The foot is a complex weight-bearing structure made of bones, joints, tendons and ligaments that work together to support standing, walking and running. Key bones include the talus, which connects the foot to the ankle, the calcaneus which forms the heel, and the navicular, cuboid, and the cuneiforms that create the arch and midfoot stability. These bones form joints that allow smooth coordinated motion while tendons attach muscles to bone to generate movement. Ligaments provide stability by holding the bones in proper alignment. Together they absorb shock, adapt to uneven surfaces and propel the body forward. A podiatrist can evaluate biomechanical function, treat pain, and prevent injury. If you have foot or ankle pain, it is suggested that you consult a podiatrist who can offer effective treatment solutions, and expert tips on how to maintain strong, healthy feet.

If you have any concerns about your feet, contact one of our podiatrists from Practice. Our practitioners can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our office located in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A hammertoe is a deformity in which one of the smaller toes bends downward at the middle joint, creating a curled or hammer-like appearance. This condition often develops gradually due to muscle imbalance, tight footwear, or structural foot changes like bunions. Over time, the toe may become stiff and difficult to straighten. Patients may notice redness, swelling, or corns forming on the top of the bent joint from rubbing against shoes. The toe can feel sore or irritated, especially when walking or wearing narrow shoe styles. In early stages, the deformity may still be flexible, but without treatment it can become rigid and more painful. A podiatrist begins with a detailed examination to determine whether the hammertoe is flexible or fixed and to identify contributing factors. Treatment may include shoe modifications, padding, custom orthotics, and targeted exercises to improve balance and alignment. In more advanced cases, surgical correction may be considered. If you have a hammertoe, it is suggested that you make an appointment with a podiatrist for proper evaluation and care.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Practice. Our practitioners 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 feel free to contact our office located in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The sesamoids are two small bones located beneath the joint of the big toe that help absorb pressure and assist with smooth movement during walking and push off. Pain in this area often develops from repetitive stress, high impact activity, or prolonged pressure on the forefoot. Discomfort is commonly felt under the ball of the foot, and may worsen with running, dancing, or wearing thin soled shoes. Swelling, bruising, or difficulty bending the big toe can also occur. Because the sesamoids bear significant load, irritation may linger without proper care. Management often focuses on reducing pressure, supporting the forefoot, and allowing inflammation to calm. Ignoring symptoms can lead to ongoing pain or altered walking patterns. If pain beneath the big toe affects activity or does not improve, it is suggested that an evaluation by a podiatrist be considered.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of Practice. Our practitioners will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions, please feel free to contact our office located in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Peripheral neuropathy is a nerve disorder that commonly affects the feet first because the longest nerves are most vulnerable to damage. It often develops in both feet and may cause tingling, burning, sharp shooting pain, or unusual sensitivity. As the peripheral neuropathy progresses, painful sensations may lessen and be replaced by numbness, weakness, or a persistent cold feeling, which reduces the body’s natural warning system. People may not notice injuries, pressure areas, or skin breakdown, which increases the risk of infection and structural problems. A podiatrist performs detailed neurological and vascular examinations, evaluates muscle strength and foot structure, and tests sensation with specialized instruments. Diagnostic studies may be recommended to measure nerve function and determine severity. Treatment options include protective care, pressure relief strategies, medical management of complications, and ongoing monitoring to prevent ulcers or deformity. If you have symptoms of peripheral neuropathy, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

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 one of our podiatrists from Practice. Our practitioners 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 our office located in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.