June 2025

When a child injures an ankle, it is often assumed to be a sprain, which occurs when the ligaments that stabilize the joint are stretched or torn, typically from a sudden twist, roll, or awkward landing. Most ankle sprains involve the foot turning inward, a motion called inversion, and may result from sports, running, or stepping on uneven ground. Symptoms like swelling, bruising, and difficulty bearing weight are common. However, similar symptoms can also indicate other issues, such as a growth plate injury or a fracture, which require different care. Because children’s bones are still developing, it is important not to overlook the possibility of a more serious condition. A podiatrist can assess the injury by examining the foot and ankle, testing movement, and ordering imaging, if needed, to confirm the diagnosis. Early evaluation helps prevent complications like chronic instability or improper healing. If you believe your child has sprained an ankle, it is suggested that you promptly schedule an appointment with a podiatrist for an exam and appropriate treatment.

Ankle sprains are common but need immediate attention. If you need your feet checked, 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen 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.

A bunion is a noticeable bump on the side of the big toe, often forming gradually as the joint shifts out of place. Signs include swelling, redness, and the big toe leaning toward the second toe. You may notice difficulty fitting into shoes or discomfort while walking. Wearing tight footwear, inherited foot shape, and certain health conditions can contribute to bunion development. Early care involves wearing shoes with a wide toe area, using cushions or splints to reduce pressure, and avoiding high heels. If pain becomes consistent or the bunion interferes with daily activities, further care may be needed. Custom orthotics or targeted exercises may help slow progression. In more advanced cases, surgical correction could be considered. If you suspect you have a bunion, it is suggested that you see a podiatrist for a diagnosis and guidance on the most effective treatment options.

If you are suffering from bunion pain, 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?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, 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.

Stretching the toes and feet is an important practice that promotes flexibility, strength, and circulation. Exercises such as toe curls, toe stretches, and toe extensions help maintain proper alignment and reduce muscle tension. When the muscles in the feet become tight, they can alter walking patterns and posture, potentially causing discomfort in the ankles, knees, hips, and lower back. Regular stretching relieves stress placed on the plantar fascia and other supporting structures, which may help prevent injuries and chronic conditions. A podiatrist can assess foot mechanics, recommend personalized stretching routines, and identify underlying problems that contribute to tightness or pain. If you have foot pain, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on additional foot stretches.

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with 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.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

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.

Cuboid syndrome, medically referred to as subluxation of the midtarsal joint, occurs when the cuboid bone partially dislocates from its normal position. This condition is more common than many people realize, particularly among athletes and individuals with repetitive strain on the foot. Risk factors include overuse, poor footwear, ankle instability, and biomechanical abnormalities. Causes may involve acute injury or gradual stress that affects the surrounding ligaments. Symptoms often include lateral foot pain, difficulty walking, and tenderness near the midfoot. If left untreated, it can impact mobility and quality of life. If you are experiencing persistent foot discomfort, it is strongly suggested that you seek an evaluation from a podiatrist who can diagnose the issue and offer personalized treatment options for lasting relief.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.