Blog
Proper Use of Assistive Devices for Safer Walking

Foot or ankle injuries can make each step painful and unsteady. A cane, crutches, or a walker can reduce pressure on the injured area while supporting safer movement. These devices are used after fractures, severe sprains, and tendon injuries. The right choice depends on the injury and how much weight the patient can safely place on the affected foot. Poor fit or technique can place extra stress on the injury and increase the risk of falling.
Proper fit helps protect the foot or ankle while it heals. Cane and walker handles usually reach the wrist crease when a patient stands upright, with the elbows slightly bent. Crutches should sit below the armpits, and body weight should rest on the hands. A cane is held on the side opposite the injured foot or ankle. When using a walker, patients should place it a short distance ahead before stepping into its center. Rubber tips should be checked for wear because damaged parts can slip. Patients should follow instructions about whether they can place full, partial, or no weight on the injured side.
A podiatrist can examine the injured foot or ankle and assess balance. This evaluation helps determine which device provides the right level of support. The podiatrist can adjust its height, explain safe movement, and check whether shoes fit securely. Guidance can cover rising from a chair, managing stairs, and moving across uneven ground. New pain, swelling, or numbness can mean too much pressure is reaching the injury. Skin irritation can also develop where a device rubs against the body. A podiatrist can identify these problems and make adjustments that protect the injured area. Follow-up visits allow the podiatrist to check healing and decide whether the walking aid should still be used. If you need a cane, crutches, or a walker, it is suggested that you schedule an appointment with a podiatrist for guidance on proper use and adjustments.
If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from William Street Podiatry. Our doctors 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 one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
When Should Babies Start Wearing Shoes

Parents may wonder when babies should start wearing shoes. Before a child begins to walk, shoes are not necessary indoors. In fact, bare feet allow babies to feel the floor and practice foot movements. Most children begin walking sometime between nine and 18 months, although this varies. Once a baby starts taking independent steps, soft-sole baby shoes can provide protection while allowing movement. Shoes should fit without squeezing growing toes.
Soft-sole baby shoes are a choice for early walkers because they allow the feet to bend naturally. Look for flexible materials, a toe area, and a good fit. Supportive does not mean stiff. Early footwear should protect the feet while allowing movement. Wearing shoes that are too tight can create pressure and discomfort. Poorly fitting footwear may also cause blisters, rubbing, or changes in walking patterns. Parents should check shoe fit because feet grow quickly.
Healthy baby foot development depends on choosing the right shoes. Babies benefit from opportunities to crawl, stand, and walk. Walking barefoot indoors can help develop balance and foot awareness when the environment is safe. Risk factors for foot problems include wearing restrictive footwear, poorly fitted shoes, and prolonged use of rigid shoes. Watch for persistent pain, swelling, redness, or differences between the feet. These symptoms deserve professional attention.
A podiatrist can examine a child’s feet and ankles when concerns arise. The evaluation may include checking foot structure, movement, and walking development. If a problem is found, the podiatrist may recommend footwear changes, monitoring, or other age-appropriate treatment. Parents should avoid choosing rigid corrective shoes without professional guidance. With proper fit and healthy movement, early shoes can protect developing feet without limiting natural motion. If your baby needs shoes, it is suggested that you consult a podiatrist who can guide you on the correct shoes to purchase for your child's needs.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of William Street Podiatry. Our doctors 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 William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot and Ankle Trauma Needs Prompt Medical Attention

Foot and ankle trauma can happen in a fall, sports mishap, or auto accident. During a crash, most people tense and brace for impact. The feet and ankles can absorb force from the collision and body weight. Each foot has 26 bones, plus joints, muscles, and soft tissues that support balance and movement. Damage to these structures can make standing or walking painful. Warning signs include pain, swelling, and changes in the foot’s shape. Numbness, weakness, or skin-color changes deserve attention because some injuries can worsen quickly.
Serious trauma can affect several areas of the foot. For instance, the force of an auto accident can injure the toes, middle foot, or heel when loose objects strike or crush the foot. The damage can involve puncture wounds, soft-tissue injuries, or broken and dislocated bones. A Lisfranc injury affects bones or joints in the middle of the foot and can cause lasting pain or poor balance when untreated. A heel bone fracture can happen when a strong impact crushes or breaks the heel. These problems can limit mobility and raise the risk of arthritis, infection, or an abnormal walking pattern.
A podiatrist can examine the injured area and check circulation and nerve function. X-rays and other imaging is ordered to find the type and severity of damage. Treatment options include a cast, a special boot, or supportive shoes. Some fractures, crushed bones, and severe joint injuries require surgery to restore alignment and stability. Early care can help protect movement and reduce the chance of long-term pain. Do not delay an evaluation because swelling or pain seems manageable at first. If you have foot or ankle trauma from a fall or accident, it is suggested that you promptly schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our podiatrists from William Street Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:
- Broken bones
- Muscle strains
- Injuries to the tendons and ligaments
- Stress fractures
Symptoms
Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:
- Bruising
- Inflammation/ Swelling
- Pain
Diagnosis
To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.
Treatment
Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.
If you have any questions, please feel free to contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Tarsal Tunnel Syndrome and Nerve Pain in the Foot

Tarsal tunnel syndrome is a nerve condition that develops when the posterior tibial nerve becomes compressed as it travels through a narrow passage near the inside of the ankle. This tunnel is located between the ankle bone and the surrounding soft tissues, with the nerve continuing into the foot. When pressure affects the nerve, symptoms can develop along the inner ankle, heel, and bottom of the foot. People may experience tingling, numbness, or shooting pain.
Several factors can contribute to tarsal tunnel syndrome. An ankle injury or swelling may increase pressure around the nerve. Flat feet can also change foot alignment and place additional strain on the nerve whle walking. Other risk factors include repetitive activity, arthritis, and abnormal foot mechanics. Some people describe a burning sensation that travels from the inside of the ankle toward the sole of the foot. In more advanced cases, numbness or weakness may affect normal foot function.
A podiatrist can evaluate symptoms and determine whether tarsal tunnel syndrome is causing the discomfort. The examination may include reviewing medical history, checking sensation, and observing walking mechanics. The podiatrist may also perform specific nerve assessments and recommend imaging or nerve testing when appropriate. Treatment depends on the underlying cause and may include activity modification, supportive footwear, or measures to reduce swelling and pressure surrounding the nerve. Treating an underlying foot or ankle problem can also help reduce nerve irritation.
Early evaluation may help prevent consistent nerve compression from interfering with walking and daily activities. Persistent tingling or burning should not be dismissed as ordinary foot fatigue, particularly when symptoms repeatedly occur in the same area. A personalized treatment plan can address both the nerve irritation and the mechanical factors contributing to symptoms. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of William Street Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.
Tarsal Tunnel Syndrome
Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.
Common Cause of Tarsal Tunnel Syndrome
- Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
- Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
- At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.
The Effects of Tarsal Tunnel Syndrome
- Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
- The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
- If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.
A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.
If you have any questions please contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

