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Tuesday, 18 October 2022 00:00

Types of Juvenile Arthritis

Arthritis that develops in a child is known as juvenile idiopathic arthritis (JIA.) Juvenile means under the age of 16, idiopathic means the cause is unknown, and arthritis indicates inflammation, swelling, and pain in joints, including the ankle. While the cause is unknown, it is believed that genetics may play a role in the development of juvenile idiopathic arthritis. However, it is not considered to be hereditary. The five main types of JIA are oligoarthritis, polyarticular, systemic onset, enthesitis-related, and psoriatic arthritis. Oligoarthritis is the most common type, and affects up to four joints, including the ankle. Polyarticular arthritis affects five or more joints, including the ankle, and generally appears in the same joint on each side of the body. Systemic onset arthritis, also known as Still’s disease, is the least common. It affects the joints but also causes widespread inflammation, high fevers, and swollen glands, among other symptoms. Enthesitis-related arthritis affects the ligaments and tendons that attach to the bones. Finally, psoriatic arthritis can infect multiple joints, but also causes a scaly skin rash. If your child exhibits pain, swelling, tenderness, redness and stiffness in the ankle joint, please consult with a podiatrist to determine the cause and discuss treatment options.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Read more about What to Do to Keep Your Child’s Feet Healthy

Being a parent involves caring for your child in every way you can. You make sure they are eating the right food, being nice to others, and staying out of any trouble. However, it is also important that you are watchful of their health, more specifically their foot health. Maintaining good foot health in childhood is important in preventing later conditions in life from happening. As children continue to develop, their feet require different techniques of care. Here are some various ways in which you can help your child’s feet stay healthy.

A baby needs a lot of care and attention overall, but the importance of their feet should never be forgotten. Before a baby turns one, their feet change and develop greatly. It is important that during this time, a mother avoids putting tight socks on their child. She should also encourage movement of their feet so the baby can begin to feel more comfortable using them.

As a baby enters the toddler years of his or her life, they are begin to walk around. When your baby begins to take those first steps, it is crucial that they are wearing protective shoes on their feet. As a mother that is observant of your child’s feet, you may notice changes in them. This is completely normal as the feet are becoming susceptible to the activity of walking. It is normal for a toddler to be a bit unsteady or to “walk funny” at first.

When your child grows out of their toddler years, it is important that you begin to show him or her how to care for their feet on their own. Practice with your child proper hygiene in order to prevent foot fungus or infection. Since children are constantly on the move, it is crucial to be cautious of any accidents or injuries that might occur. If an injury occurs, it is advised that you take your child to be examined by a doctor immediately. Since your child is still growing, particular injuries can shift the way in which a bone or other important part of the foot is developing.

Babies and kids are always changing and growing. Your job as a parent is to make sure they stay healthy and making sure they are properly maintained. This involves proper foot care and making sure the feet stay healthy. Following this guide, your child can live a long and happy life.

Thursday, 13 October 2022 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 04 October 2022 00:00

Risks of Online Shoe Shopping

When shoes are purchased in a store, determining the right shoe size is often accomplished by using a Brannock device. This is done by stepping on this metal device, and measuring the length and width of the foot. Online shopping is becoming increasingly popular, and it can be difficult to choose shoes that will fit correctly. An effective method in learning what your correct shoe size is can be obtained by standing on a piece of paper, and tracing the foot. It is beneficial to do this at the end of the day, when the feet are at their largest. Many online shopping sites will have conversion charts, which can make it easier to choose the right shoe size. Feet can become swollen during the summer months, and shoes that are purchased may feel bigger during the colder months. If you would like additional information about correct pointers on how to get your right shoe size, please consult with a podiatrist who can answer any questions you may have.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Joseph D. Ruffo, DPM, PC from New York. Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

  • When visiting the shoe store, use the tools available to measure your foot.
  • Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
  • Do not always assume you are the same size, as manufacturers run differently.
  • Purchase shoes later in the day, as your feet swell as the day progresses.
  • If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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.

Read more about Getting the Right Shoe Size
Tuesday, 04 October 2022 00:00

Getting the Right Shoe Size

If you want to ensure the long-term health of your feet, you should choose the right pair of shoes to wear on an everyday basis. Poorly fitting shoes will not only be uncomfortable, but they may also cause foot pain and unwanted foot conditions. When looking for a new pair of shoes, there are certain factors you should look for.

One of the most crucial tips you can follow is to always try shoes on in the afternoon. It is normal for feet to swell throughout the day, which means your shoe size may be different in the morning compared to what it is at night. To be safe, you should go with the slightly bigger size to ensure that your feet have enough room within your shoes.

Another rule is to never buy shoes that are too tight (Many people buy shoes that are too tight for their feet and expect the shoes to stretch out). If you are looking for a pair of running sneakers, you can go to a specialty running shoe store to have your feet properly sized. When you purchase shoes in-store, walk around in them to make sure the shoes you are going to buy fit you properly. Take some time to make sure the shoes are comfortable for your feet

The upper section of your shoe should be made from a softer, more flexible material. The material that makes up the shoe should not be slippery. Arch support should be a key factor in the decision-making process for shoes. Arch support is crucial because it will prevent the arches in your feet from collapsing. If your arches collapse, the plantar fascia may begin to stretch out which could lead to plantar fasciitis.

Many problematic foot conditions may be prevented by wearing properly fitting shoes. Some of these unwanted conditions are bunions, corns, calluses, pain, stress fractures, and plantar fasciitis. If you are suffering from any of these ailments you may want to speak with your podiatrist.

Tuesday, 20 September 2022 00:00

Causes of Diabetic Foot Pain

One of the chief symptoms of diabetes is chronic foot pain, which is common to most people with this disease. Three major causes of diabetic foot pain are nerve problems, circulatory problems, and infections. A condition known as peripheral neuropathy is the result of damage to the nerves that supply blood to the lower legs, feet, and toes. Specific to diabetics is sensory neuropathy, which results in extra sensitivity to pain in these areas. The diabetic may also experience a loss of sensation in this part of the body that contributes to the cracking and drying of the skin. Another cause of chronic foot pain is peripheral artery disease (PAD). This is the result of sustaining high levels of blood sugar that can clog the arteries and capillaries and slow the flow of blood to the feet and toes. The third most common cause of diabetic foot pain is infections. The diabetic is highly susceptible to infection from sores, cracks, and cuts. Because it is difficult to feel them when they occur, they often go unnoticed. Further, PAD makes it more difficult for these injuries to heal, causing ulcers and other more serious problems. If you are a diabetic and have chronic foot pain, please make an appointment with a podiatrist for an exam and diagnosis.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Read more about Diabetic Foot Care
Tuesday, 20 September 2022 00:00

Diabetic Foot Care

Diabetes affects millions of people every year. Blood vessels located all over the body are damaged due to diabetes—even the blood vessels of the feet. Neuropathy, or nerve damage, can result from slower blood flow in the legs and feet. In diabetic patients, neuropathy is very important to monitor, as diabetics are at risk for developing ulcers.

Always washing and thoroughly drying the feet are pertinent parts of diabetic foot care. There should be a focus on cleaning between the toes. Even if no pain is felt, the entire foot should be examined for redness and sores. Neuropathy can often mask the pain of sores and ulcers and can cause these conditions to be overlooked. Use a mirror to examine the underside of your feet if needed. It is recommended that diabetics wear well-fitting socks.

Patients with diabetes should have their doctor monitor their blood levels because blood sugar levels play a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised. It is very important to keep your blood sugar levels in the normal range, which can be determined by your physician. There are medications that may be prescribed to help with any neuropathy experienced by the diabetic patient. It is also advisable to visit a podiatrist if one is experiencing any conditions involving the feet, such as ingrown toenails, which in more severe cases can cause infection.

Diabetic feet must be inspected daily. Diabetic foot care at home is possible if a patient is provided with instructions from their podiatrist. Patients can relieve dry heels with creams or ointments. Suspected wounds should warrant an immediate call to the podiatrist. Gangrene is a serious problem for diabetics and can lead to sepsis and amputation in its worst cases. Early treatment and daily inspection of diabetic feet are keys to staying healthy.

Corns are thickened areas on the skin’s surface, to the point of being irritating and sometimes painful. Commonly found on the feet, corns are circular or cone-shaped. They develop where there are areas of pressure or friction, such as on the little toe when it rubs up against shoes, or on the ball of your foot.

Corns are often confused with a callus, but there is a difference between them. Corns can be raised bumps that are painful to the touch. They consist of a rough, thick area of skin that may be dry or waxy. Corns tend to be surrounded by skin that is inflamed, and are usually much smaller than calluses.

Removing the dead skin that has built up is the key in treating corns. Salicylic acid medication is most common in accomplishing this. The acid works by dissolving keratin, which is the protein that makes up the majority of corns. You can purchase salicylic acid over-the-counter in products such as wart removers. It comes in a variety of forms such as medicated pads, drops, or creams. However, people who are diabetic should not use salicylic acid, but should instead consult their doctor immediately.

According to the product directions, applying the medication directly onto the corn will treat it. The top layer of the corn will begin to turn white after use. When that occurs, the layers of skin can then be peeled away, making the corn smaller. Shaving off corns with razors or other pedicure equipment is never a good idea. This can lead to infection. If your corn gets infected, and is not treated immediately, a visit to the doctor will be necessary.

Another way to treat corns and help prevent their return is by using orthotic inserts, fitted by a podiatrist. Inserts fit right into your shoes and adjusts the way your foot fits into your shoes. This fixes the way you walk. This will lower your chances of getting corns, and eliminate current corns by reducing rubbing from friction.

Surgery is rarely used to treat corns, but does occur on occasion. Surgery actually deals with the underlying issue that causes corns. During surgery, the bone is shaved and any abnormalities are corrected, thus reducing the amount of friction that occurs during walking.

To prevent corns, the first step is reducing friction. Always wear shoes that fit well and don’t rub your feet. Pads can be purchased if you notice rubbing developing. These pads can be purchased over-the-counter, and can be simply placed on the irritated area. Wearing cushioned insoles in your shoes can always reduce the friction, and making sure to wear well-fitting shoes. This will ensure that your foot is not being squeezed awkwardly, and prevent corns from forming in the first place.

Tuesday, 13 September 2022 00:00

Why Live with Pain and Numbness in Your Feet?

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Wednesday, 07 September 2022 00:00

Ingrown Toenails

An ingrown toenail is a nail that has curved downward and grown into the skin.  This typically occurs at either the nail borders or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  In most cases, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

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