Toenail fungus affects the nail and surrounding tissue, often beginning subtly and then progressing. In the early stage, the nail may show mild discoloration or small white or yellow spots. As it moves into a moderate stage, the nail can become thicker, brittle, and more noticeably discolored. In advanced stages, the nail may crumble, separate from the nail bed, and cause discomfort. Causes include fungal exposure in warm, moist environments. Risk factors include aging, diabetes, and poor circulation. Without treatment, the condition may worsen. A podiatrist can diagnose the infection and provide effective treatment options. If you notice nail changes, it is suggested that you consult a podiatrist who can effectively treat toenail fungus, which may include prescribed medication. 

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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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.

Gout is a form of inflammatory arthritis caused by a buildup of uric acid in the body, leading to crystal formation in the joints. This condition most commonly affects the big toe, but can also affect other parts of the feet and ankles. Gout often begins suddenly with intense pain, redness, warmth, and swelling. The joint may appear shiny and feel extremely tender, making even light pressure from bedding uncomfortable. Flare-ups can come on quickly, often at night, and may limit walking or standing. Contributing factors include diet, dehydration, certain medications, and underlying health conditions that affect how uric acid is processed. A podiatrist can recognize the signs of gout and may coordinate care to confirm the diagnosis. Treatment typically focuses on reducing inflammation and managing pain, along with long-term strategies to lower uric acid levels. Guidance may include lifestyle adjustments and preventive care to reduce future flare-ups. If you suspect you have gout, it is suggested that you make an appointment with a podiatrist.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Tarsal tunnel syndrome is caused by compression of the posterior tibial nerve as it passes through a narrow space inside the ankle. This pressure can lead to tingling, burning, numbness, or shooting pain in the foot and ankle. Common causes include flat feet, swelling, injury, or underlying conditions that place stress on the nerve. Risk factors include repetitive activity, improper footwear, and prolonged standing. A podiatrist can perform a thorough evaluation, identify the source of nerve compression, and develop a personalized treatment plan. Options include orthotics, footwear guidance, or targeted therapies. Early diagnosis can prevent worsening symptoms and improve mobility. If you have any of the above symptoms, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Gary Saphire, DPM of Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.

Clubfoot is a congenital condition in which a baby’s foot is twisted out of its normal position, often turning inward and downward. The exact cause is not always known, but it may be related to genetic and environmental factors that affect development before birth. It is typically diagnosed at birth through a physical examination, and sometimes confirmed with imaging. Symptoms include limited range of motion, abnormal foot shape, and difficulty placing the foot flat. The Ponsetti method is a common and effective treatment that involves gentle stretching, casting, and bracing to gradually correct alignment. Risk factors include family history and certain developmental conditions. A podiatrist can help monitor progress and guide care. If your baby shows signs of clubfoot, it is strongly suggested that you include a podiatrist on your health care team to ensure proper development. 

Congenital foot problems require 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.