February 2025

A disappearing nail bed, or DNB, is a rare condition where the nail plate begins to shrink or detach from the nail bed, often leading to nail loss or deformation. DNB can be caused by trauma, fungal infections, poor circulation, or certain skin conditions like psoriasis. It is more common in people with underlying health issues, such as diabetes or autoimmune disorders. The symptoms of DNB include pain or discomfort surrounding he nail, thinning or ridged nails, and a visible gap between the nail and nail bed. The area may look discolored or flaky, and in severe cases, the nail may fall off completely. Treatment for DNB focuses on addressing the underlying cause. A podiatrist may recommend topical treatments, proper nail care, or antibiotics if an infection is present. If the condition is caused by trauma or circulation issues, they may discuss ways to promote healing and prevent further nail loss. If you are experiencing changes in your nails, it is suggested that you schedule an appointment with a podiatrist to get an accurate diagnosis and effective treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Peripheral neuropathy in the feet can develop slowly, causing various noticeable symptoms. One of the most common signs is a gradual numbness, making it difficult to feel sensations in the feet. People with this condition may also experience increased sensitivity to touch, where even light pressure or a slight tap can cause discomfort. A lack of coordination is another symptom, often leading to difficulty walking or maintaining balance. Sharp or throbbing pain can also be present, especially at night or after long periods of standing or walking. Muscle weakness is another indication of peripheral neuropathy, as the feet may feel heavy or less responsive during movement. If left untreated, these symptoms can worsen over time, affecting daily activities and overall quality of life. If you have signs of peripheral neuropathy in the feet, it is suggested that you consult a podiatrist who can help you to manage this condition.

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 Joseph D. Ruffo, DPM, PC from New York. 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 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.

Flat feet, also known as fallen arches, occur when the arch of the foot does not develop properly, causing the entire sole to touch the ground. While flat feet can present challenges, they also come with some potential benefits. One advantage is that flat feet provide a larger surface area for contact with the ground, which can improve stability and balance in some individuals. This can be especially helpful in activities that require a solid base, such as lifting weights or standing for long periods. However, flat feet can also cause problems. The lack of a natural arch can lead to foot pain, discomfort, and an increased risk of developing conditions like plantar fasciitis or shin splints. Flat feet may also contribute to poor posture and affect the alignment of the knees, hips, and lower back. If you have flat feet and are experiencing discomfort or pain, it is suggested that you confer with a podiatrist who can help you to manage this condition. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Joseph D. Ruffo, DPM, PC from New York. 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 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.

Toe cramps can be uncomfortable and disruptive, but specific foot exercises can help alleviate this issue. One effective exercise is the shuffle, which involves moving the feet back and forth while standing. This helps improve circulation and flexibility in the toes. Another useful technique is the spin, where the toes are rotated in circles, allowing them to stretch and reduce tension. Toe pull-ups also provide relief by strengthening the muscles and improving mobility. To perform this, lift the toes upward while keeping the heel on the ground. Toe extensions are beneficial for stretching the toes, helping to relieve stiffness and prevent cramps. Simply extend the toes as far as possible while holding for a few seconds. Scrunchies involve curling the toes inward, as if gripping a small towel or cloth, and holding the position to strengthen the toe muscles. Toe cramps can be painful, and may cause difficulty in completing daily activities. If this applies to you, it is suggested that you confer with a podiatrist who can help you to find appropriate relief methods.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. 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.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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.