June 2024

Swollen feet and ankles are a common issue with a variety of causes. Injuries such as sprains or fractures can lead to immediate swelling due to tissue damage and inflammation. Diseases, including heart, liver, or kidney problems, can cause fluid retention, leading to swelling in the feet and ankles. Infections, especially in individuals with diabetes or compromised immune systems, can also result in swelling in these areas. Certain medications, such as those for blood pressure or hormonal therapy, can cause fluid retention and swelling as a side effect. Pregnancy often leads to swollen feet due to increased body fluid and pressure from the growing uterus. Edema, the medical term for fluid buildup in tissues, can be caused by prolonged standing, sitting, or underlying health conditions. If your feet or ankles have become swollen, it is suggested that you visit a podiatrist who can determine what the reason is, and offer appropriate treatment remedies.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.

Bunions, or hallux valgus, disproportionately affect women, significantly impacting their overall foot health.  Women are particularly susceptible due to factors like frequent wearing of high-heeled or narrow shoes, along with genetic predispositions. The risk of bunions has been shown to increase with age. The formation of a bunion starts with the big toe bending toward the smaller toes, which leads to a painful bony protrusion on the side of the foot. As bunions progress, they disrupt the alignment and function of adjacent toes. This often leads to formation of hammertoes or claw toes, altered weight distribution, corns and calluses. Research suggests that the severity of bunions correlates with increased pain not only in the feet but also in other parts of the body. Family history and flat feet are other contributing factors to the development of bunions. Addressing bunion deformity through early and effective interventions can offer significant relief and improve overall quality of life. If you are experiencing bunion-related discomfort, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

If you are suffering from bunions, 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.

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 one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Proper shoe fitting is important for both comfort and performance, with different needs for walking and running shoes. Walking shoes prioritize support and cushioning to handle the consistent, moderate impact of walking while running shoes are designed to absorb the higher impact and repetitive strain of running. Understanding your foot type is essential in selecting the right shoe. Neutral feet maintain a balanced stride, rigid feet need more cushioning to absorb shock, and flexible feet benefit from stability features to control excessive movement. To determine your foot type, observe your arches. Low arches indicate flexible feet, high arches suggest rigid feet and neutral arches are balanced. Additionally, examining your shoe wear pattern can reveal your tread type. In the store, ensure shoes fit well without rubbing or pinching, as these issues can lead to discomfort or injury. If you are in the market for new shoes, it is suggested that you visit a podiatrist for personalized advice.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Joseph D. Ruffo, DPM, PC from New York. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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 care needs.

In the world of childhood mishaps, toe injuries rank among the most prevalent, encompassing a spectrum of ailments from jammed toes to fractures. Jammed toes often occur during vigorous play or sports, where sudden stops or collisions can cause the toe to forcefully bend, leading to pain and swelling. Toenail injuries are another common occurrence, typically the result of stubbing or dropping heavy objects on the toe, causing pain, bleeding, or even toenail loss. Additionally, subungual hematoma, characterized by blood pooling under the toenail, often arises from trauma or repetitive pressure on the toe, causing discomfort and discoloration. Fractures, though less frequent, can happen due to severe impact or twisting motions, resulting in pain, swelling, and potential deformity. If your child has endured a toe injury, it is suggested that you contact a podiatrist who can offer appropriate treatment options.

Toe pain can disrupt your daily activities. 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.

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 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.