May 2024

Custom-made orthotics are frequently prescribed for children to address various foot and lower limb issues. These specialized shoe inserts are tailored to each child's unique needs, correcting biomechanical imbalances and providing support where necessary. Orthotics may be needed to manage conditions like flat feet, overpronation, or foot deformities, ensuring proper alignment and preventing discomfort or injury. Involving parents in the orthotic prescription process is important for successful treatment. Educating parents about the benefits of orthotics and the importance of compliance ensures they understand their child's needs and can support treatment adherence. Follow-up appointments are critical to monitor progress, make adjustments as needed, and address any concerns. Encouraging compliance in wearing orthotics among children can be facilitated by involving them in the selection process, ensuring comfort and style preferences are considered. Additionally, positive reinforcement, praise for wearing orthotics consistently, and integrating them into daily routines can help foster acceptance and compliance. Fortunately, many children find orthotics comfortable and appreciate the support they provide for their active lifestyles. If your child has foot problems, it is suggested that you schedule an appointment with a podiatrist for diagnosis and care, in addition to discussing whether custom orthotics may provide relief.

If you are having discomfort in your feet and would like to try orthotics, contact Joseph D. Ruffo, DPM, PC from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Managing the symptoms of foot drop requires a multifaceted approach aimed at addressing its underlying causes while enhancing stability and mobility. The main symptom of foot drop is difficulty lifting the front part of the foot when you take a step. It can stem from muscular weakness, nerve damage in the leg, or injuries to the brain or spinal cord. Treatment with the help of a podiatrist focuses on strengthening the foot, ankle, and lower leg muscles to improve function and compensate for the lack of dorsiflexion. Wearing an ankle-foot orthosis can also provide support by maintaining proper alignment during walking, which reduces the risk of tripping and falling. Electrical nerve stimulation offers another avenue for improvement, facilitating muscle activation and enhancing walking ability in some cases. For severe or long-term foot drop caused by muscle paralysis, surgical intervention may be necessary to restore movement. Home modifications, such as removing clutter and using non-slip rugs, play a vital role in fall prevention. If you are experiencing symptoms of foot drop, it is suggested that you schedule an appointment with a podiatrist to explore appropriate treatment options.

If you have any concerns about your feet, contact Joseph D. Ruffo, DPM, PC from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel spur surgery stands as a significant decision for those grappling with persistent heel pain. The surgery involves excising the bony protrusion from the heel bone, often performed under local or general anesthesia. It typically necessitates a recovery period during which mobility may be limited, demanding patience and adherence to post-operative instructions. Complications such as infection or nerve damage, though rare, underscore the importance of meticulous post-operative care. The decision to undergo surgery hinges on various factors, including the severity of symptoms and the efficacy of non-surgical interventions. Consulting with a podiatrist is essential for informed decision-making, as they can provide tailored guidance based on individual circumstances. While heel spur surgery offers relief for many, it is important to approach it with a thorough understanding of the process, potential outcomes, and commitment to recovery. If you have a heel spur that is causing pain, it is strongly suggested that you confer with a podiatrist who can determine if heel spur surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Joseph D. Ruffo, DPM, PC of New York. 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 one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Clubfoot, a congenital foot condition, manifests as a foot deformity characterized by inward rotation and bending of the ankle and foot. Understanding the definition, underlying causes, and frequency of occurrence of clubfoot is essential for early intervention and effective management. This condition occurs during fetal development when the tendons and ligaments in the foot are abnormally tight, causing the foot to twist inward. The exact cause of clubfoot remains unclear, although genetic factors and environmental influences are believed to play a role. While the majority of clubfoot cases occur sporadically without a family history, genetic predisposition can increase the likelihood of its occurrence. Clubfoot affects approximately one in every 1,000 newborns worldwide, making it one of the most common congenital musculoskeletal anomalies. Prompt diagnosis and treatment, typically through casting, stretching, and sometimes surgery, can help correct the deformity and improve the child's ability to walk and participate in activities as they grow. If your child has been born with clubfoot, it is strongly suggested that you are under the care of a podiatrist who can offer appropriate treatment solutions.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Joseph D. Ruffo, DPM, PC of New York. 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 one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.