle inwards or outwards. But this should not be an area of huge concern since children are able to correct this when they reach the age of 8. However, for children with more pronounced conditions, a visit to a podiatrist is recommended for corrective treatment.

At Parkway Podiatry  located in Brooklyn, NY, we specialize in helping children with foot disorders.  To schedule an appointment call 718-236-5253.


Flat foot or fallen arch is usually not a cause of concern since most are asymptomatic and produce little or no pain. This only becomes a health concern when it is a symptom of a foot injury or when it makes simple activities such as walking or standing difficult.

Flat foot is normally seen in babies and children. But this disappear and regain their normal form as the feet develops. Flat foot happens when the middle of the feet fails to form an arch when standing. It can cause pain or discomfort because it interferes with how the feet normally distributes weight load over different feet structures.

Do you have flat foot or fallen arch?

Pain in the heel and arches

Swelling at the middle of the feet, this is where the arch should form

Pain felt when standing and disappears when the foot is rested

Feet that easily tire

Pain is a clear indication that something in the foot is wrong. This should be consulted with a podiatrist especially when pain becomes chronic. The doctors at Parkway Podiatry specialize in helping people with flat foot or fallen arch.

Possible causes of Fallen Arches

Flat foot or fallen arch can be due to a foot injury. Tendons and ligaments are responsible for moving various foot muscles. An injury to one of this interferes with how the foot arches when standing. Overweight problems can also the feet to collapse. This is because the feet is unable to support the added weight. It is also why flat foot is common among pregnant women.

Flat Foot Management and Treatment

A majority of flat foot suffers do not require medical intervention. This is because flat foot do not cause chronic pain or discomfort. Treatments are mainly used to treat pain and can be done by using pain medication. It can also be relieved by resting the feet or applying cold compress to reduce swelling in the area.

In rare cases, surgeries can be used to treat the underlying cause of flat foot. If this is due to a foot abnormality or a serious injury then surgery is performed to repair damaged tendons or tissues.

At Parkway Podiatry  located in Brooklyn, NY, we specialize in helping people with flat foot or fallen arches.  To schedule an appointment call 718-236-5253.


Foot conditions and disorders are just some of the common maladies people face in their senior years. This can be caused by the many physical changes that happen as we age. Our muscles loss mass and bones become weaker. This makes the possible of foot injury a constant danger among seniors.

Poor eyesight and weak muscles makes seniors prime candidates for falls and accidents. This is why seniors are advised to take advantage of assistive devices such as cranes and handrails. Prevention is still the best way of preventing foot injuries. This is especially true for seniors who don’t heal as quickly as their younger counterparts.

Foot Care Tips for Seniors

Consult a podiatrist if you have previous history of foot injury. Injuries that failed to heal completely could show their symptoms at our later years. Degenerative diseases such as arthritis are fairly common among the elderly The doctors at Parkway Podiatry specialize in helping seniors with foot disorders.

Discuss with your doctor if any of your medications have side effects that can affect your sense of balance.

Wear non-skip shoes and sandals to avoid slips. Falls can lead to broken bones which are harder to heal in our senior years.

Engage in light exercises such as walks to increase foot strength. This does not only keep your feet healthy but also promotes better circulation.

Proper foot care is essential for diabetics. Check your feet regularly for ulcers and blisters that can lead to infection.

Trim your toe nail straight across and avoid cutting it too short. Trimming your toes too short can lead to the formation of an ingrown toenail.

Wear footwear that offer additional foot support. The loss of tissue mass in the feet negatively affects its load carrying capacity.

Peripheral neuropathy or the loss of sensation in the feet can be caused by poor circulation. Regular foot massages and elevating the feet when resting improves blood circulation in the feet.

Avoid cold surfaces and always keep your feet warm and dry. Use socks and sandals if necessary.

Treating foot disorders in the elderly can be complicated. This is why proper foot care should be included in our daily habits.

At Parkway Podiatry  located in Brooklyn, NY, we specialize in helping seniors with foot disorders.  To schedule an appointment call 718-236-5253.