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Falls in older adults are a major health concern that can lead to serious injury and reduced independence. Many factors contribute to falls, including muscle weakness, poor balance, and underlying medical conditions. Lack of regular exercise plays a significant role, as it leads to reduced strength and slower reflexes. Maintaining foot and ankle stability is essential for safe movement and long term mobility.

Symptoms that increase fall risk often develop gradually. These include unsteady walking, difficulty standing for long periods of time, and reduced coordination. Some individuals may experience foot pain, numbness, or stiffness that interferes with balance. Social isolation and loneliness are also important contributors. Older adults who are less socially active may engage in less physical movement, which weakens muscles and reduces confidence in mobility. This cycle can increase the likelihood of falls and related injuries.

Risk factors for falls include aging-related changes in muscle strength, wearing poor footwear, and untreated foot conditions. Lack of exercise reduces flexibility and balance, while improper shoes can limit stability and grip. Loneliness may lead to decreased activity levels and delayed medical care. Falls can result in a range of foot and ankle conditions, including sprains, fractures, and tendon injuries. These injuries may take longer to heal in older adults, increasing the risk of further complications.

Preventing falls involves staying active, wearing supportive footwear, and addressing foot pain early. Regular exercise can improve strength, coordination, and balance. Staying socially engaged can also encourage movement and reduce isolation. Routine foot evaluations can help identify problems before they lead to injury. If you sustained a foot or ankle injury from falling, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

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 Emmanuel Bustos, DPM 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 our office located in the Upper West Side and New York City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Rheumatoid arthritis, or RA, is a disease in which the immune system attacks joint tissue. For some people, pain and swelling in the feet are the first signs of RA. In other patients, foot symptoms appear months or years later, or never develop. Rheumatoid arthritis usually affects the small toe joints and where the toes meet the forefoot. It can also affect the joint below the ankle. Early signs include soreness, warmth, and swelling. A sudden period of stronger symptoms is called a flare.

As RA damages joints, pain and swelling can make standing and walking difficult. Joint damage can also cause instability or changes in foot shape. Pressure from these changes can lead to corns, calluses, or open sores. Firm lumps called nodules can develop near the Achilles tendon, heel, or other bony areas. Some patients notice numbness, tingling, or poor temperature awareness because nerves may be affected. Others develop circulation problems that cause cramping while walking or color changes in the toes. New swelling, shape changes, or skin wounds require prompt medical attention.

A podiatrist can examine the feet, identify affected joints, and check the skin. The examination can assess nerve function and blood flow. Treatment focuses on easing pressure, supporting painful joints, and improving foot function. A podiatrist can recommend supportive shoes and prescribe custom orthotics. These specially made shoe inserts can improve balance and reduce stress beneath sore areas. The podiatrist can also safely care for corns and calluses, treat skin wounds, and monitor changes linked to RA. When joint damage is severe, the podiatrist can discuss whether surgery could improve comfort or movement. Regular foot evaluations can help detect concerns before they become harder to manage. If you have foot pain related to rheumatoid arthritis, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Emmanuel Bustos, DPM of New York. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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

Shoe inserts, also known as orthotics, are devices placed inside footwear to support the feet and improve alignment during movement. These inserts are commonly used in sports and physical activities to enhance comfort and reduce strain on the lower body. Orthotics can be custom-made or prefabricated, depending on the level of support needed. Their purpose is to stabilize the foot, improve shock-absorption, and promote efficient movement patterns. By addressing imbalances, orthotics help reduce stress on muscles and joints during activity.

Symptoms that may indicate the need for orthotics include foot pain, arch fatigue, heel discomfort, and instability while running or walking. Athletes may also notice decreased performance or recurring injuries. Risk factors include repetitive motion, high-impact sports, and wearing improper footwear. Structural foot issues such as flat feet or high arches are other factors. Without proper support, these factors can increase the likelihood of movement-related injuries and long-term discomfort.

Orthotics are used to treat a variety of conditions, including plantar fasciitis, Achilles tendon strain, shin splints, and over-pronation. They work by redistributing pressure across the foot and correcting alignment. This helps reduce strain on specific areas and supports natural motion. For individuals involved in sports, orthotics can improve balance, enhance stability, and reduce the risk of injury. They also help absorb impact forces, which is essential for protecting joints during repetitive movement.

The benefits of shoe inserts include improved comfort, better performance, and reduced risk of injury. They can support recovery by minimizing stress on affected areas and promoting proper biomechanics. Consistent use of orthotics can lead to long-term improvements in foot health and mobility. If you have foot pain or conditions that require orthotics, it is suggested that you consult a podiatrist who can determine what type of orthotics are right for you.

If you are having discomfort in your feet and would like to try orthotics, contact Emmanuel Bustos, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Ankle sprains occur when the ligaments that support the ankle are stretched or torn. This typically happens during sudden twisting movements, awkward landings, or uneven surfaces. While many ankle sprains heal with proper care, some cases may involve nerve damage, which can lead to more complex symptoms. Understanding the definition and causes of ankle sprains, along with the potential for nerve involvement, is important for early recognition and effective treatment.

Symptoms of a typical ankle sprain include pain, swelling, bruising, and limited movement. However, when nerve damage is present, additional signs may appear. These include radiating pain that travels beyond the ankle, altered skin sensation such as tingling or numbness, and unusual sensitivity to touch. In more severe cases, individuals may experience foot drop, which makes it difficult to lift the front part of the foot. Loss of muscle size can also occur if nerve signals are disrupted. These symptoms require careful attention, as they may indicate a more serious condition.

Risk factors for ankle sprains include participation in sports, walking on uneven terrain, and wearing improper footwear. Repeated sprains can increase the likelihood of nerve irritation or damage. High-impact activities and poor balance may also contribute to injury. When the ankle is unstable, nearby nerves may become compressed or stretched, leading to ongoing symptoms. Recognizing these risk factors can help individuals take preventive measures and reduce the chance of complications.

Proper care and early evaluation are essential for managing ankle injuries and preventing long-term effects. Rest, support, and gradual rehabilitation can help restore strength and stability. If signs of nerve damage are present, specialized treatment may be needed to protect function and mobility. If you suspect nerve damage from an ankle sprain, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Emmanuel Bustos, DPM 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 our office located in the Upper West Side and New York City, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.