July 2024

Ankle replacement surgery, or ankle arthroplasty, is a surgical option for those with severe ankle joint damage, often resulting from osteoarthritis, rheumatoid arthritis, or significant fractures. This procedure involves replacing the damaged bones in the ankle joint with prosthetics, to restore function and reduce pain. Ankle replacement surgery includes making an incision to access the joint, repositioning blood vessels, nerves, and tendons, and then removing and reshaping the damaged bones to fit the artificial joint. Full recovery may take as long as six months. It begins by keeping the leg elevated and possibly remaining in the hospital for up to a week, as the healing process begins. Though the prognosis is generally positive, with many ankle replacements lasting over a decade, potential risks can include infection, blood clots, nerve damage, and prosthetic failure. If you have severe ankle problems, it is suggested that you schedule an appointment with a podiatrist to find out if ankle replacement is an option for you.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Joseph D. Ruffo, DPM, PC from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of 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 care needs.

Ankle pain in runners can be a common and debilitating issue, often stemming from overuse or improper technique. The ankle is composed of three main bones, which are the tibia, the fibula, and the talus. The tibia and fibula form the lower part of the leg and create the ankle joint by connecting to the talus, which sits above the heel bone. This structure allows for the necessary movement and stability needed during running. An ankle sprain occurs when the ligaments surrounding the ankle joint are stretched or torn, usually due to an awkward landing or sudden twist. Symptoms can include swelling, bruising, pain, and difficulty bearing weight on the affected foot. Ankle pain can hinder daily activities. If you enjoy running and have a foot or ankle injury, it is suggested that you consult a podiatrist who can offer effective treatment solutions, and help you with prevention tips.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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.

A hammertoe is a foot deformity where toes become bent at the middle joint, typically affecting the second, third, or fourth toes. A hammertoe worsens over time due to muscle imbalance, often the result of wearing ill-fitting shoes. Shoes that are too narrow or have high heels force the toes into a bent position. This causes friction, pain, and the development of corns or calluses. Symptoms can include swelling, redness, or difficulty straightening the toe. Certain non-surgical approaches may be effective in early stages of hammertoe formation. These include wearing properly fitted shoes with a roomy toe box to alleviate pressure and allow toes to spread naturally. Exercises to stretch and strengthen toe muscles also may provide relief. Pads or cushions can be helpful, and may help to prevent further irritation. When the affected joint becomes rigid and non-flexible, surgical options like tendon lengthening or joint fusion may be necessary. If you have developed a hammertoe, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.  

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Joseph D. Ruffo, DPM, PC from New York. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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.

Diabetes, a chronic condition marked by high blood sugar levels, can significantly affect foot health, leading to complications such as cracked heels. Diabetes impairs circulation and causes neuropathy, which reduces sensation in the feet. This lack of sensation makes it harder to notice dry skin and small cracks, allowing them to worsen unnoticed. Cracked heels occur when the skin surrounding the heels becomes dry and thickens, leading to fissures that can be painful and prone to infection. Poor blood circulation in diabetic patients further hampers the healing process, increasing the risk of complications. To prevent and treat cracked heels, maintain proper foot hygiene and moisturize daily, focusing on the heels. Avoid soaking feet too long, as this can dry out the skin further. Wear supportive, well-fitting shoes to reduce pressure on the heels, and regularly inspect feet for cracks or sores. For persistent or severe cases of cracked heels, it is suggested that you seek the counsel of a podiatrist who can provide specialized care and recommend appropriate treatments.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.

Diabetic limb salvage is a medical approach focused on preventing amputations in patients with diabetes. Diabetes can lead to poor circulation and nerve damage, particularly in the lower extremities, increasing the risk of severe infections and ulcers. Limb salvage involves a comprehensive treatment plan aimed at healing these ulcers, improving blood flow, and managing infections. This multidisciplinary approach includes wound care, surgical interventions, and lifestyle modifications to control blood sugar levels and enhance overall foot health. The goal is to preserve the patient's limbs, improve quality of life, and prevent the devastating impact of amputation. Timely intervention and continuous care are essential to the success of diabetic limb salvage, emphasizing the importance of regular medical check-ups and early treatment of any foot issues in diabetic patients. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can evaluate your condition, and educate you about methods that may help to avoid amputation.

Diabetic Limb Salvage

Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with Joseph D. Ruffo, DPM, PC from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Diabetic Limb Salvage?

Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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.