Peripheral neuropathy involves damage to the nerves outside the brain and spinal cord, often affecting the feet. It is commonly caused by diabetes, but can also result from alcohol abuse, certain medication,  infections, or vitamin deficiencies. Symptoms typically include a strong burning sensation, tingling, numbness, or sharp, shooting pain in the feet. You may also experience weakness, sensitivity to touch, or a pins and needles feeling. In some cases, the skin may appear red or feel unusually warm or cold. These symptoms can worsen over time, making walking and maintaining balance difficult. A podiatrist plays a key role in diagnosing and managing peripheral neuropathy. They may perform a neurological exam, nerve conduction studies, or blood tests to determine the cause. Treatment options include medication, topical creams, custom orthotics, and guidance on foot care to prevent complications like ulcers or infections. If you have this condition, it is suggested that you are under the care of  a podiatrist who can help you with relief and management tips.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Gary Saphire, DPM from Parkway Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

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 care 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 contact our office located in Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle 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 care 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 care needs.

Plantar fasciitis is one of the most common causes of heel pain, affecting people of all ages. It occurs when the plantar fascia, the thick band of tissue running along the bottom of your foot, becomes inflamed. Causes include overuse, wearing poor footwear, high-impact activities, or having either flat feet or high arches. Symptoms typically include a sharp, stabbing pain in the heel, especially with the first steps in the morning or after long periods of rest. The pain often improves with movement, but may return after standing or walking for long periods of time. A podiatrist can help by diagnosing the condition through a physical exam and imaging. Treatment includes custom orthotics, stretching exercises, a night splint, or anti-inflammatory medication. In some cases, injections, or even surgery, may be recommended to reduce inflammation and promote healing. If you have this condition, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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.

Many children have differences in how their feet look or move as they grow. Some common lower extremity abnormalities include flat feet, in-toeing, or feet turning inward, and out-toeing, or feet turning outward. Most of these conditions are normal in young children and often improve with time as the bones and muscles develop. A podiatrist will check how your child stands, walks, and moves to see if the condition is part of typical growth or if it needs treatment. In some cases, special shoes, exercises, or braces may help. Rarely, further testing or treatment is needed if the problem causes pain or limits activity. Regular check-ups can help make sure your child’s feet are developing properly. If you notice unusual walking patterns or your child is in pain, it is suggested that you see a podiatrist for an evaluation.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Gary Saphire, DPM of Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Some people develop a hard lump under the toenail, often near the big toe. This bump, known as subungual exostosis, is an overgrowth of bone that can push the nail upward or make shoes feel uncomfortable. Over time, the pressure may lead to a painful ingrown toenail, a condition called chronic onychocryptosis. This happens when the nail grows into the surrounding skin, causing swelling, redness, and sometimes infection. The bone growth and the ongoing nail problem often go hand in hand, making the toe sore and hard to treat at home. A podiatrist can take X-rays to confirm the bone growth and suggest the best treatment, which may include minor surgery to remove the bump and help the nail grow normally again. If you have a painful or abnormal toenail that does not get better, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Toe pain can disrupt your daily activities. 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.