
Ways Smoking Affects the Feet

Smoking can significantly affect foot health by restricting blood flow and impairing bone growth and healing processes. Nicotine in tobacco narrows blood vessels, reducing circulation to the extremities. Further, chemicals in cigarettes weaken vessel linings, which promotes plaque buildup and further compromises blood flow to the feet. This increases the risk of conditions like peripheral arterial disease and blood clot formation. A diagnosis typically involves blood tests, comparative blood pressure exams, and imaging studies. Treatment strategies vary, often incorporating lifestyle adjustments, such as exercise and a balanced diet, along with managing cholesterol and blood pressure levels. Additional risk factors that affect foot health include diabetes, high cholesterol, and high blood pressure. While quitting smoking is vital, consulting with a podiatrist is an essential part of the comprehensive care needed. A podiatrist can offer guidance to mitigate smoking-related foot problems. If you're a smoker and notice that you are having problems with your feet, it is suggested that you add a podiatrist to your team of healthcare experts.
Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Cecilia Capuano-King, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
Everyday Foot Care
Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.
It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.
If you have any questions please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Every Day Foot Care
Our feet are important in our everyday lives. The problem is that we tend to neglect them. When this becomes a habit, it can cause significant trouble. Ignoring foot problems can mean pain, limited mobility, and expensive doctor's visits. On the other hand, if feet are cared for and looked after regularly, they will perform without pain or complication.
Routine hygiene is the most basic way to care for the feet. Wash and dry them thoroughly daily. Remember to get between the toes and keep the toenails trimmed and short. If the feet feel dry or there are signs of dryness or cracking, use a moisturizer designed for the feet.
When using moisturizer on the feet, try to avoid applying between the toes. If cream or lotion sits too long, they can cause fungal and bacterial growth. When moisturizer is used between the toes, it can also cause the skin to soften too much.
Shoes are also an important aspect of foot care. When one is picking out shoes, make sure they are the correct size. Shoes need to be snug, but not too tight. On the other hand, if shoes are too loose they can cause foot problems as well. It is highly recommended that shopping for new shoes be done later in the day. The reason for this is that the feet will have settled and swelled to their full size by then. To keep your feet at their most healthy, avoid wearing high heels or flip flops too often. Instead, choose shoes that are good for your feet. Good shoes pad the soles of your feet and support the arches and ankles.
Socks should also be worn daily with closed-toe shoes. They may feel hot during the summer months, but they absorb sweat and moisture off the feet. Without socks, the build-up of sweat in a closed-toe shoe can cause fungal problems and athlete's foot.
The best thing to remember in every day foot care is that shoes do make a difference. If you spend a lot of time on your feet, make sure that your shoes show no signs of wear. Shoes should offer ample support for the arches and the overall foot. Additionally, try to make foot cleaning and maintenance a daily habit. If you keep these things in mind, your feet will stay healthy and safe.
See Your Podiatrist Regularly If You Work On Your Feet
Benefits of Custom Orthotics for Older Adults

Many older adults have foot and ankle problems that affect their daily activities, balance, and quality of life. These issues, like dry skin, reduced joint movement, and weak feet, often lead to foot deformities, pain, and difficulty walking. Ankle-foot orthoses, or AFOs, are commonly used to help with these problems by supporting joints and improving stability. Custom-made orthotics align the foot, reduce pain, and encourage more physical activity. They can help improve balance and possibly reduce the fear of falling as well. If you are an older adult and are experiencing foot problems, or have a desire to prevent age-related foot conditions from interfering with life, it is suggested that you schedule an appointment with a podiatrist to discuss if custom-made orthotics are the right choice for you. Custom-made orthotics can lead to better balance and more activity, especially for those who wear them consistently.
If you are having discomfort in your feet and would like to try orthotics, contact Cecilia Capuano-King, 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 contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Foot Orthotics
Orthotics are shoe inserts that are meant to correct an irregular walking gait or provide cushioning to the feet. Orthotics come in a variety of different models and sizes, including over-the-counter and customizable variants. Customizable orthotics can be shaped and contoured to fit inside a specific shoe and are typically prescribed through a podiatrist who specializes in customized footwear and orthotics design and management.
Orthotics are beneficial because they can help prevent injuries from occurring and provide cushioning to keep pain levels down to a minimum. They also allow for the correct positioning of the feet. Orthotics can act as shock absorbers to help remove pressure from the foot and ankle. Therefore, orthotics can make bodily movements, such as walking and running, become more comfortable as well as help prevent the development of certain foot conditions.
Orthotics alleviate pain and make the foot more comfortable by slightly altering the angle at which the foot strikes the ground surface, therefore controlling the movement of the foot and ankle. Orthotics come in different variants and can be made of various materials. To determine what type of orthotic is most suited to your feet and your needs, it is best to consult your podiatrist. He or she will be able to recommend a type of orthotic that can help improve your foot function or prescribe a custom orthotic to best fit your feet.
Factors Leading to Foot Pain in Children
Children, especially young athletes, may experience foot pain for a variety of reasons. Biomechanical issues, like flat feet or high arches, may lead to improper weight distribution and cause foot pain in kids. Wearing ill-fitting footwear, especially shoes that are too tight or lack proper support, can also contribute to foot pain. Children active in sports and physical activities may experience overuse injuries or strains, and can experience foot injuries that are less common in adults because they are still growing. Structural abnormalities, such as toe deformities or differences in leg length, can also play a role in pediatric foot pain. Additionally, conditions including plantar warts, ingrown toenails, or infections can cause discomfort on specific areas of the foot. If your child is experiencing foot pain or a foot injury, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Cecilia Capuano-King, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain
Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place. However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.
Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.
Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.
If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.
Understanding the Role of Sesamoid Bones and Sesamoiditis in the Feet

Sesamoid bones are small, specialized bones embedded within tendons, and play a critical role in the function of the feet. Positioned beneath the first metatarsal head, sesamoid bones provide leverage and support to the big toe, facilitating smooth movement and weight distribution during activities such as walking, running, and jumping. Despite their importance, sesamoid bones are prone to injury and inflammation, a condition known as sesamoiditis. Sesamoiditis typically occurs due to repetitive stress or trauma to the sesamoid bones, commonly seen in athletes engaging in activities that involve high-impact forces on the feet. Improper footwear, excessive pressure on the ball of the foot, and sudden increases in physical activity can also contribute to sesamoiditis. Symptoms of sesamoiditis include localized pain, swelling, and difficulty bearing weight on the affected foot. Recognizing the function of sesamoid bones and understanding the causes of sesamoiditis is essential for preventing and managing this painful condition. If you have any of the above symptoms, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat sesamoiditis.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Cecilia Capuano-King, DPM of New York. Our doctor 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 Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Sesamoiditis
Sesamoiditis is a condition that affects the joint that is just behind the big toe in the area known as the ball of the foot. It is most common in younger people and people who have just begun an exercise program. Since the sesamoid bones are like a pulley controlling the big toe, they can rub against each other and cause a gradual onset of pain. Pain may also be caused by the inflammation of tendons surrounding the bones. If ignored, sesamoiditis can lead to other, more serious problems such as severe irritation and fractures of the bones.
The cause of sesamoiditis is sudden increase in activity. The ball of your foot acts as a springboard to help you lift off when you are jogging or running. Sudden increase in the use of these bones or the tendon that controls them can cause irritation. The tendon then begins to develop inflammation and the joint begins to swell. People with smaller, bonier feet or those with a high arch are typically more susceptible to this condition.
Sesamoiditis is fairly simple to diagnose since the symptoms have a gradual onset rather than a sudden impact. The symptoms begin with slight irritation around the joint shortly after the increase in activity. The discomfort eventually turns to pain with light swelling and possibly redness. Although redness or bruising are rare, this may be a symptom. After each session of exercising, the aggravated joint becomes more irritated and increases into a very intense throbbing.
Treatment for sesamoiditis can vary depending on the severity of the situation. However, treatment is almost always approached in a noninvasive way. For a case that is just beginning the doctor may recommend a very strict rest period that will limit the activity allowed on the joint. If you must be active, a recommendation for as modified shoe or insole, along with bandaging and immobilizing the big toe will be made to ensure that pressure is not placed on the joint. For severe cases, it is typically recommended that the joint and the big toe be completely immobilized to allow adequate time to heal. Ice and an over the counter anti-inflammatory may can help with the pain and discomfort while you are at rest.
When you return to your regular exercise activities, it is recommended that you use an insole that will allow even distribution of impact to your entire foot, rather than just the balls of your foot. This will prevent further aggravation of the injury.
Debridement and Saving a Limb

Debridement is a critical aspect of managing severely injured feet and lower extremities from diabetes, particularly in cases of open fractures with extensive skin and soft tissue loss. This surgical procedure involves the meticulous removal of contaminated, nonviable tissues and foreign materials from the wound. Debridement plays a pivotal role in preventing infection, a common complication in such injuries. During debridement, podiatric surgeons must work under optimal conditions, utilizing good anesthesia, adequate lighting, and magnification. The use of a tourniquet is often essential for better visualization of contaminants and distinguishing between viable and nonviable tissues. Skin margins are carefully freshened, subcutaneous tissues are excised to reach healthy fat, and damaged muscles and tendons are assessed for viability. Preservation of vital structures like nerves and blood vessels is paramount, as they are crucial for future reconstruction efforts. Proper recording of the debridement procedure, including the extent of tissue damage and the status of nerves and tendons, is essential for guiding subsequent treatment. If you are a diabetic patient and have wounds, ulcers, or other foot or ankle skin conditions, it is strongly suggested that you are under the care of a podiatrist who can consider debridement as a possible effective treatment.
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 Cecilia Capuano-King, DPM 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 our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.