Orthotics: How Often Should They Be Replaced?

If you’ve ever been to the doctor’s office for foot or ankle pain, then you’ve probably been told about custom-molded orthotics. Prescription orthotics are designed by a podiatrist and molded specifically to your feet to help support and correct your individual foot problems. As your foot rests on the orthotics, it is consistently being directed into the correct position, and therefore, pressure points, improper rotation, and painful muscle strain(s) are eliminated because your foot is functioning properly.


Orthotics are used to help treat:

Many patients find that after they’ve started using their custom-molded orthotics, that their symptoms have disappeared. So, how long are you supposed to wear them? The truth is that orthotics don’t cure your foot problem(s), they simply correct the issues that are giving you discomfort. If you were to remove the orthotics, there’s a good chance your problems would return.

Our podiatrists recommend having your orthotics evaluated yearly, to check on wear, and replaced every 3 years.  For pediatric orthotics, patients should follow up every 6 months, to monitor their development, and have their orthotics replaced after they grow 2 shoe sizes. Changes to the orthotics themselves are the easiest way to determine if they need to be replaced (i.e. tears, cracks, or thinning), but changes in your body will inform you, too. If you start to notice pain in your feet, as well as other parts of your body (most commonly your knees or back), it’s time to come in and see your podiatrist.

To learn more about custom orthotics or to make an appointment to have your orthotics evaluated, please feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

US Surfer Kelly Slater Breaks Foot During WSL Event

Just hours after being forced to withdraw from the World Surf League event at Jeffreys Bay, champion US surfer Kelly Slater took to Instagram to show off the horrific foot injury he endured during one of his heats.


“I pulled into a barrel this morning and the whitewash bounced the board back into my foot as I hit the close-out, taking all the pressure into the metatarsals,” Slater explained in his post. “Kinda like smashing my foot with a big hammer as hard as I can.”

After a quick review of the x-ray Slater posted, Dr. Borovoy, a podiatric physician at Associated Podiatrists PC, was quick to point out his injuries. “He has a comminuted 4th met fracture with severe displacement, as well as a displaced 3rd metatarsal. He’ll definitely need surgery and be able to stay off of it for about two months,” he adds. “After that, he’ll be looking at a few weeks of physical therapy, too.”

Broken bones, while generally very common and often the result of an accident, tend to have similar symptoms such as pain, swelling, bruising, and the inability to bear weight. The severity of the break, however, will cause those symptoms to vary from person to person, and therefore, should always be looked at by a podiatrist in order to obtain an accurate diagnosis and plan of care.

If you or someone you know believes they may have broken their foot, feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.


“Spring for Socks” Charity Drive Update!

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We are very happy to announce that our “Spring for Socks” charity drive helped collect over 1,000 pairs of new socks for the SAY Detroit Family Health Clinic! Yesterday, Dr. Borovoy, our office manager, Angie, and Molly, had the privilege of meeting with the clinic’s medical director, Dr. Richardson, and Dr. Covington, to hear about all of the amazing healthcare opportunities the office provides for homeless women and children. As the nation’s first free medical clinic, they see close to 7,000 patients a year, so if you were able to donate socks or spread the word about our charity drive, your kindness has not gone unnoticed! We look forward to continuing our relationship with SAY Detroit and getting our next charity drive started soon!

Plantar Warts: Causes and Treatments

Although it can be quite tempting to go barefoot this summer, it can also put you at risk of contracting a strain of the human papillomavirus (HPV) known as verruca, or plantar warts. Viruses thrive in warm, moist places such as public bathrooms or swimming pools, and can occur as a result of direct contact with the virus (commonly through tiny cuts or abrasions on your feet).

While it’s nearly impossible to avoid contact in the general public, it’s important to note that exposure is common, especially in younger children who have yet to build up an immunity, and tend to spread the virus among their friends and family. Therefore, while you should always keep your feet protected by wearing shoes or flip-flops in public places, it’s also important to make sure that communal surfaces at home, as well as your socks and shoes, are being disinfected to prevent the virus from spreading.

Remember: every person’s immune system is different, so a person’s response to the virus will be different, too, even if they’re from the same family.


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Plantar warts are generally small, fleshy growths on the bottom of your feet and are often mistaken for plantar corns or calluses, due to the thicker skin that tends to develop. A plantar wart, however, will generally have the appearance of tiny black dots near the surface caused by capillary hemorrhages that form underneath the skin. As a general rule, we suggest patients to seek treatment from a podiatrist, as attempting to remove them at home can lead to serious problems, such as infection, if removed incorrectly.

Once in the office, plantar warts are easy to diagnose and may require a simple scraping of the skin or biopsy to confirm. After that, there are several different treatment options to consider, such as: topical acids, liquid nitrogen, YDL laser, or an excision(s). Depending on the size of the wart and quantity, all of these options are available and your podiatrist will be able to discuss which treatment will work best for you.

If you or someone you know believes they may have a plantar wart, feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

How to Keep Your Feet Safe This Summer

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As the warmer weather starts to breakthrough, it’s time to dump the winter boots and start enjoying a sock-free summer! For every season, our podiatrists like to offer a small set of suggestions to help keep your feet happy and healthy!

No Barefoot Walking – While walking around barefoot may be an enjoyable act of the warmer weather, it unfortunately puts you at risk of stepping on a foreign body (especially items buried/hidden in the sand and water) or developing an infection. Bacteria thrives in warm, moist environments, such as public pools or restrooms, and going barefoot makes you susceptible to contracting fungal infections, plantar warts, or athlete’s foot. Also, if you plan to be near an open grill or fireworks, since a minor spark can cause a serious burn, be sure to wear protective shoes.

Apply Sunscreen – Many people tend to skip over their feet when it comes to applying suntan lotion, but it’s extremely important to protect your feet and ankles from the sun’s harmful UV rays. With more than 3.5 million skin cancers diagnosed annually in the United States, survival rates are dramatically lower when melanoma is found on the foot because it often goes unnoticed until it becomes a serious problem. If not caught in the early stages, the fatality rate is about 50% within 5 years of diagnosis.

Change Up Your Shoes – It may be hard to resist the appeal of flip-flops during the summer, but constant wear can cause serious damage if they don’t provide good arch support. Rule of thumb: if you’re able to bend your shoe in half, it doesn’t provide enough support! Our office suggests custom-molded Birkenstocks during the summer, which are available in our office.

Also, if your shoes happen to get wet (most commonly at the pool or beach), make sure to dry them out completely before wearing them again to prevent bacteria and/or fungus from developing.

See Your Podiatrist – Most people tend to neglect their feet during the winter as they’re frequently hidden behind bulky socks and shoes, but as soon as summer hits, it’s common to find that fungal nails, calluses, and/or dry, cracked skin have developed. So, please be mindful of your feet and be careful! We see a lot of patients who have twisted their foot/ankle (especially stepping off boats and porches), stepped on something outside, or developed foot pain from not wearing supportive shoes. 

To learn more about summer foot care, feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.