Young runners often face nail issues like inconsistent thickness or ingrown toenails due to repetitive pressure and friction from training. Running, especially over long distances, places stress on the toes as they repeatedly hit the front of the shoe. This pressure can cause nails to thicken unevenly, making them brittle or prone to splitting. Ingrown toenails, where the nail grows into the surrounding skin, often result from wearing tight or poorly fitted shoes or improper trimming techniques. These conditions can lead to pain, swelling, or infection, impacting performance and comfort. Maintaining consistent nail care, such as trimming straight across and ensuring proper shoe fit, helps prevent these problems. If you are a young runner experiencing persistent toenail pain or ingrown toenails, it is suggested that you schedule an appointment with a podiatrist for individualized treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Gary Saphire, DPM of Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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.

High heels are fashionable but can worsen hallux valgus, commonly known as bunions. These shoes often have narrow toe boxes that squeeze the toes, forcing the big toe out of alignment and aggravating the bony bump at its base. The elevated heel shifts body weight forward, increasing pressure on the forefoot and the bunion, leading to inflammation and discomfort. High heels also alter the natural mechanics of walking, limiting toe movement and stressing the joints, which can accelerate the progression of hallux valgus. For those already experiencing bunion pain, high heels amplify friction and irritation, causing swelling and redness that make walking uncomfortable. Opting for shoes with a wider toe box and a lower heel height can help minimize pain while preserving foot health. If you have developed a bunion from wearing high heels, it is suggested that you see a podiatrist for relief options and guidance on choosing shoes that will protect against further foot damage.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.

Bunion surgery is performed to correct a bony outgrowth, called a bunion, at the base of the big toe, which causes the top of the toe to angle inward. While minimally invasive options may result in shorter recovery times, more severe bunions often require traditional open surgery for adequate correction. There are a number of surgical techniques used to correct this deformity. A bunionectomy involves removing the outgrowth and realigning surrounding soft tissues. Osteotomy cuts the toe bone and repositions it with screws or pins. Arthrodesis fuses bones at the damaged joint. Arthroplasty replaces the damaged joint with an implant. All of these procedures aim to restore foot alignment, reduce pain, and improve mobility. Risks include infection, scarring, nerve damage, and potential recurrence of the bunion. A podiatrist can help determine the best surgical approach based on the bunion’s severity. If you have a problematic bunion, it is suggested that you make an appointment with a podiatrist for treatment.

If you are suffering from bunions, 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 Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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.

Stress fractures in the feet often occur subtly, making them challenging to detect without professional evaluation from a podiatrist. These hairline cracks in the bones of the feet develop gradually, often caused by an increase in physical activity. People who are especially active, like runners and other athletes, older adults, and those with low bone density are at a higher risk for foot stress fractures. Common symptoms include pain that intensifies during or after activity, swelling, and tenderness in the affected area. Unlike typical bone fractures, stress fractures may not immediately show up on X-rays, often taking several weeks to become visible. Podiatrists can accurately diagnose stress fractures by using imaging methods, such as bone scans or MRIs, to ensure the right treatment plan. They may recommend rest, support devices, or other interventions to help the bone heal and prevent further complications. If you have foot pain that may be caused by a stress fracture, it is suggested that you make an appointment with a podiatrist for appropriate treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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.

Toe fractures can occur for various reasons, with some common causes being crushing injuries and joint hyperextension. A crushing injury often happens when a heavy object falls onto the foot, resulting in significant trauma. Joint hyperextension, where the toe is forced beyond its normal range of motion, can also result in fractures. Stress fractures are another concern, typically caused by repetitive impact or overuse, often seen in athletes or those engaged in high-intensity activities. Symptoms of a toe fracture include intense pain, swelling, bruising, and difficulty in moving the affected toe. In some cases, the toe may appear to be misaligned or deformed. If you have symptoms of a broken toe, it is suggested that you contact a podiatrist who can offer you appropriate treatment options.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions please feel free to contact our office located in Brooklyn, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Tinea unguium, also known as onychomycosis, is a fungal infection that affects the nails, particularly the toenails. This condition causes changes in the appearance of the nails, which may become thickened, discolored, and brittle. Infected nails can also separate from the nail bed, causing discomfort and potential pain. The primary cause of tinea unguium is the overgrowth of fungi, particularly dermatophytes, which thrive in warm and moist environments. Risk factors include wearing tight footwear, having a history of athlete's foot, and compromised immune systems. Poor hygiene can also contribute to the development of this infection. Recognizing the symptoms early is essential for effective treatment, as untreated cases can lead to more severe complications. If you have toenail fungus symptoms, it is suggested that you consult with a podiatrist who can offer you prescribed medication for effective treatment.

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.

Peripheral arterial disease, or PAD, occurs when blood vessels in the legs and feet become narrowed or blocked, reducing blood flow. The most common cause of PAD is atherosclerosis, where fatty deposits build up in the arteries, restricting circulation. This lack of blood flow affects the feet by causing pain, cramping, or fatigue, especially during walking or physical activity, a condition known as claudication. In severe cases, PAD can lead to non-healing sores or ulcers on the feet and toes, and in extreme cases, gangrene. Symptoms of PAD in the feet include coldness, a bluish tint, or slow-healing wounds. Since diabetes and smoking increase the risk of PAD, managing these conditions is essential. If you have peripheral artery disease it is suggested that you visit a podiatrist who can help monitor foot health, and provide care to prevent further damage.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Gary Saphire, DPM from Parkway Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

Corns are a common skin condition, with distinct characteristics and causes. Corns are thickened patches of skin that develop due to friction or pressure, often on the toes or soles. They are usually smaller than warts and have a hard center surrounded by inflamed skin. Symptoms of problematic corns include localized pain and tenderness. Wearing shoes with plenty of room for the toes is the best way to prevent corns. If your toes cannot wiggle and move around, the shoes are likely too tight. Persistent corns that cause significant discomfort may require medical intervention. A podiatrist may recommend cryotherapy, laser treatment, or surgical removal. If you have corns that do not improve, it is suggested you schedule an appointment with a podiatrist for a thorough evaluation and effective treatment options.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Gary Saphire, DPM of Parkway Podiatry. Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

• Wearing properly fitting shoes that have been measured by a professional
• Wearing shoes that are not sharply pointed or have high heels
• Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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.

Same level falls occur when individuals trip, slip, or stumble on surfaces at the same height they are standing on, often leading to injuries that can affect productivity and morale. To prevent these incidents in the workplace, it is vital to implement several strategies. First, using appropriate flooring can significantly reduce the risk. Non-slip surfaces are ideal in high-traffic areas. Regularly removing obstacles such as clutter, cords, and equipment can create a safer environment. Promptly cleaning up spills and ensuring that wet floors are marked with clear signage is essential for alerting employees to potential hazards. Additionally, wearing protective gear, such as slip-resistant shoes, can further enhance safety. Falling can seriously impact the feet, which may cause a loss of work and wages. If you have had a foot injury from falling, it is suggested that you consult a podiatrist who can treat various foot injuries, and guide you on appropriate fall prevention methods in the work environment.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Gary Saphire, DPM from Parkway Podiatry. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.