Items filtered by date: May 2025

Flat feet in children and teenagers can be painful, affecting mobility and overall quality of life. This condition occurs when the arches of the feet do not develop properly or collapse under pressure, leading to little or no visible arch. Causes can include genetics, ligament laxity, obesity, injury, or underlying neuromuscular conditions. Overuse and wearing poor footwear can also contribute to discomfort. Symptoms often include aching feet, fatigue during physical activity, inward ankle rolling, and pain in the heels, arches, or lower legs. Some children may also experience stiffness or difficulty walking and running. Early identification and proper management are essential to avoid long-term issues. Treatment may involve stretching, wearing supportive footwear, orthotics, or even surgery. If your child has flat feet that are causing pain and discomfort, it is suggested that you confer with a podiatrist who can offer effective relief tips.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.

Toenail fungus appears in various forms, each with distinct characteristics. Subungual onychomycosis is the most common type and affects the nail bed underneath the nail. It often causes thickening, discoloration, and crumbling of the nail. White superficial onychomycosis causes white patches on the surface of the nail and may cause the nail to become soft and powdery. Candida onychomycosis is caused by yeast and typically affects fingernails but can also appear on toenails, especially in individuals with a compromised immune system or frequent exposure to moisture. This form can cause swelling, pain, and a yellow or white discoloration of the nail. Each type of fungal infection may appear similar at first glance, but identifying the specific form helps determine the most effective treatment and approach to care. If you have toenail fungus, it is suggested that you consult a podiatrist who can determine which type it is, and offer treatment solutions, which may include prescribed medication.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. 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.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

Foot surgery for flat feet may be recommended when conservative treatments do not relieve pain or restore function. One common procedure, termed medial displacement calcaneal osteotomy, involves shifting the heel bone inward to improve foot alignment and support the arch. Lateral column lengthening is another technique that adds bone to the outer side of the foot, helping to restore proper structure and reduce flattening. The flexor digitorum longus transfer uses a nearby tendon to support the arch by reinforcing the weakened or damaged posterior tibial tendon. Each of these surgical methods aims to correct deformity, improve stability, and reduce pain. Recovery typically involves rest, rehabilitation, and a gradual return to activity. A podiatrist can determine the best approach based on the severity and cause of flat feet. If you have flat feet and are experiencing chronic discomfort, it is suggested that you contact a podiatrist who can help you determine if surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Gary Saphire, DPM of Parkway Podiatry. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

A total contact cast can be used to help patients with diabetic foot ulcers heal more effectively. This specialized cast, made of plaster or fiberglass, is molded to conform closely to the contours of the foot and lower leg. By distributing your weight evenly along the entire sole, the total contact cast reduces localized pressure on the ulcer site. A layer of soft foam below the ulcer further reduces pressure, helping to protect the sore and promote healing. Total contact casts are typically used when neuropathy is present, a complication of diabetes that causes reduced sensation in the feet. This loss of feeling can make it difficult to detect minor injuries, which can quickly progress into serious ulcers. By restricting unnecessary movement and limiting pressure on the ulcer, the cast supports faster healing, often within several weeks. A podiatrist monitors the progress by replacing the cast weekly and checking for complications. If you suffer from diabetic foot ulcers, it is suggested that you schedule an appointment with a podiatrist for ongoing treatment.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.