Peripheral neuropathy causes damage to the nerves outside of the spinal cord and brain, which can result in a host of symptoms, starting in the feet. You may have peripheral neuropathy if you feel tingling or pins and needles in your feet. You may also experience stabbing, shooting, or burning pain in your feet, which tends to be worse in the evening. Your feet may feel numb, weak, or “dead.” They may even be so sensitive that the bed sheets brushing against your feet causes pain. You may have difficulty sensing temperature in your feet, or you may get the sensation of wearing socks even if you are barefoot. In some cases, you may develop ulcers (open wounds) on your feet or legs. While there is no cure for nerve damage, you can help prevent the condition from worsening by keeping blood glucose levels in target range. A podiatrist can also help you keep your feet and legs as healthy as possible and help manage the pain and discomfort caused by peripheral neuropathy.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, 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.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

Falling is common among people who are sixty-five years and older. This can happen as a result of poor vision and balance, in addition to safety hazards that may be present in the household. It is beneficial for seniors to undergo routine physical examinations, and this can be helpful in updating existing medication. Additionally, balance and strength may be increased when a gentle exercise routine is frequently practiced. It is beneficial to implement falls prevention techniques which can consist of installing handrails in the bath and toilet area and removing any worn rugs. It is important for lighting to be improved, and existing clutter removed. The feet can be affected when falling occurs and can cause lifestyle changes. If you would like more information about how falling can affect the feet, please consult with a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Joseph D. Ruffo, DPM, PC from New York. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

While complications of diabetes, such as poor circulation and neuropathy, can make a wound easier to develop and harder to detect and heal, there are many preventative measures you and your podiatrist can take to reduce your risk of amputation. On your end, make foot care a priority. Wear shoes and socks that fit well and don’t rub against any part of your feet or cut off circulation. Avoid walking barefoot. Elevate your feet and wiggle your toes frequently to keep the blood flowing. Eat a balanced diet and exercise to help manage your sugar levels and maintain a healthy body weight. Don’t smoke. Inspect your feet twice a day, using a mirror if needed, to see the bottom of your feet. Get to your podiatrist right away if you spot anything unusual. Early recognition/treatment of a problem can greatly reduce your risk of amputation. Some wounds may be avoided by getting regular foot screenings and having a podiatrist trim your toenails and treat any corns or calluses. They may also prescribe diabetic shoes and create custom orthotics to prevent foot injuries. If a wound does develop, your podiatrist can dress your wound appropriately, remove dead skin and tissue (debridement), reduce pressure and friction on the wound, and help restore adequate blood flow. They can also advise you on how to properly care for your wound at home. In cases where a higher level of wound care is necessary, your podiatrist may be able to use skin or bone grafts, or perform reconstructive surgery to replace or rebuild infected or necrotic bones, tendons and tissue.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, 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 Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. 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.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. 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.

The bones in babies feet are made of flexible and soft cartilage. As the child grows, the bones harden and provide the ability to walk and run. Most children are born with flat feet, and the arch generally develops in the teenage years. Research has indicated there are three foot shapes that are inherited. When the big toe is the biggest toe, this is referred to as a tapered shape. A rounded shape is noticeable when the second or third toe is longer than the big toe. A square shape is defined as all the toes appearing to be the same length. It is beneficial to have your child walk barefoot while indoors, as this can be helpful in strengthening the overall foot. Additionally, tickling can enable the child to point and flex the feet. If you would like more information about how to care for your child’s feet, please speak with a podiatrist.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.